Mar 2017 Pg 1 Application for GS1 Malaysia Berhad Membership & LICENSE GS1 Standards and Keys in Malaysia are managed by Wisma FMM, No. 3 Persiaran Dagang, Bandar Sri Damansara, 52200 Kuala Lumpur Tel: 03-62867200 Fax: 03-62761042 Email: membership@gs1my.org Website: www.gs1my.org Please fill in form in CAPITAL letters. Company Name Nature of Constitution Date of Formation Sole-proprietor Partnership Limited Company Government/ Statutory Body Present Issued Capital Name(s) of Sole-proprietor/ Partners/ Directors (Please attach separate sheet if space is insufficient) Type of Company Manufacturer Wholesaler Retailer Others (If the company is involved in more than one type, please indicate by numbers 1, 2, or 3 with 1 being the main business of the company) Product(s) Manufactured/ Traded Brand Names Brand Owner? Yes No Halal Certification Yes No Certificate No. Expiry Date No. of Employees Export Markets As marked in the list provided No export markets Contact Personnel in Your Company **Person-in-Charge of Bar Coding **Billing Contact/ Accounts **CEO Logistics Sales & Marketing IT/ e-commerce Supply Chain ** Mandatory Fields * Email must be provided as the GS1 approval letter will be emailed
Mar 2017 Pg 2 Office Contact Address Postcode Telephone Fax Group Office Email* Website/Facebook *Email must be provided as the GS1 approval letter will be emailed Factory Contact Address Telephone Email* Postcode Are you producing the brands listed in this application form on behalf of another company? Yes No I wish to apply for subscription under the following category: Please tick () category Registration Pro-Rate 2-yr Adv VAP Total (incl. GST) Deposit* Grand Total Category A Category B Please fill in the relevant amount applicable *Deposit is equivalent to one-year annual fees without GST Select Payment method: Credit Card Cash Bank/Online Transfer Bank Draft/Cheque No: Fax Also enclosed are the following documents of the company: Business Registration Certificate/ Certificate of Incorporation Latest Form of Annual Returns or Form 24 Retail Unit Listing Survey Form Non-Retail Unit Listing I certify that the above information is true to the best of my knowledge. I have read the Terms & Conditions governing GS1 Malaysia Berhad subscribers and on behalf of my company, agree to abide by the said Terms & Conditions. We hereby agree to provide GS1 Malaysia Berhad with full access to, and allow GS1 Malaysia Berhad the use of and to share all product information provided by our company as GS1 Malaysia Berhad deems necessary as a trusted source of product information for retailers, international buyers, trading partners and any other marketing and promotion activities. Signature: Name: Date: Designation: (CEO, MD, COO, Director, Manager, Owner) FREE LISTING through global website GEPIR GS1 Malaysia Berhad does make available its members contact details (i.e. address, telephone & fax number and email) in a global website GEPIR for business contacts. GEPIR is a database allowing for search and lookup of trading partner contacts based on GS1 barcodes. I do not wish to have my company/organisation s address and telephone/fax/email contacts to be in GEPIR This completed form together with the registration, annual and all appropriate fees made in favour of GS1 Malaysia Berhad and relevant documents are to be forwarded to: Wisma FMM, No. 3, Persiaran Dagang, PJU 9, Bandar Sri Damansara, 52200 Kuala Lumpur Or Apply Online at www.gs1my.org/join For Office Use Approved by: Date of Admission: Remarks: Date Received: Received by: Post / Email / By Hand Copyright 2011-2017 GS1 AISBL. GS1 is a registered trademark of GS1 AISBL.
GS1 Malaysia Berhad Membership & LICENSE FEES Companies which require bar coded number Global Trade Item Numbers (GTIN) Category A (GTIN-13 digit) [1,000 numbers] Registration Fee (Fee +6% GST) Annual Fee (Fee +6% GST) Sole-proprietor/Partnership/Statutory Bodies* 950 + 57 = 1,007.00 630 + 37.80 = 667.80 Companies with issued capital of: 2.5 million and below 950 + 57 = 1,007.00 630 + 37.80 = 667.80 Above 2.5 million 5.0 million 950 + 57 = 1,007.00 950 + 57.00 = 1,007.00 Above 5.0 million 10.0 million 950 + 57 = 1,007.00 1,250 + 75.00 = 1,325.00 Above 10.0 million 20.0 million 950 + 57 = 1,007.00 1,600 + 96.00 = 1,696.00 Above 20.0 million 950 + 57 = 1,007.00 1,900 + 114.00 = 2,014.00 * Companies in this category will be issued with one block of 1,000 numbers upon approval * All Private Limited (Sdn Bhd)/Statutory Bodies/Government Agencies/Cooperatives will come under Category A Additional GS1 Company Prefix Number (per block - 250+15.00 = 265.00 of 1,000 numbers) ** Annual subscription fees will be increased by an amount equal to the price of the additional block requested Category B (GTIN-13 digit) [10 numbers] Sole-proprietor/Partnership 950 + 57 = 1,007.00 350+21.00 = 371.00 * Companies in this category will be issued with one block of 10 numbers upon approval Additional GS1 Company Prefix Number (per block of 10 numbers) - 180+10.80 = 190.80 ** Annual subscription fees will be increased by an amount equal to the price of the additional block requested Security Deposit GTIN-8 digit Administration Fees Transfer Fees All new GS1 Malaysia Berhad subscribers will be required to pay a Deposit. The deposit is equivalent to the GS1 Malaysia Berhad subscribers one year annual fees. Security Deposit is not subjected to GST. The Deposit can be used to offset the GS1 Malaysia Berhad subscriber s annual fees if the payments are in arrears for a period of three months (i.e. Oct) after the date of invoice. The GS1 Malaysia Berhad subscriber is then required to pay a new Deposit within 3 months (i.e. Dec). Failing which, GS1 Malaysia Berhad reserves the right to terminate the membership. 250.00 + 15.00 = 265.00 per number (only applicable to active GS1 Malaysia Berhad members) Administration fee of 150.00 + 9.00 = 159.00 will be applied for the following services: Transfer of GS1 Malaysia Berhad membership (from one company to another/ change of legal entity) Change of Category (Category B to A or vice versa) Re-instatement of GS1 Malaysia Berhad membership Applicable to all companies that wish to transfer GS1 Malaysia Berhad membership (change of legal entity) Category A/B 950.00 + 57.00 = 1,007.00 Verification Charges Number of labels submitted for testing (not based on number of GTINs) For the first time only, 1-10 labels (regardless of the number of GTINs) GS1 Malaysia Berhad Member No Charge Non-GS1 Malaysia Berhad Member Not Applicable Notes: Every label 20 + 1.20 = 21.20 50 + 3.00 = 53.00 Upon payment of the registration and annual fees, subscribers in Category A and B will be allocated the numbers required. Additional GS1 Company Prefix Number will be charged according to the rates listed. Annual subscription fees will be increased by an amount equal to the price of the additional GS1 Company Prefix Number. GTIN-8 and additional GS1 Company Prefix Number will only be allocated to active GS1 Malaysia Berhad members. Strategic Alliance Partners and Solution Providers can apply to be GS1 Malaysia Berhad members. They will be required to pay all relevant fees and submit all required documents. Wisma FMM, No. 3, Persiaran Dagang, PJU 9, Bandar Sri Damansara, 52200 Kuala Lumpur Tel: 03-62867200 Fax: 03-62761042 Email: membership@gs1my.org Website: www.gs1my.org Copyright 2011-2017 GS1 AISBL. GS1 is a registered trademark of GS1 AISBL. Mar 2017 Pg 3
Mar 2017 Pg 4 GS1 Malaysia Berhad Membership & License Agreement TES & CONDITIONS The GS1 Standards and Keys cover item numbering, bar coding and electronic communication in trade and services. GS1 Standards and Keys are used by more than 150 countries worldwide and are managed in Malaysia by Allocation of Subscriber Number 1. Upon receipt of the completed registration form together with the documents required and applicable fees, each subscriber under Category A and Category B will be allocated a GS1 Company Prefix Number to form the GTIN-13 digit. 