APPLICATION FORM

MYNIC RESELLER PROGRAMME



 
 
 
 
 
Requirements
Answer
1. Please state the following information:
  1. Applicant name:

    2.  

     
     
     
     
     
     
     

  2. Company Number:

    3.  

     
     
     
     
     
     
     

  3. Registered address:

    4.  

     
     
     
     
     
     
     

  4. Correspondence address: 

    5.  

     
     
     
     
     
     
     

  5. Business address (if different from iv):

    6.  

     
     
     
     
     
     
     

  6. Telephone number:

    7.  

     
     
     
     
     
     
     

  7. Facsimile number:

    8.  

     
     
     
     
     
     
     

  8. Contact person and designation:

    9.  

     
     
     
     
     
     
     

  9. E-mail address:
 		  
2. Applicant must submit:-
  • Company profile information
  • Forms 9, 13 (if any), 24 and 49 of Companies Act 1956 (please submit the equivalent forms if applicant entity is not a company registered under Companies Act 1956) 
  • Latest audited accounts

    •  

     

 As attached.
3. Does the Applicant have nationwide presence?

If yes, please specify. 
 
 

 

  
4. Applicant must state commitment on the monthly number of new .my domain name registrations, if successfully selected as Reseller.
 

Please state marketing and promotion  activities undertaken by Applicant to increase .my domain name registration.
 
 
 

 

  
5. Applicant must have experience in the domain name-related business. Please state :-
  • Number of years in business 
  • Details of services offered 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Details of service offered:                  Yes                No

Domain Registration

Domain Hosting 

Database Hosting

E-mail Hosting

Web Hosting

Web Design

Server Co-Location

Others - Please specify:
 
 
 
 
 
 

 
6. Applicant must have internet connectivity and  employees who are technically competent in DNS and security issues. Please state:-
  • Number and names of employees who are technically competent in DNS and security issues
  • Employees’ experience (please provide details on areas of expertise and years of experience)
  • Nameservers operated by Applicant (please include the IP Addresses)

 		  
7. Applicant must offer customer care services. Please state:-
  • Number of employees dedicated to customer care
  • Please elaborate on types of facilities available 

 
 
 
 
 
 
 
  • Payment facilities provided to customers (such as online payment, etc)
 
 
 
 
 
 

E-mail address :

Phone Number:

Fax Number:

Website:

Others - Please specify:
 

 

 
 

We,                               , the Applicant, declare and confirm that all information given in this application and all attached documents is true, complete and accurate. 
 
 

Date:
 
 

Signed by :

Designation :

For and on behalf of (Applicant organisation) :

Organisation stamp: