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FGROP 008/2022_v1 (updated 29.09.2022)

For Bank Use
Branch 2 9 5
Region C N
Channel D 1
RHB Bank Berhad 196501000373 (6171-M) |
RHB Islamic Bank Berhad 200501003283 (680329-V)

KYC FORM – APPLICANT INFORMATION (INDIVIDUAL)

PART A: APPLICANT INFORMATION
APPLICANT TYPE

Joint/Parent/Legal Guardian/Supplementary Relationship to Principal Applicant/Cardholder

Principal
Guarantor

APPLICANT PERSONAL DETAILS

Salutation Nationality
Dato Datin Mr Mrs Miss Malaysian
Others Non-Malaysian; Country:

Identification
RHB Group Staff Yes No
Type of Identification
Full Name as per NRIC/Passport MyKad MyPR MyTentera Passport MyKid
Identification Number

Passport Expiry Date D D / M M / Y Y Y Y

OKU Visually Impaired Others
Foreign PR: Yes No
Race
Bumiputera - Malay Bumiputera - Non Malay Chinese Foreign PR ID:

Indian Others Foreign PR Country:

Residence Status
Date of Birth / /
Status Foreign Exchange Notices (FEN) Declaration
Gender Male Female Resident 1. I am a citizen of Malaysia, without permanent
resident status in any country or a territory
Education Level outside Malaysia.
Primary Secondary Diploma Degree 2. I am a Foreign National with permanent
Masters PHD resident status in Malaysia and I am ordinarily
residing in Malaysia.
Marital Status 1. I am a Foreign National without permanent
Non - Resident
Single Married Widowed Divorced resident status in Malaysia.
Separated 2. I am a citizen of Malaysia with permanent
resident status of a country or territory
Number of Dependent outside Malaysia and I am residing outside
Malaysia.
Mother’s Maiden Name 3. Any person other than a Resident.

CONTACT DETAILS EMERGENCY CONTACT (for financing application only)

Name
Home Phone Number

Mobile Phone Number

Office Phone Number

Relationship
Email Address
Contact Number

STATEMENT DELIVERY (applicable for principal applicant)

e-Statement via RHB Now e-Statement via email Hard copy

(e-Pull) (e-Push) (Only applicable to customers aged 60-year-old and above)
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 FGROP 008/2022_v1 (updated 29.09.2022)

RESIDENCE DETAILS

Residence Type Own Property Mortgaged Employers Rented Parents

Mailing Address
Length of Stay in Current Residence
Same as Residential Address Same as Office Address
Residential Address If different, please specify below

City City
Postcode Postcode
State State
Country Country

EMPLOYMENT DETAILS

Employer Name Nature of Business/Employment Sector

Occupation Employment Type

Government Employee Private Employee
RHB Employee Self-employed
Office Address
Unpaid Family Worker Unemployed
Outside Labor Force (Student, Housewife, Retiree)

Employment Status
City Permanent Contract
Postcode Under Probation Part Time
State Freelance Temporary
Country
Source of Wealth

Monthly Gross Income RM Accumulated Savings Employment Income

Inheritance Trust Fund
Other Income RM
Retirement Income EPF
Date Joined / / Disposal of Assets/Shares Insurance/Takaful
Maturity/Surrender
Return on Investment
Previous Employer Name (if less than 2 years in present employment)
Legal Settlement Income From Own Business

Length of Services Y Y M M

PAGE 2 of 2
 Print Clear Save As
FGROP 010/2022_v1 (Updated on 29.09.2022)

PRODUCT FORM – PRINCIPAL APPLICANT (INDIVIDUAL)

PART B1: DEPOSITORY ACCOUNT/-i OPENING APPLICATION FORM
PROGRAMME TYPE
Enrolment in Joy@Work

ACCOUNT TYPE
Individual Account
Joint Account; Signing Condition:
Joint Applicant Name(s):
Joint Applicant MyKad/Passport No.:
Minor Account (aged 12 years old – below 18 years old)

PRODUCT TYPE
Current/Saving Account Please refer to the Appendix on the last page and select one option.

Current Account/-i Savings Account/-i Purpose of Account Opening:

Product Name: Source of Fund:

Multi Currency Account Please refer to the Appendix on the last page and select one option.

Multi Currency Account Purpose of Account Opening:

Qard Multi Currency Account-i Source of Fund:
Please tick (√) where applicable

Product Name Product Specific Declarations

INDA - Individual Account Currently I/We DO NOT have any Domestic Ringgit Borrowing/Financing with any financial institutions
in Malaysia and in the event I/We have any Domestic Ringgit Borrowing/Financing, I/We undertake to
inform the Bank immediately; or
I/We have domestic Ringgit borrowing/financing with one or more financial institutions in Malaysia, and
my/our total investment abroad and onshore in foreign currency asset is within the stipulated aggregate
threshold* per calendar year under Foreign Exchange Notices;
RM:
I/We have Domestic Ringgit Borrowing/Financing with one or more financial institutions in Malaysia,
and my/our total investment abroad and onshore in foreign currency asset have exceeded the stipulated
aggregate threshold* per calendar year under Foreign Exchange Notices. I/We hereby furnish the
approval letter from BNM (Ref: ) as supporting document;

EDEA - Education and Employment Account I/We hereby submit the documentary evidence and justification for education/ employment abroad
to comply with the requirements set out by Bank Negara Malaysia.

INEX - Individual Export Proceed Account I/We hereby confirm:

a) The proceeds credited into the account are strictly from exports.
b) To provide documentary evidence, as and when it is required by the Bank.

Note: The Bank may request from the Customer(s) additional supporting document(s) to verify the transaction(s) from the above account(s).
*Up to RM1 million for individual under Foreign Exchange Notices.

Debit Card Please tick (√) where applicable

Debit Card Debit Card-i Overseas Transactions

Debit Card Type: Card Not Present Transaction

Safe Deposit Box Please refer to the Appendix on the last page and select one option.
Please tick (√) where applicable
Purpose of Account Opening:
I am keen to subscribe the *Safe Deposit Box (SDB)
Source of Fund:

* Subject to the availability of vacant box at SDB branches. Please visit your preferred RHB branch to complete the opening of Safe Deposit Box.

PART B2: VISA PREPAID CARD APPLICATION FORM

APPLICANT TYPE

Individual Applicant Please refer to the Appendix on the last page and select one option.
Minor Applicant (aged 12 years old - below 18 years old) Purpose of Account Opening:
Prepaid Card No: Source of Fund:

Please tick (√) where applicable

Overseas Transactions Card Not Present Transaction

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 FGROP 010/2022_v1 (Updated on 29.09.2022)

PART B3: UNIT TRUST/-i/DIRECT BOND/SUKUK/STRUCTURED INVESTMENT/-i

ACCOUNT OPENING APPLICATION FORM
ACCOUNT TYPE
Individual Account
Joint Account; Signing Condition: FOR EITHER ONE TO SIGN ONLY
Joint Applicant Name(s):
Joint Applicant MyKad/Passport No.:

PRODUCT TYPE
Unit Trust/-i Please refer to the Appendix on the last page and select one option.

Unit Trust Unit Trust (Islamic) Purpose of Account Opening:

Source of Fund:

Direct Bond/Sukuk Please refer to the Appendix on the last page and select one option.
Direct Bond/Sukuk Purpose of Account Opening:
Please complete Part C: No 2 - Declaration on Sophisticated Investors Source of Fund:

Structured Investment/-i Please refer to the Appendix on the last page and select one option.

