Guide on How to Fill-in:

ACCOUNT OPENING & e-AmBiz

APPLICATION FORM

For any new customers who wish to open account and sign-up for e-AmBiz facility

with Inquiry access only.

For any new customers who wish to open account and sign-up for e-AmBiz facility with both Inquiry & Payment access, please

go to Page 9 in this e-guide.

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 1 of 7 Version 21 (Last updated 23 Jan 2017)

Section A: Type of Accounts

A.1 Ringgit Malaysia (MYR) Accounts *

Conventional Current Account Savings Account Business Entity

Sole Proprietor Private Limited

Partnership Public Listed Others, please indicate: __________________________

Islamic Current Account – i Savings Account - i

A.2 Foreign Currency Current Accounts (FCA): Please tick (√)

Purpose & type of currency AUD CAD CNY EUR GBP HKD JPY NZD SGD USD OTHERS**

IFCA

Non-Export / Individual

Employment

Education

Services Export Proceeds

TFCA Goods Export Proceeds

**Subject to Transaction Banking Approval

Charges, if any, to be debited from Ringgit savings/current account

A.3 Fixed Deposit/Term Deposit-i Terms and Instructions (for multiple FD/TD-i placements, please attach FD/TD-i addendum)

Fixed Deposit Term Deposit-i Foreign Currency Fixed Deposit Currency:_________________________

Maturity Instructions

Withdrawal Upon Maturity Placement Instructions:

Cash

Cheque : ______________________

Debit Account : _________________

Amount/Tenure:

RM ______________

Months___________ Withdrawal Upon Maturity (Interest/Profit Only)

Auto Renew (Principle & Interest/Profit)

A.4 Business Banking Services - eChannels

For sole proprietors only Please complete Section E

ATM AmOnline AmMobile AmOnline Virtual Pin For accounts without ATM Card

e-AmBiz Inquiry

e-AmBiz Payment

A.5 Cheque Book Application (for MYR Current Account/Account-i only)

Number of cheque books

Collection Method

By accountholder

By authorized 3rd party: Name: _________________________________________ NRIC/Passport No.

Courier to account correspondence address

012345

Eligible for protection by PIDM

* Denotes mandatory fields – are obligatory fields which are required for the processing of Personal Data to fulfill contractual obligations

100,000.00

12

Ali Bin Abu

8 8 8 8 0 0 0 0 0 1 2 3 4

x x x x x x - x x - x x x x

1

Indicate your collection Method

Indicate the number of cheque books you require (if any)

Fill in name and identification number of the 3rd party who will be collecting on your behalf.

Select account type Select business entity type

Please tick the relevant boxes ONLY if u were to open a FD/TD Account

Please tick any of the relevant square boxes ONLY if you were to open a Foreign Currency Account

Please indicate the amount and tenure you would like to place

Indicate e-AmBiz Inquiry

Note: The information filled below acts as a sample and is for illustration purposes only. Please tick and fill in whichever is required.

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 2 of 7 Version 21 (Last updated 23 Jan 2017)

Section B: Business Details*

B.1 Registered Business Details

Registered Name of Business:

Registered Address:

Account Correspondence Address: (if different from above)

Business Status:

Resident Non- Resident Business Registration No: _________________________

Nature of Business:

Business Office No.:

Business Fax No:

Business Email Address:

B.2 Small Medium Enterprises (SMEs)

Business Category: SME Non-SME

Business Type: Manufacturing/Manufacturing-Related Services/Agro-based Industries

Services and Others

Annual sales turnover (Ringgit Malaysia):

as at financial year:

No. of Staff:

as at financial year:

B.3 Contact Person Details: Appointment of authorized personnel to perform non-monetary transactions and to receive/disclose your company’s information to/ from AmBank (M) Berhad and/or AmBank Islamic Berhad

1. Full Name (as per NRIC/Passport):

Mobile No.: NRIC/Passport No.:

Email Address:

Account balance inquiry Confirmation of remittance instrument application/collection

Confirmation of encashment Confirmation of debiting/crediting transaction of the said account

2. Full Name (as per NRIC/Passport):

Mobile No: NRIC/Passport No.:

Email Address:

Account balance inquiry Confirmation of remittance instrument application/collection

Confirmation of encashment Confirmation of debiting/crediting transaction of the said account

3. Full Name (as per NRIC/Passport):

Mobile No:

NRIC/Passport No.:

Email Address:

Account balance inquiry Confirmation of remittance instrument application/collection

Confirmation of encashment Confirmation of debiting/crediting transaction of the said account

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* Denotes mandatory fields – are obligatory fields which are required for the processing of Personal Data to fulfill contractual obligations

Fill in your company name and address

Select your business residency type and indicate your Business Registration number

Fill in your company’s nature of business and company’s contact details.

Please indicate your business details.

Fill in FIRST contact person details

Fill in SECOND contact person details

.

Fill in THIRD contact person details (if any)

ABC SDN BHD

LEVEL 2, MENARA XYZ, JALAN SULTAN ISMAIL, 50250 KUALA LUMPUR

ELECTRONIC

03-2026XXX 03-2026XXX

123456-X

ABC.COM.MY

XX,XXX.XX YYYY

25 YYYY

JANE DOE

012-388XXXX XXXXXX-XX-XXXX

JANEDOE@ABC.COM.MY

JOHNSMITH@ABC.COM.MY

012-388XXXX XXXXXX-XX-XXXX

JOHN SMITH

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 3 of 7 Version 21 (Last updated 23 Jan 2017)

Section C: Declaration*

C.1 Perbadanan Insurans Deposit Malaysia (PIDM)

I/We have received a copy of the PIDM brochure and acknowledge that this product is insured by PIDM.

C.2a Foreign Account Tax Compliance Act (FATCA) for Sole Proprietor/Partnership

C.2b Foreign Account Tax Compliance Act (FATCA) for Associations, Limited Liability Partnerships, Clubs, Society, Trusts of Entity and Companies.

Identifying Specified/Potential U.S. Person (To be completed by the customer - please tick (“✓”) in the “Yes” / “No” column respectively for each of the following questions)

Identifying U.S. Reportable Accounts for company (To be completed by all types of entities – please (√) where applicable)

No. U.S. Indicia Status Account Holder

a) A Specified U.S. Person1 Yes No

1. Are you a U.S. citizen or resident (including

green card holder)?

2. Is U.S. your country of birth?

b) A Passive Non-Financial Foreign Entity (NFFE) with one or

more Controlling Persons who are Substantial U.S. Owners23.

Do you hold a current U.S. residence address

or mailing address (including a U.S. post office

box)?

4. Do you have a current U.S. telephone number?

5. Do you currently maintain any standing instructions to the U.S.?

c) A Non-Participating Foreign Financial Institution (NPFFI)3 6. Do you currently assign power of attorney or signatory authority to a person within the U.S.?

7. Do you currently have a ‘hold mail’ or ‘in care of’ address as your sole address?

Definition: The term U.S person means a person described in section 7701(a)(30) of the Internal Revenue Code: (A) a citizen or resident of the U.S.

Definition: 1 • An individual who is a U.S. citizen or U.S. resident,

• A partnership, corporation, company, or association created or organized in the U.S. orunder the laws of the U.S.,

• An estate (other than a foreign estate), or• A domestic trust (as defined in Regulations section 301.7701-7 of the Internal Revenue

Code).

2 • Owns, directly or indirectly, more than 10% (by vote or value) of the stock of any foreign corporation;

• Owns, directly or indirectly, more than 10% of the profits or capital interests in aforeign partnership;

• Is treated as an owner of any portion of a foreign trust under sections 671 through679; or

• Holds, directly or indirectly, more than a 10% beneficial interest in a trust.

3 • A Foreign Financial Institution that does not enter into an agreement with the U.S. IRS.

C.3 Choice of language for Terms and Conditions

English Bahasa Malaysia

C.4 Personal Data Protection Act (PDPA)

AmBank Group’s Business Partners may from time to time offer products, promotions and services that maybe of interest to you. Say ‘YES’ to great offers and promotions from AmBank Group’s Business Partners.

Yes, we would like to receive marketing promotions from AmBank Group’s business partners

No, not at this point of time.

I/We hereby declare that I/we have read and understood the Privacy Notice of AmBank Group which is made available at AmBank branches or website and give my/our consent(s) for the bank to process my/our personal data and sensitive data for the intended usage as stated under the Privacy Notice.

