Professional Documents
Culture Documents
Table of Contents
❖ Anti-Money Laundering & Counter Financing of Terrorism (AMLA & CFT)
❖ Agency Business Quality (ABQ) 2020
➢ Policy Delivery
➢ Welcome Call
➢ Social Media Policy
➢ Anti-Fraud Policy
➢ Reprimand Guidelines
➢ Service Guide
❖ Code of Conduct & Ethics
❖ Market Conduct Guidelines
❖ Replacement of Policy (ROP)
❖ Anti-Corruption Policy
❖ Data Privacy
❖ Foreign Account Tax Compliance (FATCA)
❖ Common Reporting Standard (CRS)
❖ Offshore Customer Guidelines
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 2
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❑ Introduction
❑ Personal Liability
❑ Know Your Customer
❑ Suspicious Transactions Reporting
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 4
INTRODUCTION
- What is ML & TF?
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 5
INTRODUCTION
- How Do Criminals Launder Money?
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 6
GLOBAL MONEY LAUNDERING NEWS
7
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Personal Liability
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 8
Know Your Customer
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 9
Know Your Customer
Individual Customers
➢ Obtain info on full name, DOB, contact number,
nationality, mailing and residential address,
occupation or business, name of employer or nature
of self-employment/nature of business, purpose &
nature of transaction.
➢ A copy of IC/passport for individual.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 10
Know Your Customer
Corporate Customers
➢ Obtain information on name, legal form and proof of
existence such as M&A/Certificate of
Incorporation/Partnership (CTC), power that regulate
and bind the customer i.e. Directors’ resolution, and
address of the registered office and principal place of
business.
➢ CTC copy of Form 24 and 49, authorization
letter/director resolution, and NRIC/passport to identify
the authorized person.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 11
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AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 12
Know Your Customer
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 13
Know Your Customer
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 14
Know Your Customer
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 15
Know Your Customer
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 16
Suspicious Transaction Reporting
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 17
Suspicious Transaction Reporting
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 18
Offences under the Anti-Money Laundering, Anti-Terrorism
Financing and Proceeds of Unlawful Activities Act 2001
Laundering Money
5 times the value of
proceed, or
RM 5 million
(whichever is higher)
and 15 years
Accepting business imprisonment Not reporting
from a designated suspicious
terrorist under the transactions
Act RM 1 million max
RM 3 million max &/or 3 years
&/or jail max 5 years. imprisonment.
Offences
Not co-operating
Tipping off
with regulators
RM 3 million max
RM 3 million max
&/or jail max 5 years.
&/or jail max 5 years.
Non-compliance
with Record
Retention
Requirements
RM 3 million max
&/or jail max 5
years.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 19
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• Policy Delivery
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 21
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Policy Delivery
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 22
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Welcome Call
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 23
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AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 25
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AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 26
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AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 27
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Include a disclaimer in the descriptions of Be transparent when talking about anything related to Think before you speak. A granting social
personal social media pages you have an AIA. Your post should be authentic, truthful, and not media post can tarnish you the Company’s
active presence on appear to be “hard sell” professional image.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 30
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Only publish images and articles with permission and reference source
When sharing third party content always make sure you credit appropriately. It
may seem harmless, but many brands have strict rules around reposting or
using their content. Be safe: check the rules and attribute credit wherever
possible.
Include a photo source when you use photos from
Include a content/link source third party websites or public content from users Not crediting the source of third party content
Source for
infographic is not
credited in post copy
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When you talk about your work with AIA, always ensure that you protect our
policyholders’ privacy. Share success of your work as an agent, but must never
publish personal information on social media that can be used to identify a
policyholder. Always strive to protect their privacy.
How to talk about your work without disclosing personal Any personal information regarding your clients should never be
information about your clients shared to protect their privacy
Source for
infographic s not
credited in post copy
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You may receive questions about AIA from journalists or analysts. Even if you are
friends, they may use your opinions in official stories or newsletters about AIA.
Direct journalists or analysists to the corporate communications team. This
includes comments received under your posts, posts to your wall and private
messages.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 33
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Train yourself
Keep up-to-date with AIA social media practice, industry regulation, and new
social trends. For example, understand the guidelines behind promoting content
on social media to ensure that you don’t violate any rules.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 34
Social Media – Don’ts
Ensure your social media account can be clearly identified as an agent. Don’t
setup an unofficial AIA social user profile, username, or page name that can
mistaken as a brand channel.
What a good social media profile will include What an unofficial AIA account or poor social media account will look like
• Profile picture of
yourself, not the
AIA brand logo
• Clear
identification of
your name
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
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Social Media – Don’ts
Do not post confidential information or trade secrets relating to AIA or our partners
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Social Media – Don’ts
While your customers and clients may want you to make negative comparisons
to other brands, stick to the facts (e.g. product) versus feelings or opinions that
can be construed as an attack on competitors or partners.
Example of how you should post Example of how you should not post
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Social Media – Don’ts
Example of how you should post Example of how you should not post
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Social Media – Don’ts
Agents should not use information collected from a public sources for any
purpose (especially marketing) unless they have given consent to use their data.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Social Media – Don’ts
If it is a post on brand channels, flag the post to
your Agency Management Department
instead: they will alert trained staff who will
Do not respond to negative postings about AIA know the best way to respond
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Social Media – Don’ts
Do not use your AIA email address for personal or non-AIA related messages
This includes using our AIA email address when singing up for digital
accounts not related to your work at AIA. It can leave your AIA account and
data vulnerable to attack.
Use your work email for AIA social Do not use your work email for websites visited in
media accounts only your personal time
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Social Media – Sample Agent Profile
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Social Media – Sample Agent Profile
An agent profile page should not present itself in a way that would hurt the image
of the AIA brand.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Social Media – Update
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Social Media – Update
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Social Media
Always remember
➢ Prior approval from the Chief Agency Officer is required for the use of social
media to market the AIA brand by promoting AIA products. This includes the
setting up of websites which use the AIA logo or trademark. Failure to obtain
the necessary approval construed as a breach of the Social Media Guidelines
and the Life Planner will be subject to disciplinary action.
➢ Avoid from using regulator’s name and document for promotional gimmick.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Anti-Fraud Policy
Anti-Fraud Policy
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 48
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Anti-Fraud Policy
Say NO to Fraud!
AIA Group is committed to conducting all of its business with the highest
level of ethics and integrity. To uphold this commitment and in particular, a
zero-tolerance approach to fraud, the Group requires adherence to this
Anti-Fraud Policy. The policy is intended to reinforce management
procedures designed to aid in the prevention, detection and investigation
of fraud, thereby safeguarding the Group’s assets and providing protection
from the legal and reputational consequences of fraudulent activities.
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Anti-Fraud Policy
What is Fraud?
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 50
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Anti-Fraud Policy
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Anti-Fraud Policy
Examples of Fraud
• Signature forgery
• Misappropriation of premium
• Document falsification
• Embezzlement
• Fraudulent claim
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AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
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Anti-Fraud Policy
Consequence
Termination!
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AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
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Anti-Fraud Policy
Don’t Do Fraud!
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AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Reprimand Guidelines
As a right AIA premier agent, you should be familiar with and always
comply with the AIA policies and guidelines.
• AIA Group Anti-Money Laundering and Counter Terrorist Financing Programme Policy
and Guidelines
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 56
Reprimand Action Guidelines for Agents’ Misconduct
Why Reprimand?
Note: The following slides include the course of action for more common situations
but is not an exhaustive list and is subject to amendments by the Company.
Reprimand Action
Intentional/Unintentional committing:
• Fraud
• Forgery
• Misappropriation of premiums/funds
• Money Laundering
Consequence:
Outright termination of agency
contract and placement under LIAM
and/or MTA Referred Listing.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 58
Reprimand Action Guidelines for Agents’ Misconduct
Other Misconducts
• Misrepresentations such as
misleading statements, omissions
or incomplete comparisons
• Coercion and undue influence
• Tied Selling
• Holding Out
• Replacement of Policy
• Rebating
• Late delivery of policy contract
• Unprofessional servicing
• etc
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AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Service Guide
❖ The Service Guide outlines to customers what they can expect agents to do:
▪ Before You Buy an Insurance Policy/Participate in a Takaful Plan
▪ When You Decide to Buy an Insurance Policy/Participate in a Takaful Plan
▪ During the Term of an Insurance Policy/Takaful Plan
▪ The customer can refer to the Insurer’s Customer Portal and Contact
Numbers if customers have enquiries.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 61
Service Guide – Summary
1. Introduce Self to Customer
• Show agent’s Authorization Card
• Use Customer Fact Find form to identify customer’s needs
• Recommend suitable plans
• Explain product features, benefits, exclusions and premium/
contribution charges
• Provide Product Disclosure Sheet
2. Customer Buys Insurance/Takaful Plan
• Assist customer to complete Application
• Submit signed application to Underwriting
• Medical examination – arrange medical examination for customer
• Nomination - provide information to customer on nomination/hibah
to ensure policy money/certificate benefits payable are received by
nominee or beneficiaries in the event of death.
• Policy Delivery – Inform customer policy/certificate will be delivered
within 14 days from application approval date.
• Explain policy/certificate terms/conditions
3. During Policy Term
• Assist in renewal process of the policy/certificate
• Provide after-sales service e.g. assist in policy changes, change of
address, mode of payment,
• Claims – guide customer on how to file a claim.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 62
Dos and Don’ts in handling Sales Journey
Submit the collected
premium and application
Dos form timely to AIA
(applicable on hardcopy
user only)
Policy After
Solicitation Presentation Application
Delivery Sales
Escalation Channel
Life Planner:
“If my customers have requests/complaints and I
would like to raise it on their behalf, who should I
bring this up to?”
IMPORTANT NOTICE
AIA:
“You may raise this to MY.ASSIST@AIA.COM. The
team will assist with your customer’s queries.”
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Comply with
regulatory
requirements
and company’s
rules &
regulations
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• Inform customer you are Life Planner of AIA and produce registration card for identification.
Introduction
• Perform Customer Fact Find (CFF) and recommend a suitable insurance plan that meets
Suitability
customer’s needs.
• Explain the recommended product features and benefits including exclusions and risks of early
Disclosure
termination/ surrender in clear and concise manner.
• Ensure customer discloses all pertinent information accurately and the consequences of non-
Advice
disclosure are pointed out.
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Forgery Knowingly making a false document with intent Life Planner forged customer signature on the
that: application form or documents or creation of a false
(i) it should in any way be used or acted upon as written documents / alteration of a genuine document
genuine, to the prejudice of a person; such as life insurance premium statement etc for the
(ii) some person should be induced, by the belief purpose of defrauding their customer
that it is genuine, to do or to refrain from doing
anything such that it results in loss to the client.
Twisting Persuading a policyholder to cancel a policy Life Planner induced the purchase of new life policy by
solely for the purpose of selling another policy making misleading statements with regards to the
without regard to possible disadvantages to the client’s existing policy and encouraging the client to
policyholder. terminate the existing policy.
Churning Abusing a client’s confidence for personal gain Asking customer to purchase single premium
by initiating transactions that are excessive and investment-linked insurance and shortly after asking
detrimental to the client’s interests. customer to surrender and subsequently get customer
to purchase a new policy and earning commission on
the new policy.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 70
Duty to Company & Customers
Category Definition Incident based example
Misrepresentations Information which is material to the customer’s Life Planner induced the purchase of new life policy
such as misleading decision-making process shall be free of omissions by making misleading statements with regards to the
statements, and fully and accurately disclosed policy payment period etc or make derogatory
omissions or (i) to potential customer prior to purchase being remarks about the competitor policy or provide
incomplete made; and inaccurate comparisons between our life plan and
comparisons (ii) to the Company in the application form or at the competitor life plan
the time the application form is submitted to the
Company for processing.
Coercion / Taking advantage of a customer if the life planner Influencing the customer to carry out transactions
Undue Influence knows or ought to know that the customer is unable which the customer does not understand that gives
to understand the character, nature, language or advantage to the life planner. E.g. ask customer to
effect of the transaction or proposed transaction. purchase insurance plans that bring high commission
to the life planner but may not meet the customer’s
needs.
Rebating Offering a premium rebate or inducement in Life Planner gives a premium discount from the
whatever form to garner sales i.e. by using part of commission in order to get the sale.
the life planner’s commission.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 71
Duty to Company & Customers
Category Definition Incident based example
Use of Trademarks Life Planners misuse trademarks or any copyright Life Planners use AIA trademark without the
& Copyrights and material belonging to AIA entity without the prior approval from Management to solicit life
Unlicensed software permission of the AIA Corporate Communications business/other business or recruit new life planners
Department or install any unlicensed software in or life planner produce unauthorized simplified SIS
their personal computer to conduct their insurance bearing AIA logo to solicit for new life business
business.