Structured Investment Structured Investment (Islamic) Purpose of Account Opening:

Please complete Part C: No 2 - Declaration on Sophisticated Investors Source of Fund:

I/We authorise the Bank to Debit/Credit the applicable Shares, Principal and Interest/Profit amount into the below accounts accordingly at the end of
the investment (no third party accounts is allowed):

RHB Savings/Current/Multi Currency Account/-i For shares traded on Bursa Malaysia For shares traded on foreign stock exchange

Savings/Current Account No. (MYR) Account Qualifier Name: Account Qualifier Name:

Multi Currency Account No. (FCY) CDS Account No.: Trading Account No.:

WARNING
FOR UNIT TRUST/-i
UNIT TRUST SCHEMES AND UNITS IN SUCH SCHEMES ARE NOT PROTECTED BY PERBADANAN
INSURANS DEPOSIT MALAYSIA (“PIDM”) AND ANY MONEY WITHDRAWN FROM AN INSURED
DEPOSIT FOR THE PURPOSE OF PURCHASING ANY UNITS IN A UNIT TRUST SCHEME IS NO
LONGER PROTECTED BY PIDM.
FOR DIRECT BOND/SUKUK
THIS IS NOT A PRINCIPAL GUARANTEED PRODUCT. THE HOLDER OF THE INVESTMENT IS
ASSUMING THE CREDIT RISK OF THE ISSUER OF THE INVESTMENT. IN THE EVENT OF WINDING
UP, LIQUIDATION OR RATING DOWNGRADE OF THE ISSUER OF THE INVESTMENT OR IF YOU
SELL THE INVESTMENT PRIOR TO MATURITY, YOU WILL SUFFER A POTENTIAL CAPITAL LOSS.
THE INVESTMENT IS NOT PROTECTED BY PERBADANAN INSURANS DEPOSIT MALAYSIA.
FOR STRUCTURE INVESTMENT
THE RETURNS ON YOUR STRUCTURED PRODUCT INVESTMENT WILL BE AFFECTED BY THE
PERFORMANCE OF THE UNDERLYING ASSET / REFERENCE, AND THE RECOVERY OF YOUR
PRINCIPAL INVESTMENT MAY BE JEOPARDISED IF YOU MAKE AN EARLY REDEMPTION. THIS
STRUCTURED PRODUCT INVESTMENT IS NOT PROTECTED BY PERBADANAN INSURANS
DEPOSIT MALAYSIA.
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 FGROP 010/2022_v1 (Updated on 29.09.2022)

PART B4: PERSONAL FINANCING/-i APPLICATION FORM

LOAN/FINANCING DETAILS

Please tick (√) where applicable Purpose of Account Opening: Personal Loan/Financing
Personal Financing Please refer to the Appendix on the last page and select one option.
Enrolment in Personal Smart Shield (PSS) Yes No Source of Fund:
Personal Financing-i Personal Financing/-i Amount Applied:
Civil Sector
RM
Maintain the same monthly payment, in the event of Standardised
Base Rate Islamic (SBRI) adjustment Yes No Financing Tenure:
Private Sector/Potongan Gaji Majikan Months
Pensioners
Financing Disbursement Account:
New Existing;
Purpose of Application (Please tick (√) one)
005 Personal Consumption 037 Booking Fee - Car 038 Debt Consolidation 039 Education
040 Electrical Goods 041 Home Furnishing/Equipment 042 Medical Expenses 043 Online Financing
044 Personal Refinancing 045 Property/House Financing 046 Renovation 047 Travel

SETTLEMENT INSTRUCTION

Personal Financing Account No. Settlement Amount Monthly Payment

No. Institutions/Cooperatives
or Credit Card No. (RM) (RM)*

*For settlement of financing account based on CCRIS report

I expressly instruct the Bank to deduct any amount from the approved Facility to settle any outstanding balance on my behalf according to the details
as per compiled in the above instructions and/or as per the outstanding amount reported in the Central Credit Reference Information System (CCRIS)
report with an additional amount of up two (2) months monthly installment. I agree to pay the settlement balance in excess of the approved Facility (if
any) after the Bank has made payment in accordance to my instruction here and pursuant to the settlement letter by the respective institutions that is/
are enclosed herewith. I agree to request for refund or excess amount (if any) directly from the respective institutions pursuant to the settlement made
by the Bank in accordance to my instruction here. I also agree that I will not make or take any claims or actions towards the Bank in acting according to
my instruction herein, unless such claims or actions arises out of the act, omission, default, negligence and/or misconduct on the part of the Bank and/
or any of its employees, representatives and agents of the Bank.