*Denotes mandatory fields – are obligatory fields which are required for the processing of Personal Data to fulfill contractual obligations

Please tick the checkbox

Please tick ONLY if you are a Sole Proprietor/Partnership type of business

Select the choices of language for your T&C

Please tick “Yes” if you would like to receive future marketing promotions

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 4 of 7 Version 21 (Last updated 23 Jan 2017)

I/We agree that our application from time to time for products and services provided by AmBank (M) Berhad/AmBank Islamic Berhad herein shall be governed by

the General Terms and Conditions for Accounts and Services, the Specific Terms and Conditions for Foreign Currency Account, the Master Services Terms and

Conditions and/or Master Services Agreement (as the case maybe) and the terms and conditions intended to apply to one or more types of products and services

provided by you which is available at the Ambank Group website (http:www.ambankgroup.com) and I/We agree to adhere to the same. For the avoidance of doubt,

references to ‘you’ shall mean AmBank (M) Berhad and/or AmBank Islamic Berhad, as the case maybe.

I/We confirm that all information and documents provided to you by us pursuant to this application are true, correct, complete and untampered. In addition, you

shall be entitled to rely on the information and particulars provided by us under this account opening application form for any additional products and services made

available by you to us from time to time. In case of any change of particulars, I/We shall immediately notify you in writing of the changes, failing which you are

entitled to deem all particulars as provided under this account opening application form as true and accurate.

I/We also confirm that I/We are not subjected to any cessation of business/winding up liquidation at the time of this application.

I/We hereby declare, certify and confirm that the person(s) whose signature(s) appear below (‘Authorized Persons’) is/are acting in accordance with the mandate

given by us and have authority to effect all transactions/declaration/confirmation/agreements on our behalf in connection with the products and services applied

for - and all such transaction are binding and legally enforceable against us. I/We shall not hold the bank liable for processing the services/accounts that we have

applied for as per my/our instruction even though the Authorized Persons named in the board resolution which is obtained at a later date may differ.

I/We hereby confirm, acknowledge and understand that we as follows:

1. Open and close account

The Authorized Persons are authorized to open and close account with AmBank and AmBank Islamic for any types of account and currency as specified in the

account opening forms and sign and deliver other relevant documents, notices or instructions in accordance with the bank’s terms and conditions governing

such accounts.

2. Subscribe, utilize and terminate the services

The Authorized Person are authorized to subscribe for any electronic facilities, transaction banking services, and any other services which may be offered by the

bank from time to time subject to the terms and conditions of such services.

3. Authorization to appoint authorized signatories

The Authorized Person is authorized to appoint signatories and appoint users for the services subscribed.

The authorized signatories are authorized to operate the accounts in accordance with the signing mandate and/or authority given.

Authorized Person:

Authorized Person:

Full Name as per NRIC/Passport:

Full Name as per NRIC/Passport:

NRIC/Passport No.:

NRIC/Passport No. :

Nationality

Nationality

Date of Birth DDMMYYYY Date of Birth DDMMYYYY

Contact No.

Contact No.

Read and understand the Terms and Conditions

CHEONG YI AHMAD DIN CHEONG YI AHMAD DIN

X X X X X X - X X - X X X X X X X X X X - X X - X X X X

MALAYSIAN MALAYSIAN

03021980 13081970

FIRST Authorised Person to sign and fill in personal details

SECOND Authorised Person to sign and fill in personal details

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 5 of 7 Version 21 (Last updated 23 Jan 2017)

Condition of Authorization Please tick (√) one. [To only complete Section D if the Board Resolution does not indicate specimen signature(s)]

Any One to Sign Any Two to sign All to sign Others : ________________________________

Section D: Authorised Signatories/ Signature Specimen Card Authorized Signature:

Authorized Signature:

Full Name as per NRIC/Passport:

Full Name as per NRIC/Passport:

NRIC/Passport No.:

NRIC/Passport No.:

Nationality

Nationality

Date of Birth DDMMYYYY Date of Birth DDMMYYYY

Contact No.

Contact No.

Authorized Signature:

Authorized Signature:

Full Name as per NRIC/Passport:

Full Name as per NRIC/Passport:

NRIC/Passport No.:

NRIC/Passport No.:

Nationality

Nationality

Date of Birth DDMMYYYY Date of Birth DDMMYYYY

Contact No.

Contact No.

Authorized Signature:

Authorized Signature:

Full Name as per NRIC/Passport:

Full Name as per NRIC/Passport:

NRIC/Passport No.:

NRIC/Passport No.:

Nationality

Nationality

Date of Birth DDMMYYYY Date of Birth DDMMYYYY

Contact No.

Contact No.

Authorized Signature:

Authorized Signature:

Full Name as per NRIC/Passport:

Full Name as per NRIC/Passport:

NRIC/Passport No.:

NRIC/Passport No.:

Nationality

Nationality

Date of Birth DDMMYYYY Date of Birth DDMMYYYY

Contact No.

Contact No.

Note: Please photocopy this page if additional authorized signatories are required.

CHEONG YI AHMAD DIN CHEONG YI

X X X X X X - X X - X X X X X X X X X X - X X - X X X X

AHMAD DIN

MALAYSIAN MALAYSIAN

03021980 13081970

You may strikethrough Section D if you provide us your own BR

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 6 of 7 Version 21 (Last updated 23 Jan 2017)

Note: Please photocopy this page if additional inquiry users are required

B. INQUIRY AND PAYMENT

Primary Security Administrator (Token Custodian)

Name as per NRIC/Passport

NRIC/Passport No Mobile No.

Email address

Designation Specimen

Preferred User ID Signature (Maximum 10 Characters, no special characters allowed, eg: .,!?;)

Secondary Security Administrator (Pin Mailer Custodian)

Name as per NRIC/Passport

NRIC/Passport No Mobile No.

Email address

Designation Specimen

Preferred User ID Signature

(Maximum 10 Characters, no special characters allowed, eg: .,!?;)

¹Basic Payment Package (Internal Fund Transfer, GIRO, RENTAS, SWIFT-FCY TT) ² FS/FP-Floor Stock / Floor Plan

A. INQUIRY ONLY

Inquiry User 1

Name as per NRIC/Passport

NRIC/Passport No. Mobile No.

Preferred User ID Email

(Maximum of 10 Characters, no special characters are allowed, eg: .,!?;) address

Inquiry User 2 (If applicable)

Name as per NRIC/Passport

NRIC/Passport No. Mobile No.

Preferred User ID Email

(Maximum of 10 Characters, no special characters are allowed, eg: .,!?;) address

Payment Services* Please tick (√)

Charging Account

Services Offered

Basic Package̴¹

Banker’s Cheque

Internal Fund

Transfer

GIRO RENTAS SWIFT (FCY TT)

Payroll-IFT Payroll-GIRO

EIPP/ProColl (Direct

debit)

EIPP/ProColl (FS/FP²)

Debit Method Individual Debit

Consolidated Debit

*Denotes mandatory fields - are obligatory fields which are required for the processing of Personal Data to fulfill contractual obligations.

All charges debited from new account

Others, please indicate

CHEONG YI

X X X X X X X X X X X X

C H E O

0 1 3 X X X X X X X X

CHEO@GMAIL.COM

Select “Inquiry Only” for e-Ambiz Access with Inquiry facility

Fill-in details for Inquiry User 1

Fill-in details for Inquiry User 2 (if any)

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 7 of 7 Version 21 (Last updated 23 Jan 2017)

FOR BANK’S USE ONLY:

Date: CIF:

Attended by: Verified by: Approved by: SVS Captured: SVS Validated:

Account No: Currency: e-Ambiz:

1.

2.

3.

4.

5.

6.

1.

2.

3.

4.

5.

6.

Yes

Yes

Yes

Yes

Yes

Yes

X X X X X X X X X X X X X XXX

RM’s name or the person

who attended the customer

DDMMYYYY XXXXXXX

Customer do not need to fill this in. Reserved for Bank Use

Guide on How to Fill-in:

ACCOUNT OPENING & e-AmBiz

APPLICATION FORM

For any new customers who wish to open account and sign-up for e-AmBiz facility

with Inquiry and Payment access

For any new customers who wish to open account and sign-up for e-AmBiz facility with Inquiry access only, please go to Page 1

in this e-guide.

