APPLICATION FOR MSC MALAYSIA STATUS
(INCUBATOR)
SECTION 1 – COMPANY BACKGROUND
1.1
Name/proposed name of incubator
Have you registered or incorporated this incubator with Malaysia’s Registrar of
Companies? (please indicate one of the following)
Yes, the incubator is a separate legal entity
Name of Legal Entity :
ROC Number :
Date of Incorporation :
No, the incubator is not a separate legal entity
We intend to register it with the
ROC by :
Note that the newly formed incubator must register with the ROC within a month of
obtaining MSC Malaysia status
1.2
Business Postal Address
Application for MSC Malaysia Status (Incubator)
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1.3
Key Contact Persons
Name :
Designation :
Telephone :
Fax :
Email :
Name :
Designation :
Telephone :
Fax :
Email :
Application for MSC Malaysia Status (Incubator)
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SECTION 2 – CORPORATE STRUCTURE
2.1
Ownership Structure
Name of
shareholder(s)
Equity (%)
Country of origin
Bumi / nonBumi
% Bumiputra equity participation in shareholding
Authorised Capital
RM
Paid-up Capital
RM
Application for MSC Malaysia Status (Incubator)
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2.2
Preferred Incentive
Kindly indicate which financial incentive your incubator chooses to exercise (select
ONE only).
Pioneer Status
The pioneer status is in a form of five (5) years exemption from Malaysian federal
income tax renewable to ten (10) years. A company can apply through the MDeC for a
second five-year term depending on the company’s performance.
Investment Tax Allowance (ITA)
The ITA is allowed as a deduction of 100 percent qualifying capital expenditures against
company’s statutory income. Only qualifying expenditures incurred in the first five (5)
years commencing from the effective date after MSC Malaysia Status is granted will
qualify for 100 percent ITA. ITA may be carried forward indefinitely to be deducted
against its statutory income until it is fully utilized
Application for MSC Malaysia Status (Incubator)
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SECTION 3 – BUSINESS MODEL AND SERVICES
3.1
Technology Focus of Incubator
ICT/Multimedia
Please specify :
1. Strategic Intent
2. Business Model
3. Range of Services
Biotechnology / bio-informatics
Please specify :
1. Strategic Intent
2. Business Model
3. Range of Services
3.2
Technology infrastructure
Existing effective bandwidth
Future upgraded bandwidth
Please state when this upgraded bandwidth will be
made available
Application for MSC Malaysia Status (Incubator)
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3.3
Shared Services
Please indicate if you provide any of the following shared services in the incubator
Type of shared service
provided
Y/N
State quantity and type
Yr 1 ( )
Yr 2 ( )
Yr 3 ( )
Reception
IT equipment for rent (eg
PC, LCD)
Meeting rooms
Business Centre (eg
photocopy, fax)
Resource Centre (e.g
library, data center,
training facility etc)
Skill based labs
Others, please specify
Application for MSC Malaysia Status (Incubator)
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3.4
Strategic Services – kindly describe the following :
1)
2)
Administration, legal and accounting
Mentoring, coaching and training on
technology related matters
marketing, human resource, operational and finance
3.5
Funding and fundraising – please describe your funding strategy.
