FBGSV 003/2022_v1 (Updated on 17.03.

2022)
PART B: DEPOSITORY ACCOUNT/-i OPENING APPLICATION FORM
ACCOUNT TYPE

Individual Account

Joint Account; Signing Condition:

Joint Applicant Name (s):
Joint Applicant MyKad/Passport No.:

Minor Account (aged 12 years old - below 18 years old)

PRODUCT TYPE

Current / Saving Account Please refer to the Appendix on the last page and select one option.
Current Account/-i Savings Account/-i Purpose of Account Opening:
Product Name: Source of Fund:

Multi Currency Account Please refer to the Appendix on the last page and select one option.
Multi Currency Account Purpose of Account Opening:
Qard Multi Currency Account-i Source of Fund:

Please tick (√) where applicable

Product Name Product Specific Declarations

INDA - Individual Account Currently I/We DO NOT have any Domestic Ringgit Borrowing/Financing with
any financial institutions in Malaysia and in the event I/We have any Domestic
Ringgit Borrowing/Financing, I/We undertake to inform the Bank immediately; or
I/We have Domestic Ringgit Borrowing/Financing with one or more financial
institutions in Malaysia, and my/our total investment abroad and onshore in
foreign currency asset is within the stipulated aggregate threshold* per calendar
year under Foreign Exchange Notices;
RM:_____________________________
I/We have Domestic Ringgit Borrowing/Financing with one or more financial
institutions in Malaysia, and my/our total investment abroad and onshore in
foreign currency asset have exceeded the stipulated aggregate threshold* per
calendar year under Foreign Exchange Notices. I/We hereby furnish the approval
letter from BNM (Ref:_______________________________ ) as supporting document;

EDEA - Education and Employment Account I/We hereby submit the documentary evidence and justification for education/
employment abroad to comply with the requirements set out by Bank Negara
Malaysia.

INEX - Individual Export Proceed Account I/We hereby confirm:

a) The proceeds credited into the account are strictly from exports.
b) To provide documentary evidence, as and when it is required by the Bank.
Note: The Bank may request from the Customer(s) additional supporting document(s) to verify the transaction(s) from the above account(s).
*Up to RM1 million for individual under Foreign Exchange Notices

Debit Card Please tick (√) where applicable

Debit Card Debit Card-i Overseas Transactions
Debit Card Type Card Not Present Transaction

Safe Deposit Box

Please tick (√) where applicable Please refer to the Appendix on the last page and select one option.
I am keen to subscribe the *Safe Deposit Box (SDB) Purpose of Account Opening:
* Subject to the availability of vacant box at SDB branches.
Source of Fund:
Please visit your preferred RHB branch to complete the opening
of Safe Deposit Box.

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 FBGSV 003/2022_v1 (Updated on 17.03.2022)
PART C: PERSONAL FINANCING/-i APPLICATION FORM
ACCOUNT TYPE

Please tick (√) where applicable Purpose of Account Opening: Personal Loan/Financing
Personal Financing Source of Fund: Credit Facility Approve by FI
Enrolment in Personal Smart Shield (PSS) Yes No
Personal Financing/-i Amount Applied
Personal Financing-i
RM
Civil Sector
Maintain the same monthly payment, in the event of base rate Financing Tenure
(BR) adjustment Yes No
Months
Private Sector/Potongan Gaji Majikan
Pensioners Financing Disbursement Account
Purpose of Application (Please √ one) New Existing;

005 Personal Consumption 037 Booking Fee - Car 038 Debt Consolidation 039 Education
040 Electrical Goods 041 Home Furnishing/Equipment 042 Medical Expenses 043 Online Financing
044 Personal Refinancing 045 Property/House Financing 046 Renovation 047 Travel

SETTLEMENT INSTRUCTION

Personal Financing Account No. Settlement Amount Monthly Instalment

No. Institutions/ Cooperatives
or Credit Card No. (RM) (RM)*

*For settlement of financing account based on CCRIS report

I expressly instruct the Bank to deduct any amount from the approved Facility to settle any outstanding balance on my behalf according to the details as
per compiled in the above instructions and/or as per the outstanding amount reported in the Central Credit Reference Information System (CCRIS) report
with an additional amount of up two (2) months monthly installment. I agree to pay the settlement balance in excess of the approved Facility (if any) after
the Bank has made payment in accordance to my instruction here and pursuant to the settlement letter by the respective institutions that is/are enclosed
herewith. I agree to request for refund or excess amount (if any) directly from the respective institutions pursuant to the settlement made by the Bank in
accordance to my instruction here. I also agree that I will not make or take any claims or actions towards the Bank in acting according to my instruction here-
in, unless such claims or actions arises out of the act, omission, default, negligence and/or misconduct on the part of the Bank and/or any of its employees,
representatives and agents of the Bank.

