RECEIPT OF CONFIRMATION

You have successfully submitted your account opening application!

We will process your application within one business day and notify you via email once your account has been activated. If for any reason your application is
unsuccessful, our team will be contacting you to guide you on the next steps.
In the meantime, should you require assistance or clarification within our business hours (Monday – Friday, 9.00AM – 6.00PM), kindly contact our support team at:
Telephone Number: 603 2783 0300
Email : phillipmutual@poems.com.my
Below is the Receipt of Confirmation

PRINCIPAL APPLICANT DETAILS

Salutation Name
MR KHAIRUDIN BIN ABDUL AZIZ

Nationality ID Number Date of Birth Country of Birth

MALAYSIA 830524-03-5355 24/05/1983 MALAYSIA

City of Birth Gender Bumiputera Status Race

KELANTAN MALE BUMIPUTERA MALAY

Marital Status Mother's Maiden Name Mobile Phone No. Home/Secondary Phone No.
MARRIED SALEHAH BT YEOP 60199864064

Email Address
DIN915K@YAHOO.COM

Residential Address
496 G KRTS GURU TANAH RATA,TANAH RATA

Postcode City State Country

39000 CAMERON HIGHLANDS PAHANG DARUL MAKMUR MALAYSIA

Correspondence Address
496 G KRTS GURU TANAH RATA,TANAH RATA

Postcode City State Country

39000 CAMERON HIGHLANDS PAHANG DARUL MAKMUR MALAYSIA

Occupation Current Position

LECTURER / TEACHER TEACHER
Nature of Business Description for Nature of Business
EDUCATION

Company Name Company Address

KEMENTERIAN PENDIDIKAN MALAYSI PPD CH

Postcode City State Country

39000 CAMERON HIGHLANDS PAHANG DARUL MAKMUR MALAYSIA
Office Phone Number
054911045

Estimated Net Worth Present Annual Income Source of Fund

UP TO RM 100,000 RM 60,001-RM120,000 SALARY/EMPLOYMENT/COMMISSION

FOREIGN ACCOUNT TAX COMPLIANCE ACT (FATCA) & COMMON REPORTING STANDARD (CRS)
Part A : Preliminary Identification Details

Are you a U.S. citizen or resident? NO

Is U.S. your place of birth? NO

Do you have a current U.S. number? NO

Do you hold a current U.S. residence address / mailing address and US post office box? NO

Standing instructions to pay amounts from Phillip Mutual account to an account maintained in the U.S.? NO
Part B : US Person Declaration
I AM A NON-U.S. PERSON / NON-U.S. LEGAL ENTITY(S) WITH ONE OR MORE U.S.INDICIA.

Part C: Tax Residency

I AM A TAX RESIDENT IN MALAYSIA ONLY

ACCOUNT DETAILS

Registration ID Agent Code Account Type Wrap Fee (%) Risk Profile
FAME0001157 PMB00740 UT NON-WRAP MODERATE
Sophisticated Investor
YES

FPX DETAILS

Transaction Status Transaction ID Fund Amount (MYR)

SUCCESSFUL 2102041620320502 PHILLIP MASTER ISLAMIC CASH FUND 1.00

Bank Account Holder

KHAIRUDIN BIN ABDUL AZIZ

Submitted date and time : 04/02/2021 04:18 PM

DISCLOSURE:
Application submitted before the cut-off time of 10:30A.M. will be processed on the same business day. Subsequent to that cut-off time, will be processed on the next business day.

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