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 1 of 7 Version 21 (Last updated 23 Jan 2017)

Section A: Type of Accounts

A.1 Ringgit Malaysia (MYR) Accounts *

Conventional Current Account Savings Account Business Entity

Sole Proprietor Private Limited

Partnership Public Listed Others, please indicate: __________________________

Islamic Current Account – i Savings Account - i

A.2 Foreign Currency Current Accounts (FCA): Please tick (√)

Purpose & type of currency AUD CAD CNY EUR GBP HKD JPY NZD SGD USD OTHERS**

IFCA

Non-Export / Individual

Employment

Education

Services Export Proceeds

TFCA Goods Export Proceeds

**Subject to Transaction Banking Approval

Charges, if any, to be debited from Ringgit savings/current account

A.3 Fixed Deposit/Term Deposit-i Terms and Instructions (for multiple FD/TD-i placements, please attach FD/TD-i addendum)

Fixed Deposit Term Deposit-i Foreign Currency Fixed Deposit Currency:_________________________

Maturity Instructions

Withdrawal Upon Maturity Placement Instructions:

Cash

Cheque : ______________________

Debit Account : _________________

Amount/Tenure:

RM ______________

Months___________ Withdrawal Upon Maturity (Interest/Profit Only)

Auto Renew (Principle & Interest/Profit)

A.4 Business Banking Services - eChannels

For sole proprietors only Please complete Section E

ATM AmOnline AmMobile AmOnline Virtual Pin For accounts without ATM Card

e-AmBiz Inquiry

e-AmBiz Payment

A.5 Cheque Book Application (for MYR Current Account/Account-i only)

Number of cheque books

Collection Method

By accountholder

By authorized 3rd party: Name: _________________________________________ NRIC/Passport No.

Courier to account correspondence address

012345

Eligible for protection by PIDM

* Denotes mandatory fields – are obligatory fields which are required for the processing of Personal Data to fulfill contractual obligations

100,000.00

12

Ali Bin Abu

8 8 8 8 0 0 0 0 0 1 2 3 4

x x x x x x - x x - x x x x

1

Indicate your collection Method

Indicate the number of cheque books you require (if any)

Fill in name and identification number of the 3rd party who will be collecting on your behalf.

Select account type Select business entity type

Please tick the relevant boxes ONLY if u were to open a FD/TD Account

Please tick any of the relevant square boxes ONLY if you were to open a Foreign Currency Account

Please indicate the amount and tenure you would like to place

Indicate e-AmBiz payment

Note: The information filled below acts as a sample and is for illustration purposes only. Please tick and fill in whichever is required.

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 2 of 7 Version 21 (Last updated 23 Jan 2017)

Section B: Business Details*

B.1 Registered Business Details

Registered Name of Business:

Registered Address:

Account Correspondence Address: (if different from above)

Business Status:Resident Non- Resident Business Registration No: _________________________

Nature of Business:

Business Office No.: Business Fax No:

Business Email Address:

B.2 Small Medium Enterprises (SMEs)

Business Category: SME Non-SME

Business Type: Manufacturing/Manufacturing-Related Services/Agro-based Industries

Services and Others

Annual sales turnover (Ringgit Malaysia): as at financial year:

No. of Staff: as at financial year:

B.3 Contact Person Details: Appointment of authorized personnel to perform non-monetary transactions and to receive/disclose your company’s information to/ from AmBank (M) Berhad and/or AmBank Islamic Berhad

1. Full Name (as per NRIC/Passport):

Mobile No.: NRIC/Passport No.:

Email Address:

Account balance inquiry Confirmation of remittance instrument application/collection

Confirmation of encashment Confirmation of debiting/crediting transaction of the said account

2. Full Name (as per NRIC/Passport):

Mobile No: NRIC/Passport No.:

Email Address:

Account balance inquiry Confirmation of remittance instrument application/collection

Confirmation of encashment Confirmation of debiting/crediting transaction of the said account

3. Full Name (as per NRIC/Passport):

Mobile No: NRIC/Passport No.:

Email Address:

Account balance inquiry Confirmation of remittance instrument application/collection

Confirmation of encashment Confirmation of debiting/crediting transaction of the said account

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* Denotes mandatory fields – are obligatory fields which are required for the processing of Personal Data to fulfill contractual obligations

Fill in your company name and address

Select your business residency type and indicate your Business Registration number

Fill in your company’s nature of business and company’s contact details.

