Section A: Additional Company's details

Thank you for your interest in participating in CPHI 2023.
We appreciate your kind cooperation in providing additional information for record-keeping purposes. 

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* 1. Company Name

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* 2. Email Address

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* 3. Type of business

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* 4. Product Type

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* 5. Products manufactured  (e.g., 3 in 1 coffee, snacks etc.)

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* 6. SSM Registration Number

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* 7. Are you a certified Halal Company?

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* 8. Kindly upload your Halal Certificate. 

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 9. Bumiputera Status

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* 10. Actively in operation for the last 3 years

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* 11. Basic Compliance Implemented

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* 12. Total 2022 sales

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* 13. Sales Projection for 2023

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* 14. Export Market(list of country penetrated): if applicable

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* 15. Have you received any funding or assistance from other agencies?

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* 16. How do you market the products or services?

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* 17. Export percentage (%) from total sales

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