Professional Documents
Culture Documents
Business/Correspondence Address
Postcode
Business Type
Sole Proprietorship Partnership Private Limited Society/Association/Club
Nature of Business/Activities
Contact Person
No Name Designation Email Tel .No
1
2
Customer's Initial
ID No ID Type
Race CIF No
Income Tel.No
Particulars of Partners, Directors, Committee Members, etc. (other than sole proprietor)
No Name Identity Card / Passport Number Place of Issue Colour Citizenship Race
1
2
3
4
5
Condition of Signature
Anyone of Member All Members As per resolution/Others _________________________________
ii) For non-sole-proprietorship, are you an existing Maybank2U Biz customer? Yes No
iii) If Yes, do you want to link your SME First Account to your existing Maybank2U Biz access? Yes No
Appointment of Users (Total maximum 5 users. One User will have one type of ID Access only).
(approved as per Board Resolution or Mandate Letter / Minutes of Meeting)
Type of Access Function Allowed
Maker User can view and initiate the transaction only. The transaction will be sent to Checker for approval
Checker User can view, approve transaction and upload Maybank AutoCredit file only
Customer's Initial
User 1
Name IC / ID No.
User 2
Name IC / ID No.
User 3
Name IC / ID No.
User 4
Name IC / ID No.
User 5
Name IC / ID No.
Customer's Initial
SME First Account Number (for debiting purposes & for branch use only)
Definitions applicable
The term U.S. person or United States person means a person described in section 7701(a)(30) of the Internal Revenue Code:
Please check “√” Yes or No for each of the following questions Yes No
1 Are you a U.S. Citizen?
2 Do you hold a U.S. Permanent Resident Card (Green Card)
3 Are you a U.S. Resident?
4 If you have ticked “No” to all three questions above, then please tick as: Non U.S. person
5 If you have ticked “Yes” to any of the three questions above, please tick as: U.S. person
Please fill up U.S. IRS form W9 (https://www.irs.gov/pub/irs-pdf/fw9.pdf?portlet=103)
Customer's Initial
Reasonable Test:
To be filled by Relationship Manager. Questions below to be considered in conjunction with all documents & forms collected from customers (including this form)
Action required if “Yes”
U.S. Indicia Status Yes/No (FATCA Documentation Checklist)
2 Have the account holder(s) provided any indication that the account holder(s) are U.S. citizen or resident?
3 Have the account holder(s) provided a U.S. address (including P.O. Box)?
4 Have the account holder(s) provided only a U.S. telephone number?
5 Have the account holder(s) provided a U.S. telephone number and a non U.S. telephone number? • If account holder is confirmed U.S person:
- Form W-9
6 Have the account holder(s) provided any standing instructions to transfer funds to an account maintained in the U.S.?
• If account holder is non U.S person:
7 Have the account holder(s) granted Power of Attorney to a Person with a U.S. address? - Appropriate documentation N1 or
Have the account holder(s) provided only a U.S. “hold mail” or “in care of” address, that is the sole address for this - Form W-8BEN N2
8 account?
Customer(s)’ FATCA classification:
Non U.S. person
U.S. person
Recalcitrant customer with U.S. Indicia
Recalcitrant customer without U.S. Indicia
Recalcitrant customer that is U.S. Person
Recalcitrant customer that is dormant account
1 Have the account holder(s) provided any indication that the account holder(s) are from other Jurisdictions N3?
2 Have the account holder(s) provided any other Jurisdiction address (including P.O. Box)?
3 Have the account holder(s) provided one or more telephone numbers in other Jurisdiction?
4 Have the account holder(s) provided any standing instructions to transfer funds to an account maintained in
other Jurisdictions?
5 Have the account holder(s) granted Power of Attorney to a Person with address of other Jurisdiction?
Have the account holder(s) provided “hold mail” or “in care of” address of other Jurisdictions, that is the Documentary evidence to establish the Account Holder’s Jurisdiction
6 sole address for this account? status.
