AFFINMAX MAINTENANCE FORM

• Please complete this form in CAPITAL LETTERS and submit to the branch where the company’s account is maintained.
• All pages must have a minimum of ONE Authorised Person to sign (Anyone) at the bottom page as part of the "Page Control".
• Please make a copy of the page for additional items if there is insufficient space. Eg: User List and Account List.
• Please provide supporting documents (where applicable) i.e. Company Board Resolution/Letter of Authority/latest Minutes of Meeting/Letter of Indemnity if required to do so.
FORM SUBMITTED BY: (below sections to be filled by customer only)
Company Name:

Corporate ID:

Date Submitted at (D D) (MM) (YYYY)

Affin Branch: - - Home Branch Name:

[Please tick (√) where applicable]
Add Delete
A) Debiting Account
B) Daily Transaction Limit
C) Company's Account
OPTIONS FOR MAINTENANCE
Update Replace (For E only)
G) User Status Maintenance M) Merchant Statement
H) Statutory Body Employer Reference No. N) Other Bank Account
I) Subscriber Linking P) eDividend

D) Package Maintenance J) Biller/ Merchant Maintenance

E) Token K) eTrade

F) System Administration Users L) Host-to-Host (H2H)

A. DEBITING ACCOUNT
A1) Debit Transaction Fee Account No. (Fee of each Transaction, eg: IBG fee.)

A2) Other Fees Debiting Account No. (One time charge or monthly fee, eg: Security Token Fee.)

B. DAILY TRANSACTION LIMIT

Transaction Limit Per Day: RM Please provide supporting documents to update daily transaction limit.

C. COMPANY'S ACCOUNT
Notes: 1) Please provide revised supporting documents to add / delete Company's Account and Subsidiary Account.
2) The "Daily Transaction Limit" under this corporate will be shared among all the linked accounts.
3) Please make copies of this page / provide appendix for accounts more than the listed below.
Add | Delete Account Number Account Name Subsidiary Trade Account

C1) Y/N Y/N

C2) Y/N Y/N

C3) Y/N Y/N

C4) Y/N Y/N

C5) Y/N Y/N

D. PACKAGE MAINTENANCE
Subscribe to Financial Supply Chain (FSC) access in AFFINMAX. Note: 1) FSC access is only applicable for customers with FSC facility.
2) Upon setup completion from the Bank, the System Administrator is required to edit the User Group
setting to effect FSC access.
Upgrade to Transaction Package
Downgrade to Inquiry Package
Terminate AFFINMAX subscription

1 Authorised Person's Signature

FOR BRANCH USE ONLY v1.5 2021.12

(DD) (MM) (YYYY)
Date Received - - CIF No. Home Branch Code
EFT Account Sweep Maintenance
Documents Received by: Documents & Signatures Verified by:
E. TOKEN
Notes: Additional token is subject to charges, please refer to your Branch/ Relationship Manager for details.
E1) REPLACE TOKEN for SYSTEM APPROVER/SYSTEM AUTHORISER
Token Owner's Name NRIC Reason of Replacement
Lost* Faulty** Other:
*Lost token: Please submit police report together with this form **Faulty Token: Please return the faulty token together with this form

Physical Token Delivery Address

E2) REPLACE Faulty Physical Token for Payment Authoriser =
Token(s) will be delivered to the registered System Administrator in AFFINMAX.
Please indicate your mailing address:

E3) ADD/CHANGE Token: Number of Digital Token Required =

(For Payment Authoriser)
Number of Physical Token Required =
* For D2 & D3, System Administrator is required to "Bind Token" for the Payment Authoriser upon receiving token(s).
F. SYSTEM ADMINISRATION USERS
Notes: 1) Appointment/deletion of System Administration Users shall be stated in supporting documents.
2) New user ID for System Administration Users shall be defaulted by the Bank as per following format: SYSADMIN1, SYSADMIN2, SYSAPPR1, SYSAPPR2, etc.
3) Please circle the respective OPTIONS required, either A, D or U. Legend: A=ADD User (all fields are mandatory);
D=DELETE User (Name & NRIC are required);
U=UPDATE User (Provide details of amendment)
SYSTEM ADMINISRATOR:
NRIC/Passport No. E-mail Address
No. Name as per NRIC/Passport Mobile No.
( without "-") (lower case only)
A 9 9 1 1 2 2 a b c @ gm a i l . c o m
Eg. D AHMAD ALI SULAIMAN (+60) 12-3456789
U 1 0 1 2 3 4
A
F1) D (+60)
U
A
F2) D (+60)
U

