FORM H&T/JA-1

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H&T/JA-1
www.mida.gov.my
(03.07.2012)
APPLICATION FOR INCENTIVE AND/OR EXPATRIATE POSTS
FOR A NEW HOTEL AND/OR TOURISM PROJECT
(I)
Type of application (Please tick () where relevant):
(a)
Incentive
(i) Pioneer Status
or
(ii) Investment Tax Allowance
(b)
Expatriate Post
For
Hotel project
and/or
Tourism project
A.
1.
PARTICULARS OF APPLICANT/COMPANY
(a) Name of applicant/company:
(b) Correspondence address:
Contact person:
Designation:
Telephone no.:
Fax no.:
E-mail:
Website:
H&T/JA-1
2.
(a)
Name of company which will undertake the project:
(b) Has the company been incorporated under the Companies Act, 1965?
Yes
No
If yes, please fill in the following:
Date of incorporation:
Company registration no.:
Income tax reference no.:
Income tax branch office:
(c) Address of registered office:
Telephone no.:
Fax no.:
E-mail:
3.
(a) Name and location of hotel/tourism project
Type of project
(Hotel/Tourism/Intergrated)
Name of project
(b) Date of registration by the Ministry of Tourism Malaysia :
(Please attach a copy of the Certificate of Registration)
2
Location
H&T/JA-1
4.
Incentives approved by other government agencies (if any):
5.
Particulars of Board of Directors*
Name and residential address
Nationality
% shares held in
the company
Note:
*
If the space provided is insufficient, please provide the information on a separate sheet of paper
3
H&T/JA-1
B.
I.
PARTICULARS OF HOTEL/TOURISM PROJECT
Hotel project
1.
2.
3.
II.
Hotel standard :
star
Type of rooms
Number of rooms
Daily rates (RM)
Indicate facilities to be provided such as recreational facilities, restaurants, swimming
pools & etc.
Tourism project
1.
Main features of the project
2.
Type of facilities
Charges (RM)
4
H&T/JA-1
C.
I.
PROJECT COST
Hotel project
Total
RM
1.
Fixed assets*
(i)
Land
(Specify area in hectares):
(ii) Hotel building and other built-up facilities
(Specify built-up area in m2):
(iii) Furniture and furnishing
(iv) Others
Total fixed assets
2.
Pre-operational expenditure
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) Hotel building and other built-up facilities
(Specify built-up area in m2):
(iii) Furniture and furnishing
(iv) Others
Total rental/lease
5
H&T/JA-1
II.
Tourism project
Phase 1*
RM
1.
Phase 2*
RM
Fixed assets**
(i)
Land (Specify area in hectares):
(ii)
Land cleaning and development
(iii)
Landscaping
(iv) Construction of roads and other
infrastructure facilities
(v)
Buildings (excluding building for
guest accommodation)
(vi) Recreational facilities and exhibits
(vii) Other assets
Total fixed assets
2.
Pre-operational expenditure
3.
Working capital
Total project cost
** If assets are rented/leased, please indicate the annual cost of rental/lease
RM
(i)
Land (Specify area in hectares):
(ii)
Buildings (excluding building for guest
accommodation)
(iii)
Recreational facilities and exhibits
(iv) Other assets
Total rental/lease
Note:
* To be filled if the second phase is implemented after 3 years
6
Total
RM
H&T/JA-1
4.
Details of recreational facilities and exhibits and other fixed-assets.
Item
Unit
Country of origin
7
Cost (RM)
H&T/JA-1
D.
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)
100%
* 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
8
100%
H&T/JA-1
RM
3. Loan
Domestic
Foreign (Specify country of origin) :
Total
4. Other sources
Total
Total of 2, 3 and 4
9
H&T/JA-1
E.
MANPOWER
Please note that the information is required to enable the government to undertake the appropriate
manpower planning to meet the specific manpower needs of companies proposing to establish projects in
Malaysia.
