OHQ-1 (03.07.2012) www.mida.gov.my CHECKLIST FOR APPLICATION FOR OPERATIONAL HEADQUARTERS (OHQ) STATUS WITH TAX INCENTIVE AND/OR EXPATRIATE POSTS 1. Three sets of Application Form 2. Certificate of Incorporation 3. Form 24 (return of Allotment of Shares) 4. Form 49 (Particulars of Directors) 5. Latest Annual Report of the Company 6. Detailed explanation of proposed qualifying services 7. Proposed OHQ organization chart 8. Diagrammatic Presentation on network of companies 9. Diagrammatic Presentation on related companies served by the OHQ 10. Details of Expatriate Post/s 11. A copy Manufacturing License or other MITI/MIDA approvals of affiliated/related companies 12. Brochure / pamphlet of company OHQ-1 (03.07.2012) www.mida.gov.my APPLICATION FOR OPERATIONAL HEADQUARTERS (OHQ) STATUS WITH TAX INCENTIVE AND/OR EXPATRIATE POSTS Type of application (Please tick () where relevant): (a) Operational Headquarters (OHQ) Status With Tax Incentive (b) Expatriate Posts A. 1. INFORMATION ON PROPOSED OHQ Type of company (Please tick () where relevant): (a) Newly incorporated (b) Existing company operating in Malaysia: (i) Currently undertaking OHQ activities (ii) Propose to undertake OHQ activities 2. (a) Name of company: Date of incorporation: Company registration no.: Income tax reference no.: Income tax branch office: (b) Correspondence address: Contact person: Designation: Telephone no.: Fax no.: E-mail: Website: OHQ-1 (c) Address of registered office : Telephone no.: Fax no.: E-mail: 3. Incentives approved by other government agencies (if any): ____________________________________________________________ 4. Project cost* Existing (A) Unit (A-i) (a) Proposed (B) RM (A-ii) Fixed assets** (i) Land (Specify area in hectares): (ii) Building (Specify built-up area in m2): (iii) Equipment (iv) Others Total fixed assets (b) Pre-operational expenditure (c) Working capital Total project cost Note: * For a newly incorporated, please fill in column (B-i) and (B-ii) only ** If assets are rented/leased, please fill in item 3(d) 3 Unit (B-i) RM (B-ii) OHQ-1 Existing Proposed (A) (B) Unit RM Unit RM (A-i) (A-ii) (B-i) (B-ii) (d) Annual cost of rental/lease (i) Land (Specify area in hectares): (ii) Building (Specify built-up area in m2): (iii) Equipment (iv) Others Total rental/lease 5. Financing* Existing Proposed Total (A) (B) (C = A + B) RM RM RM (a) Paid-up capital (b) Loan Domestic Foreign (Specify country of origin): Total (c) Other sources (Please specify): Total Total of (a), (b) and (c) Note: * For a newly incorporated company, please fill in column (B) and (C) only 4 OHQ-1 6. Equity structure: (a) Local: % (b) Foreign: % (Specify country of origin): 7. For an existing company, provide details of activities currently undertaken: (a) (b) (c) (d) 8. Qualifying services to be provided by OHQ (a) General management and administration (b) Business planning and coordination (c) Procurement services (d) Technical support and maintenance (e) Marketing control and sales promotion planning (f) Data/information management and processing (g) Treasury and fund management services to its offices or related companies (h) Corporate financial advisory services to its offices or related companies (i) Research and development work carried out in Malaysia on behalf of its offices or related companies (j) Training and personnel management to its offices or related companies (Please provide details of qualifying services as an Appendix) 5 OHQ-1 List of subsidiaries/associated/related companies from which the OHQ Company will receive income (Please provide details on a separate sheet of paper if space is inadequate): Note: * Indicate percentage of equity held by parent company/OHQ * Please provide a dramatic presentation of related companies to be served by the OHQ 6 Training & Personnel Management R&D Corporate Financial Advisory Treasury & Fund Management Data/ Information Management Company activities Marketing Control & Sales Promotion Paid-up capital (RM) Technical Support & Maintenance Country % of equity held* Procurement services Name of company (subsidiary/ associated companies) Business Planning & Coordination Qualifying Services (Please () where relevant) General Management & Administration 9. Estimated income receivable by OHQ (RM) Types of income (interest, royalty, management fees & others) OHQ-1 10. Projected sources of OHQ income Estimated income of OHQ over the next 3 years (RM) Type of income Year 1 ( ) Year 2 ( Year 3 ) ( Total ) Amount (Average for 3 years) (RM) Held in Malaysia as reserves Remitted to parent company Reinvested in Malaysia Royalty Interest Management fees Others Total 11. Proposed operating expenditure Item of expenditure Year 1 Value (RM ‘000) Year 2 Year 3 (a) Rental* (b) Freight and storage (c) Transportation (d) Maintenance (e) Employees Remuneration** (i) Expatriates (ii) Local staff (f) Housing (g) Travelling (h) Statutory contribution (e.g. EPF, SOCSO) (i) Utility (j) Communication (k) Printing and stationery (l) Interest (m) Bank charges (n) Others (Please specify): Total Note: * If building is owned, please indicate the cost: RM ** To include wages, salaries, bonuses, social insurance contribution, etc. 7 OHQ-1 12. (a) (b) 13. Financial year end : Expected date of commencement of OHQ operation : Manpower* - Please fill in where relevant 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 a) Senior Management b) Senior Executive in: i) Marketing Diploma/ Certificate Full-time employment Foreign national Others Degree Diploma/ Certificate Others Total ii) Treasury/finance iii) Product/development iv) Human Resource v) Purchasing vi) General administration vii) Others Sub-total c) Technical/skilled staff/specialist staff Executive (sales/administration/ operation) d) e) Supervisory staff f) Supporting staff g) Others Total Note: * (Please attach the complete organization chart of the proposed OHQ and highlight the expatriate posts, if any). 1. Percentage of 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) 8 3. If the company plans to outsource its production/ activities : : ______ % : ______ : ______ OHQ-1 14. Employment by income: Number of Persons Employed by Average Monthly Salary* (RM) 5,00010,000 and <3,000 3,000-<5,000 <10,000 above Category Malaysian a) b) Foreign National Malaysian Foreign National Malaysian Senior Management Senior Executive in: viii) Marketing i) Treasury/finance ii) iii) iv) v) vi) Product/development Human Resource Purchasing General administration Others Sub-total Technical/skilled staff/specialist staff Executive (sales/administration/ operation) Supervisory staff c) d) e) f) g) Supporting staff Others Total Note: * include wages, salaries, bonuses, social insurance contribution and all employee benefits. 9 Foreign National Malaysian Foreign National OHQ-1 B. R&D EMPLOYEES FOR OHQ IN MALAYSIA Applicable for OHQ company undertaking R&D services Category Malaysian Research and development staff with: (a) Technical qualifications (i) Electrical & Electronic Engineering (ii) Mechanical Engineering (iii) Chemical Engineering (iv) Others (Please specify): (b) Science qualifications (i) Chemistry (ii) Physics (iii) Biotechnology/Microbiology (iv) Pharmacy (v) Computer Science (vi) Others (Please specify): (c) Other qualifications/experience ( Please specify): Total 10 Foreign national Total OHQ-1 C. PARTICULARS OF PARENT COMPANY Particulars of parent company 1. Name of company: Date of incorporation: 2. 3. Country incorporated: Address: Contact person: Designation: Telephone no.: Fax no.: E-mail: Website: (a) Activities of company (Please tick () where relevant): Manufacturing Construction Services Education Agriculture Others (Please specify): (b) Provide details on company activities 4. Number of subsidiaries/associated companies: (Please provide a diagrammatic presentation on network of companies) 11 OHQ-1 5. Company sales turnover, paid-up capital and major shareholders: RM (i) Sales turnover (ii) Paid-up capital % (iii) Major shareholders (Please specify): D. INFORMATION ON USAGE OF LOCAL SERVICES 1. Accountant/financial advisor Name of company: Address: 2. Banker(s) Name of bank: Address: 3. Lawyer(s) Name of firm: Address: 12 OHQ-1 E. EXPATRIATE POSTS Please complete this section if the applicant is applying for expatriate posts. 1. Details of expatriate posts applied for* Type of post (key/term post) Designation* Number Duration (years) Proposed minimum salary (RM) Note: * Please list according to priority 2. Details of existing posts approved (if any) Designation F. Name and nationality Duration approved Date post filled Expiry date Year 1 Year 2 Basic salary paid (RM) ESTIMATED EARNINGS Year in Operation (a) Estimated Earnings before Interest, Tax, Depreciation & Amortization (EBITDA) (RM) b) Net Income abroad remitted to the applicant (RM) 13 Year 3 OHQ-1 G. DECLARATION I, (i) , the Managing Director of 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 14 OHQ-1 Appendix I DETAILS OF EXPATRIATE POST 1. Proposed designation: 2. Academic qualification: 3. Job description: 4. Justification for application: 5. Work experience: 15