ECX 2023 Official Application Form

Selangor E-Commerce Xccelerator Programme 2023 is now officially open for application! All interested participants may begin to register themselves now!

Notification: Please be informed that this Form contains 6 Sections (Section A to Section F) - Kindly complete all Sections.

Before you proceed any further with the application, kindly take note:

This programme requires the shortlisted company a financial commitment of RM3000. However, there is no payment during the application period.
Participants must be able to commit throughout the 3 months program.

As part of the application process, applicants must also send:

1. A copy of their latest company profile (maximum of 20 pages)
2. 60 seconds video on why you want to be part of ECX 2023.

SECTION A: Company Information

Company Name*

Brand Name*

A copy of your latest company profile (maximum of 20 pages):*

60 seconds video on why you want to be part of ECX24:*

Company Registration Number*

Company Registered SSM Certificate*

Financial Audited Statement minimum of 1 year*

SECTION B: Founder & Co-Founder Information

Founder 1

Name as per in IC*

Designation*

Contact Number*

Work Email*

Founder 2

Name as per in IC

Designation

Work Email

SECTION C: Company Details

Company website URL*

E-Commerce Store URL*

Company social media URL*

SECTION D: Sales & Order

SECTION E: Funding Information

How much is your company paid up capital?*

If yes, what is the amount of the investment?

SECTION F: Commitment

Fields with (*) are compulsory.

Application Form

Your name:*

0/100

Your email:

Your phone number:

Your company name:*

Does your company use an e-commerce platform?*

Yes No

Please share with us your e-commerce store link:*

Is your company registered with SSM?*

Yes No

Did your company achieve a minimum of 100 orders in any single month between December 2021 to December 2022?*

Yes No

Did your company achieve a minimum of RM25,000 sales in any single month between December 2021 and December 2022?*

Yes No

Fields with (*) are compulsory.

ECX 2023 Official Application Form

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