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In consideration of: Heap Keong Motor Sdn Bhd 200601028335 (748091-W) (hereinafter referred to as ‘you) having a business

address at No.45, Kompleks Sukan, Lebuhraya Sultan Abdul Halim, 05400 Alor Setar, Kedah
agreeing to / or continuing to :

(Tick as appropriate)
provide services and or supply goods or rent/lease property (movable or immovable) or
provide a loan/hire purchase facility or offer a contract for employment

to me/us or the company or business / society / individual or the entity named below:

NUR KHAIRINA NATASHA BINTI SARINO ,NRIC No. 990615-09-5022


(hereinafter referred to as the Subject Entity) of Address
F531 KAMPUNG SUNGAI REBA 08500 KOTA KUALA MUDA KEDAH
and
KHAIRUL AFIF BIN SARINO ,NRIC No. 040911-09-0075
(hereinafter referred to as the Subject Entity) of Address
F531 KAMPUNG SUNGAI REBA 08500 KOTA KUALA MUDA KEDAH

I/We the undersigned do hereby give my/our consent to you and any of the following companies/agencies to process
my/our personal data within the meaning of the Personal Data Protection Act 5010 and the Credit Reporting Agencies
Act 2010:-
CTOS Data Systems Sdn Bhd (“CTOS”)
Financial Information System (F.I.S)
Credit Bureau Malaysia Sdn Bhd
Experian Credit & Information Services (Experian)
Others

Hereinafter collectively called “the said Agencies”

By giving such consent, I/We understand and agree that:

i) You may conduct credit checks on me/us with the said Agencies now or at any future time for any one or more of the
following purposes (hereinafter referred to as ‘legitimate interest’).
Opening of account
Credit Evaluation
Credit Review
Credit Monitoring
Debt Recovery purposes
Legal documentation consequent to a contract or facility granted by you.

ii) You may use the monitoring applications of the said Agencies and obtain new information and updates on me/us as
long as the any of the above mentioned legitimate interests exists.

iii) You may disclose any information about the conduct of my/our account to the said Agencies at any time and the
said Agencies may in their course of their business provide the same to the subscribers of their service.

Signed By Customer Witness By

…................................................................. ….................................................................
..................................................
Name: NUR KHAIRINA NATASHA BINTI me: NUR SYAZWANI BINTI RO
Name: ROZALI
SARINO
NRIC No.: 990615-09-5022 NRIC No.: 030104-02-0776

Signed By Customer Witness By

…................................................................. ….................................................................
..................................................
Name: KHAIRUL AFIF BIN SARINO Name: NUR SYAZWANI BINTI ROZA ROZALI

NRIC No.: 040911-09-0075 NRIC No.: 030104-02-0776

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