PART B5: CREDIT CARD/-i APPLICATION FORM

REQUEST TYPE

New Card Additional Card Upgrade Card

PRODUCT TYPE

Please tick (√) where applicable Excess Limit Fee Consent

Credit Card I/We hereby agree and consent the Bank may debit my/our card account
for excess limit transactions, where an excess limit fee of RM50 may be
Credit Card-i
imposed whenever the Total Outstanding Balance exceeds the combined
card limit due to an excess limit transactions.
Card Type: VISA MASTERCARD
Yes No
Product Name:
For Credit Card
Product Code:
Enrolment in Life Credit Shield (by Tokio Marine)
Name on Card: (maximum 19 characters) The amount of premium to be paid shall be based on the aggregate
outstanding balance of the Life Assured as at the monthly billing dates at
RM0.65 per RM100 outstanding balance.
Card Delivery to: Yes No
Residential Address
For Credit Card-i
Office Address
Mailing Address TAKAFUL myCREDIT SHIELD (by Syarikat Takaful)
The contribution is to be payable on monthly basis and shall be based on
Card Collection at Branch:
the monthly closing credit card statement at RM0.46 per RM100 of the
(Branch Name) total credit card outstanding balance.
Purpose of Account Opening: Personal Loan/Financing Yes No
Please refer to the Appendix on the last page and select one option.
Source of Fund:
PAGE 3 of 9
 FGROP 010/2022_v1 (Updated on 29.09.2022)
Additional Application/Feature Type: (Applicable for Principal Card Only)

Amount: RM

CashXcess RHB Savings/Current Account for Fund Transfer

New
Existing;

No. Issuing Bank Name Other Credit/Charge Card No. Transfer Amount (RM)
1
Balance Transfer
2
3

PAGE 4 of 9
 FGROP 010/2022_v1 (Updated on 29.09.2022)

PART B6: HOME/PROPERTY LOAN/FINANCING APPLICATION FORM

LOAN/FINANCING TYPE
Individual Loan/Financing
Joint Loan/Financing;
Joint Applicant Name:
Joint Applicant MyKad/Passport No.:

PRODUCT TYPE AND DETAILS

Please tick (√) where applicable Please refer to the Appendix on the last page and select one option.
Conventional Loan Islamic Financing Purpose of Account Opening:
Facility Type Source of Fund:
Home Loan/Financing-i Purpose of Facilities (Please tick (√) one)
Commercial Term Loan/Financing-i
Purchase of Property from Developer Subsale
Term Loan/Financing-i Residential
Refinancing (with Cash-Out) Top-Up (for existing account)
Home Loan/Commercial Term Loan + Overdraft
Refinancing (without Cash- Out) Purchase of Land
Product Name:
Tenure: Months
Loan/Financing Amount: RM Purchase Price/Indicate Market Value (for Refinancing):
Term Loan/Financing: RM RM

MRTA/CLTA/MRTT/MLTT: RM Declaration on Net Purchase Price of Property RM*

Property Gross Purchase Price
Legal/Valuation Fee: RM Discounts, adjustments, rebates or any
other form of benefits which may distort the
Total: RM true property value (including gifts and any
arrangement by developers to bear the cost
related to the purchase of the property)
Property Net Purchase Price

Mortgage Reducing Term Assurance/ Financed by Bank Pay by Cash

Takaful Yes
(MRTA/MRTT) Covered Amount: RM Term Covered: Years
Credit Level Term Assurance/
Mortgage Level Term Takaful 1. I/We have decided not to take up the MRTA/CLTA/MRTT/MLTT.
(CLTA/MLTT) No
2. I/We are fully aware and have been briefed on the benefits of MRTA/ CLTA/MRTT/MLTT.

PARTICULARS OF PROPERTY/SECURITY

Property/Security Type: Property Address:

Residential Commercial
Construction Status:
Completed Under Construction %
Owner Occupied: Yes No First House: Yes No
City
No. of Storeys: Postcode
Built-up Area (sq ft/sqm): Land Area (sq ft/sqm): State
Country

Property Sub-type:
Residential Commercial
Apartment Semi-Detached Bungalow Factory Shop Apartment Light Industrial Building
Service Apartment Condominium Flat Shop House Office Suites Shop Office
Townhouse Other: Retail Lot Other:

TITLE PARTICULARS

Title Type: Master Individual Strata Land Use: Residential Industrial Commercial Agriculture
Title Transfer Restriction: Native Reserve State Consent Malay Reserve Bumiputera No Restriction

Title No.: Sub-district:

District: Land Tenure: Freehold
State: Leasehold, Leasehold Expiry:

Lot No.: D D / M M / Y Y Y Y

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 FGROP 010/2022_v1 (Updated on 29.09.2022)

PART B7: OVERDRAFT AGAINST FIXED DEPOSIT

APPLICATION TYPE

Individual Applicant
Joint Applicant; Joint Applicant Name:
Joint Applicant MyKad/Passport No.:

OVERDRAFT DETAILS

Overdraft Amount: RM Fixed Deposit: RM

PART B8: HIRE PURCHASE LOAN/FINANCING APPLICATION FORM

These facilities are governed by Hire Purchase Act 1967

LOAN/FINANCING TYPE

Individual Loan/Financing; Guarantor Name: 1) ; 2)

Guarantor MyKad/Passport No.: 1) ; 2)

PRODUCT TYPE AND DETAILS

Please tick (√) where applicable

Conventional Loan, Hire Purchase Loan
Islamic Financing; Inclusive Hire Purchase Reducing Term Takaful (HPRTT) Yes No
Hire Purchase-i (Fixed Rate)
Please refer to the Appendix on the last page and select one option.
Vehicle Financing-i (Variable Rate)
Purpose of Account Opening:
Purchase Price (OTR): RM
Source of Fund:
Loan/Financing Amount: RM
Driving License No.:
Loan /Financing Tenure: Years

Vehicle Condition: New Used* Unregistered Recon Used Recon* Pre-registered*

*If selected Used, Used Recon, Pre-registered, please fill up below details

PARTICULAR OF VEHICLE

Vehicle Make/Brand: Registration Date: D D / M M / Y Y Y Y

Vehicle Model: Registration No.:

Year Make: Chassis No.:

Engine No.:

TRADE-IN GOOD DETAILS

Description of Trade-in: Year of Manufacture:

Make & Model: Chassis No.:

Engine: Trade-in Deposit: RM

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 FGROP 010/2022_v1 (Updated on 29.09.2022)

PART C: DECLARATION & CONSENT BY APPLICANT(S) **

** These declaration and Consent shall apply to all RHB Bank Berhad and/or RHB Islamic Bank Berhad, as the case may be, (“the Bank”) product(s)
which you apply for as stated in the application form(s). The Bank being the licensed financial institution granting the account/loan/financing product(s)
referred to in the application form(s) completed by me/us.

1. FOR ALL PRODUCTS:

i. I/We hereby confirm and declare that all the information provided by me/us is complete, true and correct and I/We authorise the Bank
to verify any information provided and to obtain from any source including Inland Revenue Board as the Bank considers appropriate any
information, which the Bank may require such its discretion and approve or reject my/our application.
ii. I/We hereby confirm that I/We have received or downloaded, briefed, read, informed and understood the following applicable documents
governing the operation of the relevant account(s). I/We agree to be bound by them and/or such other terms and conditions of which the
Bank may modify or amend or update from time to time with 21 calendar days’ prior written notice to me/us. I/We am/are aware the below
documents of the product(s) that I/We applied for is/are available in RHB Website www.rhbgroup.com:
a) The Bank’s Terms and Conditions: www.rhbgroup.com/others/terms-conditions/index.html
b) The Bank’s Product Disclosure Sheet: www.rhbgroup.com
c) The Bank’s Privacy Notice: https://www.rhbgroup.com/files/others/personal-data/privacy-notice.pdf
d) For minor accounts, indemnity by parents or legal guardian under Indemnity and Limitation of Liability in the Bank’s Terms and Conditions:
www.rhbgroup.com/others/terms-conditions/index.html
e) Perbadanan Insurans Deposit Malaysia (PIDM) brochure: www.rhbgroup.com
f) Notification of incidental fees/charges that will be incurred at https://www.rhbgroup.com/others/service-charges/index.html
iii. Consent for cross selling, marketing, promote products and services of strategic partners
Please √ where applicable
I/We consent and authorize the Bank to process and disclose any information that I/we have provided for the purposes of cross selling,
marketing, promotions (including administering offers and competitions), and conducting surveys (to improve the quality of products/
services) to RHB Banking Group (which shall include the holding company(s), its subsidiary(s), any associated company(s) and/or any
company/branch as a result of any restructuring, merger, sale or acquisition, whether in or outside Malaysia), strategic partners, service
providers and its agent, servant and/or such persons or third parties, if applicable

