GS1 GTIN Membership Registration

 
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Important Notification

  1. Please ensure that full payment has been made prior to submitting the application form.
  2. For the breakdown of the fees, Click Here for Standard , Click Here for Small Block or Click Here for Additional.
  3. If you require an invoice before making payment, send an email to payment@gs1my.org, titled "Request Proforma Invoice for New Application".
  4. Complete applications (full payment and necessary documentation) will be approved and emailed within 5 working days.

Note: Additional Memberships are only available to Active GS1 Members
RM
Main BusinessSecondary Business
Manufacturer *
Wholesaler *
Retailer *
Marketplace *
Others *
Others (Please specify)
e.g. Cookies, Pen, Yogurt, Mask, etc.
e.g. Coca-Cola, Nike, Abba, Onwards, etc. Please key in "Nil" if your company do not own any brand name.
e.g. Tesco, 7-Eleven, Caring, Petron, etc.

Contact Personnel in Your Company

(*Email must be provided as the GS1 approval letter will be emailed to you. **Mandatory fields)
Title*Salutation*Name*Position*Department / Division*Mobile Phone**Personal Email*
**Person-in-Charge of Barcoding
**Person-in-Charge of QA or Compliance
**Billing Contact/Accounts
**CEO or Director or President
Office Contact
(*Email must be provided as the GS1 approval letter will be email to you. If no group office email, please provide individual email.)
I wish to apply for my GS1 membership license subscription under the following type:
Issued Capital (Only for Standard Membership Sdn Bhd) : Join Month :
Annual Fee :
Registration Fee (Fixed, One-Off)First Year Pro-Rated Sub. Fees*Advance Fees (2 Yrs for Std & S.Block, 1 Yr for Add.)VbG-PDSS Support Package & Generate All Barcode Numbers *Optional*Security Deposit (1 & ½ Years Sub. Fee)Grand Total
Important Notes: 1. For membership fee breakdown, kindly refer to the Standard Membership fee breakdown, Small Block Membership fee breakdown, and Additional Membership fee breakdown. 2. Standard Membership provides up to 1000 barcode numbers. 3. Small Block Membership is only meant for cottage/micro industry, promotional, festive-run, seasonal-run, limited run or vouchers use only. Up to 10 barcode numbers. Subject to review. 4. Additional Membership provides an additional license with 1,000 barcode numbers. Must be an active GS1 Member 5. Security Deposit is equivalent to one and a half years annual fee. 6. Verified by GS1 - Product Databank Support & Services (VbG-PDSS) Is an optional service & support package for managing your trusted product & brand data. Maintained separately from your GS1 License subscription. 7. VbG-PDSS for Standard Membership : RM 480.00, VbG-PDSS for Small Block Membership : RM 380.00. 8. Barcode Number Generation Service (Optional, As Needed): Generates all barcode numbers in PDF Format.
Payment Method (All appropriate fees should made in favour of "GS1 MALAYSIA BERHAD", Maybank: 5-14208-626-707)
Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.
Also enclosed are certified copies of the following documents of the company:
If you are a Sdn Bhd / or Bhd (Private Limited or Limited Company), it is COMPULSORY for you to submit your Form 9 or Section 14 document when you apply for a GS1 membership.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls xlsx zip.
Latest Annual Return (LAR), Form 24 or Section 78. If your company is incorporated less than 18 months, Section 78 is sufficient.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls xlsx zip.
**Only Applicable for Small Block Membership Applicant. Acknowledgement Letter: [English Version] [BM Version]
Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xls xlsx.
I certify that the above information is true to the best of my knowledge. I have read the Terms and Conditions governing GS1 Malaysia subscribers to the GS1 System and on behalf of my company agree to abide by the said Terms and Conditions. We hereby agree to provide GS1 Malaysia with full access to, and allow GS1 Malaysia the use of and to share all company and product information provided by our company as GS1 Malaysia deems necessary as a trusted source of product information for retailers, international buyers, trading partners and any other marketing and promotion activities.
The Verified by GS1 - Product Databank Support & Services (VbG-PDSS) is an optional package of GS1 Malaysia Services, Platforms and Capacity Building Sessions. It will automatically renew every 3 years. If I do not wish to continue to renew the VbG-PDSS, I must inform GS1 Malaysia a minimum of 3 months before the next annual billing cycle, otherwise, the package will continue to be renewed and charges will be billed to my company.
I declare that I am a manufacturer, trader or distributor of medical devices and I will be using the GS1 Standards & Keys for the creation and assignment of Unique Device Identifiers (UDI) according to the US FDA Rule on Unique Device Identification System and that I will keep the information up to date.
(CEO, MD, COO, GM, Director, Manager, Owner)

This completed form together with all appropriate fees made in favour of "GS1 MALAYSIA BERHAD", Maybank: 5-14208-626-707 and copies of the relevant documents will be sent to:

GS1 Malaysia Berhad (1201396-K)
Wisma FMM, No.3, Persiaran Dagang, PJU 9, Bandar Sri Damansara, 52200 Kuala Lumpur.

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