FATCA/CRS Status
1 Active Business
- At least 50% of its gross income (for the previous calendar year) from these business activities and not from passive income such as investments,
dividends, interest, rents or royalties.
- At least 50% of assets held by produce or are held to produce active income. Active NFFE
2 Start Up Company
- Date of incorporation not more than 24 months.
- Not yet operating a business and has no prior operating history
Excepted non- financial start- up
- Investing capital in assets with the intent to operate a new line of business other than that of a financial institution company
3 Excepted non-financial entity in liquidation or bankruptcy
- An entity that is not Financial Institution or investment entity in the past five years.
- An entity in the process of liquidation or bankruptcy or re-organising with the intent to continue or recommence operations in business other than that of a Excepted non-financial entity in
Financial Institution. liquidation or bankruptcy
Customer's Initial
For Controlling Person, please indicate the name of all Controlling Person(s) of the Account Holder:
1
2
3
Note:
(1) Complete the FATCA/CRS Controlling Person Self Declaration Form for each of the Controlling Person.
(2) If there is no natural person(s) who exercise control of the account holder then the Controlling Person will be the natural person(s) who hold the position of
senior managing official. Passive NFFE
Note:
If you do not belong to any of the above, please complete and submit U.S IRS Form W8BENE (https://www.irs.gov/pub/irs-pdf/fw8bene.pdf)
(G) REQUIREMENTS FOR ACCOUNT OPENING, INTERNET BANKING & MAYBANK AUTOCREDIT APPLICATION
Note:
1. For Board Resolution & Authorisation Letter, to use the Bank's Standard Specimen/Format if you are NEW to the Bank.
2. Introducer-Must maintain conventional or Islamic current account or Mudarabah Investment account with the Bank with satisfactory track record.
Customer's Initial
2) I/We hereby acknowledge having received and read the terms and conditions governing the conduct of banking accounts in my/our name(s).
Saya/Kami mengaku bahawa saya/kami telah menerima, membaca dan memahami syarat-syarat mengenai pentadbiran akaun yang dibuka sekarang dan berikutnya.
3) I/We hereby agree to be bound by the provisions of the terms and conditions and any amendments to the same for any account(s) opened with the Bank now hereafter.
Saya/Kami bersetuju mematuhi dan terikat dengan syarat-syarat tersebut dan mana-mana perubahan dalam syarat pentadbiran akaun yang dibuka sekarang dan berikutnya.
4) I/We hereby declare that I/We have not been reported to DCHEQS at Bank Negara Malaysia's Credit Bureau in the last 6 months.
Saya/Kami mengaku bahawa saya/kami tidak pernah dilaporkan kepada DCHEQS oleh Biro Kredit Bank Negara Malaysia dalam tempoh masa 6 bulan lalu.
5) I/We have not committed any act of bankruptcy at the time the account(s) is/are opened.
Saya/Kami mengaku bahawa saya/kami tidak pernah melakukan apa-apa perbuatan kebankrapan pada masa akaun/akaun-akaun saya/kami dibuka.
6) I/We hereby agree to examine and notify the Bank of any errors, irregularities or discrepancies in the statement of account sent to me/us and to notify the Bank if I/We fail to receive such
monthly statement.
Saya/Kami bersetuju untuk memeriksa dan memberitahu pihak bank atas sebarang kesilapan, kesalahan, atau keraguan di dalam penyata akaun yang dihantar kepada saya/kami dan akan memberitahu pihak
bank sekiranya saya/kami tidak menerima penyata bulanan tersebut.
7) I/We have been informed that this product is eligible/*not eligible for protection by PIDM and have been provided with copy of the PIDM Brochure (*for Mudarabah Investment Account).
Saya/Kami telah dimaklumkan bahawa produk ini layak/*tidak layak dilindungi oleh PIDM dan telah diberikan satu salinan brosur PIDM (*bagi Akaun Pelaburan Mudarabah).
8) A service charge of RM20.00 will be levied on Current/ Savings/Mudarabah Investment Account if it is opened and closed within 3 months.