Holding out Intentionally misleading the customer through Life Planners intentionally misrepresent their
business cards or stationery regarding credentials professional credentials or designations to solicit life
or designations or ability to provide advice or business or to recruit new life planners for life selling
service. by giving them the wrong impression of the life
selling functions
Tied Selling Life Planners are prohibited from representing to Life Planner informs the customer to purchase a
or imposing undue pressure on or coercing or medical plan, they have to purchase the basic
influencing the customer that they can only investment-linked plan, when customer can purchase
purchase Product A on the condition that Product the standalone medical plan.
B is purchased.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 72
Market Conduct Guidelines
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AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
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Proper Disclosure
• Explain all product features and benefits of the policy that is being
recommended to ensure the prospective customer understands what is
being purchased.
• Explain key risks and any restrictions including any exclusions which
apply to the policy.
• Draw customer’s attention to the long term nature of the policy and to
the consequent effects of early discontinuance and surrender.
• Highlight to customer if the policy qualifies for tax relief or otherwise.
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Be factual
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Your duty
Important
Note: The above are some of the key requirements and not meant to be an exhaustive list
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Premium collection
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AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
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Training
Insurance
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AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Replacement of Life Policy
.
What is ROP?
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 84
Replacement of Policy (ROP)
Also…
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 85
Replacement of Policy (ROP)
ROP scenario
12 months or 12 months
or
Policy alterations that fit the ROP definition
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 86
Replacement of Policy (ROP)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 87
Replacement of Policy (ROP)
• Request to policyholder to
consider maintaining the
existing policy/ Takaful
certificate.
What’s next?
Options available in Page 2:
❑ Decide whether to proceed or cancel the new
policy/Takaful certificate
❑ Decide whether to fully repay the APL
❑ Decide whether to reinstate the existing
policy/Takaful certificate
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 89
ROP Appeal Process
• Submit to:
➢ Conservation Unit
➢ MY.Conservation@aia.com
➢ Nearest AIA branch office
Anti-Corruption Policy
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 92
AIA Anti Corruption Policy
The Policy:
“Bribery or any improper payment to gain an advantage in any
situation is never acceptable for AIA.”
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 93
Definitions
Government official
Generally, a government official regardless of rank or title, is an
employee or person acting in an official capacity for or on behalf of a
government, government body or statutory body, and includes foreign
government officials.
Examples include:
❖ Regulatory, tax, customs and immigration officials
❖ Reporters for state-owned media outlets
❖ Law enforcement officials and judges
❖ A member of a country’s ruling royal family
❖ Mayors, ministers, elected representatives and other local
politicians
❖ Political parties, office bearers of political parties and candidates
for political office.
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Definitions
Anything of value
‘Anything of value’ doesn’t just refer to objects of economic value –
it includes anything the recipient would find useful, such as:
❖ Gifts including nominal value gifts
❖ Meals and Entertainment
❖ Trips
❖ Travel assistance
❖ Training or professional development
❖ Loans
❖ Personal discounts
❖ Benefits for family members or friends
❖ Employment, business or investment opportunities
❖ Political or charitable contributions.
Exception: “Anything of value” does not include payments such as coupons,
dividends, maturity proceeds, claims or other contractual payments / benefits
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 95
What You Should Do (or Not Do)
CAN DO DO NOT
Providing Gifts & Entertainment
▪ Directly related to the promotion, ▪ They must not be lavish
demonstration or explanation of AIA’s payment/expenditure – in
products and services. cash or equivalent.
▪ Business gifts with AIA logo. ▪ They should be avoided if
▪ Legal under local laws and legitimate the official has an AIA
business purpose. matter awaiting his
consideration or decision.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 96
What You Should Do (or Not Do)
CAN DO DO NOT
Sponsoring Travel and Training
▪ Sponsored Trip - Business-related ▪ Avoid sponsoring trips to tourist
activities, and economy-class travel. destinations, leisure or
▪ If possible, the government official’s sightseeing activities.
employer should select the guests. If ▪ Avoid sponsoring benefits to the
not, the selection criteria should be spouse or other guests of an
transparent and clearly documented. attending government official.
▪ Payment to service providers directly, ▪ Avoid cash or per diems.
not the government officials Reimburse incidental expenses
themselves. through the government official’s
Agents face serious consequences
▪ Where possible, obtain consent in if they are
employer.
foundfrom
writing to be involved with
the government bribery/corruption.
official’s ▪ Avoid lavish gifts, meals,
employer. entertainment, or
accommodation. Souvenirs, if
any should be of nominal value
and bear the AIA logo.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 97
What You Should Do (or Not Do)
CAN DO DO NOT
Charitable Donations
▪ Dealing with reputable charitable ▪ Avoid contributions if:
organisations • The government official
▪ Donation to an organisation, not solicits or personally benefits
to individuals. from the contribution.
• The recipient asks for the
contribution to be kept secret
or disguised, or provided
through unusual means.
▪ To the extent possible,
recommend donations to an
organisation not to individuals.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 98
What You Should Do (or Not Do)
CAN DO DO NOT
Appointing Vendors
▪ Dealing with reputable vendors. ▪ Avoid appointing vendors with little
▪ Conduct background checks to or no relevant business
determine if there is any sign of experience, or recommended or
unethical activity or other owned by government officials or
circumstances that may require their relatives
further investigation of the third ▪ Avoid unorthodox payment
party. methods (cash, offshore accounts,
payments to third parties etc), or
requests for disproportionately
large or unusual compensation.
Payments
Avoid providing the government
official any commission, referral or
introduction fee.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 99
Reporting Obligation
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 100
Reporting Obligation
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 101
Potential Consequences of Breach
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 102
Potential Consequences of Breach
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 103
Data Privacy
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 105
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Code of
Personal
Practice on
Data
Personal
Protection
Data
Act 2010
Protection
It is a data protection law that governs the The Code of Practice on Personal Data
collection, use, disclosure and care of Protection for the Insurance and Takaful
personal data that: Industry in Malaysia (“The Code”) was:
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 107
Personal Data and MY AIA Portal 105
❖ The MY AIA portal is designed for policyholders to login and have access
to their personal policy information such as their premium, financial
and anniversary statements.
❖ Policyholders are to login to the MY AIA portal and register by using
their mobile number and email address.
❖ This enables AIA to send policyholders notifications on their policy.
❖ Allows policyholders to update their contact details, apply for medical card
replacement, cancel auto-debit arrangement and update credit card details.
❖ It is important that policyholders’ details are updated, valid and correct so that
MY AIA portal can send correspondences and responses (which may contain
personal or sensitive information) to the correct recipients.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 108
Personal Data – Some Dos
106
❖ Inform the Customer of the purposes for which the personal data will be
used and to whom it may be transferred.
❖ Only use personal data with the consent of the customer for the purposes
for which it was collected or a directly related purpose.
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Personal Data – Some Don’ts
❖ Do not access or disclose personal data for any reason except as authorized
for the legitimate business purposes.
❖ Do not register in MY AIA portal for policyholders with the life planner’s mobile
number or email as the information in the portal is for policyholders to access
their personal policy information. Stern action will be taken against life
planners who have been found to have registered their mobile number and
email giving them access to the policyholders’ confidential policy information.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 110
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❖ Life Planner collects the medical report from the doctor but instead
of submitting to AIA, the sealed medical report is opened for
the purpose of amending the contents should it be unfavourable to
the customer.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 112
Foreign Account Tax Compliance (FATCA)
• To identify U.S. taxpayers, AIA must look for clues called “U.S. indicia” in
the information we are given by a customer.
• AIA will look for these clues at onboarding, on assignment, on change of
account details and at claim.
• Never advise or assist a customer to hide U.S indicia or U.S. taxpayer
status.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 114
What does FATCA mean for Agents?
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 115
If customer says they are not U.S. Person but we
find U.S. Indicia – what documents do we get?
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 116
So how does it work in practice?
Get ID and
✓
address
HOLD
Confirm data waiver
✓
Check U.S. declaration “I’m a
W-9
U.S. Person”
“Not U.S. Person” then check for clues
Find this indicia….. ….then get this form
US citizenship/residency W-8BEN
other number)
Standing instructions to make W-8BEN
payment to US account
US place of birth Certificate of Loss of Certificate
ALL Nationality (and a W-8BEN if of Loss of
Nationality
another U.S. indicia is found
OK too)
Got all the right
AIA confidential and proprietary information. Not for distribution. documents? Updated as Rev05 20.02.2020 117
So how does it work in practice?
ALL OK HOLD
Get ID and address
Confirm data waiver
Check U.S. declaration “I’m a U.S. Person”
W-9
“Not U.S. Person” W-9
then check for clues
US citizenship/residency W-8BEN
US address or mailing W-8BEN
address
US telephone number (no W-8BEN
other number) Certificate
ALL Standing instructions to make W-8BEN of Loss of
payment to US account Nationality
OK US place of birth Certificate of Loss of Nationality
(and a W-8BEN if another U.S.
indicia is found too)
Got the right documents?
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 118
W-9 Form – U.S Person - Valid Indefinitely
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 119
W-8 BEN Form – U.S Indicia – Valid 3 years
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 120
Legal Clauses – Application Form (NB)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 121
Legal Clauses – POS & Claims
FATCA Declaration
(Only to be completed when the policy owner or assignee or beneficiary is a US Person or
having US Indicia)
2rd Box - FATCA Data Privacy Waiver – Tick if detected U.S Indicia & U.S Person.
3rd box - U.S. Person – Change of Circumstances – Tick if detected U.S Indicia for POS only
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 122
FATCA
Entity Classification
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Entity Classification
• All entity (Corporate) applicant need to complete the Entity Classification
Form for all FATCA in-scope products.
• As of March 2014, there are 2 CSD products evaluated as in-scope.
However, none of them classified as entity in FATCA definition.
• 3 Board Categories
• - Foreign Financial Institutions [FFI] (Non U.S FI)
• - Exempt Beneficial Owners (Government)
• - Non Financial Foreign Entities [NFFE] (Non U.S Private Sector)
• The form is valid for 3 years (plus) if classification is [NFFE]. All expiry is as
at 31 Dec. Example: Form submitted 1st May 2014, form will expire on 31
Dec 2017.
• Upon expiry, a new form to be submitted, if no reply within 3 months, the
entity will be classified as ‘Non Participating FFI’
• Impact: Reporting to Group Compliance & the policy is subject to 30%
withholding on cash value.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 124
Entity Classification Form - Explained
Please tick one of the 3 boxes
� The Entity’s status under the Foreign Account Tax Compliance Act will be identified by
completing a W-8BEN-E form and/or where the Entity has been registered with the Internal Revenue If this box ticked,
Service its GIIN is ______________________________________________________[insert GIIN if W-8 BEN-E form
available]. [Please provide form W-8BEN-E with GIIN] to be used
Status Entiti di bawah Foreign Account Tax Compliance Act akan dikenalpasti dengan melengkapkan
borang W-8BEN-E dan/atau dimana Entiti telah didaftarkan dengan Internal Revenue
Service, GIIN-nya adalah ______________________________________________________
[nyatakan GIIN, jika ada]. [Sila berikan borang W-8BEN-E dengan GIIN]
OR / ATAU
� The Entity is in active business or trade and is not a financial institution [Please see box below] Most Entity will
be ticking this
Entiti adalah dalam perniagaan aktif atau perdagangan dan bukan institusi kewangan [Sila lihat
kotak di bawah] box – Customer
will be classified
as Active NFFE
OR / ATAU
� The Entity does not have any beneficial owner(s) with a 10% or more direct or indirect interest in Further
the Entity who is a US citizen, resident or US Entity. classification by
Entiti tidak mempunyai pemilik berfaedah dengan 10% kepentingan langsung atau tidak langsung Operations &
dalam Entiti yang merupakan seorang warganegara Amerika Syarikat, bermastautin atau Entiti Compliance. May
Amerika Syarikat.
result in delay of
processing
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 125
Appendix A
This training supplement includes copies of the current drafts of the U.S. tax
forms: W-8BEN; and W-9 and shows the parts of the form which
intermediaries may wish to note. Proper completion of forms will be
essential to ensure smooth processing.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 126
Appendix A
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 127
Appendix A
There MUST BE a
number on one of
these lines OR it can
say “Applied For” – The W-9 must be
otherwise reject it. dated otherwise reject
it
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 128
Appendix B: TALKING POINTS/FAQ FOR AGENTS
2. What do the rules say? Financial Institutions like AIA need to identify U.S.
taxpayers among our customers - and in some cases report on their
accounts. Customers or applicants with clues (called “U.S. indicia”) that they
might be U.S. taxpayers may be asked for further information.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 129
Appendix B: TALKING POINTS/FAQ FOR AGENTS
3. What are the clues to look out for? U.S. indicia are signs of being a U.S. taxpayer.
They are: U.S. citizenship or nationality, a U.S. place of birth, a U.S. address, a U.S.
telephone number but no other telephone number, a standing instruction to pay money
to a U.S. bank account. What about speaking with a U.S. accent or other clues? No.
Speaking with an accent is not U.S. indicia. Nor is working for a U.S. company in their
local office. Nor is banking with a U.S. bank. Nor is going on a holiday to America.
4. What happens if we find U.S. indicia? Administrative steps (like underwriting a policy
or processing account changes) might be delayed slightly while the correct documents
are collected. [Refer to the chart in the training slides]
5. Shouldn’t I just stop doing business if the customer has anything to do with the U.S.?
No, this is not our approach.
6. Do these rules apply to all products? No – but it does apply to many products with
cash value/surrender value. If you need help identifying the products then please
connect with your usual contact point at AIA to find out more.
7. Do these rules apply to the insured as well? No, the check on U.S. indicia applies to
policyholders, assignees (if there is an assignment) and beneficiaries (when a claim is
made).
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 130
Appendix B: TALKING POINTS/FAQ FOR AGENTS
8. Do the changes to your forms and terms mean AIA can terminate a policy
whenever it wants? No. This would only happen if a customer refuses to talk to us
about their circumstances or let us report their U.S. accounts.
9. What are other insurers doing? The FATCA rules apply very broadly. So all
insurers who offer comparable products are expected to be taking more or less
the same steps.
10. What can I do to make sure the process runs smoothly? Make sure all applicants
have filled in and signed the U.S. declaration on the application form and the data
waiver. If there are U.S. indicia in the information then you could gather the additional
documents in advance if you prefer.
11. What documents do you need if there are U.S. indicia? If the applicant is a U.S.
Person, then we collect a W-9 form. If the applicant is not a U.S. Person then we
collect a W-8BEN form and if the U.S. indicia is a U.S. place of birth, we will also
need a Certificate of Loss of Nationality. There are other documents which may
be needed in rare circumstances. Samples of the W-8 and W-9 are attached.
What if the customer is a company or a trust? Then we may need to process a
different form – called the W-8BEN-E. This form is available from your usual contact
point at AIA.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 131
Appendix B: TALKING POINTS/FAQ FOR AGENTS
12. What are you doing with these forms? The forms are used
internally. They are not filed with the IRS or other tax authority.
In some cases, we may need to use some of the information on the
forms to report on U.S. taxpayers. To do this, we need customer
consent.
13. This doesn’t answer all my questions! If there is anything that you
don’t understand or if you have any questions please connect with
your usual point of contact at AIA.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 132
Common Reporting Standard (CRS)
similar to
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
WHAT IS CRS?
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
WHAT IS CRS?
Reportable Reportable
Information Information
3 2
2 3
Malaysia FI Hong Kong
LHDN IRD FI
Malaysia Tax
Hong Kong Tax resident
Malaysia HongKong
resident
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
CRS
ON-BOARDING –
INDIVIDUAL POLICYHOLDER
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 137
ON-BOARDING (INDIVIDUAL)
Submission by
NEW INDIVIDUAL To complete N
CUSTOMERS Self- Y
on or after 18 Certification Y/N
May 2017 (Individual)
CASE
CLOSED
Y
To answer the declaration
in the system
Do you have any tax Reasonable
residency in country/countries Explanation
Y/N
iPOS other than Malaysia & US?
Submission
N
Y
System
Validation Any
N
Indicia in Y/N
system?
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
CRS DECLARATION
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
CRS DECLARATION
CRS INDICIA:
❖Foreign Nationality
❖ForeignAddress
❖Foreign Telephone No.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
CRS DECLARATION
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
CRS DECLARATION
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
GuidanceNotes forCRS Certification INDIVIDUAL POLICYHOLDER
(New On-Boarding)
Action Required
Scenario
iPoSApplication Manual Application
1. Individual Policyholder is Refer to attachment: Scenario 1: iPoS Refer to attachment: Scenario 1: Manual
• a Malaysian; and Application Application
• working/pay tax in Malaysia; and
• NO foreign details
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario
Scenario 1 - PoS Application
1 iPoS Application
If Policyholder = Malaysian working in Malaysia and noforeign details
Step1
NO
Step 2
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario
Scenario 1 - Manual
1 Application
Manual Application
If Policyholder = Malaysian working in Malaysia and no foreign details.
Step1
Step2
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario
Scenario 2 - PoS Application
2 iPoS
If Policyholder = Malaysian working in Malaysia and with foreigndetails
Step1
NO
Step2
Step 3
Note: Since the policyholder declared he/she is not working/paying tax in countries other than Malaysia/US in Step 1 but was subsequently detected that there is foreign details (e.g.
Singapore address/ Thailand phone number), the system will ask the policyholder to re-confirm his/her tax status in Step 2 . When the policyholder is required to provide Reasonable
Explanation, the case WILL BE DEFERRED.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario
Scenario 2- Manual2 Application
Manual Application
If Policyholder = Malaysian working in Malaysia and with foreign details.
Step1
Step2
Note: Since the policyholder declared he/she is not working/paying tax in countries other than Malaysia/US but was subsequently detected that there is foreign details (e.g. Singapore
address/ Thailand phone number), the application WILL BE DEFERRED for re-confirmation of CRSstatus.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 3 - PoS 3Application
iPoS Application
If Policyholder = Malaysian/Foreigner working in country other Malaysia/US + with foreign details + with foreign taxpayer than
number.
Step1
YES
Step 2
Singapore
XYZ12345
Step3
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario
Scenario 3 - Manual
3 Application
Manual Application
If Policyholder = Malaysian/Foreigner working in country other Malaysia/US + with foreign details + with foreign taxpayer than
number.
Step1
Step2
Step3
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario
Scenario 4 - PoS4Application
iPoS Application
If Policyholder = Malaysian/Foreigner working in country other than Malaysia/US + with foreign details + WITHOUT foreign
taxpayer number.
Step1
Step 2
Singapore
Reason B Step2
Not given income tax no. yet as just started work 183 days.
Step3
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario
Scenario 4 - Manual
4 Application
Manual Application
If Policyholder = Malaysia/Foreigner working in country other than Malaysia/US + with foreign details + WITHOUT foreign
taxpayernumber.
Step1
Step2
Step3
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 5 - PoS 5
Scenario iPoS
Application Application
If Policyholder = Foreigner working inMalaysia
Step1
NO
Step2
Step3
Note: Since the policyholder declared he/she is not working/paying tax in countries other than Malaysia/US but is a foreigner, the case WILL BE DEFERRED and the
policyholder will be requested to provide working permit in Malaysia to prove that he is working in Malaysia and is not paying tax in his/hercountry.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 5 - Manual
5 Application
Manual Application
If Policyholder = Foreigner working inMalaysia
Step1
Step2
Note: Since the policyholder declared he/she is not working/paying tax in countries other than Malaysia/US but is a foreigner, the policyholder is required to provide
working permit in Malaysia to prove that he is working in Malaysia and don t pay tax in his/her country.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 6 - PoS 6
Application
iPoS Application
If Policyholder = Unemployed foreigner who married to Malaysia/ Unemployed foreigner who is staying in Malaysia/Unemployed
Malaysian with foreign details (e.g. address in Australia).
Step1
NO
Step2
e.g. Married to Malaysian/Malaysia is my 2nd home/my son is staying in Australia.
Step 3
Note: Since the policyholder declared he/she is not working/paying tax in countries other than Malaysia/US but was subsequently detected with foreign details, the case
WILLBEDEFERREDand the policyholder will be requested to provide supporting documents i.e. marriage certificate/MM2H/utilitybill/any other supporting documents.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 6 – Manual Application
If Policyholder = Unemployed foreigner who married to Malaysia/ Unemployed foreigner who is staying in Malaysia/Unemployed Malaysian
with foreign details (e.g. address in Australia).
Step1
Step2
Note: Since the policyholder declared he/she is not working/paying tax in countries other than Malaysia/US but was subsequently detected with foreign details, the
policyholder is required to provide reasonable explanation and supporting documents i.e. marriage certificate/MM2H/utility bill/any other supportingdocuments.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
ON-BOARDING (COMPANY/CORPORATE POLICYHOLDER)
Submission
Any controlling
by NEW
person
CORPORATE Complete Self- ≥25% & with tax
CUSTOMERS Certification Passive Y residency in
on or after (Entity) country/countries
18 May 2017 NFE?
other than
(only Manual Malaysia & US?
Submission
N
CASE Y/N
CLOSED
To complete Self-
Certification
(Controlling Person)
*Similar to Self-
Certificate (Individual)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Guidance Notes for CRS Self-Certification CORPORATE POLICYHOLDER
(New On-Boarding)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 7: 7: Application
Manual Manual Application
If Corporate Policyholder = a company pay tax in Malaysia,tick and tick (a3). NO in (a1)
Step1
Step2
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 7
the government authorities or regulatory bodies for transfer to the tax authority of another country/countries.
Kaedah-kaedah Cukai Pendapatan (Pertukaran Automatik Maklumat Kewangan) 2016 menetapkan Standard Pelaporan
Bersama bertujuan untuk pertukaran automatik maklumat akaun kewangan. Ini adalah Perakuan Diri yang perlu
dilengkapkan oleh anda untuk AIA Bhd. / AIA PUBLIC TakafulBhd. (secara
oleh Syarikat kepada pihak berkuasa kerajaan atau badan kawal selia untuk pindahan ke pihak berkuasa percukaian di
negara-negara lain.
You are required to immediately inform the Company of any changes in your tax residencystatus.
Andadikehendakiuntukmelaporkan kepada Syarikat sebaik sahaja terdapat sebarang perubahanpada status cukai
pemastautin anda.
You are required to complete this Self-Certification in full (unless stated otherwise).
Anda dikehendaki untuk melengkapkan Perakuan Diri ini sepenuhnya (melainkan jika dinyatakan sebaliknya).
If you have any questions on Self-Certification or your tax residency status, please refer to your tax adviser or the
Frequently Asked Questions (FAQs) for Common Reporting Standards available in AIA Portal at
https://www.aia.com.my.
Jika anda mempunyai sebarang pertanyaan mengenai Perakuan Diri atau status cukai pemastautin anda, sila rujuk
kepada penasihat cukai anda atau soalan-soalan lazim (FAQs) untuk Standard Pelaporan Bersama yang boleh didapati
pada AIAportal di https://www.aia.com.my .
* Account Holder/ = Policy or CertificateHolder for the purpose of new business application or request to change
Pemegang Akaun contact details.
Pemilik polisi atau sijil bagi tujuan permohonan baharu atau permintaan untuk menukar butiran
untuk dihubungi.
= Assignee for the purpose of application forassignment.
Pemegang serah hak bagi tujuan permohonan untuk penyerahan hak.
= Claimant/beneficiary for the purpose of claimssubmission.
Pihak yang menuntut/benefisiari bagi tujuan penyerahan tuntutan
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 7 cont’d
Please select one (1) of the Entity Type below and provide the required information.
Sila pilih salah satu (1) Jenis Entiti di bawah dan nyatakan maklumat yang dikehendaki.
Financial Institution
Institusi Kewangan
√Custodial Institution, Depository Institution or Specified Insurance Company.
Institusi Penyimpanan, Institusi yang Menerima Deposit atau Syarikat Insurans Khas.
Investment Entity, except an investment entity that is managed by another financial institution (e.g. with discretion to
manage the entity’s assets) and located in a non-participating country.
Entiti Pelaburan, kecuali entiti pelaburan yang diuruskan oleh institusi kewangan yang lain (dengan budi bicara untuk
menguruskan aset entiti) dan terletak di negara bukan ahli.
ActiveNon-Financial Entity A corporation the stock of which is regularly traded on an established securities market or a corporation which is a
(“NFE”) related entity of such acorporation.
Intitusi Bukan Syarikat yang sahamnya kerap diniagakan di pasaran sekuriti atau syarikat yang berkaitan dengannya.
Kewangan yang Aktif Related entity of a corporation the stock of which is regularly traded on an established securities market.
(“NFE”)
Entiti yang berkaitan dengan Syarikat di mana sahamnya kerap diniagakan di pasaran sekuriti terkemuka.
A governmental entity, an international organization, a central bank, or an entity wholly owned by one or more of the said
entities
Sebuah entiti milik kerajaan, organisasi antarabangsa, bank pusat, atau entiti yang dimiliki sepenuhnya oleh salah satu
atau lebih daripada satu jenis syarikat tersebut
Active NFE other than the above (Please specify )
NFE aktif selain daripada yang di atas (Sila nyatakan )
PassiveNFE Investment entity that is managed by another financial institution and located in a non- Entiti pelaburan yang diuruskan
NFEyang Pasif oleh institusi kewangan yang lain dan terletak di negara bukan peserta
NFEthat is not an activeNFE
NFEyang tidak aktif
If you select Passive NFE, please complete the Self Certification Form (Controlling Person). Controlling Person refers to a
natural person who has a controlling ownership interest of twenty five percent (25%) in the entity. Where no natural
person(s) exercises control over the entity, the Controlling Person(s) will be the individual(s) holding the position of senior
managing official(s).
Jika anda memilih NFE yang Pasif, sila lengkapkan Borang Perakuan Diri (Orang yang Mengawal). Orang yang Mengawal
merujuk kepada individu yang mempunyai kepentingan pemilikan modal saham sebanyak dua puluh lima peratus (25%)
dalam entiti. Jika tiada individu yang mempunyai kuasa untuk mengawal entiti, Orang yang Mengawal ialah individu yang
memegang jawatan rasmi sebagai pengurus kanan.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 7 cont’d
If the TIN is unavailable, please select one (1) reason, A, Bor Cas below:
Jika tiada TIN, sila pilih satu (1) sebab A, Batau Cseperti di bawah:
Reason A/ - The country where the entity is a tax resident does not issue TINs to its residents./
Sebab A Negara di mana entiti adalah pemastautin bagi tujuan cukai tidak mengeluarkan nombor TIN
kepada penduduknya
Reason B/ - The entity is not able to obtain the TIN (please provide explanation).
Sebab B Entiti tidak dapat memperolehi nombor TIN (sila nyatakan sebab).
Reason C/ - TIN is not required. Select this reason only if the authorities of the country of tax residence do
Sebab C not require disclosure of TIN.
TIN tidak diperlukan. Pilih sebab ini hanya jika pihak berkuasa di negara cukai pemastautin tidak
memerlukan pendedahan TIN.
(2)
(3)
(4)
(5)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 7 cont’d
Part5/ Declaration
Bahagian 5 Pengisytiharan
I/We acknowledge and agree on behalf the Entity that (a) the information contained in this Self-Certification (Entity) Form is collected and
may be kept by the Company for the purpose of automatic exchange of financial account information, and (b) the information and any
information on reportable account(s) may be reported by the Company to any government authorities or regulatory bodies and
exchanged with the tax authorities of another country(ies) in which t h e En t i t y may be a tax resident.
Saya/Kami mengaku dan bersetuju bagi pihak Entiti bahawa (a) maklumat yang terkandung di dalam Borang Perakuan Diri (Entiti) ini
dikumpul dan boleh disimpan oleh Syarikat bagi tujuan pertukaran automatik maklumat kewangan; dan
(b) maklumat tersebut dan sebarang maklumat berkaitan akaun yang perlu dilaporkan boleh digunakan oleh Syarikat untuk laporan
kepada mana-mana badan kerajaan atau badan kawal selia dan bertukar maklumat dengan penguatkuasa cukai di negara(-negara) lain
di mana Entiti adalah pemastautin bagi tujuancukai.
I/We certify that I am/we are authorised to sign on behalf of the Entity in respect of all the account(s) to which this Self- Certification
(Entity) Form relates to.
I/We on behalf of the Entity undertake to i n f o r m t h e C o m p a n y within thirty (30) days of any changes in circumstances which
causes any information contained in this Self-Certification Form (Entity) to be incorrect and incomplete with an updated Self Certification
(Entity) and declaration.
Saya/Kami bagi pihak Entiti berjanji untuk memaklumkan pihak Syarikat dalam masa tiga puluh (30) hari dari sebarang perubahan
keadaan yang mana menyebabkan maklumat yang terkandung di dalam Borang Perakuan Diri (Entiti) ini menjadi tidak tepat dan tidak
lengkap dengan Perakuan Diri (Entiti) dan pengisytiharan yang dikemaskini.
I/We declare that the information provided in this Self-Certification (Entity) Form, to the best of my/our knowledge and belief, is true,
accurate and complete.
Saya/Kami mengaku bahawa maklumat yang diberikan di dalam Borang Perakuan Diri (Entiti) ini, pada pengetahuan terbaik dan
kepercayaan saya/kami, adalah benar, tepat dan lengkap.
Signature* :
Tandatangan
Name :
Nama
Date(dd/mm/yyyy)/ :
Tarikh (hh/bb/tttt)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 7 cont’d
City :
Bandar
City :
Bandar
Country :
Negara
Country/ Negara :
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 7 cont’d
Please select one (1) of the Entity’s Controlling Person type below.
Sila pilih salah satu (1) jenis Orang yang Mengawal Entiti di bawah.
Other (e.g. individual who exercisescontrol over another entity being equivalent/similar to
settlor/trustee/protector/beneficiary)
Lain-lain (contohnya individu yang mengawal/ berhak untuk melaksanakan kawalan ke atas pelaksana amanah/ pemegang
amanah/ pelindung / benefisiari)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 7 cont’d
If the TIN is unavailable, please select one (1) reason, A, Bor Casbelow:
Jika tiada TIN, sila pilih satu (1) sebab A, Batau Cseperti di bawah:
Reason A – The country where I am a tax resident does not issue TINs to its residents.
Sebab A Negara di mana saya seorang pemastautin bagi tujuan cukai tidak mengeluarkan nombor TIN kepada
penduduknya
ReasonB – I am not able to obtain the TIN (please provide explanation).
Sebab B Anda tidak dapat memperolehi TIN (sila nyatakan sebab).
ReasonC – TIN is not required. Select this reason only if the authorities of the country of tax residence do not require
disclosure of TIN.
Sebab C TIN tidak diperlukan. Pilih sebab ini hanya jika pihak berkuasa di negara cukai pemastautin anda tidak
memerlukan pendedahan TIN.
tiada nombor
TIN
(1)
(2)
(3)
(4)
(5)
Please provide Reasonable Explanation (tick the appropriate box) that correctly supports your declaration in Part 3 together
with supporting document e.g. student visa or work permit.
Sila berikan Penjelasan Munasabah (tandakan di kotak yang bersesuaian) yang menyokong perakuan anda pada Bahagian
3 beserta dokumen sokongan seperti visa pelajar atau permit kerja.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 7 cont’d
I amastudent at an educational institution in the relevant country and holds the appropriate visa.
Sayaadalah pelajar di institusi pendidikan yang betempat di wilayah bidang kuasa yang berkaitan dan memegang visa yang
bersesuaian.
I am ateacher, trainee, or intern at an educational institution in the relevant country or aparticipant in an
educational or cultural exchangevisitor program, and holdsthe appropriatevisa
Sayaadalah pengajar atau pelatih di institusi pendidikan yang betempat di wilayah bidang kuasa yang berkaitan atau peserta
yang mengikuti program pendidikan atau pertukaran budaya, dan memegang visa yangbersesuaian.
I am aforeign individual assignedto adiplomatic post/position in aconsulate or embassy in the relevantcountry.
Sayaadalah individu warga asing yang ditugaskan sebagai diplomat di konsulat atau kedutaan yang bertempat di wilayah
bidang kuasa.
I amafrontier worker/employee working in atruck or train travelling between countries.
Sayaadalahpekerja sempadan/ pekerja yangmemandu trakatau keretapi yang merentasidi antara wilayah bidang kuasa.
I am aspouse or unmarried child under the ageof twenty-one (21) years of one of the persons described above.
Sayaadalahpasangan atau anakyangtidak berkahwin di bawahumur dua puluh satu(21)tahun bagiindividu yang dinyatakan di
atas.
Other explanation/ Peneranganlain:
Part 6 Declaration
Bahagian 6 Pengisytiharan
I acknowledge and agree that (a) the information contained in this Self-Certification (Individual) Form is collected and may
be kept by the Company for the purpose of automatic exchange of financial account information; and (b) the information
and any information on reportable account(s) may be reported by the Company to any government authorities or
regulatory bodies and exchanged with the tax authorities of another country(ies) in which y o u may be a tax resident.
Saya mengaku dan bersetuju bahawa (a) maklumat yang terkandung di dalam Borang Perakuan Diri (Individu) ini dikumpul
dan boleh disimpan oleh Syarikat bagi tujuan pertukaran automatik maklumat akaun kewangan; dan (b) maklumat
tersebut sebarang maklumat berkaitan akaun yang perlu dilaporkan boleh digunakan oleh Syarikat untuk laporan kepada
badan kerajaan atau badan kawal selia dan bertukar maklumat dengan penguatkuasa cukai di Negara(-negara) lain di
mana saya adalah anda pemastautin bagi tujuan cukai.
I certify that I am the account holder of all the account(s) to which this form relates to.
I declare that the information provided in this Self-Certification (Individual) Form, to the best of my knowledge and belief,
istrue, accurate and complete.
Saya mengaku bahawa maklumat yang diberikan di dalam Borang Perakuan Diri (Individu) ini, pada pengetahuan terbaik
dan kepercayaan saya, adalah benar, tepat dan lengkap.
Signature/ :
Tandatangan
Nama/ :
Nama
Date(dd/mm/yyyy)/ :
Tarikh (hh/bb/tttt)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
SCENARIO 8:
the government authorities or regulatory bodies for transfer to the tax authority of another
country/countries.
Kaedah-kaedah Cukai Pendapatan (Pertukaran Automatik Maklumat Kewangan) 2016 menetapkan
Standard Pelaporan Bersama bertujuan untuk pertukaran automatik maklumat akaun kewangan. Ini
adalah Perakuan Diri yang perlu dilengkapkan oleh anda untuk AIA Bhd. / AIA PUBLIC Takaful Bhd. (secara
oleh Syarikat kepada pihak berkuasa kerajaan atau badan kawal selia untuk pindahan ke pihak berkuasa
percukaian di negara-negara lain.
You are required to immediately inform the Company of any changes in your tax residencystatus.
Andadikehendakiuntukmelaporkan kepada Syarikat sebaik sahaja terdapat sebarang perubahanpada status
cukai pemastautin anda.
You are required to complete this Self-Certification in full (unless stated otherwise).
Anda dikehendaki untuk melengkapkan Perakuan Diri ini sepenuhnya (melainkan jika dinyatakan
sebaliknya).
If you have any questions on Self-Certification or your tax residency status, please refer to your tax adviser
or the Frequently Asked Questions (FAQs) for Common Reporting Standards available in AIA Portal at
https://www.aia.com.my.
Jika anda mempunyai sebarang pertanyaan mengenai Perakuan Diri atau status cukai pemastautin anda,
sila rujuk kepada penasihat cukai anda atau soalan-soalan lazim (FAQs) untuk Standard Pelaporan
Bersama yang boleh didapati pada AIAportal di https://www.aia.com.my .
* Account Holder/ = Policy or CertificateHolder for the purpose of new business application or request to change
Pemegang Akaun contact details.
Pemilik polisi atau sijil bagi tujuan permohonan baharu atau permintaan untuk menukar butiran
untuk dihubungi.
= Assignee for the purpose of application forassignment.
Pemegang serah hak bagi tujuan permohonan untuk penyerahan hak.
= Claimant/beneficiary for the purpose of claimssubmission.
Pihak yang menuntut/benefisiari bagi tujuan penyerahan tuntutan
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
SCENARIO 8:
Part2 EntityType
Bahagian 2 Jenis Entiti
Please select one (1) of the Entity Type below and provide the required information.
Sila pilih salah satu (1) Jenis Entiti di bawah dan nyatakan maklumat yang dikehendaki.
Financial Institution
Institusi Kewangan
PassiveNFE Investment entity that is managed by another financial institution and located in a non-
NFEyang Pasif Entiti pelaburan yang diuruskan oleh institusi kewangan yang lain dan terletak di negara
bukan peserta
NFEthat is not an activeNFE
NFEyang tidak aktif
If you select Passive NFE, please complete the Self Certification Form (Controlling
Person). Controlling Person refers to a natural person who has a controlling ownership
interest of twenty five percent (25%) in the entity. Where no natural person(s) exercises
control over the entity, the Controlling Person(s) will be the individual(s) holding the
position of senior managing official(s).
Jika anda memilih NFE yang Pasif, sila lengkapkan Borang Perakuan Diri (Orang yang
Mengawal). Orang yang Mengawal merujuk kepada individu yang mempunyai
kepentingan pemilikan modal saham sebanyak dua puluh lima peratus (25%) dalam
entiti. Jika tiada individu yang mempunyai kuasa untuk mengawal entiti, Orang yang
Mengawal ialah individu yang memegang jawatan rasmi sebagai pengurus kanan.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
SCENARIO 8: cont’d
Do you have any tax residency in country(ies) other than Malaysia or United States(U.S.)?/ Adakah anda mempunyai
sebarang cukai pemastautin di negara(-negara) lain selain daripada Malaysia atau AmerikaSyarikat?
If the TIN is unavailable, please select one (1) reason, A, Bor Cas below:
Jika tiada TIN, sila pilih satu (1) sebab A, Batau Cseperti di bawah:
Reason A/ - The country where the entity is a tax resident does not issue TINs to its residents./
Sebab A Negara di mana entiti adalah pemastautin bagi tujuan cukai tidak mengeluarkan nombor TIN
kepada penduduknya
Reason B/ - The entity is not able to obtain the TIN (please provide explanation).
Sebab B Entiti tidak dapat memperolehi nombor TIN (sila nyatakan sebab).
Reason C/ - TIN is not required. Select this reason only if the authorities of the country of tax residence do
Sebab C not require disclosure of TIN.
TIN tidak diperlukan. Pilih sebab ini hanya jika pihak berkuasa di negara cukai pemastautin tidak
memerlukan pendedahan TIN.
(2)
(3)
(4)
(5)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
SCENARIO 8: cont’d
Part5/ Declaration
Bahagian 5 Pengisytiharan
I/We acknowledge and agree on behalf the Entity that (a) the information contained in this Self-Certification (Entity)
Form is collected and may be kept by the Company for the purpose of automatic exchange of financial account
information, and (b) the information and any information on reportable account(s) may be reported by the Company
to any government authorities or regulatory bodies and exchanged with the tax authorities of another country(ies)
in which t h e En t i t y may be a tax resident.
Saya/Kami mengaku dan bersetuju bagi pihak Entiti bahawa (a) maklumat yang terkandung di dalam Borang
Perakuan Diri (Entiti) ini dikumpul dan boleh disimpan oleh Syarikat bagi tujuan pertukaran automatik maklumat
kewangan; dan
(b) maklumat tersebut dan sebarang maklumat berkaitan akaun yang perlu dilaporkan boleh digunakan oleh Syarikat
untuk laporan kepada mana-mana badan kerajaan atau badan kawal selia dan bertukar maklumat dengan
penguatkuasa cukai di negara(-negara) lain di mana Entiti adalah pemastautin bagi tujuancukai.
I/We certify that I am/we are authorised to sign on behalf of the Entity in respect of all the account(s) to which this Self-
Certification (Entity) Form relates to.
I/We on behalf of the Entity undertake to i n f o r m t h e C o m p a n y within thirty (30) days of any changes in
circumstances which causes any information contained in this Self-Certification Form (Entity) to be incorrect and
incomplete with an updated Self Certification (Entity) and declaration.
Saya/Kami bagi pihak Entiti berjanji untuk memaklumkan pihak Syarikat dalam masa tiga puluh (30) hari dari sebarang
perubahan keadaan yang mana menyebabkan maklumat yang terkandung di dalam Borang Perakuan Diri (Entiti) ini
menjadi tidak tepat dan tidak lengkap dengan Perakuan Diri (Entiti) dan pengisytiharan yang dikemaskini.
I/We declare that the information provided in this Self-Certification (Entity) Form, to the best of my/our knowledge
and belief, istrue, accurate and complete.
Saya/Kami mengaku bahawa maklumat yang diberikan di dalam Borang Perakuan Diri (Entiti) ini, pada pengetahuan
terbaik dan kepercayaan saya/kami, adalah benar, tepat dan lengkap.
Name :
Nama
Date(dd/mm/yyyy)/ :
Tarikh (hh/bb/tttt)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
SCENARIO 8: cont’d
City :
Bandar
City :
Bandar
Country :
Negara
Country/ Negara :
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
SCENARIO 8: cont’d
pengurusan entiti
Trust/ Amanah Settlor
Pelaksana Amanah
Trustee
PemegangAmanah
Protector
Beneficiaryor member of the classof beneficiaries
Benefisiari/penerima manfaat atau ahli dari kelas-kelas benefisiari/ penerimamanfaat
Other (e.g. individual who exercises control over another entity being the
settlor/trustee/protector/beneficiary)
Lain-lain (contohnya individu yang mengawal/ berhak untuk melaksanakan kawalan ke atas pelaksana
amanah/ pemegang amanah / pelindung / benefisiari)
Legal Individualinaposition equivalent/similar to settlor
Arrangemen
Individu yang berjawatan setara/ serupa dengan PelaksanaAmanah
t other than
Trust/ Individualinaposition equivalent/similar to trustee
Aturan Individu yang berjawatan setara/ serupa dengan PemegangAmanah
undang-
Individualinaposition equivalent/similar to protector
undang lain
selain Individu yang berjawatan setara/ serupa denganPelindung
Amanah Individualinapositionequivalent/similar tobeneficiaryor memberoftheclassofbeneficiaries
Individu yang berjawatan setara/ serupa dengan Benefisiari/ penerima manafaat atau ahli dari kelas-
kelas Benefisiari/ penerimamanfaat
Other (e.g. individual who exercisescontrol over another entity being equivalent/similar to
settlor/trustee/protector/beneficiary)
Lain-lain (contohnya individu yang mengawal/ berhak untuk melaksanakan kawalan ke atas pelaksana
amanah/ pemegang amanah/ pelindung / benefisiari)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
SCENARIO 8: cont’d
If the TIN is unavailable, please select one (1) reason, A, Bor Casbelow:
Jika tiada TIN, sila pilih satu (1) sebab A, Batau Cseperti di bawah:
Reason A– The country where I am a tax resident does not issue TINs to its residents.
Sebab A Negara di mana saya seorang pemastautin bagi tujuan cukai tidak mengeluarkan nombor TIN kepada
penduduknya
ReasonB – I am not able to obtain the TIN (please provide explanation).
Sebab B Anda tidak dapat memperolehi TIN (sila nyatakan sebab).
ReasonC – TIN is not required. Select this reason only if the authorities of the country of tax residence do not require
disclosure of TIN.
Sebab C
TIN tidak diperlukan. Pilih sebab ini hanya jika pihak berkuasa di negara cukai pemastautin anda tidak
memerlukan pendedahan TIN.
(3)
(4)
(5)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
SCENARIO 8: cont’d
I amastudent at an educational institution in the relevant country and holds the appropriate visa.
Sayaadalah pelajar di institusi pendidikan yang betempat di wilayah bidang kuasa yang berkaitan dan memegang visa yang
bersesuaian.
I am ateacher, trainee, or intern at an educational institution in the relevant country or aparticipant in an
educational or cultural exchangevisitor program, and holdsthe appropriatevisa
Sayaadalah pengajar atau pelatih di institusi pendidikan yang betempat di wilayah bidang kuasa yang berkaitan atau peserta
yang mengikuti program pendidikan atau pertukaran budaya, dan memegang visa yangbersesuaian.
I am aforeign individual assignedto adiplomatic post/position in aconsulate or embassy in the relevantcountry.
Sayaadalah individu warga asing yang ditugaskan sebagai diplomat di konsulat atau kedutaan yang bertempat di wilayah
bidang kuasa.
I amafrontier worker/employee working in atruck or train travelling between countries.
Sayaadalahpekerja sempadan/ pekerja yangmemandu trakatau keretapi yang merentasi di antara wilayah bidang kuasa.
I am aspouse or unmarried child under the ageof twenty-one (21) years of one of the persons described above.
Sayaadalahpasangan atau anakyangtidakberkahwin di bawahumur dua puluh satu(21)tahun bagiindividu yang dinyatakan di
atas.
Other explanation/ Peneranganlain:
Part 6 Declaration
Bahagian 6 Pengisytiharan
I acknowledge and agree that (a) the information contained in this Self-Certification (Individual) Form is collected and may
be kept by the Company for the purpose of automatic exchange of financial account information; and (b) the information
and any information on reportable account(s) may be reported by the Company to any government authorities or
regulatory bodies and exchanged with the tax authorities of another country(ies) in which y o u may be a tax resident.
Saya mengaku dan bersetuju bahawa (a) maklumat yang terkandung di dalam Borang Perakuan Diri (Individu) ini dikumpul
dan boleh disimpan oleh Syarikat bagi tujuan pertukaran automatik maklumat akaun kewangan; dan (b) maklumat
tersebut sebarang maklumat berkaitan akaun yang perlu dilaporkan boleh digunakan oleh Syarikat untuk laporan kepada
badan kerajaan atau badan kawal selia dan bertukar maklumat dengan penguatkuasa cukai di Negara(-negara) lain di
mana saya adalah anda pemastautin bagi tujuan cukai.
I certify that I am the account holder of all the account(s) to which this form relates to.
I declare that the information provided in this Self-Certification (Individual) Form, to the best of my knowledge and belief,
istrue, accurate and complete.
Saya mengaku bahawa maklumat yang diberikan di dalam Borang Perakuan Diri (Individu) ini, pada pengetahuan terbaik
dan kepercayaan saya, adalah benar, tepat dan lengkap.
Signature/ :
Tandatangan
Nama/ :
Nama
Date(dd/mm/yyyy)/ :
Tarikh (hh/bb/tttt)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 9:
the government authorities or regulatory bodies for transfer to the tax authority of another
country/countries.
Kaedah-kaedah Cukai Pendapatan (Pertukaran Automatik Maklumat Kewangan) 2016 menetapkan
Standard Pelaporan Bersama bertujuan untuk pertukaran automatik maklumat akaun kewangan. Ini
adalah Perakuan Diri yang perlu dilengkapkan oleh anda untuk AIA Bhd. / AIA PUBLIC Takaful Bhd. (secara
oleh Syarikat kepada pihak berkuasa kerajaan atau badan kawal selia untuk pindahan ke pihak berkuasa
percukaian di negara-negara lain.
You are required to immediately inform the Company of any changes in your tax residencystatus.
Andadikehendakiuntukmelaporkan kepada Syarikat sebaik sahaja terdapat sebarang perubahanpada status
cukai pemastautin anda.
You are required to complete this Self-Certification in full (unless stated otherwise).
Anda dikehendaki untuk melengkapkan Perakuan Diri ini sepenuhnya (melainkan jika dinyatakan
sebaliknya).
If you have any questions on Self-Certification or your tax residency status, please refer to your tax adviser
or the Frequently Asked Questions (FAQs) for Common Reporting Standards available in AIA Portal at
https://www.aia.com.my.
Jika anda mempunyai sebarang pertanyaan mengenai Perakuan Diri atau status cukai pemastautin anda,
sila rujuk kepada penasihat cukai anda atau soalan-soalan lazim (FAQs) untuk Standard Pelaporan
Bersama yang boleh didapati pada AIAportal di https://www.aia.com.my .
* Account Holder/ = Policy or CertificateHolder for the purpose of new business application or request to change
Pemegang Akaun contact details.
Pemilik polisi atau sijil bagi tujuan permohonan baharu atau permintaan untuk menukar butiran
untuk dihubungi.
= Assignee for the purpose of application forassignment.
Pemegang serah hak bagi tujuan permohonan untuk penyerahan hak.
= Claimant/beneficiary for the purpose of claimssubmission.
Pihak yang menuntut/benefisiari bagi tujuan penyerahan tuntutan
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 9: cont’d
Part2 EntityType
Bahagian 2 Jenis Entiti
Please select one (1) of the Entity Type below and provide the required information.
Sila pilih salah satu (1) Jenis Entiti di bawah dan nyatakan maklumat yang dikehendaki.
Financial Institution Custodial Institution, Depository Institution or Specified Insurance Company.
Institusi Kewangan Institusi Penyimpanan, Institusi yang Menerima Deposit atau Syarikat Insurans Khas.
Investment Entity, except an investment entity that is managed by another financial
institution (e.g. with discretion to manage the entity’s assets) and located in a non-
participating country.
Entiti Pelaburan, kecuali entiti pelaburan yang diuruskan oleh institusi kewangan yang
lain (dengan budi bicara untuk menguruskan aset entiti) dan terletak di negara bukan
ahli.
