ACCOUNT OPENING FORM (NON – INDIVIDUAL ... - …

1 Placement Instruction: Cash: Cheque: Debit ACCOUNT : ACCOUNT OPENING form (NON INDIVIDUAL )Section A: Type of Ringgit Malaysia (MYR) Foreign Currency Current Accounts (FCA): Please tick ( )Please complete all sections and mark ( ) in the appropriate Channel Cheque Book Application (for MYR Current ACCOUNT / ACCOUNT -i only) e-Statement Subscription for Bank Statement. Please tick ( ) only one of the Registered Business Email Noti cation for Foreign Currency ACCOUNT /-i. Please tick ( ) (for Corporate Customers only) ACCOUNT TypeBusiness TypeCurrent AccountCurrent ACCOUNT -iSavings AccountSavings ACCOUNT -iSole ProprietorPartnershipPrivate LimitedPublic ListedOthers.

2 FCAFCA-iTerm Deposit-iFixed DepositForeign Currency Fixed DepositPurpose & type of currencyIFCATFCAAUDCADCNYEURGBPHKDJPYNZD SGDUSDOTHERS*NEP Non-Export ProceedsINV OthersEPA Goods Export ProceedsOTH Export Proceeds (OTHERS)*Subject to Transaction Banking ApprovalCharges, if any, to be debited from Ringgit savings/current ACCOUNT (applicable for 1 - interest/pro t& 2 - Principal & interest/pro t) Fixed Deposit/Term Deposit-i Terms and Placement Instructions (for multiple FD/TD-i placements, please attach FD/TD-i Placement Advices)Debit CardAmOnlineAmOnline Virtual PinFor accounts without Debit CardCurrency:Maturity Instruction:Auto Renew (Principle & Interest/Pro t)Auto Renew Principal only1 Not to Auto Renew2 Amount: RMTenure.

3 MonthsFor sole proprietors onlyFor non-sole proprietorse-AmBiz Inquirye-AmBiz Paymente-AmPayDayNumber ofcheque booksCollection MethodBy ACCOUNT holderCourier to ACCOUNT correspondence addressBy authorised 3rd partyName:NRIC/Passport No.:e-Statement Email Address: Combined e-Statement (All Deposit Product MYR & FCY) Daily and Weekly applicable only for Corporate CustomerDailyWeeklyMonthlyEmail AdvicesSection B: Business DetailsRegistered Name of Business:Date of Incorporation/Registration: DD / MM / YYYYB usiness Registration No.

4 :Registered Address: ACCOUNT Correspondence Address:(if di erent from above)Business Status:ResidentNon-ResidentBusiness O ce No.:Business Fax No.:Business Email Address:Purpose of ACCOUNT :PayrollPaymentCollectionsInvestm entOperating AccountTrade SettlementOthers:Page 1 of 9 Crediting ACCOUNT of Operation:Version 29 June Business Authorised Contact Person:(Appointment of authorised personnel to perform non-monetary/monetary transactions and to receive/disclose your company s information to/fromAmBank (M) Berhad and/or AmBank Islamic Berhad)Business CategoryBusiness TypeServices and OthersAnnual Sales Turnover (RM):As at nancial year.

5 As at nancial year:No. of Employees:Source of Funds/Wealth/Net WorthSMEM anufacturing/Manufacturing-Related Services/Argo-based IndustriesNon-SMEB usiness Income/ProceedsBank Borrowing/Loan/FinancingOther:Sales of Property/AssetsInvestment return, Dividend/Interest Income (Pro t from investment,Dividend payment from shares, interest/pro t earned from Fixed/TermDeposit-i)1. Full Name(as per NRIC/Passport):2. Full Name(as per NRIC/Passport):NRIC/Passport No.:Email Address:Mobile No.:Designation:NRIC/Passport No.:Email Address:O ce No.

6 :O ce No.:Mobile No.:Designation: ACCOUNT balance inquiryCon rmation of remittanceinstrument application/collectionCon rmation of encashmentCon rmation of debiting/crediting transaction of the saidaccountCon rmation of requisition/Collection of cheque bookAccount balance inquiryCon rmation of remittanceinstrument application/collectionCon rmation of encashmentCon rmation of debiting/crediting transaction of the saidaccountCon rmation of requisition/Collection of cheque bookACCOUNT OPENING form (NON INDIVIDUAL )Page 2 of 9 Version 29 June 2018 Condition of Authorisation Please tick ( ) One to SignAny Two to SignFull Name as per NRIC/Passport:NRIC/Passport:Authorised Signature:Date of Birth: DD / MM / YYYYD esignation:Contact No.

7 :All to SignOthers:Full Name as per NRIC/Passport:NRIC/Passport:Authorised Signature:Date of Birth: DD / MM / YYYYD esignation:Contact No.:Full Name as per NRIC/Passport:NRIC/Passport:Authorised Signature:Date of Birth: DD / MM / YYYYD esignation:Contact No.:Full Name as per NRIC/Passport:NRIC/Passport:Authorised Signature:Date of Birth: DD / MM / YYYYD esignation:Contact No.:Full Name as per NRIC/Passport:NRIC/Passport:Authorised Signature:Date of Birth: DD / MM / YYYYD esignation:Contact No.

8 :Full Name as per NRIC/Passport:NRIC/Passport:Authorised Signature:Date of Birth: DD / MM / YYYYD esignation:Contact No.:Full Name as per NRIC/Passport:NRIC/Passport:Authorised Signature:Date of Birth: DD / MM / YYYYD esignation:Contact No.:Full Name as per NRIC/Passport:NRIC/Passport:Authorised Signature:Date of Birth: DD / MM / YYYYD esignation:Contact No.:Full Name as per NRIC/Passport:NRIC/Passport:Authorised Signature:Date of Birth: DD / MM / YYYYD esignation:Contact No.:Full Name as per NRIC/Passport:NRIC/Passport:Authorised Signature:Date of Birth: DD / MM / YYYYD esignation:Contact No.

9 :Full Name as per NRIC/Passport:NRIC/Passport:Authorised Signature:Date of Birth: DD / MM / YYYYD esignation:Contact No.:Full Name as per NRIC/Passport:NRIC/Passport:Authorised Signature:Date of Birth: DD / MM / YYYYD esignation:Contact No.:Note: Please photocopy this page if additional authorised signatories are Authorised Signatories/Signature Specimen CardanSection C: If the Board Resolution does not indicate Specimen Signature(s) ACCOUNT OPENING form (NON INDIVIDUAL )Page 3 of 9 Version 29 June 2018 Section D: Application for e-AmBiz and e-AmPayDay onlye-AmBiz Services (Please select either A or B)A.

10 INQUIRY ONLYB. INQUIRY AND PAYMENTD ebit Method (Please select either one method. If unde ned, it will be defaulted to INDIVIDUAL Debit)Inquiry User 1 Name as per NRIC/Passport:NRIC/Passport No.:Mobile No.:Mobile No.:Email Address:*Preferred User ID:Designation:(Maximum of 10 characters, no special characters are allowed, : !?;)Primary Security AdministratorName as per NRIC/Passport:NRIC/Passport No.:Email Address:Inquiry User 2 (If applicable)Name as per NRIC/Passport:NRIC/Passport No.:Mobile No.:*Preferred User ID:(Maximum of 10 characters, no special characters are allowed, : !)