MOPI Online Membership Application Form

Malaysian Organisation of Pharmaceutical Industries
1st Floor, Wisma Yan,
No 17 & 19, Jalan Selangor
46050 Petaling Jaya, Selangor
Tel : 603-79573070 Fax : 603-79560018 Email : mopi@streamyx.com

We, (Registered Business Name) hereby apply to become a Member of the Malaysian Organisation of Pharmaceutical Industries (MOPI) and, if elected, agree to be bound by the Memorandum & Articles of Association and Rules of the Organisation for the time being in force.

Office Address :

  1. Head Office :

    Tel : Fax :

    Email (official):

  2. Factory :

    Tel : Fax :

    Email (official):


Correspondence Address : Specify a. b.


Web Page:


Business Registration No/Certificate of Incorporation No:


Manufacturing License No:D.C.A:

I.C.A.:


Name of Constitution : Sole Proprietor Partnership Limited Company

If JV, % of ownership, Malaysian %, Foreign (state country(ies) %

Does your company have any pharmaceutical subsidiaries / affiliate company overseas?

YES NO

If YES, which country(ies)?

Authorized Capital (RM mil.) :

Paid-Up Capital (RM mil.) :

Revenue for year RM :

Name of CEO/MD:

Name of Directors /Partners :

  1. Email :
  2. Email :
  3. Email :
  4. Email :
  5. Email :
  6. Email :

Our Company Representative(s) in MOPI will be :

Principal : Designation :

Alternate : Designation :


Type of Products Manufactured by your company in Malaysia :

Western Medicine Traditional Medicine Health Supplements

Others, please specify :


Pharmaceutical dosage forms manufactured by your company in Malaysia (please select) :

Tablets Hard Gelatine Capsules Soft Gelatine Capsules
Oral Liquids Oral Powders for reconstitution Oilments Creams
External Use Liquids Sterile Eye & Ear Preparation Small Volume Injectables Large Volume Injectables Infusion fluids


Others, please specify :



Manufacturing Area : sq.ft.    Q.C Area : sq.ft.
Administration Area : sq.ft. Store Area : sq.ft.
Name of Pharmacist :              Reg No :


Type of Poisons Licence Issued & No.:Type A / Type B



Staff Strength :

1.   Administration: Graduate: Non-graduate:
2.   Production      : Graduate: Non-graduate:
3.   Engineering    : Graduate: Non-graduate:
4.   R & D              : Graduate: Non-graduate:
5.   QA                  : Graduate: Non-graduate:
6.   QC                  : Graduate: Non-graduate:
7.   Sales              : Graduate: Non-graduate:


I hereby certify that the above information is true to the best of my knowledge.

Attached herewith are the following:-

a) Photocopy of Business Registration Certificate / Certificate of Incorporation / Form 49

b) Photographs of Factory (Exterior / Interior)

Signature Date


PROPOSED BY (Name):
(Currently a member of MOPI)


SECONDED BY (Name):
(Currently a member of MOPI)

Please issue payment to "Malaysian Organisation of Pharmaceutical Industries" upon approval.

  • Turnover of up to RM15mil. ----- RM2500.00 (Entrance Fee) + RM2500.00 (Annual Fee)
  • RM15mil.to RM50mil. ----- RM2500.00 (Entrance Fee) + RM5000.00 (Annual Fee)
  • Above RM50mil. ----- RM2500.00 (Entrance Fee) + RM7500.00 (Annual Fee)

 

     

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All rights reserved.