PART D: CREDIT CARD/-i APPLICATION FORM

REQUEST TYPE

New Card Additional Card Upgrade Card

PRODUCT TYPE

Please tick (√) where applicable Excess Limit Fee Consent

Credit Card I/We hereby agree and consent the Bank may debit my/our card
Credit Card-i account for excess limit transactions, where an excess limit fee of
RM50 may be imposed whenever the Total Outstanding Balance
Card Type VISA MASTERCARD exceeds the combined card limit due to an excess limit transactions.
Yes No
Product Name
For Credit Card
Product Code
Enrolment in Life Credit Shield (by Tokio Marine)
Name on Card (maximum 19 characters) The amount of premium to be paid shall be based on the aggregate
outstanding balance of the Life Assured as at the monthly billing
dates at RM0.65 per RM100 outstanding balance.
Card Delivery to: Yes No
Residential/Permanent Address
For Credit Card-i
Office Address
TAKAFUL myCREDIT SHIELD (by Syarikat Takaful)
Correspondence Address
The contribution is to be payable on monthly basis and shall be
Card Collection at Branch: ___________________________________________ based on the monthly closing credit card statement at RM0.46 per
(Branch Name) RM100 of the total credit card outstanding balance.
Purpose of Account Opening: Personal Loan/Financing Yes No

Source of Fund: Credit Facility Approve by FI

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 FBGSV 003/2022_v1 (Updated on 17.03.2022)
PART E: DECLARATION & CONSENT BY APPLICANT(S) **
** These declaration and Consent shall apply to all RHB Bank Berhad and/or RHB Islamic Berhad, as the case may be, (“the Bank”) product(s)
which you apply for as stated in the application form(s). The Bank being the licensed financial institution granting the account/loan/financing
product(s) referred to in the application form(s) completed by me/us.
1. FOR ALL PRODUCTS:
i. I/We hereby confirm and declare that all the information provided by me/us is complete, true and correct and I/We authorise
the Bank to verify any information provided and to obtain from any source including Inland Revenue Board as the Bank considers
appropriate any information, which the Bank may require such its discretion and approve or reject my/our application.
ii. I  /We hereby confirm that I/We have received, briefed, read, informed and understood the following applicable documents
governing the operation of the relevant account(s). I/We agree to be bound by them and/or such other terms and conditions of
which the Bank may modify or amend or update from time to time with 21 calendar days’ prior written notice to me/us.
iii. I/We
 am/are aware the below documents of the product(s) that I/We applied for is/are available in RHB Website
www.rhbgroup.com:
a) The Bank’s Terms and Conditions: www.rhbgroup.com/others/terms-conditions/index.html
b) The Bank’s Product Disclosure Sheet: www.rhbgroup.com
c) The Bank’s Privacy Notice: https://www.rhbgroup.com/files/others/personal-data/privacy-notice.pdf
d) Perbadanan Insurans Deposit Malaysia (PIDM) brochure: www.rhbgroup.com
e) Notification of incidental fees/charges that will be incurred at https://www.rhbgroup.com/others/service-charges/index.html
iv. I/We have been informed on the purpose of registration One Time Password (OTP) for RHB Now Internet Banking.
v. I/We agree that by activating, signing on and/or using the card(s) issued by the Bank, I/We agree to be bound by and to comply
with all the Terms and Conditions in relation to such card(s).
vi. Consent
 for cross selling, marketing, promote products and services of strategic partners
Please √ where applicable
I/We
 consent and authorise RHB Bank Berhad to process and disclose any information that I/We have provided for the
purposes of cross selling, marketing, promotions (including administering offers and competitions), and conducting
surveys (to improve the quality of products/services) to RHB Banking Group (which shall include the holding company(s),
its subsidiary(s), any associated company(s) and/or any company/branch as a result of any restructuring, merger, sale or
acquisition, whether in or outside Malaysia), strategic partners, service providers and its agent, servant and/or such persons
or third parties, if applicable.

2. FINANCING TRANSACTIONS AND EXPOSURES WITH CONNECTED PARTIES

Do you have any immediate family or close relatives (including parents, brother, sister, dependent and own/step/adopted child and
their spouses) that are employees of RHB Banking Group?

Yes, Relationship No

3. FOR FINANCING PRODUCTS AND JOY@WORK ENROLMENT

I/We, authorise and consent the Bank to obtain any credit information from CTOS and/or other registered Credit Reporting
Agencies as defined under the Credit Reporting Agencies Act 2010 without further notice to me/us to such extent and for the
purpose of the followings (whichever is applicable):
Credit application processing; Credit limit review; Restructuring; Overlapping; Upgrading application;

4. FOR FINANCING PRODUCTS

Financial obligation self-declaration.
Followings are my/our outstanding debts with financial institutions and/or non-financial institutions in Malaysia.