2. Companies which request for more than one GS1 Company Prefix Number will be given the additional GS1 Company Prefix Number only if deemed absolutely necessary. The allocation of additional GS1 Company Prefix Number will be chargeable according to the Fees table. The annual subscription fees will be increased by an amount equal to the price of the additional block requested. 3. GTIN-8 digit directly allocated numbers are available upon request. However, these numbers will be allocated only if the design of the pack or label genuinely and reasonably precludes the printing of a standard EAN-13 bar code, in the magnification required as a result of the normal print quality on the pack or label. GTIN-8 is only available to GS1 Malaysia Berhad members. Fees 1. Any company which wishes to be a subscriber of GS1 Malaysia Berhad shall complete the Application Form and submit it together with the registration, all appropriate fees and required documents to: GS1 Malaysia Berhad Wisma FMM, No.3, Persiaran Dagang, PJU 9, Bandar Sri Damansara, 52200 Kuala Lumpur. Tel: 03-6286 7200 Fax: 03-6276 1042 Website: www.gs1my.org Email: membership@gs1my.org Bank A/C No.: 514208-626-707 (Maybank) Note: The cheque/ bank draft is to be made in favour of GS1 Malaysia Berhad 2. Annual fees are based on the company s present issued capital. Should the company s issued capital be changed during its course as a subscriber of GS1 Malaysia Berhad, their annual fees will also be adjusted based on the latest issued capital. 3. All new subscribers will be required to pay registration fees and annual fees as specified in the GS1 Sub Fee Guide based on the month of joining. 4. All new GS1 Malaysia Berhad subscribers will be required to pay a Security Deposit. The deposit can also be used to offset the GS1 Malaysia Berhad subscriber s annual fees if the payments are in arrears for a period of three months after the date of invoice. 5. All new GS1 Malaysia Berhad subscribers will be required to subscribe to the Value-Add Pack (VAP). GS1 Malaysia Berhad reserves the right to revise the fees and benefits stipulated in the VAP from time to time as it deems necessary. 6. The registration and annual fees paid upon joining are non-refundable and non-transferable. 7. Annual fees are due on July 1 each year. Subscribers who do not pay their annual fees within a period of three months from July 1 (i.e. end September) shall have their allocated GS1 Company Prefix Number or any other GS1 identification (ID) keys withdrawn. This means that they can no longer use any GS1 ID keys, GS1 bar code symbols and other authorised GS1 data carriers. This withdrawal shall be advised to local retailers, related users and other GS1 Member Organisations around the world. A request will be made to them to inform their retailers and trading partners not to accept products bearing the withdrawn GS1 Company Prefix Number. 8. 10% of the Annual Fees paid will be charged and the registration fees paid is non-refundable upon written request by subscriber to cancel the application during the process of the application. Documentation 1. The documents required to be submitted together with the application are as follows: For Sole-Proprietor/ Partnership Business Registration Certificate For companies registered with the Companies Commission of Malaysia (formerly known as Registrar of Companies):- Certificate of Incorporation Latest Form of Annual Returns, or Latest Form 24 (only if the company is incorporated less than 24 months) 2. Complete product listing form containing both retail (products for sale at a retail environment) and non-retail (cartons for delivery) items must be submitted using our latest Product Listing Form, as found on our website. There is also a guide provided on how to fill in the form. Termination Termination by GS1 Malaysia Berhad 1. Subscribers that use any GS1 ID keys, GS1 bar code symbols and other authorised GS1 data carriers must maintain their membership by paying their annual subscription fees when it becomes due. 2. GS1 Malaysia Berhad reserves the right to terminate the membership herein by giving 3 months notice to the subscriber. Furthermore, GS1 Malaysia Berhad reserves the right to terminate the subscriber s membership immediately by giving notice to the subscriber if the subscriber: a. Fails to pay their membership subscription fees by the due date. b. Is declared bankrupt, goes into liquidation, has a receiver or statutory manager appointed, or (being a company) is wound-up other than for the purpose of reconstruction. c. Commits any breach of these Terms & Conditions. d. Abuses the GS1 Standards and Keys in any way.
