AUTHORISATION LETTER TO DEBIT ACCOUNT

Your ref:

Date:

The Manager
AFFIN BANK BERHAD/AFFIN ISLAMIC BANK

Dear Sirs,

RE: FINANCING ACCOUNT NO :

NAME OF CUSTOMER :

I / We refer to your Letter of Offer dated.

I / We hereby irrevocably authorize the Bank to deduct installment payments, profits,

contribution on takaful policies and any miscellaneous expenses due pertaining to my / our
financing from my / our current / savings account No: _________________________
at any time you deem fit at your absolute discretion notwithstanding any terms and
conditions contained in any security documents regarding the payment of my / our financing
and without prejudice to your rights under the security documents.

Thank you.

Yours faithfully,

……………………………………
(NRIC No: )

Signature verified by;

…………………………………
Staff Name :
PS No :