Please indicate your business details.

Fill in FIRST contact person details

Fill in SECOND contact person details

.

Fill in THIRD contact person details (if any)

ABC SDN BHD

LEVEL 2, MENARA XYZ, JALAN SULTAN ISMAIL, 50250 KUALA LUMPUR

ELECTRONIC

03-2026XXX 03-2026XXX

123456-X

ABC.COM.MY

XX,XXX.XX YYYY

25 YYYY

JANE DOE

012-388XXXX XXXXXX-XX-XXXX

JANEDOE@ABC.COM.MY

JOHNSMITH@ABC.COM.MY

012-388XXXX XXXXXX-XX-XXXX

JOHN SMITH

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 3 of 7 Version 21 (Last updated 23 Jan 2017)

Section C: Declaration*

C.1 Perbadanan Insurans Deposit Malaysia (PIDM)

I/We have received a copy of the PIDM brochure and acknowledge that this product is insured by PIDM.

C.2a Foreign Account Tax Compliance Act (FATCA) for Sole Proprietor/Partnership

C.2b Foreign Account Tax Compliance Act (FATCA) for Associations, Limited Liability Partnerships, Clubs, Society, Trusts of Entity and Companies.

Identifying Specified/Potential U.S. Person (To be completed by the customer - please tick (“✓”) in the “Yes” / “No” column respectively for each of the following questions)

Identifying U.S. Reportable Accounts for company (To be completed by all types of entities – please (√) where applicable)

No. U.S. Indicia Status Account Holder

a) A Specified U.S. Person1 Yes No

1. Are you a U.S. citizen or resident (including

green card holder)?

2. Is U.S. your country of birth?

b) A Passive Non-Financial Foreign Entity (NFFE) with one or

more Controlling Persons who are Substantial U.S. Owners23.

Do you hold a current U.S. residence address

or mailing address (including a U.S. post office

box)?

4. Do you have a current U.S. telephone number?

5. Do you currently maintain any standing instructions to the U.S.?

c) A Non-Participating Foreign Financial Institution (NPFFI)3 6. Do you currently assign power of attorney or signatory authority to a person within the U.S.?

7. Do you currently have a ‘hold mail’ or ‘in care of’ address as your sole address?

Definition: The term U.S person means a person described in section 7701(a)(30) of the Internal Revenue Code: (A) a citizen or resident of the U.S.

Definition: 1 • An individual who is a U.S. citizen or U.S. resident,

• A partnership, corporation, company, or association created or organized in the U.S. orunder the laws of the U.S.,

• An estate (other than a foreign estate), or• A domestic trust (as defined in Regulations section 301.7701-7 of the Internal Revenue

Code).

2 • Owns, directly or indirectly, more than 10% (by vote or value) of the stock of any foreign corporation;

• Owns, directly or indirectly, more than 10% of the profits or capital interests in aforeign partnership;

• Is treated as an owner of any portion of a foreign trust under sections 671 through679; or

• Holds, directly or indirectly, more than a 10% beneficial interest in a trust.

3 • A Foreign Financial Institution that does not enter into an agreement with the U.S. IRS.

C.3 Choice of language for Terms and Conditions

English Bahasa Malaysia

C.4 Personal Data Protection Act (PDPA)

AmBank Group’s Business Partners may from time to time offer products, promotions and services that maybe of interest to you. Say ‘YES’ to great offers and promotions from AmBank Group’s Business Partners.

Yes, we would like to receive marketing promotions from AmBank Group’s business partners

No, not at this point of time.

I/We hereby declare that I/we have read and understood the Privacy Notice of AmBank Group which is made available at AmBank branches or website and give my/our consent(s) for the bank to process my/our personal data and sensitive data for the intended usage as stated under the Privacy Notice.