SYSTEM APPROVER:
A
F3) D (+60)
U
A
F4) D (+60)
U
A
F5) D (+60)
U

G. USER STATUS MAINTENANCE

Notes: Alternatively, for quicker action, you may call our Contact Centre (03-8230 2222) for further assistance
No. User Details Options
User ID: Reset Password Regenerate User Credential
G1)
User Name: Reset Token Activate / Deactivate User ID

User ID: Reset Password Regenerate User Credential

G2)
User Name: Reset Token Activate / Deactivate User ID
User ID: Reset Password Regenerate User Credential
G3)
User Name: Reset Token Activate / Deactivate User ID

H. STATUTORY BODY EMPLOYERS REFERENCE NUMBER

H1) EPF Ref. Number: H3) LHDN Ref. Number:

H2) SOCSO Ref. Number: H4) ZAKAT Ref. Number:

1 Authorised Person's Signature

I. SUBSCRIBER LINKING
Notes: 1) The entity specified in the form section "FORM SUBMITTED BY" is deemed as the "Main Corporate", by submitting this form, the "Main Corporate" is considered accepting the
authorisation provided by the Linking Corporate listed below.
2) All the Linking Corporate(s) listed below shall authorise the Main Corporate as stated in the Board Resolution or equivalent documents to establish linkage for this feature.

(a) The Linking Corporate to be linked (Mandatory) (b) System Administration Users of the Main Corporate (Mandatory)
The corporate(s) below will be linked to the Main Corporate for Subscriber Linking The users below will be authorised to manage the items in Section (c) & (d) and all the
purpose. Administration matters related to this feature.
Linking Corporate's Name Corporate ID User Name & Role User ID
Name:
1 1
Role: System Admin System Approver
Name:
2 2
Role: System Admin System Approver
Name:
3 3
Role: System Admin System Approver
Name:
4 4
Role: System Admin System Approver

(c) User Group to be linked to the Main Corporate (Mandatory) (d) Signature Type to be linked to the Main Corporate (Optional)
The access to User Group of the Linking Corporate below will be granted to the Main The access of Signature Type of the Linking Corporate below will be granted to the Main
Corporate. Corporate.
User Group Name Corporate ID of Linking Corp. Signature Type Name Corporate ID of Linking Corp.
1 1

2 2

3 3

4 4

5 5

J. BILLER / MERCHANT MAINTENANCE

[Please tick (√) where applicable] Notes: Please make copies of this page/provide appendix for additional biller if more than the listed below.
RPP Collection Biller
Add | Delete RPP Collection Biller ID Acceptable Source of Fund
J1) CASA/-i Credit Card/-i e-Wallet

J2) CASA/-i Credit Card/-i e-Wallet

J3) CASA/-i Credit Card/-i e-Wallet

*CASA/-i: Current Account / Savings Account/-i
JomPAY Biller
Add | Delete JomPAY Biller Code JomPAY Biller Email
J4)

J5)

J6)

FPX Seller
Add | Delete FPX Seller ID FPX Seller Account No.
J7)

J8)

J9)

K. eTRADE
Application Maintenance Termination

1 Authorised Person's Signature

L. HOST-TO-HOST (H2H)
Application Maintenance Termination
L1) Host-to-Host Type - Please tick (√) only one
Without Approver/Authorizer's Intervention - (All transactions made through H2H will be directly processed without requiring Authorizer to approve from AFFINMAX)
With Approver/Authorizer's Intervention - (All transactions made through H2H require approval from AFFINMAX based on the customer’s workflow process prior to send for
processing)

Options for Approver/Authorizer's √ Authorizer (Mandatory) Note:

Intervention: Please ensure the requested user role (Authorizer, Verifier or Releaser)
Verifier (Optional)
has been created by your System Administrator in your Corporate.
Releaser (Optional)

L2) Company Details

IP Address Effective Date & Reason for Only applicable for

Termination: termination request
Customer Credential (Set by the bank)

