Professional Documents
Culture Documents
LOGO
HERE
IMPORTANT NOTE: ALL FIELDS ARE MANDATORY TO BE FILLED-IN UNLESS OTHERWISE INDICATE.
ONLY COMPLETED FORMS WILL BE PROCESSED BY MYCLEAR.
Please tick ( ) which are applicable: Exchange Seller /Merchant Both
Type of Maintenance:
Change of URL/IP Address Change of Contact Person Details Enable/Disable Online Refund
Change of Business Add/Tel. No/Fax. No Add New Transaction Type/Model Upgrade to Simplified Merchant Interface (SMI)
PART A (to be completed for Exchange only OR for both Exchange and Seller)
SECTION 1 : GENERAL INFORMATION
1. Exchange ID : E X
2. Exchange Name :
3. Seller ID : S E
4. Seller Name :
5. MSIC Code* :
6. Effective Date :
- - Note:The changes will be effective upon approval by MyClear.
D D M M Y Y
*Note: MSIC Code refers to “Malaysia Standard Industrial Classification" - an item code (5 digits) representing the nature of business of
an organization. It is a standard classification for all economic activities in Malaysia.
1. Business Address :
2. City :
3. State : 4. Postcode :
1. Exchange/Seller
Name :
2. Business
Registration No:
2. Name :
3. Telephone No. : - -
4. Email :
6. Contact Person 2 : Update Existing Information Add new Contact (current Contact Person 2 will be deleted)
7. Name :
8. Telephone No. :
- -
9. Email :
Page 2 of 7 Confidential
500-30/2/0000837
Version 1.5
SECTION 6 : CHANGE OF CHARGE TYPE / SELLER CATEGORY
Change To
New Charge Type : Charge the Seller Charge the Buyer (For CASA, only Government merchants are allowed);
(For CCA, all merchants are NOT allowed)
Existing Model :
New Model :
Important Note: Any merchant that adopts "Charge the Buyer" for CASA currently shall be required to change to "Charge the Seller" for both
CASA & CCA by completing SECTION 7 above to enable CCA option.
N
* ote:
1. Partial Refund option allows merchant to initiate partial Refund amount. The partial Refund can be initiated more than one time but up to the total
maximum Refund Amount allowed.
2. Merchant is required to fill-in External User Access Form to be submitted together with this form to MyClear via Acquiring Bank.
Page 3 of 8 Confidential
500-30/2/0000837
Version 1.5
SECTION 10 : CHANGE / ADD / TERMINATE REGISTERED ACCOUNT NO
1. Third Party
Acquirer :
Name
Account 2
IMPORTANT NOTE:
Account 3 PLEASE CROSS OUT
ANY UNUSED FIELD/S
Account 4
To New Account 1
Existing Account 2
To New Account 2
IMPORTANT NOTE:
Existing Account 3 PLEASE CROSS OUT
ANY UNUSED FIELD/S
To New Account 3
Existing Account 4
To New Account 4
Account 2
IMPORTANT NOTE:
Account 3 PLEASE CROSS OUT
ANY UNUSED FIELD/S
Account 4
Company’s Stamp/Chop:
(If applicable)
Authorized By
Email : ________________________________________
Telephone No. : - -
Fax No. : - -
Email : ________________________________________
Telephone No. : - -
Fax No. : - -
TPA’s Stamps/Chop :
(If applicable)
Note: Please forward the fully completed form directly to MyClear to proceed with the registration in staging/production.
6. Date of submission : - -
D D M M Y Y
Prepared By:
Authorize d By: