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Company info
*Company name
*Company office no
*Premises category
PLEASE SELECT CATEGORY
PP04 - COMMUNITY SINGING CENTRE
PP04 - CYBER CAFE
PP04 - GAMING CENTRE
PP06 - FUN CENTRE
PP06 - AMUSEMENT
PP06 - LEISURE
PP06 - THEME PARK
PP06 - GYM/ FITNESS
PP07 - RECREATION CENTRE
PP07 - VIDEO ARCADE
PP07 - SPA & HEALTH CENTRE
PP07 - BEAUTY CENTRE
*Nature of business
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Company Salutation*
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Mr.
Mrs.
Ms.
Encik
Puan
AR
Datin
Datin Seri
Datin Sri
Dato'
Dato' Seri
Dato' Sri
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Dr.
His Excellency
IR
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Yang Berhormat
YB.
*Company contact person
*Company contact person designation
*Contact person mobile no
*Email address
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Note* For Association Members, you are required to Login/Register before proceed to generate full quotation.
For assistance, kindly contact 03-6207 2888 or email info@ppm.my. Thank you.
Tariff Details
*Music Commencement date
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Address
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Date
Type of Music Usage
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Supporting Documents (minimum file to upload is : 1)
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Please type of document
APPLICATION FORM
RESOURCES - PHOTO/IMAGE (E.G SOCIAL MEDIA, PAPER CUTTING, SIGNBOARD, NAME CARD,OUTLET, EVENT)
RESOURCES - VIDEO RECORDING (I.E SOCIAL MEDIA, PAPER CUTTING, SIGNBOARD, NAME CARD, OUTLET, EVENT)
SSM CERTIFICATE COPY
OTHER CERTIFICATE
BUSINESS TRADING SEARCH (EAST MALAYSIA ONLY)
NRIC/PASSPORT
PAYMENT ADVICE/BANK IN SLIP
DECLARATION - FLOORPLAN
DECLARATION - BANQUET TABLE SEATING
CORRESPONDENCE - LETTER
CORRESPONDENCE - EMAIL
FORM - B1 (CASH PAYMENT ADVICE)
FORM - PPM11 (REBATE APPEAL)
FORM - PPM12 (VERIFICATION REPORT)
FORM - PPM12A (LEGAL CHECKLIST)
FORM - PPM14 (MUSIC USAGE REPORT)
OTHERS
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No
Type of documents
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I/We acknowledge that I have read and understand the
Terms And Conditions of Licence Agreement
,
Additional Terms And Conditions, Terms
and
Conditions of Use and Privacy Policy
as stated herein.
I/We agreed that submission must be supported by a copy of invoice(s) or supporting documents for the purpose of verification of the Declaration by me/us.
I/We declare that the information in this quotation is correct.
Type electronic Signature
Draw
Type
Clear signature
Type It
Draw It
*Name (as per IC/Passport):
*Designation:
*Type of ID :
NRIC
Passport
*ID No :
*Mobile Phone No:
*Email:
Date:
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*PPM Contact
*License Period.
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