Angel Investor Application
Particulars of Investor
Before you proceed with application, please read the
EXPLANATORY NOTE and GUIDANCE NOTE
.
All fields in this section are compulsory to be completed.
Please select the type of application
--Select--
New Application including accreditation for Angel Tax Incentive Programme
New Application as an ordinary member without accreditation
Renewal
Full Name
Nationality
Identification Card Number (Old/New) or Passport Number
Date of Birth
Gender
Male
Female
Residential Address
Telephone No. (Office/Home)
Mobile Phone No.
Fax No.
E-mail
Employment Details
Company Name
Designation
Address
Gross Annual Income for the Preceding 12 Months (Please use thousands separator)
For Joint Application Only
The purpose of a joint application is to ensure that the prospective angel investors meet the eligibility criteria to accredit them as angel investor(s). In this regard, please also submit supporting documents for joint applicant.
Full Name of Husband/Wife
Nationality
Identification Card Number (Old/New) or Passport Number
Date of Birth
Gender
Male
Female
Residential Address
Telephone No. (Office/Home)
Mobile Phone No.
Fax No.
E-mail
Employer
Employer's Add
Joint Applicant's Designation
Gross Annual Income for the Preceding 12 months (Please use thousands separator)
Investment Profile
Have you participated in angel investing in the past?
Yes
No
If Yes, please complete the following info
Do you belong to any angel groups (local or overseas)?
Yes
No
If Yes, please state name of angel club
How did you hear about us?
Newspaper
Radio
Internet
Others
Please specify the media
Industry Peferences
Please tick the type of industries you would like to invest in.
Technology Sector:
Electronics and Information Technology
Telecommunications
Equipment/Instrumentation, Automation and Flexible Manufacturing Systems
Electro-optics, Non-Linear Optics and Optoelectronics
Advanced Materials
Transportation
Value-added Services
Emerging Technologies
Non-Technology Sector:
Retail and Consumer Products
Food and Beverage
Education
Business Services
Real Estate and Construction
Supporting Documents
Please click
here
to download the declaration.
Alternatively, you can courier your supporting documents and cheque to:
Cradle Fund Sdn Bhd
Level 20, Sunway Putra Office Tower,
100 Jalan Putra, 50350 Kuala Lumpur
*Please address your document to Atio office.
As for the payment, kindly contact Atio office at
atio@cradle.com.my
for further details.
Processing fee: As stated in the processing fee categories sentences.
Photocopy of NRIC and/or Passport
The Latest e-BE Form (for High Income Earner)
For High Net Worth Individual, any other relevant supporting documents e.g. Bank Credit Report (the date of the report should be within 3 months prior to the application submission.)
Please select whichever is applicable:
Processing Fee payment of RM800.00 for new application
Processing Fee payment of RM400.00 for new application – Without Accreditation
Processing Fee payment RM400.00 for new application for members of an Angel Club
Processing Fee payment RM200.00 for new application for members of an Angel Club – Without Accreditation
Processing Fee payment RM500.00 for renewal
Processing Fee payment RM250.00 for renewal for members of an Angel Club
Proof of Payment/Bank Transfer Receipt (Please refer to the help text on the right yellow panel for the bank details)
Signed Declaration
Consent from the Applicant
Consent from the Applicant.
I understand that Malaysian Business Angel Network ("MBAN") will use this information for the purpose of my application to be accredited as an Angel Investor under the Angel Tax Incentive Programme and any other relevant programme under the purview of Ministry of Finance Malaysia ("MoF") and to form part of your record if I am accredited as an Angel Investor under the Angel Tax Incentive Programme and any other relevant programme under the purview of MoF. I give my consent to the processing of my data and to use it for statistical information and reporting that will not identify me as an individual. I agree to abide by the MBAN's policies and procedures.
I do not wish to apply for the Angel Tax Incentive Programme. I understand that I will be a full member of the Malaysian Business Angel Network (“MBAN”) and will enjoy all the privileges accorded to members except for the tax incentive. I give my consent to the processing of my data and to use it for statistical information and reporting that will not identify me as an individual. I also agree to abide by MBAN’s policies and procedures.
Submit