*Denotes mandatory fields – are obligatory fields which are required for the processing of Personal Data to fulfill contractual obligations

Please tick the checkbox

Please tick ONLY if you are a Sole Proprietor/Partnership type of business

Select the choices of language for your T&C

Please tick “Yes” if you would like to receive future marketing promotions

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 4 of 7 Version 21 (Last updated 23 Jan 2017)

I/We agree that our application from time to time for products and services provided by AmBank (M) Berhad/AmBank Islamic Berhad herein shall be governed by

the General Terms and Conditions for Accounts and Services, the Specific Terms and Conditions for Foreign Currency Account, the Master Services Terms and

Conditions and/or Master Services Agreement (as the case maybe) and the terms and conditions intended to apply to one or more types of products and services

provided by you which is available at the Ambank Group website (http:www.ambankgroup.com) and I/We agree to adhere to the same. For the avoidance of doubt,

references to ‘you’ shall mean AmBank (M) Berhad and/or AmBank Islamic Berhad, as the case maybe.

I/We confirm that all information and documents provided to you by us pursuant to this application are true, correct, complete and untampered. In addition, you

shall be entitled to rely on the information and particulars provided by us under this account opening application form for any additional products and services made

available by you to us from time to time. In case of any change of particulars, I/We shall immediately notify you in writing of the changes, failing which you are

entitled to deem all particulars as provided under this account opening application form as true and accurate.

I/We also confirm that I/We are not subjected to any cessation of business/winding up liquidation at the time of this application.

I/We hereby declare, certify and confirm that the person(s) whose signature(s) appear below (‘Authorized Persons’) is/are acting in accordance with the mandate

given by us and have authority to effect all transactions/declaration/confirmation/agreements on our behalf in connection with the products and services applied

for - and all such transaction are binding and legally enforceable against us. I/We shall not hold the bank liable for processing the services/accounts that we have

applied for as per my/our instruction even though the Authorized Persons named in the board resolution which is obtained at a later date may differ.

I/We hereby confirm, acknowledge and understand that we as follows:

1. Open and close account

The Authorized Persons are authorized to open and close account with AmBank and AmBank Islamic for any types of account and currency as specified in the

account opening forms and sign and deliver other relevant documents, notices or instructions in accordance with the bank’s terms and conditions governing

such accounts.

2. Subscribe, utilize and terminate the services

The Authorized Person are authorized to subscribe for any electronic facilities, transaction banking services, and any other services which may be offered by the

bank from time to time subject to the terms and conditions of such services.

3. Authorization to appoint authorized signatories

The Authorized Person is authorized to appoint signatories and appoint users for the services subscribed.

The authorized signatories are authorized to operate the accounts in accordance with the signing mandate and/or authority given.

Authorized Person:

Authorized Person:

Full Name as per NRIC/Passport:

Full Name as per NRIC/Passport:

NRIC/Passport No.:

NRIC/Passport No. :

Nationality

Nationality

Date of Birth DDMMYYYY Date of Birth DDMMYYYY

Contact No.

Contact No.

Read and understand the Terms and Conditions

CHEONG YI AHMAD DIN CHEONG YI AHMAD DIN

X X X X X X - X X - X X X X X X X X X X - X X - X X X X

MALAYSIAN MALAYSIAN

03021980 13081970

FIRST Authorised Person to sign and fill in personal details

SECOND Authorised Person to sign and fill in personal details

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 5 of 7 Version 21 (Last updated 23 Jan 2017)

Condition of Authorization Please tick (√) one. [To only complete Section D if the Board Resolution does not indicate specimen signature(s)]

Any One to Sign Any Two to sign All to sign Others : ________________________________

Section D: Authorised Signatories/ Signature Specimen Card Authorized Signature:

Authorized Signature:

Full Name as per NRIC/Passport:

Full Name as per NRIC/Passport:

NRIC/Passport No.:

NRIC/Passport No.:

Nationality

Nationality

Date of Birth DDMMYYYY Date of Birth DDMMYYYY

Contact No.

Contact No.

Authorized Signature:

Authorized Signature:

Full Name as per NRIC/Passport:

Full Name as per NRIC/Passport:

NRIC/Passport No.:

NRIC/Passport No.:

Nationality

Nationality

Date of Birth DDMMYYYY Date of Birth DDMMYYYY

Contact No.

Contact No.

Authorized Signature:

Authorized Signature:

Full Name as per NRIC/Passport:

Full Name as per NRIC/Passport:

NRIC/Passport No.:

NRIC/Passport No.:

Nationality

Nationality

Date of Birth DDMMYYYY Date of Birth DDMMYYYY

Contact No.

Contact No.

Authorized Signature:

Authorized Signature:

Full Name as per NRIC/Passport:

Full Name as per NRIC/Passport:

NRIC/Passport No.:

NRIC/Passport No.:

Nationality

Nationality

Date of Birth DDMMYYYY Date of Birth DDMMYYYY

Contact No.

Contact No.

Note: Please photocopy this page if additional authorized signatories are required.

CHEONG YI AHMAD DIN CHEONG YI

X X X X X X - X X - X X X X X X X X X X - X X - X X X X

AHMAD DIN

MALAYSIAN MALAYSIAN

03021980 13081970

Select condition of Authorisation

Fill-in FIRST authorized person details

Fill-in SECOND authorised person details (if any)

Fill-in THIRD authorized person details (if any)

Fill-in FOURTH authorized person details (if any)

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 6 of 7 Version 21 (Last updated 23 Jan 2017)

Note: Please photocopy this page if additional inquiry users are required

B. INQUIRY AND PAYMENT

Primary Security Administrator (Token Custodian)

Name as per NRIC/Passport

NRIC/Passport No Mobile No.

Email address

Designation Specimen

Preferred User ID Signature (Maximum 10 Characters, no special characters allowed, eg: .,!?;)

Secondary Security Administrator (Pin Mailer Custodian)

Name as per NRIC/Passport

NRIC/Passport No Mobile No.

Email address

Designation Specimen

Preferred User ID Signature

(Maximum 10 Characters, no special characters allowed, eg: .,!?;)

¹Basic Payment Package (Internal Fund Transfer, GIRO, RENTAS, SWIFT-FCY TT) ² FS/FP-Floor Stock / Floor Plan

A. INQUIRY ONLY

Inquiry User 1

Name as per NRIC/Passport

NRIC/Passport No. Mobile No.

Preferred User ID Email

(Maximum of 10 Characters, no special characters are allowed, eg: .,!?;) address

Inquiry User 2 (If applicable)

Name as per NRIC/Passport

NRIC/Passport No. Mobile No.

Preferred User ID Email

(Maximum of 10 Characters, no special characters are allowed, eg: .,!?;) address

Payment Services* Please tick (√)

Charging Account

Services Offered

Basic Package̴¹

Banker’s Cheque

Internal Fund

Transfer

GIRO RENTAS SWIFT (FCY TT)

Payroll-IFT Payroll-GIRO

EIPP/ProColl (Direct

debit)

EIPP/ProColl (FS/FP²)

Debit Method Individual Debit

Consolidated Debit

*Denotes mandatory fields - are obligatory fields which are required for the processing of Personal Data to fulfill contractual obligations.

All charges debited from new account

Others, please indicate

X X X X X X X X X X X X

Select “Inquiry and Payment’ for e-AmBiz access with both Inquiry and Payment Facility

Fill-in details of the appointed Token Custodian

CHEONG YI

C H E O

CHEO@GMAIL.COM

0 1 3 X X X X X X X X

ACCOUNT MANAGER

CHEONG YI

AHMAD DIN

Fill-in details of the appointed PIN Mailer Custodian

AHMAD DIN

X X X X X X X X X X X X

DIN@GMAIL.COM

MANAGER

D I N

0 1 3 X X X X X X X X

Select or fill-in the Charging Account

Select type of services (payment mode) you require

Indicate debiting method of your account for that particular payment mode Consolidated Debit – Transactions will be debited from your account in one total amount (reflected on your account statement) Individual debit – Tramsactions will be debited from your account individually. (reflected on your account statement)

ACCOUNT OPENING FORM (NON – INDIVIDUAL)

Page 7 of 7 Version 21 (Last updated 23 Jan 2017)

FOR BANK’S USE ONLY:

Date: CIF:

Attended by:

Verified by:

Approved by:

SVS Captured:

SVS Validated:

Account No: Currency: e-Ambiz:

1.

2.

3.

4.

5.

6.

1. 2. 3. 4. 5. 6.

Yes Yes Yes Yes Yes Yes

X X X X X X X X X X X X X XXX

DDMMYYYY XXXXXXX

RM’s name or the person

who attended the customer

Customer do not need to fill this in. Reserved for Bank Use