3.6
Management Team
Description
Year 1
Year 2
Year 3
(
(
(
)
)
)
Management staff
Operational Staff
Admin/Support Staff
Total Staff
Local Management Staff
Foreign Management Staff
Please provide the following information for each member of the management team
:
Name
Designation
Part time /
full time
Core Functions



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Please include details of each management staff whose core functions have been
outlined above into the curriculum vitae format below
Personal Data
Name :
Date of Birth :
Sex :
Nationality :
Educational Qualification
Degree/Diploma :
Field :
Year of Award :
Name and Place of Institution
:
Repeat for each diploma and degree
Employment History (starting with current employer)
Name of Employer
Period of Employment
Title of Position Held
Job Functions
Repeat for each position held
Other achievements
State each achievement
Application for MSC Malaysia Status (Incubator)
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3.7
Forecast of Growth
Current
year
Year 1
Year 2
(
(
)
)
Year 3
(
)
Maximum number of tenant
(companies) that can be
located at incubator
Target number of seed-level
companies*
Target number of start-up
level companies*
Estimated total headcount of
all tenant companies
Floor space available for
tenant companies (sq.ft)
Number of new tenants
entering incubator ie (a+b)
Malaysian (a)
Foreign (b)
Number of tenants leaving
incubator ie (a+b+c)
Graduation* (c)
Termination* (d)
Attrition* (e)
Number of tenants located in
incubator ie (a+b)-(c+d+e)
Application for MSC Malaysia Status (Incubator)
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* Note :Seed-level
companies
Entities that have been incorporated within the past one year, and have
ideas or concepts that require funds for proof of concept and/or
prototyping.
Start-up companies
Entities that may be in the process of setting up or have been in business
for no more than 2 years and require first round funding capital for
commercialization. These companies may not be generating profits yet.
Graduation
Successfully completed their tenancy and are free-standing entities that
have benefited from the incubator’s nurturing activities.
Termination
Companies with tenancies that are terminated by the incubator or vice
versa.
Attrition
Companies with failed business operations.
3.8
Business Support Services
Please state the business support services provided by the incubator.
Services provided
Y/N
In-house/
Outsource
Name of service
provider
Writing business plans
Development of marketing
strategies
Web services
Legal services
Financial management
services
Others, please specify
Application for MSC Malaysia Status (Incubator)
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3.9
Strategic Affiliations
Do you have local or international university affiliations. If yes, please state the
university and nature of the affiliation. Please attach relevant documents if any.
Do you have international affiliations with private or government bodies. If yes,
please state the international party and nature of the affiliation. Please attach
relevant documents if any.
Application for MSC Malaysia Status (Incubator)
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SECTION 4 – FINANCIAL BACKGROUND
4.1
Financial Projections (This is a summary of the financial template that you
also have to fill in).
Please provide your incubator’s financial projections in Ringgit Malaysia.
Items
Year1
(
)
Year 2
(
)
Year3
(
)
Revenue
Net profit (loss) before tax
Net operating cash flow
Assets
Liabilities
Paid-up Capital
Networth
Note that figures for revenue, net profit (loss) before tax, and net operating cash flow should be on
an annual basis. Figures for assets, liabilities, paid-up-capital and networth should be in
cumulative figures over the projected three year period.
Application for MSC Malaysia Status (Incubator)
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4.2
Breakdown of revenue
Year 1
Year 2
Year 3
(
(
(
)
)
)
Rental of space to tenants
Rental of shared facilities
Business advisory / consultancy
Others :
Others :
Others :
Total
Please state how the incubator plans to be a sustainable operation, and what are its
sources of funding.
Application for MSC Malaysia Status (Incubator)
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Consent clause
The applicant understands that the detailed contents of its application will be
treated with strict confidence. Nonetheless, the applicant hereby consents to any
disclosure the MDeC might make of the contents of this application, or any
information on the company to relevant government bodies or any governmentappointed agencies, firms, or consultants acting in a professional capacity for and
on behalf of the Multimedia Development Corporation.
Signature :
Name :
Designation :
Date :
This application should be submitted to the following address together with a nonrefundable processing fee of RM2,000 in the form of a cheque or bank draft
payable to Multimedia Development Corporation Sdn Bhd :
A.Balasubramaniam,
Head, National Incubator Development Program (NIDP)
Technopreneur Development Division (TeDD),
Multimedia Development Corporation
63000 Cyberjaya
Selangor Darul Ehsan, Malaysia
Tel : 03-8313 8001
Fax: 03-8313 8017
Email: bala@MDeC.com.my
We request that you notify your MDeC Account Manager promptly if there are
changes to the particulars of your application, such as contact address, key
personnel, business activities, or proposed ownership structure.
Application for MSC Malaysia Status (Incubator)
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