www.mida.gov.my
PT1
(03.07.2012)
APPLICATION FOR TARIFF PROTECTION OR
REVIEW OF TARIFF PROTECTION
Product for which
tariff protection is
requested/review
A.
1.
Tariff code no.
HS
Duty import
AHTN
Current
PARTICULARS OF COMPANY
(a) Name of company:
Date of incorporation:
Company registration no.:
(b) Correspondence address:
Contact person:
Designation:
Telephone no.:
Fax no.:
E-mail:
Website:
Applied for/
suggested
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(c)
Factory address:
Telephone no.:
2.
Fax no.:
Employment*
* Please fill in the manpower structure as in Appendix A
3.
(a) Particulars of company with Manufacturing Licence issued by MITI
Licence no.
Serial no.
Effective
date
Equity
condition
Export condition
(b) Particular of company exempted from Manufacturing Licence issued by MITI
(i) Sales tax licence no. (CJ2) :
or
(ii) Certificate of exemption from sales tax licence no. (CJ7) :
(c) Tax incentive approved, if applicable
(i) Pioneer Status
(ii) Investment Tax Allowance
(iii) Others (Please specify):
2
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4.
Details of existing products
Products
Date of
commercial
production
Current annual production
Quantity*
…………..
Note:
*
Units as specified in the “Malaysian Trade Classification and Customs Duties Order”
3
Value
(RM)
Current annual sales
Quantity*
…………..
Value
(RM)
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B.
PROJECT COST*
For all
products
RM
1.
For products
for which tariff
protection is
requested/
reviewed
RM
Fixed assets**
(i) Land
(Specify area in hectares)
(ii) Factory building
(Specify built-up area in m2)
(iii) Plant and machinery
(iv) Other equipment
Total fixed assets
2.
Pre-operational expenditure (if applicable)
3.
Working capital
Total project cost
**
If assets are rented/leased, please indicate
the annual cost of rental/lease
(i) Land
(Specify area in hectares)
(ii) Factory building
(Specify built-up area in m2)
(iii) Plant and machinery
(iv) Other equipment
Total rental/lease
Note:
* If there is more than one factory location, please provide the same information on a separate sheet of paper
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C.
FINANCING
RM
1.
Authorised capital
2.
Shareholders’ funds
(a)
%
Paid-up capital
(i)
Malaysian individuals
Bumiputera
Non-Bumiputera
(ii) Companies incorporated in Malaysia*
(iii) Foreign nationals/companies
(Specify name and nationality/
country of origin)
Total of (i), (ii) and (iii)
(b)
100%
Reserves (excluding capital appreciation
Total of (a) and (b)
* For 2(a)(ii), please provide equity structure as follows:
Name of company:
Name of company:
%
%
Bumiputera
Bumiputera
Non-Bumiputera
Non-Bumiputera
Foreign nationals/companies
(Specify name and
nationality/country of origin)
Foreign nationals/companies
(Specify name and
nationality/country of origin)
Total
100%
Total
5
100%
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RM
3.
Loan
Domestic
Foreign (Specify country of origin):
Total
4.
Other sources (Please specify):
Total
Total of 2, 3 and 4
D.
DETAILS OF PRODUCTS FOR WHICH TARIFF PROTECTION IS
REQUESTED/REVIEWED
1.
Production and sales
Production
Calendar year
Actual production
Ex-factory
Quantity*
value
(RM)
Sales
Maximum
capacity
per annum
% of quantity sold
Quantity*
Value
(RM)
Local
Past 3 years
……………..
……………..
……………..
Current year
……………..
Next 3 years
……………..
……………..
……………..
Note:
*
Units as specified in the “Malaysian Trade Classification and Customs Duties Order”
**
Free Zone/Licenced Manufacturing Warehouse
6
FZ/LMW**
Export
PT 1
2.
Please attach the manufacturing process flow chart and explain the major process
3.
Please specify the standards that your company’s product conforms to. Please
attach the relevant certificate
4.
Please state the specifications (e.g. type, size, grade) required in the domestic
market
5.
Please state the specifications of the product manufactured by your company.
Please provide samples/catalogues
6.
Please state other specifications of the product which will be manufactured and to
indicate when production will commence
7.
Market size for the last 3 years*
Demand/supply
20……
Value
Quantity**
(RM)
20……
Value
Quantity**
(RM)
20……
Value
Quantity**
(RM)
(i) Domestic
production
(ii) Import
(iii) Export
Note:
*
State sources of statistics
**
Units as specified in the “Malaysian Trade Classification and Customs Duties Order”
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8.
Principal local and foreign suppliers of similar products in Malaysia
Name
Estimated
market share
(%)
Brand
Selling price per
unit
(RM)
Local manufacturers
Foreign suppliers
E.
MAJOR RAW MATERIALS AND COMPONENTS
1.
Local
Raw materials and components
Quantity
used per
annum*
Value per annum
(RM)
Quantity
used per
unit of
product
Note:
* Units as specified in the “Malaysian Trade Classification and Customs Duties Order”
8
Cost of raw
materials and
components per
unit of product
(RM)
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2.
Import
Raw materials and components
HS tariff code
no.
Import duty paid
(RM)
Note:
* Units as specified in the “Malaysian Trade Classification and Customs Duties Order”
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Quantity
used per
annum*
CIF value per
annum
Quantity
used per unit
of product
Cost of raw materials
and components per
unit of product
(RM)
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F.
PRODUCT PRICING
Cost/price per unit of product
Item
Current capacity*
Maximum capacity*
(RM)
(RM)
(a) Cost of imported raw materials/components
(b) Cost of local raw materials/components
(c) Utility cost (e.g. water, electricity)
(d) Cost of labour
(e) Depreciation
(f) Interest payments, indirect taxes, quit rent &
etc.
(g) Administrative and marketing costs
(h) Cost of technology (including royalty,
management services and other related
costs)
(i) Manufacturing profit
Ex-factory cost
(j) Selling price to wholesaler
(k) Wholesaler mark-up
(l) Selling price for retailer
(m) Retailer mark-up
Market selling price
Note:
*
Units as specified in the “Malaysian Trade Classification and Customs Duties Order”
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G.
TARIFF PROTECTION
1. Explain clearly the reasons for the request for/extension of tariff protection. Please
provide documentary evidence
2. If tariff protection is given/extended state, the steps that will be taken by your
company to ensure that:
(a) Selling price is not increased
(b) Quality of product is maintained or improved
(c) Supply of product fulfills the domestic market demand
3. Please provide copy of company’s audited accounts including manufacturing
accounts for the last 3 years
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H.
DECLARATION
I,
, the Managing Director of
(i)
hereby declare that to the best of my knowledge, the particulars furnished in this
application are true.
(ii)*
have engaged/is planning to engage the services of the following consultant for my
application :
Company Name
:
Address
:
Contact Person
:
Designation
:
Telephone no.
:
Fax no.
:
E-mail
:
I take full responsibility for all information submitted by the consultant(s).
Date
(Signature)
(Company’s Stamp or Seal)
*Please complete this section if the company has engaged/is planning to engage the services of
consultant(s) to act on behalf of the company. Please provide information on a separate sheet
of paper if space is insufficient
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