FBCAR 001/2022_v2 (updated 29.09.

2022)

Credit Card/-i or Personal Financing/-i Checklist

Customer’s Full Name as per NRIC/Passport Identification No
Application Type Credit Card/-i Personal Financing/-i

APPLICATION DOCUMENT CHECKLIST

Confirmed the following document received. Please tick (√) if document received.
Credit Card/-i Personal Financing/-i
Salaried Salaried Tick
Document Required Self- Commission Self- Commission
Non- Non- (√)
MNCs Govt Employed Earner MNCs Govt Employed Earner
MNCs MNCs
Copy of MyKad or MyPR or Other
Country PR (front and back) /          
Passport copy
Recent 1-month salary slip    
i) Recent 3-month salary slip
ii) Recent 3-month bank statement  
evidenced by salary crediting
i) Recent 6-month salary /
commission slip
 
ii) Recent 6-month bank statement
evidenced by salary crediting
Recent 6-months bank statement  
Latest EPF Statement: Min. 12
   
months contribution
i) Latest Form B/BE
   
ii) Latest Tax Payment Receipt
i) Latest Notice of Assessment;
AND/
 
ii) Latest tax payment receipt
(For working in Singapore)
i) Latest Pension Letter/ Pension
Statement
 *
ii) Recent 3-month bank statement
showing crediting of pension
Letter of Employment / Appointment
(mandatory for employment for < 6        
months)
Copy of Certificate of Incorporation
of Private Company (previously
known as Form 9), Return of
Allotment of Shares (previously
known as Form 24) and Return  
Giving Particulars in Register of
Directors, Managers andSecretaries
and Changes of Particulars
(previously knownas Form 49)
For Supplementary and Upgrade i. Copy of MyKad or MyPR or Other Country PR
Card application (front and back)/ Passport copy
ii. Latest Income Documents (for new card / card
upgrade / additional card application with limit
increase)
Note 1. Minimum age required is 21 years for Principal 1. Salaried Non-MNCs – (salary slip and bank
Card and 18 years for a Supplementary Card. statement) or Latest EPF statement (min. 6
2. For any applicants employed outside Malaysia, a months).
valid work permit is required. 2. Commission Earner Submission –
3. A combined credit limit will be issued for 6 months’ salaryslip or 6 months commission
application of more than one (1) credit card. statement) and (latest 6 months crediting
4. Singapore Credit Bureau is required for bank statement or Latest BE Form).
Malaysian working in Singapore, Singapore 3. For Joy@Work application, submission of
permanent resident and Singaporean. payslip can be replaced with salary crediting
5. For Joy@Work application, submission of into RHB CASA/-i
payslip can be replaced with salary crediting 4. Financing application RM50,000 and above
into RHB CASA/-i required site visit
6. Contract staff, recent 6 months’ salary / 5. Contract staff, recent 6 months’ salary /
commission slip with crediting bank statements, commission slip with crediting bank
OR 12 months EPF statement statements, OR 12 months EPF statement
All documents submitted are non-returnable. All documents submitted are non-returnable.
All documents must be uploaded into dedicated All documents must be uploaded into dedicated
folder in FLASH folder in FLASH
* Applicable as additional income only

Note: Please attach this checklist to the application form. Page 1 of 2

 FBCAR 001/2022_v2 (updated 29.09.2022)
FOR CASHXCESS / BALANCE TRANSFER
Credit Card/-i Number Credit Card/-i Expiry Date
- - - /

Attended by Signature

Attended Name:

Branch Manager / Centre

Manager Name:

Branch /Premier Centre:

Date: / /
D D M M Y Y Y Y

Note: Please attach this checklist to the application form. Page 2 of 2

 Print Clear Save As
FGROP 008/2022_v3 (updated 13.07.2023)

RHB Bank Berhad 196501000373 (6171-M) |

RHB Islamic Bank Berhad 200501003283 (680329-V)

KYC FORM – APPLICANT INFORMATION (INDIVIDUAL)

