Type of Product/Services:
E-Payment & Transaction
E-Ticketing / Travelling
Website Based Business
Information of the Representative
NRIC / Passport No.:
Date of Birth:
Photocopy of company registration forms under the Suruhanjaya Syarikat Malaysia (SSM) (Form 8 / 9 / 24 / 49) - if applicable.
Photocopy of personal ID card of the proprietor / managing director / chairman of the company.
Passport size picture of the proprietor / managing director / chairman of the company.
Registration Fee (one off)
Annual Subscription Fee (recur annually)
Lifetime subscription Fee (one off)
Bank Account Name:
PERSATUAN ENIAGA MALAYSIA
Bank Account Number:
Please Check to Approve:
I declare that the facts stated in this application form and the accompanying information are true and correct and that I have not withheld/distorted any material facts. I understand that if I obtain the approval status by false or misleading statements, and if found engaging businesses which are prohibited by the laws, eBAM may, at its discretion, withdraw the membership status without further notice. I also understand that I have to pay my membership registration fee and subscription fee on time and all fees made to eBAM is not refundable.