2. I/We have been informed on the purpose of registration One Time Password (OTP) for RHB Now Internet Banking.

3. I/We agree that by activating, signing on and/or using the card(s) issued by the Bank, I/we agree to be bound by and to comply with all the Terms
and Conditions in relation to such card(s).

4. FOR DIRECT BOND/SUKUK OR STRUCTURED INVESTMENT/-i

DECLARATION OF SOPHISTICATED INVESTORS UNDER SCHEDULE 6 AND/OR SCHEDULE 7 OF THE CAPITAL MARKETS AND SERVICES
ACT 2007 (“CMSA”)

For High Net Worth Individual, I hereby declare that

My total net personal assets or total net joint assets with my spouse exceeds Ringgit Malaysia Three Million (RM3,000,000.00) or its
equivalent in foreign currencies excluding the value of my primary residence; or
My gross annual income exceeds Ringgit Malaysia Three hundred Thousand (RM300,000.00) or its equivalent in foreign currencies per
annum in the preceding twelve (12) months; or
My joint gross annual income with my spouse exceeds Ringgit Malaysia Four Hundred Thousand (RM400,000.00) or its equivalent in foreign
currencies per annum in the preceding twelve (12) months; or
My total net personal investment portfolio or total net joint investment portfolio with my spouse in any capital market products exceeds
Ringgit Malaysia One Million (RM1,000,000.00) or its equivalent in foreign currencies

5. LOAN/FINANCING TRANSACTIONS AND EXPOSURES WITH CONNECTED PARTIES

Do you have any immediate family or close relatives (including parents, brother, sister, dependent and own/step/adopted child and their spouses)
that are employees of RHB Banking Group?
Yes, Relationship No

6. FOR LOAN/FINANCING PRODUCTS OR JOY@WORK ENROLMENT

I/We, authorize and consent the Bank to obtain any credit information from CTOS and/or other registered Credit Reporting Agencies as defined
under the Credit Reporting Agencies Act 2010 without further notice to me/us to such extent and for the purpose of the followings (whichever
is applicable):
Credit application processing; Credit limit review; Restructuring; Overlapping; upgrading application.

7. FOR HOME/PROPERTY LOAN/FINANCING

I/We consent to and authorizes the Bank to disclose my/our application status with my/ our referrer (if applicable).

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 FGROP 010/2022_v1 (Updated on 29.09.2022)
8. FOR LOAN/FINANCING PRODUCTS
Financial obligation self-declaration.
Followings are my/our outstanding debts with financial institutions and/or non-financial institutions in Malaysia.

Bank/ Type of Facility/Financing

Outstanding Balance Monthly Payment
Finance Company/Other (Housing/Car/Personal/ Financing Amount (RM)
(RM) Amount (RM)
Banks Others)

9. DECLARATION OF TAX RESIDENCY STATUS (Except for loan/financing facilities & credit card/-i product)
Please tick (√) where applicable
I/We have been briefed and I/We hereby confirm I/We understand my/our tax residency/FATCA/CRS requirements. I/We hereby declare that
all statements made in this declaration are, to the best of my/our knowledge and belief, correct and complete:

Declaration of U.S. Person Declaration of Tax Residency

I am a U.S. Person. (i.e. U.S. green card holder or U.S. passport I confirm that I am a Malaysia Tax Resident only.
holder). ①

I am not a U.S. Person. I confirm that I am a Malaysia Tax Resident and have tax
residency with other jurisdictions. ②