Mar 2017 Pg 5 Termination by Subscribers 1. Subscribers who wish to terminate their membership must inform GS1 Malaysia Berhad in writing. If no such written document is received, it will be deemed that the subscribers wish to continue their membership and they will be billed accordingly every year. 2. Before termination can proceed there must not be any products in the market bearing the terminated GS1 ID keys remaining. 3. Continued use renders the ex-subscriber liable for any damages which might be suffered by GS1 Malaysia Berhad or any of its subscribers. 4. GS1 Malaysia Berhad may contact relevant parties to ascertain whether any products bearing GS1 ID keys issued to the subscriber are in the market place, supply chain or otherwise in use by the subscriber at the time of, or after, termination of membership. 5. GS1 Malaysia Berhad reserves the right to reassign the GS1 Company Prefix(s) to another company after termination. 6. Until the termination is confirmed the account will remain current and all invoices remain due for payment. Where products bearing GS1 ID keys issued to the subscriber are already in the market place, supply chain at the time of termination of the membership, the subscriber will remain liable for a fee equivalent to the Annual Fee for the period that those products remain in the market place. 7. For the avoidance of doubt, termination does not relieve the subscriber from its obligations regarding payment of any outstanding fees for this subscription membership and licence agreement. 8. The Security Deposit will be refunded upon confirmation of termination (3 months from the date of written request received) and after such fee as stated in item (6) above has been fully settled and after GS1 Malaysia Berhad has ascertained NO products bearing GS1 ID keys issued to the subscriber are in the market place, supply chain or otherwise in use by the subscriber at the time of, or after, termination of membership. 9. In the event that the subscriber fails to make full settlement of the outstanding amounts due to GS1 Malaysia Berhad within thirty (30) days from the date of the confirmation of termination, GS1 Malaysia Berhad shall be allowed to deduct the subscriber s outstanding amounts from the Security Deposit before refunding the excess (if any) to the subscriber. 10. Registration and annual fees paid will not be refunded upon termination, resignation of membership. 11. Any use of the GS1 Standards and Keys after termination of membership, for whatever reason, is strictly forbidden. The subscriber must immediately cease usage of the GS1 ID keys, GS1 bar code symbols and other authorised GS1 data carriers. Furthermore, upon termination (at GS1 Malaysia Berhad discretion) or suspension of the subscription herein, GS1 Malaysia Berhad is hereby authorised to give notice to any party or parties in or outside of Malaysia of such termination or suspension of the subscriber from the use of the GS1 Standards and Keys and/ or publish in any manner as it deems fit, the said termination or suspension of the subscriber from the use of the GS1 Standards and Keys, and the subscriber shall not complain of or take any action against GS1 Malaysia Berhad in respect of such notification or publication. 12. Reinstatement of GS1 Malaysia Berhad membership will be subjected to reinstatement, registration fee and annual fees as specified in the GS1 Sub Fee Guide based on the month of joining. General Provisions 1. GS1 Malaysia Berhad grants each subscriber a non-exclusive, non-transferable license to use the GS1 ID keys, GS1 bar code symbols and other authorised GS1 data carriers solely for the purposes as stated in these Terms and Conditions. Subscribers are NOT allowed to assign/ give/ rent/ lease/ sell any GS1 ID keys, GS1 bar code symbols and other authorised GS1 data carriers issued by GS1 Malaysia Berhad to another company. Subscribers MUST NOT allow anyone else to use or display the GS1 ID keys, GS1 bar code symbols and other authorised GS1 data carriers issued to them. If subscribers are found to violate this provision, the GS1 ID keys, GS1 bar code symbols and other authorised GS1 data carriers allocated to the company will be withdrawn and the company will be fully liable for any losses that are incurred. 2. Subscribers can use only the GS1 ID keys, GS1 bar code symbols and other authorised GS1 data carriers assigned to them. GS1 ID keys, GS1 bar code symbols and other authorised GS1 data carriers allocated to each subscriber cannot be ALTERED in any way. 3. Subscribers must comply with the technical standards set out in the manuals and guidelines and such other directions as GS1 Malaysia Berhad, may be given from time to time. 4. GS1 Malaysia Berhad is not liable in any way to the subscriber in respect of the subscription herein or the use of the GS1 Standards and Keys by the subscriber. Subscribers are to indemnify GS1 Malaysia Berhad against all claims, suits, losses, damages or costs suffered or incurred by GS1 Malaysia Berhad as a result of the subscriber s own conduct, misuse of the GS1 ID keys, GS1 bar code symbols and other authorised GS1 data carriers and any breach of these terms and conditions by the subscriber. 5. Subscribers are to abide by the Terms & conditions from time to time laid down. 6. Application will only be processed and approved upon receipt of full payment of fees applicable, security deposit, documentation and information required as stipulated. 7. GS1 Malaysia Berhad reserves the right to inform the public by publishing the list of withdrawn GS1 ID keys and other authorised GS1 data carriers which details the companies that are no longer subscribers. 8. All Private Limited (Sdn Bhd)/ statutory bodies/ government agencies/ cooperative will come under Category A. 9. The application form is to be signed by senior management or director of the company. 10. Email MUST be provided in the application form as the GS1 approval letter will be sent by email only. No hardcopy will be sent. 11. Application pending for more than 30 days will be subject to management discretion. 12. GS1 Malaysia Berhad members (Service Provider) are not allowed to send any form of recurring or bulk emails to other GS1 Malaysia Berhad members. Any spamming of GS1 Malaysia Berhad members without the other party s consent will cause said member to be penalised.