SYSADMIN1 (Reflex Secure Plus - 2 Factor Authentication ...

1 ------------QuantityAdditional Token request (Reflex Secure Plus - 2 Factor Authentication (2FA) via registered smartphone)Low BatteryReplacement ReasonLost/StolenDefective/DamageLow BatteryReplacement ReasonLost/StolenDefective/DamageUser IDToken Serial NumberReplacement ReasonLost/StolenDefective/DamageE-mail* April 2019C. DeclarationName*Name*Designation*Designa tion*NRIC*/Passport*NRIC*/Passport*Date* SignatureName:DDCorporate IDCorporate Primary Account request Details (Please tick a whichever applicable)Mobile Number*Update System Administrator(s) Details (for replacement of System Administrator, please enclosed a photocopy of IC/Passport)Name*NRIC*/Passport*REFLEX Service request Maintenance FormUser MaintenanceComplete all relevant sections and submit the Service request Maintenance Form along with required supporting document(s) (where applicable) to the account holding RHB Bank Corporate DetailsCorporate NamePlease note that all token replacement will be upgraded to Reflex Secure Plus (2 Factor Authentication via Registered Smartphone)

2 And no hard token will be given. will be imposed on each unit of replacement token issued and the sum will be debited from the Primary Corporate IDToken Serial NumberDesignation:DateProcessing Checklist:Verified by,I hereby confirmed that:- Duly completed form, along with the necessary supporting Authorised signatory(ies) is/are as per account operating mandate (Reflex Primary Corporate Account)I/We hereby confirm that I/we am/are authorized to act for and on behalf of the Company/Association/Club/Society/Partner ship/ hereby confirm that all information provided herein and in any other form related to this application is true and accurate to the best of my/our knowledge as at the date of this CodeDate*Company StampYD.

3 Authorised Signatory/iesSignatory 1 Signatory 2 MMFor BANK use onlyYYEnable SysAdmin with Financial Transaction ModuleEnable SysAdmin with Financial Transaction ModuleToken Serial NumberPlease note that will be imposed on each unit of additional token issued and the sum will be debited from the Primary Corporate AccountName*NRIC*/Passport*Mobile Number*E-mail*Transaction LimitTransaction LimitToken Replacement1.