I confirm that I was born in U.S. (or a U.S. territory) but am I confirm that I am not a Malaysia Tax Resident and have tax
no longer a U.S. citizen as I have voluntarily surrendered my residency with other jurisdictions. ③
citizenship as evidenced by the attached documents.
If you are selected ① or ② or ③ above, please declare the jurisdictions and the respective TIN that you are a tax resident of
(other than Malaysia):
If exceed three jurisdictions, please use a separate sheet

No. 1 2 3

Jurisdiction of Tax Resident

Taxpayer ID No. (TIN)

If a TIN is unavailable, please Jurisdiction does not issue Jurisdiction does not issue Jurisdiction does not issue
tick (√) reason TIN TIN TIN
Jurisdiction does not require Jurisdiction does not require Jurisdiction does not require
the collection of TIN the collection of TIN the collection of TIN
Others*: Others*: Others*:

* TIN application in progress | not required to register tax file | housewife | househusband | minor | student | retiree | foreign diplomat in embassy

10. APPLICANT ACKNOWLEDGEMENT:

i. I/We, the undersigned declare that the above information provided by me/us are true and correct and if the Bank subsequently discovers
that any of the information provided are false, incorrect or incomplete, the Bank may cancel or vary the Facility approved by giving written
notice to me/us.
ii. I/We agree that the emailed copy(ies) of the application form and/or supporting document(s) received by the Bank are deemed to be
the original application form and/or supporting document(s) and I/we am/are to produce the original application form and/or supporting
document(s) to the Bank upon request.
iii. I/We have also been advised that I/We may contact RHB Customer Contact Centre by telephone at +603-9206 8118 or by email at
[email protected] or visit any branch of the Bank if I/We do not understand any of the product features, benefit, product
disclosure sheet and/or Terms and Conditions.

Applicant’s Signature: Full Name as per NRIC/Passport:

Identification No.:

Date: / /

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 FGROP 010/2022_v1 (Updated on 29.09.2022)

FOR BANK USE ONLY

I hereby declare that I have sighted the original copies of the documents and all information provided above is truthful and trustworthy.

Attended By: Checked & Verified By:

Name: Name:
NUR DANIELLA FARISHA BINTI NOR FAUZAN
Staff ID: Staff ID:
4 6 1 6 7 5
Date: Date:
/ / / /

Personal Financing/-i Unit Trust/-i

Referral Campaign Code:
Staff ID: FIMM No.:
Product Package
Code: Code:
Direct Bond/Sukuk/Structured Investment/-i
Credit Card/-i
PGM Source
Code: Code: IPPC No.:
Source
Code:
Visa Prepaid Card Hire Purchase Loan/Financing
Program
Code: PIN Serial No.: Campaign Code:

APPENDIX

Purpose of Account Opening

■ Payroll/Salary ■ Standing Instruction
■ Savings/Fixed/Term Deposits ■ EPF Withdrawals
■ Remittance (Local/Foreign) ■ Personal Loan/Financing
■ Household/Family Expenses ■ Administration of Estate Acct
■ Investment ■ Loan Repayment/Financing Payment/Drawdown

Source of Funds

■ Income/Salary ■ Return on Investment

■ Own Bank Transfer (within RHB) ■ Fixed Deposit/Term Deposit Placement Roll Over/Renewal
■ EPF/SOCSO/Pension/Gratuity ■ Insurance/Takaful Maturity/Surrender
■ Savings/Investment ■ Legal Settlement
■ Scholarship/Allowance/Education Loan/Financing ■ Credit Facility Approve by Financial Institutions
■ Trust Funds ■ Transfer From Own Account with Other Financial Institutions
■ Divorce Settlement/Compensation ■ Spouse/Parents/Children
■ Sale of Investment/Shares/Property/Land ■ Financial Aid/Subsidies
■ Dividends/Profits ■ Part-time Income
■ Rental Proceeds ■ Inheritance
■ Commission ■ Gift/Donation
■ Directors Fee/Salary ■ Winning-legal Gambling/Contest
■ Welfare Allowance

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