BizChannel@CIMB Application Form

Please complete the following checklist before submitting your application :

Application Form Please complete all the section marked as Mandatory

To be signed by the Authorised Person(s) appointed in accordance with the extract

Board of Directors’ Resolution or Extract Minutes of Board of Directors’ Meeting
enclosed herewith.

Extract Resolution / Please submit the extract of Board of Directors’ Resolution or Extract Minutes of
Extract Minutes Board of Directors’ Meeting in the form and substance as enclosed herewith.
(Applicable for Please specify/provide clearly the items below:
Company – Sdn Bhd / Date of Board of Directors’ resolution/minutes passed
Bhd) The identity of the Authorised Person(s) who is/are appointed to operate the
BizChannel@CIMB
Specimen signature(s) of the Authorised Person(s)
Signing condition
To be signed by 1 Director and 1 Company Secretary.

Supporting Documents
Documents Submission
Please submit certified true copies of Form 49 (or Form 25 if applicable)
Please submit certified true copies of M&A (only applicable if circular of resolution OR
full resolution is submitted)
Attention to: Processing Team [for BizChannel@CIMB]
6th Floor, Wisma CIMB
No.11, Jalan 4/83A
Off Jalan Pantai Baru,
59200 Kuala Lumpur.

Enquiries BizChannel@CIMB Call Centre at 1-300-888-828.

For Bank Use Only

Submitted By: SMERM CBRM Corp C@W

Staff Name: ___________________________________________ Staff ID: ______________________________________________

Contact No (office): _____________________________________ Contact No (mobile phone): ______________________________

Campaign (if applicable):_________________________________ Remarks: ____________________________________________

Referred By: Branch Call Centre

Staff Name: ___________________________________________ Staff ID: ______________________________________________

Submission Branch Code: ________________________________ Contact No: ___________________________________________

Remarks: ____________________________________________

Please submit documentation to:

BizChannel@CIMB Processing Team
6th Floor, Wisma CIMB, No.11, Jalan 4/83A, Off Jalan Pantai Baru, 59200 Kuala Lumpur.

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BizChannel@CIMB Application Form
Account(s) to be Accessed via BizChannel@CIMB and Debiting of Charges (Mandatory)
Account (s) to be
Default to all accounts with CIMB(at the point of application)
accessed
(The Bank will appoint ONE(1) account from
Debit fees from account no. 8 0 0 9 5 7 8 6 1 5 Company if this field is left blank)

Company Details (Mandatory)

*Company may refer to Sole Proprietors, Partnerships, Government Bodies, or such other
legal entities established under the laws of Malaysia(whichever applicable)

Company* Name: BADAN PENGURUSAN BERSAMA PERMATA MERAH MPSJCOBSK0040 /

SHOP/APARTMENT PHASE 2 Business Reg./Ref. No.: 201811232105906306

** In any matters related to BizChannel@CIMB, Bank will inform the Contact Person specified below.

Mailing Address**: BASEMENT BLOCK A , JALAN INDAH 2/10 , TAMAN UNIVERSITI INDAH , SERI KEMBANGAN

Contact Person** PAUL SMITH Contact No: +6089583583 (Mobile) +60123909727

Email : paulsmith2minister@gmail.com Customer Other

BizChannel@CIMB Service Package

Service Package : LITEINQ

Third Party System Integration Access [if Applicable]

Promo Code [fill up if applicable]

Authorised User(s)
Full Name as per NRIC/ Passport Payroll 3rd Party
Role* User ID Mobile No. Email**
[Mandatory] Access Integration

Inquiry JmbrR2001 paulsmith007 +60123909727 paulsmith2minister@gmail.com

Inquiry JmbrR2002 jimmy008 +60195908586 jimmsng@gmail.com

Inquiry JmbrR2003 joanne009 +60178700137 joanne1422003@yahoo.com

Note :* Each Authorised User(s) may opt for dual roles(Maker & Authoriser) via the same User ID. However, the same transaction cannot be authorised by the same person.
** Mandatory and cannot be repeated for different Authorised User(s).

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Declaration By Company
I / We hereby
i. Confirm that by signing this Application Form, we accept and agree to be bound by the Terms and Conditions of Subscription and Access to
BizChannel@CIMB including any amendments, supplements and additions thereto made at any time and from time to time by the Bank, which
is made available via www.cimbbank.com.my.
ii. Confirm that all the information provided by us in this Application Form are true, correct and not misleading.
iii. Authorise the Bank to issue User Password(s) to Authorised User(s) and/or System Administrator(s), where applicable.
iv. Agree that the person(s) appointed under section D - Authorised User(s) and/or section E - System Administrator(s) above and/or in my/our
letter(s) of instruction is/are authorised to perform and effect the above subscribed services on my/our behalf in relation to my/our account(s)
linked to BizChannel@CIMB. The above mentioned Authorised User(s) and/or System Administrator(s) have sufficient authority to perform and
effect all transactions of such services for and on our behalf.

Authorised Person Authorised Person Authorised Person Authorised Person

Name: Name: Name: Name:

Date: Date: Date: Date: