Vendor Registration Form

Company Name
Company Registration Number
Type of Industry
List of Product
Product

You can add list of product here
Brand

You can add more than 1 brand
Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Phone Number
Company Email
Factory Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

(If applicable)
Website
Social Media Link

Instagram
Social Media Link

Facebook
Social Media Link

Twitter
Company Director’s Name
First Last
(if applicable)
Director’s IC Number
(if applicable)
Phone Number of Company Director’s
(if applicable)
Email Of Company Director’s

(if applicable)
Person In-charge Name
First Last
Person In-charge IC Number
Email Of Person In-charge
Phone Number Of Person In-charge

Health, Beauty & Lifestyle Market place

Product