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FGROP 008/2022_v1 (updated 29.09.2022)

For Bank Use
Branch
Region
Channel
RHB Bank Berhad 196501000373 (6171-M) |
RHB Islamic Bank Berhad 200501003283 (680329-V)

KYC FORM – APPLICANT INFORMATION (INDIVIDUAL)

PART A: APPLICANT INFORMATION
APPLICANT TYPE

Joint/Parent/Legal Guardian/Supplementary Relationship to Principal Applicant/Cardholder

Principal
Guarantor

APPLICANT PERSONAL DETAILS

Salutation Nationality
Dato Datin Mr Mrs Miss Malaysian
Others Non-Malaysian; Country:

Identification
RHB Group Staff Yes No
Type of Identification
Full Name as per NRIC/Passport MyKad MyPR MyTentera Passport MyKid
Identification Number

Passport Expiry Date D D / M M / Y Y Y Y

OKU Visually Impaired Others
Foreign PR: Yes No
Race
Bumiputera - Malay Bumiputera - Non Malay Chinese Foreign PR ID:

Indian Others Foreign PR Country:

Residence Status
Date of Birth D D / M M / Y Y Y Y
Status Foreign Exchange Notices (FEN) Declaration
Gender Male Female Resident 1. I am a citizen of Malaysia, without permanent
resident status in any country or a territory
Education Level outside Malaysia.
Primary Secondary Diploma Degree 2. I am a Foreign National with permanent
Masters PHD resident status in Malaysia and I am ordinarily
residing in Malaysia.
Marital Status 1. I am a Foreign National without permanent
Non - Resident
Single Married Widowed Divorced resident status in Malaysia.
Separated 2. I am a citizen of Malaysia with permanent
resident status of a country or territory
Number of Dependent outside Malaysia and I am residing outside
Malaysia.
Mother’s Maiden Name 3. Any person other than a Resident.

CONTACT DETAILS EMERGENCY CONTACT (for financing application only)

Name
Home Phone Number

Mobile Phone Number

Office Phone Number

Relationship
Email Address
Contact Number

STATEMENT DELIVERY (applicable for principal applicant)

e-Statement via RHB Now e-Statement via email Hard copy

(e-Pull) (e-Push) (Only applicable to customers aged 60-year-old and above)
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 FGROP 008/2022_v1 (updated 29.09.2022)

RESIDENCE DETAILS

Residence Type Own Property Mortgaged Employers Rented Parents

Mailing Address
Length of Stay in Current Residence Y Y M M
Same as Residential Address Same as Office Address
Residential Address If different, please specify below

City City
Postcode Postcode
State State
Country Country

EMPLOYMENT DETAILS

Employer Name Nature of Business/Employment Sector

Occupation Employment Type

Government Employee Private Employee
RHB Employee Self-employed
Office Address
Unpaid Family Worker Unemployed
Outside Labor Force (Student, Housewife, Retiree)

Employment Status

City Permanent Contract

Postcode Under Probation Part Time

State Freelance Temporary

Country
Source of Wealth

Monthly Gross Income RM Accumulated Savings Employment Income

Inheritance Trust Fund
Other Income RM
Retirement Income EPF
Date Joined D D / M M / Y Y Y Y Disposal of Assets/Shares Insurance/Takaful
Maturity/Surrender
Return on Investment
Previous Employer Name (if less than 2 years in present employment)
Legal Settlement Income From Own Business

Length of Services Y Y M M

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