POS LAJU SUB AGENT ACCOUNT APPLICATION REFERENCE NUMBER : DATE pirector/owner :_ RAMAN! AlL GovinPAcAsy company cooperative ;_QAMAWIS WIAK ourtername =»: RAMAN IS ACT _ ecistrationno: KC 0013 027-P ourterappress - |4\ Taran BUKIT PUTERI Ab, LAWOAL Cuteat Jay PoscopE 20F000 cmv:$G CETAN) stare:_ CEDAW contact numper :012-S¥210%7 ewan: Camani 61CL(d gra |. Com LONGGITUDE x LATITUDE : NAME OF PERSON INcHAGE ; RAWIANI wenumper: O(2- S52. (057 nature susiness : Mini MACKET oreramowoavarme: Daily From \o-0amn Ip 4009. 8 (v0) IF YES, WHAT NAME OF ACCOUNT WITH POS LAJU : SEND PARCEL / CONTRACT ACCOUNT DO YOU HAVE ACCOUNT WITH POS LAJU? [CUSTOMER AUTHORIZATION AND DECLARATION ne hereby gree and consent for Koponas ("Cooperative") and ts authorised persons to conduct ary relevant checks and verifications including erect lpropeny, dentty and background checks which ae relevant othe business relationship and forthe purpose ofthis ret account application, IWe nervy agroe and consent tothe checks and verification belng cared out on mealour cooperative its rectors / owners /parners with ary person, agency lorsutherty incusing any credit rating agencies and puble authors, UWe authorise sry person named undersigned below to disclosure he information contained herein tothe Cooperate. iWe authorise and consent to the Cooperative dicosing the information contained herein including information relating to our directors), ts group of companies or related corporation or any of is agers including debt collection agent. In addon, eWe have obiained the necessary consent ram our destrs/ umers and partners fortis purpose. All personel data furnished by you are consented and subjectod to Privacy Statement avalble at wnv.pos.com my. ve oily and severaly guarantee payment of af moneys due and owing by the Customer named on this Poslaju Sub Agent Application in respect of any products and services supplied by Cooperative tothe Customer. we acknowledge thal Ue have read, undersood and confrm acceptance of the Terms and Conditions for Credit Account as attached, /We certified that the formation above is tre, coract and completo. nthe evert of approve, misleading orale information gWen may resin discharge. RAMANIS aunoteed Sentry conean samt (ReaD DART tee _ Rn 441, Jalan Bukit Puten 916 ——— Bandar Puteri Jaya, 8000 Sungai Petani, Kedah omeaspenme = CAMA AL Goumtanasy =] aaa INRIc No 620124 02. Syke Date