Caj perkhidmatan sebanyak RM20.00 akan dikenakan sekiranya akaun semasa/simpanan/pelaburan Mudarabah dibuka dan ditutup dalam tempoh kurang dari 3 bulan.
9) I/We hereby agree to comply with the ‘Foreign Exchange Administration Rules’ of Bank Negara Malaysia.
Saya/Kami bersetuju mematuhi ‘Foreign Exchange Administration Rules’ oleh Bank Negara Malaysia.
10) I/We hereby confirm that there has been no changes to the company’s M & A which affects the opening of the new account.
Saya/Kami mengesahkan bahawa tiada perubahan di dalam M&A syarikat kami yang akan menjejaskan pembukaan akaun baru.
11) I/We hereby declare that the information and documents provided in our earlier application form of ___________________ has not changed and confirm that our earlier Board of Directors
Resolution of _______________on the opening of the Foreign Currency Account is still valid and effective and agreed to be bound by the same.
Saya/Kami mengaku bahawa maklumat dan dokumen yang diberikan semasa permohonan pembukaan akaun terdahulu _________________ tidak berubah dan mengesahkan Resolusi Lembaga Pengarah
pada__________________ untuk pembukaan Akaun Semasa Matawang Asing masih sah dan berkuatkuasa dan bersetuju dengan terma dan syarat.
12) I/We hereby agree for the Bank to automatically create acceptable foreign currency in future into my/our account.
Saya/Kami bersetuju pihak bank mewujudkan mata wang asing yang bersesuaian secara automatik di dalam akaun saya/ kami.
13) I/We hereby agree with the prevailing and future PSR as displayed on Rate Board/www.maybankislamic.com.my
Saya/Kami bersetuju dengan Nisbah Perkongsian Keuntungan (PSR)semasa dan akan datang seperti yang dipamerkan di papan kadar / www.maybankislamic.com.my
Note: Item 4,5 and 6 applicable only for Current/Mudarabah Investment Account.
Item 9,10,11 and 12 applicable only for Master Foreign Currency Account.
Item 13 applicable only for Mudharabah based accounts.
Nota :Perkara 4,5 dan 6 hanya untuk pemegang Akaun Semasa/Pelaburan Mudarabah sahaja.
Perkara 9,10,11 dan 12 hanya untuk pemegang Akaun Matawang Asing sahaja.
Perkara 13 hanya tertakluk kepada akaun-akaun berasaskan prinsip Mudharabah.
By signing this form, I/We further confirm that all personal data that I/We have provided are all true, up-to-date and accurate.
Should there be any changes to any of my/our personal data, I/We shall notify Maybank Group immediately.
Dengan menandatangani borang ini, Saya/Kami seterusnya mengesahkan bahawa kesemua data peribadi yang saya/kami telah berikan adalah semuanya benar, terkini dan tepat.
Sekiranya terdapat apa-apa perubahan pada mana-mana data peribadi saya/kami, saya/kami akan memaklumkan kepada Kumpulan Maybank dengan serta merta.
Customer's Initial
c) I/We hereby consent to Malayan Banking Berhad or any of its affiliates, including branches (collectively “the Bank”) disclosing the financial accounts information to regulatory authorities in accordance with the
requirements of the Foreign Account Tax Compliance Act and Common Reporting Standard as may be stipulated by applicable laws, regulations, agreement or regulatory guidelines or directives.
d) I/We hereby agree that the Bank may withhold from my/our account(s) such amounts in accordance with the provisions of the Foreign Account Tax Compliance Act or as may be stipulated by applicable laws,
regulations, agreement or regulatory guidelines or directives.
e) I/We hereby agree that the Bank may classify me/us as a reportable account(s) or non-participating foreign financial institution ("NPFFI") and/or suspend, recall or terminate my/our account(s) and/or facilities
granted to me/us, in the event I/We fail to provide accurate and complete information and/or documentation as the Bank may require.
f) I/We undertake to notify the Bank in writing within 30 calendar days if there is a change in any information which I/We have provided to the Bank.
