Business to Business Meeting (B2B) Registration Form
Sunway Pyramid Convention Centre, 2:00pm – 5:00pm
Submission Deadline: 21 September 2015, Monday
Section A: Organisation Details
Company Name
Company Address
Website
Office Tel
Year of Establishment
Number of Employees
[ ] 1-20 [ ] 21-40 [ ] 41-60 [ ] 61-80 [ ] 81-100 [ ] more than 100
Contact Person
Designation
Mobile Number
Email
Company Profile (not more than 200 words)
Product & Services Provided (please be as descriptive as possible with not more than 200 words)
Overseas Branches / Markets You Are Currently Present In
Type of Organisation Please tick [√] where appropriate
[ ] Distributor [ ] Exporter/Importer [ ] Manufacturer [ ] Service Provider [ ] Others
Your Line of Business Please tick [√] where appropriate
[ ] Bio Tech / Life Sciences
[ ] Business Process Outsourcing (BPO)
[ ]
Consultancy Services
[ ]
Creative Content
[ ]
Data Centre / Web Hosting Providers
[ ]
Hardware Design
[ ]
Internet Based Business
[ ]
IT Outsourcing (ITO)
[ ]
Knowledge Process Outsourcing (KPO)
[ ]
Mobile & Wireless
[ ]
Network Security
[ ]
Shared Services Outsourcing (SSO)
[ ]
Software Development
[ ]
Systems Integration
[ ]
Telco / Network
[ ]
Others, please specify:
Organised by
In Association with
Industry Served Please tick [√] where appropriate
[ ] Agriculture
[ ] Banking, Finance & Insurance
[ ] Construction & Real Estate
[ ] Consumers
[ ] Defense
[ ] Education
[ ] Government
[ ] Healthcare
[ ] Hospitality, Travel & Tourism
[ ] Manufacturing
[ ] Media & Entertainment
[ ] Oil & Gas
[ ] Retail/Wholesale
[ ] Telco/ISP
[ ] Transportation & Logistics
[ ] Utilities
[ ] Others, please specify:
Does your organisation have any existing business dealing(s) in Malaysia? (Only applicable for foreign
organisation)
[ ] Yes [ ] No
Section B: Your B2B Requirement
[ ] I am a Potential Buyer (User) with the ICT budget of (USD)__________ annually.
Looking to explore acquisition of services of (please tick where appropriate):[ ] Bio Tech / Life Sciences
[ ] Business Process Outsourcing (BPO)
[ ]
Consultancy Services
[ ]
Creative Content
[ ]
Data Centre / Web Hosting Providers
[ ]
Hardware Design
[ ]
Internet Based Business
[ ]
IT Outsourcing (ITO)
[ ]
Knowledge Process Outsourcing (KPO)
[ ]
Mobile & Wireless
[ ]
Network Security
[ ]
Shared Services Outsourcing (SSO)
[ ]
Software Development
[ ]
Systems Integration
[ ]
Telco / Network
[ ]
Others, please specify:
a)
Is your organisation currently outsourcing or has outsourced to a service provider in the past?
[ ] Yes [ ] No. Please specify the reason:
b) Does your organisation currently have an outsourcing plan or budget for the next (please choose 1):
[ ] 0 – 1 Year [ ] 1 – 2 Years [ ] 2 Years and above [ ] Not yet [ ] Not Applicable
[ ] I am a Potential Partner (Collaboration)
Looking to explore partnership/collaboration on (please tick where appropriate):[ ] Bio Tech / Life Sciences
[ ] Business Process Outsourcing (BPO)
[ ]
Consultancy Services
[ ]
Creative Content
[ ]
Data Centre / Web Hosting Providers
[ ]
Hardware Design
[ ]
Internet Based Business
[ ]
IT Outsourcing (ITO)
[ ]
Knowledge Process Outsourcing (KPO)
[ ]
Mobile & Wireless
[ ]
Network Security
[ ]
Shared Services Outsourcing (SSO)
[ ]
Software Development
[ ]
Systems Integration
[ ]
Telco / Network
[ ]
Others, please specify:
a)
Does your organisation currently have a strategic partner?
[ ] Yes [ ] No
b) Does your organisation intend to forge a partnership in the next (please choose 1):
[ ] 0 – 1 Year [ ] 1 – 2 Years [ ] 2 Years and above [ ] Not yet [ ] Not Applicable
Indicate the type of partner(s) or collaboration you are interested Please tick [√] where appropriate
[ ] Joint Venture Partner
[ ] Appoint Distributor / Agent
Organised by
In Association with
[ ]
Set-up Representative Office
[ ]
Business Services
[ ]
Merger & Acquisition
[ ]
Investment Opportunities
[ ]
Others:
Industry sector you are interested Please tick [√] where appropriate
[ ] Infrastructure & Broadband
[ ]
Business Services
[ ]
Computer & Related Equipment Assembly
[ ]
ICT Business Services Incubation
[ ]
Others. Describe the product/services/partnership that you are looking for:
Section C: Scheduling Meetings
Your Preferred Slot - 6 October 2015, Tuesday (you may choose multiple slots):[ ] 2:00pm-2:15pm [ ] 2:15pm-2:30pm [ ] 2:30pm-2:45pm [ ] 2:45pm-3:00pm
[ ] 3:00pm-3:15pm [ ] 3:15pm-3:30pm [ ] 3:30pm-3:45pm [ ] 3:45pm-4:00pm
[ ] 4:00pm-4:15pm [ ] 4:15pm-4:30pm [ ] 4:30pm-4:45pm [ ] 4:45pm-5:00pm
Meeting Format
 Multiple pre-arranged 15 minutes/session meeting.
 A special set-up with privacy to exchange information.
Meeting Language
The meeting will be conducted in English. Translation fees will apply if needed
Meeting Confirmation & Disclaimer
 You will receive meeting notification/confirmation latest by 28 September 2015
 We assist organisations and Summit delegates in identifying and contacting potential business partner.
The organiser is not responsible for no show/meeting cancellation during the B2B matchmaking session.
We would like to encourage you to respect a few ground rules to make this B2B Matchmaking platform
benefit all:- Bring business cards and organisation pamphlets to share
- Communication needs to be relevant to the meeting
- Demonstrate respect in all communication with others
- Use the platform to develop and maintain effective relationships, mutual trust and confidence
- Do align your organisation with your target audience’s values
Our dedicated team is always on hand to provide assistance that is specific to your organisation!
G’ny Chin, gny@pikom.org.my
The National ICT Association of Malaysia
E1, Empire Damansara, No.2, Jalan PJU 8/8A
Damansara Perdana, 47820 Petaling Jaya, Selangor Daru Ehsan, Malaysia
Tel: +603-40650078 Fax: +603-40650079
Organised by
In Association with