PassiveNFE Investment entity that is managed by another financial institution and located in a non-
NFEyang Pasif Entiti pelaburan yang diuruskan oleh institusi kewangan yang lain dan terletak di negara
bukan peserta
If you select Passive NFE, please complete the Self Certification Form (Controlling
Person). Controlling Person refers to a natural person who has a controlling ownership
interest of twenty five percent (25%) in the entity. Where no natural person(s) exercises
control over the entity, the Controlling Person(s) will be the individual(s) holding the
position of senior managing official(s).
Jika anda memilih NFE yang Pasif, sila lengkapkan Borang Perakuan Diri (Orang yang
Mengawal). Orang yang Mengawal merujuk kepada individu yang mempunyai
kepentingan pemilikan modal saham sebanyak dua puluh lima peratus (25%) dalam
entiti. Jika tiada individu yang mempunyai kuasa untuk mengawal entiti, Orang yang
Mengawal ialah individu yang memegang jawatan rasmi sebagai pengurus kanan.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 9: cont’d
If the TIN is unavailable, please select one (1) reason, A, Bor Cas below:
Jika tiada TIN, sila pilih satu (1) sebab A, Batau Cseperti di bawah:
Reason A/ - The country where the entity is a tax resident does not issue TINs to its residents./
Sebab A Negara di mana entiti adalah pemastautin bagi tujuan cukai tidak mengeluarkan nombor TIN
kepada penduduknya
Reason B/ - The entity is not able to obtain the TIN (please provide explanation).
Sebab B Entiti tidak dapat memperolehi nombor TIN (sila nyatakan sebab).
Reason C/ - TIN is not required. Select this reason only if the authorities of the country of tax residence do
Sebab C not require disclosure of TIN.
TIN tidak diperlukan. Pilih sebab ini hanya jika pihak berkuasa di negara cukai pemastautin tidak
memerlukan pendedahan TIN.
(2)
(3)
(4)
(5)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 9: cont’d
Part5/ Declaration
Bahagian 5 Pengisytiharan
I/We acknowledge and agree on behalf the Entity that (a) the information contained in this Self-Certification (Entity)
Form is collected and may be kept by the Company for the purpose of automatic exchange of financial account
information, and (b) the information and any information on reportable account(s) may be reported by the Company
to any government authorities or regulatory bodies and exchanged with the tax authorities of another country(ies)
in which t h e En t i t y may be a tax resident.
Saya/Kami mengaku dan bersetuju bagi pihak Entiti bahawa (a) maklumat yang terkandung di dalam Borang
Perakuan Diri (Entiti) ini dikumpul dan boleh disimpan oleh Syarikat bagi tujuan pertukaran automatik maklumat
kewangan; dan
(b) maklumat tersebut dan sebarang maklumat berkaitan akaun yang perlu dilaporkan boleh digunakan oleh Syarikat
untuk laporan kepada mana-mana badan kerajaan atau badan kawal selia dan bertukar maklumat dengan
penguatkuasa cukai di negara(-negara) lain di mana Entiti adalah pemastautin bagi tujuancukai.
I/We certify that I am/we are authorised to sign on behalf of the Entity in respect of all the account(s) to which this Self-
Certification (Entity) Form relates to.
I/We on behalf of the Entity undertake to i n f o r m t h e C o m p a n y within thirty (30) days of any changes in
circumstances which causes any information contained in this Self-Certification Form (Entity) to be incorrect and
incomplete with an updated Self Certification (Entity) and declaration.
Saya/Kami bagi pihak Entiti berjanji untuk memaklumkan pihak Syarikat dalam masa tiga puluh (30) hari dari sebarang
perubahan keadaan yang mana menyebabkan maklumat yang terkandung di dalam Borang Perakuan Diri (Entiti) ini
menjadi tidak tepat dan tidak lengkap dengan Perakuan Diri (Entiti) dan pengisytiharan yang dikemaskini.
I/We declare that the information provided in this Self-Certification (Entity) Form, to the best of my/our knowledge
and belief, istrue, accurate and complete.
Saya/Kami mengaku bahawa maklumat yang diberikan di dalam Borang Perakuan Diri (Entiti) ini, pada pengetahuan
terbaik dan kepercayaan saya/kami, adalah benar, tepat dan lengkap.
Name :
Nama
Date(dd/mm/yyyy)/ :
Tarikh (hh/bb/tttt)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 9: cont’d
City :
Bandar
City :
Bandar
Country :
Negara
Country/ Negara :
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 9: cont’d
Other (e.g. individual who exercisescontrol over another entity being equivalent/similar to
settlor/trustee/protector/beneficiary)
Lain-lain (contohnya individu yang mengawal/ berhak untuk melaksanakan kawalan ke atas pelaksana amanah/
pemegang amanah/ pelindung / benefisiari)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 9: cont’d
If the TIN is unavailable, please select one (1) reason, A, Bor Casbelow:
Jika tiada TIN, sila pilih satu (1) sebab A, Batau Cseperti di bawah:
Reason A – The country where I am a tax resident does not issue TINs to its residents.
Sebab A Negara di mana saya seorang pemastautin bagi tujuan cukai tidak mengeluarkan nombor TIN kepada
penduduknya
ReasonB – I am not able to obtain the TIN (please provide explanation).
Sebab B Anda tidak dapat memperolehi TIN (sila nyatakan sebab).
ReasonC – TIN is not required. Select this reason only if the authorities of the country of tax residence do not require
Sebab C disclosure of TIN.
TIN tidak diperlukan. Pilih sebab ini hanya jika pihak berkuasa di negara cukai pemastautin anda tidak
memerlukan pendedahan TIN.
tiada
nomborTIN
(1)
(2)
(3)
(4)
(5)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 9: cont’d
I amastudent at an educational institution in the relevant country and holds the appropriate visa.
Sayaadalah pelajar di institusi pendidikan yang betempat di wilayah bidang kuasa yang berkaitan dan memegang visa yang
bersesuaian.
I am ateacher, trainee, or intern at an educational institution in the relevant country or aparticipant in an
educational or cultural exchangevisitor program, and holdsthe appropriatevisa
Sayaadalah pengajar atau pelatih di institusi pendidikan yang betempat di wilayah bidang kuasa yang berkaitan atau peserta
yang mengikuti program pendidikan atau pertukaran budaya, dan memegang visa yangbersesuaian.
I am aforeign individual assignedto adiplomatic post/position in aconsulate or embassy in the relevantcountry.
Sayaadalah individu warga asing yang ditugaskan sebagai diplomat di konsulat atau kedutaan yang bertempat di wilayah
bidang kuasa.
I amafrontier worker/employee working in atruck or train travelling between countries.
Sayaadalahpekerja sempadan/ pekerja yangmemandu trakatau keretapi yang merentasi di antara wilayah bidang kuasa.
I am aspouse or unmarried child under the ageof twenty-one (21) years of one of the persons described above.
Sayaadalahpasangan atau anakyangtidakberkahwin di bawahumur dua puluh satu(21)tahun bagiindividu yang dinyatakan di
atas.
Other explanation/ Peneranganlain:
Part 6 Declaration
Bahagian 6 Pengisytiharan
I acknowledge and agree that (a) the information contained in this Self-Certification (Individual) Form is collected and may
be kept by the Company for the purpose of automatic exchange of financial account information; and (b) the information
and any information on reportable account(s) may be reported by the Company to any government authorities or
regulatory bodies and exchanged with the tax authorities of another country(ies) in which y o u may be a tax resident.
Saya mengaku dan bersetuju bahawa (a) maklumat yang terkandung di dalam Borang Perakuan Diri (Individu) ini dikumpul
dan boleh disimpan oleh Syarikat bagi tujuan pertukaran automatik maklumat akaun kewangan; dan (b) maklumat
tersebut sebarang maklumat berkaitan akaun yang perlu dilaporkan boleh digunakan oleh Syarikat untuk laporan kepada
badan kerajaan atau badan kawal selia dan bertukar maklumat dengan penguatkuasa cukai di Negara(-negara) lain di
mana saya adalah anda pemastautin bagi tujuan cukai.
I certify that I am the account holder of all the account(s) to which this form relates to.
I declare that the information provided in this Self-Certification (Individual) Form, to the best of my knowledge and belief,
istrue, accurate and complete.
Saya mengaku bahawa maklumat yang diberikan di dalam Borang Perakuan Diri (Individu) ini, pada pengetahuan terbaik
dan kepercayaan saya, adalah benar, tepat dan lengkap.
Signature/ :
Tandatangan
Nama/ :
Nama
Date(dd/mm/yyyy)/ :
Tarikh (hh/bb/tttt)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 10:
the government authorities or regulatory bodies for transfer to the tax authority of another
country/countries.
Kaedah-kaedah Cukai Pendapatan (Pertukaran Automatik Maklumat Kewangan) 2016 menetapkan
Standard Pelaporan Bersama bertujuan untuk pertukaran automatik maklumat akaun kewangan. Ini
adalah Perakuan Diri yang perlu dilengkapkan oleh anda untuk AIA Bhd. / AIA PUBLIC Takaful Bhd. (secara
oleh Syarikat kepada pihak berkuasa kerajaan atau badan kawal selia untuk pindahan ke pihak berkuasa
percukaian di negara-negara lain.
You are required to immediately inform the Company of any changes in your tax residencystatus.
Andadikehendakiuntukmelaporkan kepada Syarikat sebaik sahaja terdapat sebarang perubahanpada status
cukai pemastautin anda.
You are required to complete this Self-Certification in full (unless stated otherwise).
Anda dikehendaki untuk melengkapkan Perakuan Diri ini sepenuhnya (melainkan jika dinyatakan
sebaliknya).
If you have any questions on Self-Certification or your tax residency status, please refer to your tax adviser
or the Frequently Asked Questions (FAQs) for Common Reporting Standards available in AIA Portal at
https://www.aia.com.my.
Jika anda mempunyai sebarang pertanyaan mengenai Perakuan Diri atau status cukai pemastautin anda,
sila rujuk kepada penasihat cukai anda atau soalan-soalan lazim (FAQs) untuk Standard Pelaporan
Bersama yang boleh didapati pada AIAportal di https://www.aia.com.my .
* Account Holder/ = Policy or CertificateHolder for the purpose of new business application or request to change
Pemegang Akaun contact details.
Pemilik polisi atau sijil bagi tujuan permohonan baharu atau permintaan untuk menukar butiran
untuk dihubungi.
= Assignee for the purpose of application forassignment.
Pemegang serah hak bagi tujuan permohonan untuk penyerahan hak.
= Claimant/beneficiary for the purpose of claimssubmission.
Pihak yang menuntut/benefisiari bagi tujuan penyerahan tuntutan
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 10: cont’d
Part2 EntityType
Bahagian 2 Jenis Entiti
Please select one (1) of the Entity Type below and provide the required information.
Sila pilih salah satu (1) Jenis Entiti di bawah dan nyatakan maklumat yang dikehendaki.
PassiveNFE Investment entity that is managed by another financial institution and located in a non-
NFEyang Pasif Entiti pelaburan yang diuruskan oleh institusi kewangan yang lain dan terletak di negara
bukan peserta
If you select Passive NFE, please complete the Self Certification Form (Controlling
Person). Controlling Person refers to a natural person who has a controlling ownership
interest of twenty five percent (25%) in the entity. Where no natural person(s) exercises
control over the entity, the Controlling Person(s) will be the individual(s) holding the
position of senior managing official(s).
Jika anda memilih NFE yang Pasif, sila lengkapkan Borang Perakuan Diri (Orang yang
Mengawal). Orang yang Mengawal merujuk kepada individu yang mempunyai
kepentingan pemilikan modal saham sebanyak dua puluh lima peratus (25%) dalam
entiti. Jika tiada individu yang mempunyai kuasa untuk mengawal entiti, Orang yang
Mengawal ialah individu yang memegang jawatan rasmi sebagai pengurus kanan.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 10: cont’d
Do you have any tax residency in country(ies) other than Malaysia or United States(U.S.)?/ Adakah anda mempunyai
sebarang cukai pemastautin di negara(-negara) lain selain daripada Malaysia atau AmerikaSyarikat?
If the TIN is unavailable, please select one (1) reason, A, Bor Cas below:
Jika tiada TIN, sila pilih satu (1) sebab A, Batau Cseperti di bawah:
Reason A/ - The country where the entity is a tax resident does not issue TINs to its residents./
Sebab A Negara di mana entiti adalah pemastautin bagi tujuan cukai tidak mengeluarkan nombor TIN
kepada penduduknya
Reason B/ - The entity is not able to obtain the TIN (please provide explanation).
Sebab B Entiti tidak dapat memperolehi nombor TIN (sila nyatakan sebab).
Reason C/ - TIN is not required. Select this reason only if the authorities of the country of tax residence do
Sebab C not require disclosure of TIN.