Type of Facility/
Bank/
Financing Financing Amount Outstanding Balance Monthly Payment
Finance Company/
(Housing/Car/ (RM) (RM) Amount (RM)
Other Banks
Personal/Others)

PAGE 3 of 5
 FBGSV 003/2022_v1 (Updated on 17.03.2022)
5. DECLARATION OF TAX RESIDENCY STATUS
Please √ where applicable
I/We have been briefed and I/We hereby confirm I/We understand my/our tax residency/FATCA/CRS requirements. I/We
hereby declare that all statements made in this declaration are, to the best of my/our knowledge and belief, correct and complete:

Foreign Account Tax Compliance Act “FATCA” Common Reporting Standard “CRS”
(For U.S. Only) (Other than U.S.)
I am not a U.S. citizen or resident in the U.S. for tax purposes. I confirm that I am a tax resident in Malaysiai.

I confirm that I was born in the U.S. (or a U.S. territory) but am no I confirm that I am NOT a tax resident in Malaysia or any countriesii.
longer a U.S. citizen as I have voluntarily surrendered my citizenship Please specify reason*: ______________________________________________________________________
as evidenced by the attached documents. I confirm that I am a tax resident in Malaysia and other countriesiii.

I confirm that I am a U.S. citizen and/or resident in the U.S. for tax I confirm that I am a foreign tax residentiv.
purposes (i.e. green card holder or resident under the substantial If you have selected iii and iv, please complete the following table:
presence test). No 1 2
Tax Number Country of Tax
Type SSN Social Security Number Resident
(Please √ one) TIN Taxpayer Identification Number Taxpayer
ID No. (TIN)
Reason, Country does not Country does not
if No TIN issue TIN issue TIN
(Please √ one)
Country does Country does
not require the not require the
collection of TIN collection of TIN
Others*: Others*:
__________________________________ __________________________________
*TIN application in progress | not required to register tax file | housewife
| househusband | minor | student | retiree | foreign diplomat in embassy

6. APPLICANT ACKNOWLEDGEMENT:
i. I/We,
 the undersigned declare that the above information provided by me/us are true and correct and if the Bank subsequently
discovers that any of the information provided are false, incorrect or incomplete, the Bank may cancel or vary the Facility approved.
ii. I/We agree that the emailed copy(ies) of the application form and/or supporting document(s) received by the Bank are deemed
to be the original application form and/or supporting document(s) and I/We am/are to produce the original application form and/
or supporting document(s) to the Bank upon request.
iii. I/We
 have also been advised that I/We may contact RHB Customer Contact Centre by telephone at +603-9206 8118 or by
email at customer.service@rhbgroup.com or visit any branch of the Bank if I/We do not understand any of the product features,
benefits, product disclosure sheet and/or Terms and Conditions.
Applicant’s Signature Full Name as per NRIC/Passport

Identification No.

Date D D / M M / Y Y Y Y

FOR BANK USE ONLY

I hereby declare that I have sighted the original copies of the documents and all information provided above is truthful and trustworthy.

Attended By: Checked & Verified By:

Name Name

Staff ID Staff ID

Date D D / M M / Y Y Y Y Date D D / M M / Y Y Y Y

Personal Financing/-i Campaign Code Credit Card/-i

Product Code Package Code Source Code

PGM Code Source Code Program Code

PAGE 4 of 5

APPENDIX
Purpose of Account Opening
■ Payroll/Salary
■ Savings/Fixed Deposits
■ Remittance (Local/Foreign)
■ Household/Family Expenses
■ Investment
Source of Funds
■ Income/Salary
■ Own Bank Transfer (within RHB)
■ EPF/SOCSO/Pension/Gratuity
■ Savings/Investment
■ Scholarship/Allowance/Edu Loan
■ Trust Funds
■ Divorce Sett/Compensation
■ Sale of Inves/Shares/Prop/Land
■ Dividends/Profits
■ Rental Proceeds
■ Commission
■ Directors Fee/Salary
■ Welfare Allowance
FBGSV 003/2022_v1 (Updated on 17.03.2022)
■ Standing Instruction
■ EPF Withdrawals
■ Personal Loan/Financing
■ Administration of Estate Acct
■ Loan Repayment/Financing Payment/Drawdown
■ Return on Investment
■ FD Placement Roll Over/Renewal
■ Insurance/Takaful Maturity/Surrender
■ Legal Settlement
■ Credit Facility Approve by FI
■ Trf Frm Own Acct with Oth FI
■ Spouse/Parents/Children
■ Financial/Aid/Subsidies
■ Part-time Income
■ Inheritance
■ Gift/Donation
■ Winning-legal Gambling/Contest
PAGE 5 of 5