BANK'S USE ONLY
 Customer Number                  
 
 BUSINESS TYPE   c  Sale Proprietor                                       c  Partnership                                 c Limited Company
  c Society                                                    c   Other     -------------------------------------------------------------
  Bidang / Aktiviti Perniagaan / Nature of Business / Activities -------------------------------------------------------------

PARTICULARS OF BUSINESS, COMPANY, SOCIETY ETC. 
 Name: (Registered Name) ---------------------------------------------------------------------------------------------------------------------------------------

 Registration No. ------------------------------------------------------------ Date of Registration ---------------------------------------------------------

 Place of Registration:  ----------------------------------------------------- Telephone No. (1) ---------------------------------------------------------

 Correspondence Address: -------------------------------------------------------------------------------------------------- -------------------------------------

-------------------------------------------------------------------------------------------------------- Poskod / Postcode: --------------------------------------------
 PARTICULARS OF  PROPRIETOR, PARTNERS, DIRECTORS, COMMITTEE MEMBERS ETC.   Name                                                     IC/PP No., Place of Issue & Colour                      Citizenship / Race 

 1. --------------------------------------------------     -----------------------------------------------------------------------   ------------------------------------------

 2. --------------------------------------------------     -----------------------------------------------------------------------   ------------------------------------------

 3. --------------------------------------------------     -----------------------------------------------------------------------   ------------------------------------------

 4. --------------------------------------------------     -----------------------------------------------------------------------   ------------------------------------------

 5. --------------------------------------------------     -----------------------------------------------------------------------   ------------------------------------------
 CONDITION OF SIGNATURE 
 c Any One                                               c  All                                         c As per resolution/ 
                                                                                                                                    Others -----------------------------
  SIGNATURE AND 
  DECLARATION

 

 

 

 

 

  I/ We hereby: 
  . declare that the information provided herein is true and correct. 
  . acknowledge having received and read the terms and conditions governing the conditions governing the 
    conduct of Banking accounts in my / our name (s) 
  . agree to be bound by the provisions of the terms and conditions and any amendments to the same for any 
    account (s) opened with you now and hereafter.
  . declare that I/we have not committed nay act of bankruptcy at the time the account (s) is/are opened. 
  . agree to examine and notify you of any errors, irregularities or discrepancies in the statement of account sent 
    to me/us and to notify you if I/we fail to receive such monthly statement. 

 

  Signature (1) --------------------------------------------------------------   Signature (4) --------------------------------------------------------------

  Signature (2) --------------------------------------------------------------   Signature (5) --------------------------------------------------------------

  Signature (3) --------------------------------------------------------------   Signature (6) --------------------------------------------------------------

           ---------------------------------------------------------------------------   Date  --------------------------------------------------------------
  Stamp of Business / Company / Society 
 
 DOCUMENTS REQUIRED (To be certified)   Company's  ACCOUNT                                   Society's Account                    Sale proprietor / partnership 

  c Memorandum / Articles of Association  c   Certificate of Registration              c  Identity Card/ Passport 

  c  Cert. of Incorporation (Original              c  Copy of the Rules & Regulations    c Cert. of Registration
          to be sighted)                                                or Constitution                       
 
 c Cert. to Commence Business (for             c  List of the Current Board Members c Deed of Partnership if
        Public Companies only )                                                                                     (for Partnership Accounts only)

 c  List of Directors & Secretary                  c  Letter of Approval from Registrar
                                                                               specifying investment of funds ( for cooperative only)

 c  Resolution of the Board of Directors        c  Resolution of the Committee / Governing Body 

 
 BANK'S USE ONLY 
 ACCOUNTS OPENED: c  C/ A No ----------------------- FD A/C No. ------------------------- c ----------------------

 

 Attended By: -----------------------------------------------------------------    Other Information: -----------------------------------------------------------------
 Approved By: ----------------------------------------------------------------------------

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