TIN tidak diperlukan. Pilih sebab ini hanya jika pihak berkuasa di negara cukai pemastautin tidak
memerlukan pendedahan TIN.
(2)
(3)
(4)
(5)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 10: cont’d
Part5/ Declaration
Bahagian 5 Pengisytiharan
I/We acknowledge and agree on behalf the Entity that (a) the information contained in this Self-Certification (Entity)
Form is collected and may be kept by the Company for the purpose of automatic exchange of financial account
information, and (b) the information and any information on reportable account(s) may be reported by the Company
to any government authorities or regulatory bodies and exchanged with the tax authorities of another country(ies)
in which t h e En t i t y may be a tax resident.
Saya/Kami mengaku dan bersetuju bagi pihak Entiti bahawa (a) maklumat yang terkandung di dalam Borang
Perakuan Diri (Entiti) ini dikumpul dan boleh disimpan oleh Syarikat bagi tujuan pertukaran automatik maklumat
kewangan; dan
(b) maklumat tersebut dan sebarang maklumat berkaitan akaun yang perlu dilaporkan boleh digunakan oleh Syarikat
untuk laporan kepada mana-mana badan kerajaan atau badan kawal selia dan bertukar maklumat dengan
penguatkuasa cukai di negara(-negara) lain di mana Entiti adalah pemastautin bagi tujuancukai.
I/We certify that I am/we are authorised to sign on behalf of the Entity in respect of all the account(s) to which this Self-
Certification (Entity) Form relates to.
I/We on behalf of the Entity undertake to i n f o r m t h e C o m p a n y within thirty (30) days of any changes in
circumstances which causes any information contained in this Self-Certification Form (Entity) to be incorrect and
incomplete with an updated Self Certification (Entity) and declaration.
Saya/Kami bagi pihak Entiti berjanji untuk memaklumkan pihak Syarikat dalam masa tiga puluh (30) hari dari sebarang
perubahan keadaan yang mana menyebabkan maklumat yang terkandung di dalam Borang Perakuan Diri (Entiti) ini
menjadi tidak tepat dan tidak lengkap dengan Perakuan Diri (Entiti) dan pengisytiharan yang dikemaskini.
I/We declare that the information provided in this Self-Certification (Entity) Form, to the best of my/our knowledge
and belief, istrue, accurate and complete.
Saya/Kami mengaku bahawa maklumat yang diberikan di dalam Borang Perakuan Diri (Entiti) ini, pada pengetahuan
terbaik dan kepercayaan saya/kami, adalah benar, tepat dan lengkap.
Name :
Nama
Date(dd/mm/yyyy)/ :
Tarikh (hh/bb/tttt)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 10: cont’d
City :
Bandar
City :
Bandar
Country :
Negara
Country/ Negara :
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 10: cont’d
pengurusan entiti
Trust/ Amanah Settlor
Pelaksana Amanah
Trustee
PemegangAmanah
Protector
Beneficiaryor member of the classof beneficiaries
Benefisiari/penerima manfaat atau ahli dari kelas-kelas benefisiari/ penerimamanfaat
Other (e.g. individual who exercises control over another entity being the
settlor/trustee/protector/beneficiary)
Lain-lain (contohnya individu yang mengawal/ berhak untuk melaksanakan kawalan ke atas pelaksana
amanah/ pemegang amanah / pelindung / benefisiari)
Legal Individualinaposition equivalent/similar to settlor
Arrangemen
Individu yang berjawatan setara/ serupa dengan PelaksanaAmanah
t other than
Trust/ Individualinaposition equivalent/similar to trustee
Aturan Individu yang berjawatan setara/ serupa dengan PemegangAmanah
undang-
Individualinaposition equivalent/similar to protector
undang lain
selain Individu yang berjawatan setara/ serupa denganPelindung
Amanah Individualinapositionequivalent/similar tobeneficiaryor memberoftheclassofbeneficiaries
Individu yang berjawatan setara/ serupa dengan Benefisiari/ penerima manafaat atau ahli dari kelas-
kelas Benefisiari/ penerimamanfaat
Other (e.g. individual who exercisescontrol over another entity being equivalent/similar to
settlor/trustee/protector/beneficiary)
Lain-lain (contohnya individu yang mengawal/ berhak untuk melaksanakan kawalan ke atas pelaksana
amanah/ pemegang amanah/ pelindung / benefisiari)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 10: cont’d
If the TIN is unavailable, please select one (1) reason, A, Bor Casbelow:
Jika tiada TIN, sila pilih satu (1) sebab A, Batau Cseperti di bawah:
Reason A– The country where I am a tax resident does not issue TINs to its residents.
Sebab A Negara di mana saya seorang pemastautin bagi tujuan cukai tidak mengeluarkan nombor TIN kepada
penduduknya
ReasonB – I am not able to obtain the TIN (please provide explanation).
Sebab B Anda tidak dapat memperolehi TIN (sila nyatakan sebab).
ReasonC – TIN is not required. Select this reason only if the authorities of the country of tax residence do not require
Sebab C disclosure of TIN.
TIN tidak diperlukan. Pilih sebab ini hanya jika pihak berkuasa di negara cukai pemastautin anda tidak
memerlukan pendedahan TIN.
tiada
nomborTIN
(1)
(2)
(3)
(4)
(5)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 10: cont’d
I amastudent at an educational institution in the relevant country and holds the appropriate visa.
Sayaadalah pelajar di institusi pendidikan yang betempat di wilayah bidang kuasa yang berkaitan dan memegang visa yang
bersesuaian.
I am ateacher, trainee, or intern at an educational institution in the relevant country or aparticipant in an
educational or cultural exchangevisitor program, and holdsthe appropriatevisa
Sayaadalah pengajar atau pelatih di institusi pendidikan yang betempat di wilayah bidang kuasa yang berkaitan atau peserta
yang mengikuti program pendidikan atau pertukaran budaya, dan memegang visa yangbersesuaian.
I am aforeign individual assignedto adiplomatic post/position in aconsulate or embassy in the relevantcountry.
Sayaadalah individu warga asing yang ditugaskan sebagai diplomat di konsulat atau kedutaan yang bertempat di wilayah
bidang kuasa.
I amafrontier worker/employee working in atruck or train travelling between countries.
Sayaadalahpekerja sempadan/ pekerja yangmemandu trakatau keretapi yang merentasidi antara wilayah bidang kuasa.
I am aspouse or unmarried child under the ageof twenty-one (21) years of one of the persons described above.
Sayaadalahpasangan atau anakyangtidakberkahwin di bawahumur dua puluh satu(21)tahun bagiindividu yang dinyatakan di
atas.
Other explanation/ Peneranganlain:
Part 6 Declaration
Bahagian 6 Pengisytiharan
I acknowledge and agree that (a) the information contained in this Self-Certification (Individual) Form is collected and may
be kept by the Company for the purpose of automatic exchange of financial account information; and (b) the information
and any information on reportable account(s) may be reported by the Company to any government authorities or
regulatory bodies and exchanged with the tax authorities of another country(ies) in which y o u may be a tax resident.
Saya mengaku dan bersetuju bahawa (a) maklumat yang terkandung di dalam Borang Perakuan Diri (Individu) ini dikumpul
dan boleh disimpan oleh Syarikat bagi tujuan pertukaran automatik maklumat akaun kewangan; dan (b) maklumat
tersebut sebarang maklumat berkaitan akaun yang perlu dilaporkan boleh digunakan oleh Syarikat untuk laporan kepada
badan kerajaan atau badan kawal selia dan bertukar maklumat dengan penguatkuasa cukai di Negara(-negara) lain di
mana saya adalah anda pemastautin bagi tujuan cukai.
I certify that I am the account holder of all the account(s) to which this form relates to.
I declare that the information provided in this Self-Certification (Individual) Form, to the best of my knowledge and belief,
istrue, accurate and complete.
Saya mengaku bahawa maklumat yang diberikan di dalam Borang Perakuan Diri (Individu) ini, pada pengetahuan terbaik
dan kepercayaan saya, adalah benar, tepat dan lengkap.
Signature/ :
Tandatangan
Nama/ :
Nama
Date(dd/mm/yyyy)/ :
Tarikh (hh/bb/tttt)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 11
11: Manual Application
Application
Corporate Policyholder = company paying tax in country other than Malaysia/US +
WITH foreign taxpayernumber.
Step1
Step2
Singapore AB12325
Step3
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 11: cont’d
the government authorities or regulatory bodies for transfer to the tax authority of another
country/countries.
Kaedah-kaedah Cukai Pendapatan (Pertukaran Automatik Maklumat Kewangan) 2016 menetapkan
Standard Pelaporan Bersama bertujuan untuk pertukaran automatik maklumat akaun kewangan. Ini
adalah Perakuan Diri yang perlu dilengkapkan oleh anda untuk AIA Bhd. / AIA PUBLIC Takaful Bhd. (secara
oleh Syarikat kepada pihak berkuasa kerajaan atau badan kawal selia untuk pindahan ke pihak berkuasa
percukaian di negara-negara lain.
You are required to immediately inform the Company of any changes in your tax residencystatus.
Andadikehendakiuntukmelaporkan kepada Syarikat sebaik sahaja terdapat sebarang perubahanpada status
cukai pemastautin anda.
You are required to complete this Self-Certification in full (unless stated otherwise).
Anda dikehendaki untuk melengkapkan Perakuan Diri ini sepenuhnya (melainkan jika dinyatakan
sebaliknya).
If you have any questions on Self-Certification or your tax residency status, please refer to your tax adviser
or the Frequently Asked Questions (FAQs) for Common Reporting Standards available in AIA Portal at
https://www.aia.com.my.
Jika anda mempunyai sebarang pertanyaan mengenai Perakuan Diri atau status cukai pemastautin anda,
sila rujuk kepada penasihat cukai anda atau soalan-soalan lazim (FAQs) untuk Standard Pelaporan
Bersama yang boleh didapati pada AIAportal di https://www.aia.com.my .
* Account Holder/ = Policy or CertificateHolder for the purpose of new business application or request to change
Pemegang Akaun contact details.
Pemilik polisi atau sijil bagi tujuan permohonan baharu atau permintaan untuk menukar butiran
untuk dihubungi.
= Assignee for the purpose of application forassignment.
Pemegang serah hak bagi tujuan permohonan untuk penyerahan hak.
= Claimant/beneficiary for the purpose of claimssubmission.
Pihak yang menuntut/benefisiari bagi tujuan penyerahan tuntutan
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 11: cont’d
Part2 EntityType
Bahagian 2 Jenis Entiti
Please select one (1) of the Entity Type below and provide the required information.
Sila pilih salah satu (1) Jenis Entiti di bawah dan nyatakan maklumat yang dikehendaki.
PassiveNFE Investment entity that is managed by another financial institution and located in a non-
NFEyang Pasif Entiti pelaburan yang diuruskan oleh institusi kewangan yang lain dan terletak di negara
bukan peserta
If you select Passive NFE, please complete the Self Certification Form (Controlling
Person). Controlling Person refers to a natural person who has a controlling ownership
interest of twenty five percent (25%) in the entity. Where no natural person(s) exercises
control over the entity, the Controlling Person(s) will be the individual(s) holding the
position of senior managing official(s).
Jika anda memilih NFE yang Pasif, sila lengkapkan Borang Perakuan Diri (Orang yang
Mengawal). Orang yang Mengawal merujuk kepada individu yang mempunyai
kepentingan pemilikan modal saham sebanyak dua puluh lima peratus (25%) dalam
entiti. Jika tiada individu yang mempunyai kuasa untuk mengawal entiti, Orang yang
Mengawal ialah individu yang memegang jawatan rasmi sebagai pengurus kanan.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 11: cont’d
Do you have any tax residency in country(ies) other than Malaysia or United States(U.S.)?/ Adakah anda mempunyai
sebarang cukai pemastautin di negara(-negara) lain selain daripada Malaysia atau AmerikaSyarikat?
If the TIN is unavailable, please select one (1) reason, A, Bor Cas below:
Jika tiada TIN, sila pilih satu (1) sebab A, Batau Cseperti di bawah:
Reason A/ - The country where the entity is a tax resident does not issue TINs to its residents./
Sebab A Negara di mana entiti adalah pemastautin bagi tujuan cukai tidak mengeluarkan nombor TIN
kepada penduduknya
Reason B/ - The entity is not able to obtain the TIN (please provide explanation).
Sebab B Entiti tidak dapat memperolehi nombor TIN (sila nyatakan sebab).
Reason C/ - TIN is not required. Select this reason only if the authorities of the country of tax residence do
Sebab C not require disclosure of TIN.
