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 12 Year 3 H&T/JA-1 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. 14 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