Customer Public Key (Customer to provide via email) Remarks for Maintenance

L3) AFFINMAX H2H Connection Technical Contact Person

Name Phone Number E-mail

L4) H2H Services

Autopay-Own, 3rd Party, IBG, RENTAS Statutory Body-Zakat Kuala Lumpur

Corporate IBG Statutory Body-Registration
Payment-Foreign Telegraphic Transfer Statutory Body-EPF
Bill Payment & JomPAY Statutory Body-SOCSO & EIS
Auto Debit Statutory Body-LHDN
Direct Debit Bulk DuitNow Transfer (Pay-to- Account & Pay-to-Proxy)
L5) File Format (Applies to all H2H services) - Please tick (√) only one

Delimeter(.txt) Fixed Length (.txt) Excel (.csv) Others:

L6) Debiting Account for Host-to-Host Charges
Please ensure the specified account is linked/tagged in AFFINMAX.
Account Number :
For new account number, kindly also fill in sect C in this form - Link Company's Account.
Note: 1. Host-to-Host charges :
a) One-time Host-to-Host Setup Fee (RM 2,400-SME, RM 2,500-Corporates)
b) Monthly RM 300 of service fee
2. Transaction fee for each transaction made via H2H will be debited from the "Transaction Debiting Account" set according to AFFINMAX Application Form.

M. MERCHANT STATEMENT

AFFIN Current Account No :

N. OTHER BANK ACCOUNT

Notes: Please make copies of this page / provide appendix for client more than the listed below.
Add | Delete Account Number Bank Name Currency
N1)

N2)

N3)

P. eDIVIDEND
Notes: Please make copies of this page / provide appendix for client more than the listed below.
Payment Date
Client Name Cycle Code For Year Ending Account No. Dividend Type Dividen Rate Tax Rate
dd/mm/yy
Final
P1)
Interim

Final
P2)
Interim
Final
P3)
Interim

1 Authorised Person's Signature

Q. REMARKS

R. DECLARATIONS & AUTHORISATIONS (MANDATORY)

i. We hereby confirm that we have obtained consent from the person(s) as required under this form to disclose their details to the Bank and for their details to be processed by the
Bank for the purpose of this form.
ii. We hereby confirm the details of the person(s) authorized to hold access on AFFINMAX Sevices and hereby give consent to each person the right to perform AFFINMAX Service for
and on behalf of the Company;
iii. We hereby agree that the Login Credentials generated by the Bank via email and mobile number shall not be disclosed to other parties or compromised in any manner whatsoever
and the Bank shall not be held liable against any losses, cost, damages or expenses incurred as a result of disclosure of Login Credentials to third parties unless such loss, cost or
damage caused by the Bank's negligence,default or fraud;
iv. We confirm that all the information provided herein are true and accurate to the best of my/our knowledge as at the date of this submission;
v. We hereby confirm that we have read, understood and agreed to CORPORATE INTERNET BANKING (AFFINMAX) Terms and Conditions and we hereby irrevocably agree to be
bound by such terms and conditions. In the event that there are any terms and conditions that we do not understand, we will discuss further with the Bank’s staff, representative
or agent (AFFIN BANK and AFFIN ISLAMIC Contact Centre 03-8230 2222).

For Section L : Host-to-Host Application, Maintenance, Termination Request

i We hereby apply for Host-to-Host Service indicated in this form;
ii We hereby authorize the Bank to create H2H maker based on the information provided herein;
iii We hereby authorize the Bank to debit the account (as stated in Section J-Host-to-Host of this form), with the service charges in respect of a) One-time Host-to-Host Setup Charge and
b) Monthly Fee;
iv We hereby confirm that our continued access and utilisation of Host-to-Host service shall be subjected to the Terms and Conditions including existing Current Account Terms &
Conditions, CORPORATE INTERNET BANKING (AFFINMAX) Terms and Conditions, Generic Terms & Conditions applicable for all deposit accounts/products/services and all
amendments thereto from time to time.

Authorised Representative(s) signature:

as per Company's Board of Resolution with reference to AFFINMAX matters (or such other equivalent document acceptable to the Bank):

Name: Name: Name:

Designation: Designation: Designation:
Date: Date: Date:

FOR BANK HEAD OFFICE ONLY

Form Received on : - - Maintenance Date : - -

Form Verified by Maintained by Maintenance Verified by Level 2 Maintenance by Level 2 Maintenance Verified by

Name: Name: Name: Name:

Name:
PS No.: PS No.: PS No.: PS No.:
PS No.:
Date & Time: Date & Time: Date & Time: Date & Time:
Date & Time: