03 - Business Registration Form With BMC - 5%

215
21Filing Charge: RM 2 UPM/FEP/Sem2/2021-2022/Bil……
BUSINESS REGISTRATION FORM

(Submitted with BMC)
Company Name: laSTop
Product/Service Brand Name: Bookmark
Business Establishment Date: ..................... Ending Business Date: ................................
MGM3180 Group No.: 3 Semester and Session: 1
Name dan Personal Information of Owners:
Matric
No. Owner’s Name Program H/P No.
No.
MUHAMMAD SYAZWAN BIN BACHELOR OF
1 215935 019-9408468
AZHAR ECONOMICS
MUHAMMAD HAKIEMI BIN BACHELOR OF
2 215797 019-5485943
NAZRUL HISYAM ACCOUNTING
BACHELOR OF
3 215444 LEE VON HUEY 010-8826989
ECONOMICS
BACHELOR OF
4 215452 LAVANYAA A/P MURUGAN 018-7754528
ECONOMICS
NOELL A/P ABRAHAM BACHELOR OF
5 216025 011-62122452
LINGAN ECONOMICS
NORSHAFIKA BINTI MOHD BACHELOR OF
6 216129 0193435580
JUL ECONOMICS
NIK MUHAMMAD IRFAN BIN BACHELOR OF
7 216018 011-11452917
NIK MOHD AMIRUDDIN ECONOMICS
8 215851 MUHAMMAD KHAIRIL ANAS BACHELOR OF 017-6385265
1
BIN ABDUL RAHIM ECONOMICS
MUHAMMAD AKMAL BIN BACHELOR OF
9 215679 011-21023490
MOHD DESA ECONOMICS
BACHELOR OF
10 215476 LINDA LIONG CHAI PHING 011-3568-0911
ECONOMICS
BACHELOR OF
11 215521 LOY SONG HUI 01136043839
ECONOMICS
2
Effective date and duration of business: ..............................................
Type of product in business operation
Food
// Non Food
Service
Others (please state): ..........................................................
Type of business operation
Production/Manufacturing
Trading (Purchase and resell)
Service
Others (please state) (e.g., onlne business, home-based business,
etc.): ............................................................................................
Brief description about business product/ service.
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
3
Brief description on creativity and type of innovation (value added) in the proposed business.
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
Brief description on the commercial value (viability of the business) for the above product/
service.
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
Customer target/ segmentation
1) ..............................................................................................................................
2) ..............................................................................................................................
3) ..............................................................................................................................
4) ..............................................................................................................................
Starting contribution per owner: RM ................. Total: RM ................
Expected profit per owner: RM ................. Total: RM ................
4
5
Business location and related authority for approval:
No Location Authority Entity
Business registration status with CEM UPM:

…………………………………………………………………………………………………
Contact supplier(s) and purpose:

1) ……………………………………………………………………………………
2) ……………………………………………………………………………………
3) ……………………………………………………………………………………
4) ……………………………………………………………………………………
Equipment/ Furniture/ Physical asset/ Material/ others needed:

1) ……………………………………………………………………………………
2) ……………………………………………………………………………………
3) ……………………………………………………………………………………
I, ……………………………………... declare that all the stated above and Business Model
Canvas is accurate and true until this date.
Signature of owner’s representative: …………………………………. Date: …….…………
Signature and stamp of lecturer: ………………………………….…… Date: …….…………
* 2 copies: Student and Lecturer
6
BUSSINESS MODEL CANVAS (BMC)

03 - Business Registration Form With BMC - 5%

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215

21Filing Charge: RM 2 UPM/FEP/Sem2/2021-2022/Bil……

BUSINESS REGISTRATION FORM

Type of product in business operation

Others (please state): ..........................................................

Type of business operation

Trading (Purchase and resell)

Others (please state) (e.g., onlne business, home-based business,

Brief description about business product/ service.

Customer target/ segmentation

Starting contribution per owner: RM ................. Total: RM ................

Expected profit per owner: RM ................. Total: RM ................

No Location Authority Entity

Business registration status with CEM UPM:

Contact supplier(s) and purpose:

Equipment/ Furniture/ Physical asset/ Material/ others needed:

Signature of owner’s representative: …………………………………. Date: …….…………

Signature and stamp of lecturer: ………………………………….…… Date: …….…………

* 2 copies: Student and Lecturer

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