APPLICATION FOR NO OBJECTION LETTER FOR MANUFACTURING LICENCE ON PROJECT BY A LICENSED MANUFACTURER OR BY AN EXISTING NON-LICENSED MANUFACTURER NOL Application SECTION A : COMPANY Company Profile Company Name: Registration Type: —Please choose an option—Registration of Company (ROC)Registration of Business (ROB) Company Registration No.*: New SSM Company Registration No.*: Registered Address: Correspondence Address: Company Email: Fax No.: Website: Company Background: Parent/Holding Company: Origin Country: Select CountryAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe Contact Person Title: —Please choose an option—MrMrsMissMsDr Name: Designation: Email: Phone No.: Fax No.:   SECTION B : APPLICATION INFORMATION Economic Sector: —Please choose an option—LogisticFinancial ServicesBusiness ServicesTourismFood SecurityEducationHealth CareDigital EconomyEnergyManufacturingOthers … Others: Application Type: —Please choose an option—NewExpansionDiversificationChange of Location MIDA Reference No.: MIDA File Reference No.: Proposed Production/Activities Project Location: Factory/Premise Area: New Project Location Type: Existing Project Location: Proposed Project/Activity : (as per approved by MIDA/MITI) Proposed Production/Activities (Additional) Project Location: Factory/Premise Area: New Project Location Type: Existing Project Location: Proposed Project/Activity : (as per approved by MIDA/MITI) To key in details as stated in MIDA / MITI Interim approval letter Local Council —Please choose an option—MAJLIS BANDARAYA JOHOR BAHRU (MBJB)MAJLIS BANDARAYA ISKANDAR PUTERI (MBIP)MAJLIS BANDARAYA PASIR GUDANG (MBPG)MAJLIS PERBANDARAN MUAR (MPM)MAJLIS PERBANDARAN KLUANG (MPK)MAJLIS PERBANDARAN KULAI (MPKu)MAJLIS PERBANDARAN BATU PAHAT (MPBP)MAJLIS PERBANDARAN PENGERANG (MPP)MAJLIS PERBANDARAN PONTIAN (MPPN)MAJLIS PERBANDARAN SEGAMAT (MPS)MAJLIS DAERAH KOTA TINGGI (MDKT)MAJLIS DAERAH MERSING (MDM)MAJLIS DAERAH TANGKAK (MDT)MAJLIS DAERAH YONG PENG (MDYP)MAJLIS DAERAH SIMPANG RENGGAM (MDSR)MAJLIS DAERAH LABIS (MDL) Status PlanningBuilding ConstructionMachinery InstallationProduction   SECTION C : PROJECT COST Total New/Expansion Project Cost Component Land/Building/Fixed Assets & Plant Machinery/Other Equipment/Other Cost Total Project Cost:   SECTION D : MANPOWER Total New/Expansion Project Manpower Position Managerial/Professional/Supervisors/Technician/Executives/Operators/General Workers Total Staff:   SECTION E : SUPPORTING DOCUMENT Document to be submitted Note: All supporting documents listed below is required. 1. Company Profile Share your document link via Google Drive/Dropbox/OneDrive. 2. Form 9, 24 and 49 and relevant company registration documents Share your document link via Google Drive/Dropbox/OneDrive. 3. A copy of the Interim Manufacturing License Approval Letter from MITI / MIDA or A Copy of Land Title Search / Land Conversion Approval (search done within 12 months) or A Copy of Certificate of Completion and Compliance (CCC) or Occupancy Certificate (OC) or A Copy of Sale & Purchase / Tenancy Agreement Share your document link via Google Drive/Dropbox/OneDrive. 4. A copy of MIDA Application Form Share your document link via Google Drive/Dropbox/OneDrive. 5. A Copy of Property Tax latest receipt Share your document link via Google Drive/Dropbox/OneDrive. 6. A Copy of Approval Letter from Department of Environment Share your document link via Google Drive/Dropbox/OneDrive.   SECTION F : DECLARATION By clicking 'Submit' I hereby certify that the all information provided in this application, together with all required supporting documents, are accurate and complete and do not contain any falsifications, omissions or concealment of fact. I hereby confirm that all supporting documents attached are certified by Company Secretary Commissoner of Oath. I understand that any false statements or omissions will result in rejection of this application. In case of failure of application, kindly ensure that your internet connection is stable. Should you encounter any problem during the NOL e-form submission process or you do not received any confirmation by email, please contact Mr.Mohd Fadly Bin Yahya at +6019 220 3157. Thank You. Name: Identity Card/Passport No.: Designation: