DEADLINE: 3 September 2010

REGISTRATION FORM

MAJECA/JETRO/FMM - BUSINESS MISSION TOYOKOHAMA & TOKYO

3-8, OCTOBER 2010

YES, I am interested to participate in this mission:

Name of Company/Organization:

Nature of Business:Trading □ Service □ Manufacturing □ Consultant □Contractor □ Developer □ SME □ Government agency □Others, please state □

Authorised Capital: RM …………………………..………….. Paid-up Capital: ……………………………………….

Ownership: Local: ( …..……….. ..% Bumiputra ..…….….…… % Non-Bumiputra) Foreign: ……….…....%

Business Address:……………………………………………………………….……………………………………………………..………………………………….

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Tel: ………………………… Fax:: …………….………… Email:………………………………… Website: …………………………………..

*Business Activity: (Information given here will appear in the mission handbook)

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Representative(s) from my organization include:Name( as in the passport) Passport No. & Expiry Date Designation

1. ……………………………….……………… ……………………………………… ………………………….…………………...

2. …………………………………….………… ……………………………………… ………………………….…………………...

3. ……………………………….……………… ……………………………………… ……………………………………….……...

*Business Interest:

1 Business Mission to Yokohama & Tokyo, 3-8 October 2010

Please explain your company’s main interest / objectives during this mission. Please be precise as the information you provide would help the Organisers to arrange meetings that are relevant to you. Please also indicate specific type of companies/counterparts that you would like to meet during this mission.

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Currently are you doing business in Japan? YES □ / NO □

If Yes, Please state with whom or which company & type of involvement.

Name of Companies City Type of Business Involvement

(i) ……………………………………………… ……………………. ………………………………………………………..

(ii) ……………………………………………… ……………………. ………………………………………………………..

(iii) ……………………………………………… ……………………. ………………………………………………………..

Air Travel / Hotel Reservation:Details: Estimated costsFlights : 3 Oct JL624 KULNRT 2250/0700 (arrive 4 Oct)

9 Oct JL723 NRTKUL 1145/1810* Cost (at least 2 persons traveling together entire trip – terms & conditions apply)* * Single traveller

RM1,879RM2,279

Hotel accommodation (budget) single room @ JPY9000 per room per night. Check in time 3.00 pm and check out time 10.00 am.

JPY45,000

Our travel agent will be able to assist you with flight and hotel bookings. Contact: Ms Florence Wong, BMC Travel Sdn BhdTel: +603-21611448; Fax:+603-21610449; Email: florence@bmctravel.com

Participation Fee:MAJECA/FMM Members RM2,000.00Non-MAJECA/FMM Members RM2,200.00 The participation fee covers the MAJECA administrative fee and entrance fee to Tokyo Pack

2010 as per programme. All other costs to be borne by individual participants. Ground travel will be by trains & subway, which are to be paid at the station by individual

participants. Cost to travel by taxis will be shared among the passengers of that taxi. Interpreters’ fees (if necessary) to be shared by participants.

Name: ……………………………..………………………………. Signature: ………………………………………………………..…

Designation: ………………………..…………………………….. Date: …………………………………………………….………….

PLEASE RETURN COMPLETED FORM TO MAJECA VIA FAX 03-20728411 AS SOON AS POSSIBLE.

MALAYSIA-JAPAN ECONOMIC ASSOCIATION (MAJECA)17th Floor, Bangunan AmBank Group, Letter Box 17A

55, Jalan Raja Chulan, 50200 Kuala LumpurTel: 6-03-20783788; Fax: 6-03-20728411 Email: majeca@masscorp.net.my

2 Business Mission to Yokohama & Tokyo, 3-8 October 2010