TIN tidak diperlukan. Pilih sebab ini hanya jika pihak berkuasa di negara cukai pemastautin tidak
memerlukan pendedahan TIN.
(3)
(4)
(5)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 11: cont’d
Part5/ Declaration
Bahagian 5 Pengisytiharan
I/We acknowledge and agree on behalf the Entity that (a) the information contained in this Self-Certification (Entity)
Form is collected and may be kept by the Company for the purpose of automatic exchange of financial account
information, and (b) the information and any information on reportable account(s) may be reported by the Company
to any government authorities or regulatory bodies and exchanged with the tax authorities of another country(ies)
in which t h e En t i t y may be a tax resident.
Saya/Kami mengaku dan bersetuju bagi pihak Entiti bahawa (a) maklumat yang terkandung di dalam Borang
Perakuan Diri (Entiti) ini dikumpul dan boleh disimpan oleh Syarikat bagi tujuan pertukaran automatik maklumat
kewangan; dan
(b) maklumat tersebut dan sebarang maklumat berkaitan akaun yang perlu dilaporkan boleh digunakan oleh Syarikat
untuk laporan kepada mana-mana badan kerajaan atau badan kawal selia dan bertukar maklumat dengan
penguatkuasa cukai di negara(-negara) lain di mana Entiti adalah pemastautin bagi tujuancukai.
I/We certify that I am/we are authorised to sign on behalf of the Entity in respect of all the account(s) to which this Self-
Certification (Entity) Form relates to.
I/We on behalf of the Entity undertake to i n f o r m t h e C o m p a n y within thirty (30) days of any changes in
circumstances which causes any information contained in this Self-Certification Form (Entity) to be incorrect and
incomplete with an updated Self Certification (Entity) and declaration.
Saya/Kami bagi pihak Entiti berjanji untuk memaklumkan pihak Syarikat dalam masa tiga puluh (30) hari dari sebarang
perubahan keadaan yang mana menyebabkan maklumat yang terkandung di dalam Borang Perakuan Diri (Entiti) ini
menjadi tidak tepat dan tidak lengkap dengan Perakuan Diri (Entiti) dan pengisytiharan yang dikemaskini.
I/We declare that the information provided in this Self-Certification (Entity) Form, to the best of my/our knowledge
and belief, istrue, accurate and complete.
Saya/Kami mengaku bahawa maklumat yang diberikan di dalam Borang Perakuan Diri (Entiti) ini, pada pengetahuan
terbaik dan kepercayaan saya/kami, adalah benar, tepat dan lengkap.
Name :
Nama
Date(dd/mm/yyyy)/ :
Tarikh (hh/bb/tttt)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 11: cont’d
City :
Bandar
City :
Bandar
Country :
Negara
Country/ Negara :
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 11: cont’d
pengurusan entiti
Trust/ Amanah Settlor
Pelaksana Amanah
Trustee
PemegangAmanah
Protector
Other (e.g. individual who exercisescontrol over another entity being equivalent/similar to
settlor/trustee/protector/beneficiary)
Lain-lain (contohnya individu yang mengawal/ berhak untuk melaksanakan kawalan ke atas pelaksana
amanah/ pemegang amanah/ pelindung / benefisiari)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 11: cont’d
Do you have any tax residency in country/countries other than Malaysia or United States(U.S.)?/ Adakah anda
mempunyai sebarang cukai pemastautin di negara lain selain daripada Malaysia atau Amerika Syarikat?
If the TIN is unavailable, please select one (1) reason, A, Bor Casbelow:
Jika tiada TIN, sila pilih satu (1) sebab A, Batau Cseperti di bawah:
Reason A –
The country where I am a tax resident does not issue TINs to its residents.
Sebab A Negara di mana saya seorang pemastautin bagi tujuan cukai tidak mengeluarkan nombor TIN kepada
penduduknya
ReasonB – I am not able to obtain the TIN (please provide explanation).
Sebab B Anda tidak dapat memperolehi TIN (sila nyatakan sebab).
ReasonC – TIN is not required. Select this reason only if the authorities of the country of tax residence do not require
Sebab C disclosure of TIN.
TIN tidak diperlukan. Pilih sebab ini hanya jika pihak berkuasa di negara cukai pemastautin anda tidak
memerlukan pendedahan TIN.
nomborTIN
(1)
(2)
(3)
(4)
(5)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Scenario 11: cont’d
I amastudent at an educational institution in the relevant country and holds the appropriate visa.
Sayaadalah pelajar di institusi pendidikan yang betempat di wilayah bidang kuasa yang berkaitan dan memegang visa yang
bersesuaian.
I am ateacher, trainee, or intern at an educational institution in the relevant country or aparticipant in an
educational or cultural exchangevisitor program, and holdsthe appropriatevisa
Sayaadalah pengajar atau pelatih di institusi pendidikan yang betempat di wilayah bidang kuasa yang berkaitan atau peserta
yang mengikuti program pendidikan atau pertukaran budaya, dan memegang visa yangbersesuaian.
I am aforeign individual assignedto adiplomatic post/position in aconsulate or embassy in the relevantcountry.
Sayaadalah individu warga asing yang ditugaskan sebagai diplomat di konsulat atau kedutaan yang bertempat di wilayah
bidang kuasa.
I amafrontier worker/employee working in atruck or train travelling between countries.
Sayaadalahpekerja sempadan/ pekerja yangmemandu trakatau keretapi yang merentasidi antara wilayah bidang kuasa.
I am aspouse or unmarried child under the ageof twenty-one (21) years of one of the persons described above.
Sayaadalahpasangan atau anakyangtidakberkahwin di bawahumur dua puluh satu(21)tahun bagiindividu yang dinyatakan di
atas.
Other explanation/ Peneranganlain:
Part 6 Declaration
Bahagian 6 Pengisytiharan
I acknowledge and agree that (a) the information contained in this Self-Certification (Individual) Form is collected and may
be kept by the Company for the purpose of automatic exchange of financial account information; and (b) the information
and any information on reportable account(s) may be reported by the Company to any government authorities or
regulatory bodies and exchanged with the tax authorities of another country(ies) in which y o u may be a tax resident.
Saya mengaku dan bersetuju bahawa (a) maklumat yang terkandung di dalam Borang Perakuan Diri (Individu) ini dikumpul
dan boleh disimpan oleh Syarikat bagi tujuan pertukaran automatik maklumat akaun kewangan; dan (b) maklumat
tersebut sebarang maklumat berkaitan akaun yang perlu dilaporkan boleh digunakan oleh Syarikat untuk laporan kepada
badan kerajaan atau badan kawal selia dan bertukar maklumat dengan penguatkuasa cukai di Negara(-negara) lain di
mana saya adalah anda pemastautin bagi tujuan cukai.
I certify that I am the account holder of all the account(s) to which this form relates to.
I declare that the information provided in this Self-Certification (Individual) Form, to the best of my knowledge and belief,
istrue, accurate and complete.
Saya mengaku bahawa maklumat yang diberikan di dalam Borang Perakuan Diri (Individu) ini, pada pengetahuan terbaik
dan kepercayaan saya, adalah benar, tepat dan lengkap.
Signature/ :
Tandatangan
Nama/ :
Nama
Date(dd/mm/yyyy)/ :
Tarikh (hh/bb/tttt)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
CRS– CUSTOMER SERVICING
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
CUSTOMER SERVICING
Assignment or
Claim Manual form Manual Checking Any
submitted on Do you have any tax
N Indicia in Proposal
or after 1 July residency in Y/N form?
2017 country/countries other
than Malaysia & US?
Y
CASE
Request for To complete Self- N
Y CLOSED
Change of Certification Y/N
Address or
Tel Number
submitted on
or after 1 July
2017 Y
System Reasonable
(iServe) Explanation with
Do you have any tax supporting
residency in
Y/N N documents
country/countries other
than Malaysia & US?
N Y
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
iServe
1) CRSDeclaration
CRSdeclaration is COMPULSORY
when customers update changes
(change of address/ phone No)
in iServe!
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iServe
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iServe
2b) CRS Declaration = No but with CRS indicia >> Reasonable Explanation
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iServe
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ADVISORY TO CUSTOMER
CAUTION!
You are cautioned NOT to provide customer any tax advisory to avoid the
tax residency declaration under anycircumstances.
Instead, customers are advised toseekadvice from their appointed tax agents
to complete the forms.
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Frequently Asked Questions - Common Reporting Standard (CRS)
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Frequently Asked Questions - Common Reporting Standard (CRS)
Note: AIA implemented CRS 1 month earlier to close the gap of the pending
cases submitted before 1 July 2017 and in-force on/after 1 July 2017.
9. Country for reason C Australia
10. Will the CRS system validation be carried out Yes.
in iPoS after the “SUBMIT” button is pressed?
11. Within how many days will AIA revert to As per normal underwriting process i.e. around 2 working days from submission
agents if CRS re-declaration is required? date.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
Frequently Asked Questions - Common Reporting Standard (CRS)
12. When is the life planner required to walk When the customer wants to change the address/phone number.
through the CRS declaration in iServe
with the customer?
13. Is the CRS declaration by the customer in Yes, CRS declaration by customer is compulsory at the point when
iServe compulsory when these changes customer
are made by the customer? updates upon any changes to address/phone number.
14. In CRS declaration for corporate customer, For corporate customer, the CRS declaration is through hardcopy only.
the declaration is via hardcopy only?
Can it be done via iPOS?
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020
AIA Offshore Customer Guidelines
❖ Product Offering
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Scope
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Definitions
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Marketing and Solicitation Activities
• AIA agents must not solicit insurance or undertake any marketing activity to promote
AIA products outside of the jurisdiction in which AIA Malaysia is licensed to operate.
• Agents should not carry out the following activities (not exhaustive and please refer to
the Guidelines for the full listing) :
• Do not arrange presentations, speeches or education programmes about AIA’s
products for business partners or customers in another jurisdiction,
• Do not prospect for Offshore Customers outside AIA Malaysia’s jurisdiction of
operation through cold calls (including tele-calls, emails, social media or other
electronic medium including fax, delivering marketing materials and collaterals,
application forms etc.
• Do not provide advice or solutions (including product presentations), conducting
suitability assessments, fact finding with customers, filling and signing of insurance
documents such as an application form, product summary or benefit illustration
outside AIA Malaysia’s jurisdiction of operation.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 214
Product Offering
• AIA agents may offer products and services to Offshore Customers if they were
prospected in AIA Malaysia’s jurisdiction of operation.
• How do we ensure that no solicitation and sales activities have taken place outside
AIA Malaysia jurisdiction of operation?
• To collect a copy of the Offshore Customer’s travel document (passport) together
with the insurance application form as the immigration entry stamp as proof that
prospecting took place during the applicant’s stay in Malaysia.
• The copy of the travel document(passport) must be dated and signed by both the
applicant and the selling agent and the said documents should be submitted within 3
months of the inward travel date as per the immigration stamp or within the maximum
allowable period for visitors to stay in Malaysia.
• If a passport is not used for immigration purposes then a declaration may be obtained
from the Offshore Customer to confirm the solicitation was done in Malaysia.
• All supporting documents such as the Fact Find or Needs Analysis form, product
summary, sales or benefit illustration and application form etc. must be dated and
signed by the applicant and the selling agent in Malaysia.
AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020 215
Post Sales Activities or Services and Ongoing Advice
• Sales to existing Offshore Customers – Upselling and cross selling to Offshore Customer cannot
take place outside Malaysia.
• Counter Offer – counter offers should be acknowledged, accepted and signed by customer in
Malaysia. Written consent from applicant may be obtained during his/her stay in the Host Country
for any anticipated amendments such as rating up of the premiums, exclusions due to medical
conditions or amendments to the sum assured. The customer may be notified in writing or verbally
(via tele-call) to confirm acceptance.
• Premium Payment – Remittance of premium from an overseas bank account may create cross
border risk and therefore for risk mitigation strategy, the payment of the initial premium and
subsequent premium should be effected from a bank account in Malaysia. Refund cheques or
payments should be made payable to the policyholder or payor’s bank account from which the
premium was paid.
• Policy assignment – A policy assignment document may be executed in the Offshore Customer’s
Home Country provided AIA Malaysia has completed appropriate due diligence including
obtaining relevant legal advice confirming compliance with the laws of the Offshore Customer’s
Home Country.
• For full details of the procedural controls, please refer to Appendix 1 and 2 of the Guidelines
including obtaining Legal and Group Office approval for deviations to the said Guidelines.
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AIA confidential and proprietary information. Not for distribution. Updated as Rev05 20.02.2020