Malaysian
Category
Degree
Diploma/
Certificate
Full-time employment
Foreign national
Others
Degree
Diploma/
Certificate
Others
Total
1. Managerial staff
(a) Company Directors
(b) Production and Operation
Department Managers
(c) Specialized Department Manager
(d) General Manager
2. Technical and supervisory staff
(a)
(b)
(c)
(d)
(e)
Mechanical Engineer
Electrical Engineer
Accountants and Auditors
Human Resource Personnel
Technician
3. Sales, clerical and other workers
(a) Secretaries and Keyboard
Operating Clerk
(b) Administration Clerk
(c) Accounting and Finance Clerks
(d) Material-recording Clerk
4. Services workers
(a) Cashiers and Tellers
(b) Client Information Clerk
(c) Housekeeping and Catering
Services Workers
(d) Protective Service and Related
Workers
(e) Domestic and Related Helpers,
Cleaners and Launderers
(f) Messengers, Porters, Attendants
and Related Workers
5. General workers*
Total
Note:
General workers are those involved as landscape, park and garden maintenance workers
*
1.
Percentage of managerial science and technical staff having degrees or diplomas with a
minimum of 5 years experience (of the total workforce)
2. Number of Staff with Post Graduate (ie. Masters/PhD etc) qualifications
3. In addition to the full-time employees as mentioned in the above tables, please provide the
number of workers which are outsourced (not under the company’s payroll)
10
:
______ %
:
______
:
______
H&T/JA-1
F.
EMPLOYMENT BY INCOME
Number of Persons Employed by Average Monthly Salary” (RM)
Category
<3,000
Malaysian
Foreign
National
3,000-<5,000
Malaysian
1. Managerial staff
(a) Company Directors
(b) Production and Operation
Department Managers
(c) Specialized Department
Manager
(d) General Manager
2. Technical and supervisory staff
(a)
(b)
(c)
(d)
(e)
Mechanical Engineer
Electrical Engineer
Accountants and Auditors
Human Resource Personnel
Technician
3. Sales, clerical and other workers
(a) Secretaries and Keyboard
Operating Clerk
(b) Administration Clerk
Accounting and Finance
(c)
Clerks
(d) Material-recording Clerk
4. Services workers
(a) Cashiers and Tellers
(b) Client Information Clerk
(c) Housekeeping and Catering
Services Workers
(d) Protective Service and Related
Workers
(e) Domestic and Related
Helpers, Cleaners and
Launderers
(f) Messengers, Porters,
Attendants and Related
Workers
5. General workers*
Total
11
Foreign
National
5,000-<10,000
Malaysian
Foreign
National
10,000 and
above
Malaysian
Foreign
National
H&T/JA-1
G.
DATE OF COMMENCEMENT OF CONSTRUCTION/BUSINESS
1.
Date of commencement of construction :
2.
Date of commencement of business
H.
SOURCE OF MANAGEMENT SERVICES
Name and address of
company
I.
:
Years and type of experience
Name and location of projects
managed previously
ESTIMATED LABOUR COST AND EARNINGS
A. ESTIMATED LABOUR COST - Salaries and Wages*
Year in Operation
Year 1
Year 2
Salaries and Wages (RM)
Note:
*Include wages, salaries, bonuses, social insurance contribution and all employee benefits
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Year 3
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B. ESTIMATED EARNINGS
Year in Operation
Year 1
Year 2
Year 3
(a) Estimated Earnings before Interest, Tax,
Depreciation & Amortization (EBITDA) (RM)
(b) Estimated Net Income After Tax (RM)
J.
-
Held in Malaysia as reserves (%)
-
Remitted out of Malaysia (%)
-
Reinvested in Malaysia (%)
DETAILS OF EXPATRIATE POSTS
Please complete this section if the applicant is applying for expatriate posts. Please exclude the expatriate
posts that have been directly applied for to the Immigration Department or any other department.
1. New/additional posts applied for
Designation*
Type of post
(key/term post)
Number
Note:
* Please list according to priority
13
Duration
(years)
Proposed
minimum
salary (RM)
H&T/JA-1
For each expatriate post applied for, please submit the following details:
(a) Job function
(b) Minimum academic/professional qualification required
(c) Minimum period of experience required
(d) Justification for request
(e) Proposed training scheme for Malaysian personnel to fill the relevant posts
2.
Existing/approved posts (if any)
Designation
Name and nationality
Duration
approved
Date post
filled
Expiry date
Basic
salary paid
(RM)
For each existing/approved expatriate post, please submit the following details:
(a) Name of Malaysian who has taken over/will take over the post
(b) If the post has not been/will not be Malaysianised, state reasons and the company’s
plan on the post.
3.
Please attach the organisational structure of the company indicating the positions of the
expatriate posts.
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H&T/JA-1
K.
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
15
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