a) Saya/Kami memberi representasi dan mengakui bahawa maklumat yang diberikan di atas adalah benar, tepat dan lengkap. Saya/kami memahami bahawa istilah “individual AS” bermaksud mana-mana
warganegaar atau pemastautin Amerika Syarikat.
b) Saya/Kami mengesahkan bahawa saya/kami diberi kuasa untuk menurunkan tanda tangan bagi Pihak Pemegang Akaun berhubung dengansemua akaun yang berkaitan dengan borang ini.
c) Saya/Kami dengan ini membenarkan Malayan Banking Berhad atau mana-mana anggota kumpulan, termasuk cawangan (secara kolektif “Bank”) untuk melaporkan maklumat saya/kami kepada pihak
berkuasa mengikut peruntukan di bawah Foreign Account Tax Compliance Act dan Common Reporting Standard yang telah ditetapkan oleh undang-undang, peraturan, perjanjian atau garis panduan atau
arahan yang berkenaan.
d) Saya/Kami dengan ini membenarkan Bank untuk menahan sejumlah amaun dari akaun saya/kami mengikut peruntukan di bawah Foreign Account Tax Compliance Act yang telah telah ditetapkanoleh
undang-undang, peraturan, perjanjian atau garis panduan atau arahan yang berkenaan.
e) Saya/Kami membenarkan Bank untuk mengklasifikasikan saya/kami sebagai akaun yang perlu dilaporkan dan/atau sebagai institusi kewangan asing yang tidak mengambil bahagian Non-participating
Foreign Financial Institution (NPFFI) dan/atau menggantung, menarik balik atau menamatkan akaun saya/kami dan/atau kemudahan yang diberikan kepada saya/kami, sekiranya saya/kami gagal memberikan
maklumat yang tepat dan lengkap dan/atau dokumen yang dikehendaki oleh Bank.
f) Saya/Kami mengakujanji untuk memaklumkan Bank secara bertulis dalam tempoh 30 hari calendar jika terdapat sebarang perubahan kepada maklumat yang telah saya/kami berikan kepada Bank.
Customer's Initial
_______________________________________________________ _______________________________________________________
Office Bearer 1 Office Bearer 2
Name: Name:
ID No: ID No:
_______________________________________________________ _______________________________________________________
Office Bearer 3 Office Bearer 4
Name: Name:
ID No: ID No:
We, as the authorized Signatories hereby agree with the attached Terms & Conditions
_______________________________________________________ _______________________________________________________
Authorised Signatory Authorised Signatory
Name: Name:
_______________________________________________________ _______________________________________________________
Authorised Signatory Authorised Signatory
Name: Name:
_______________________________________________________ _______________________________________________________
Authorised Signatory Authorised Signatory
Name: Name:
Company Stamp
Date
- -
Verification Result for Office Bearer 3 Verification Result for Office Bearer 4
Verification Result for Authorized Signatory 1 Verification Result for Authorized Signatory 2
Verification Result for Authorized Signatory 3 Verification Result for Authorized Signatory 4
Verification Result for Authorized Signatory 5 Verification Result for Authorized Signatory 6
Account Number
Account Name
Address
Name 1 Name 2
ID No ID No
Signature Signature
Name 3 Name 4
ID No ID No
Signature Signature
Capture /Edit
Date: Date:
Verification
I hereby sighted the original documents and confirm that the authorised personnel as per the Board Resolution / Mandate Letter / Minutes of Meeting
Name ________________________________________
PF No ________________________________________
Contact Number ________________________________________
________________________________________________ Branch ________________________________________
Branch Authorised Signatory & Stamp Date ________________________________________
Note: Please email the Maybank2u Biz and Maybank AutoCredit application to the following email address:
Date: _______________________
Authorised Signatory
Name/ PF No:
Date:
Date: _______________________
Authorised Signatory
Name/ PF No:
Date:
Date:
The Manager
………………………………………………………..
Dear Sir/Madam,
I/We wish to introduce ………………………………………………………….... ID No …………………………………………………………….. to open a current account with Maybank.
Thank You.
Yours faithfully
.............................................................