PART A: APPLICANT INFORMATION
APPLICANT TYPE

Joint/Parent/Legal Guardian/Supplementary Relationship to Principal Applicant/Cardholder

Principal
Guarantor

APPLICANT PERSONAL DETAILS

Salutation Nationality
Dato’ Datin Mr Mrs Miss Malaysian
Others Non-Malaysian; Country:

RHB Group Staff Yes No Identification

Type of Identification
Full Name as per NRIC/Passport
MyKad MyPR MyTentera Passport MyKid
Identification Number

Alias Name 1
Passport Expiry Date D D / M M / Y Y Y Y
Foreign PR: Yes No
Alias Name 2
Foreign PR ID:

Alias Name 3 Foreign PR Country:

Secondary Nationality
Alternate Name
Country:
Passport ID
Former Name

Passport Expiry Date D D / M M / Y Y Y Y

OKU Visually Impaired Others

Race Tertiary Nationality

Bumiputera - Malay Bumiputera - Non Malay Chinese
Country:
Indian Others
Passport ID

Date of Birth D D / M M / Y Y Y Y
Passport Expiry Date D D / M M / Y Y Y Y
Country of Birth

Gender Male Female Residence Status

Education Level Status Foreign Exchange Policy Notices (FEPN)

Declaration
Primary Secondary / High School
Resident 1. I am a citizen of Malaysia, without permanent
College Graduate – Certificate / Diploma Holder resident status in any country or a territory
University Degree / Associate Degree Master’s Degree outside Malaysia.
Doctorate 2. I am a Foreign National with permanent
resident status in Malaysia and I am ordinarily
Marital Status residing in Malaysia.
Single Married Widowed Divorced Non - Resident 1. I am a Foreign National without permanent
resident status in Malaysia.
Separated
2. I am a citizen of Malaysia with permanent
Number of Dependent resident status of a country or territory
outside Malaysia and I am residing outside
Mother’s Maiden Name (for card application only) Malaysia.
3. Any person other than a Resident.

PAGE 1 of 2
 FGROP 008/2022_v3 (updated 13.07.2023)

CONTACT DETAILS EMERGENCY CONTACT (for financing application only)

Name
Home Phone Number

Mobile Phone Number

Office Phone Number

Relationship
International Phone Number
Contact Number

Email Address

STATEMENT DELIVERY (applicable for principal applicant or joint applicant apply for principal credit card)
e-Statement via RHB Now (e-Pull) e-Statement via email (e-Push) Hard copy (Only applicable to customers aged 60-year-old and above)

RESIDENCE DETAILS
Residence Type Own Property Mortgaged Employers Rented Parents
Mailing Address
Length of Stay in Current Residence Y Y M M
Same as Residential Address Same as Office Address
Residential Address If different, please specify below

City City

Postcode Postcode

State State

Country Country

EMPLOYMENT DETAILS
Employer Name Employment Type
Employer Government Employee
Occupation Private Employee RHB Employee
Self-employed Unpaid Family Worker
Unemployed Outside Labor Force (Student, Housewife, Retiree)
Nature of Business/Employment Sector
Employment Status
Permanent Contract
Office Address
Under Probation Part Time
Freelance Temporary

Source of Wealth
The origin of customer’s total assets
Accumulated Savings Insurance/Takaful
City Maturity/Surrender
Employment Income
Postcode Inheritance Return on Investment

Trust Fund Legal Settlement

State
Retirement Income Income From Own Business
Country Local Investment Proceeds
EPF/Retirement Funds
Disposal of Assets/Shares Foreign Investment Proceeds
Monthly Gross Income RM
Property (Rental Proceeds) Crypto Currency Investment
Other Income RM Proceeds
Winning Lottery Money
Gratuity
Date Joined D D / M M / Y Y Y Y Sale of Business

Source of Fund
Previous Employer Name (if less than 2 years in present employment) The origin of funds used for transacting with RHB
Please refer to the Appendix on the last page for the list of Source of Fund.
No. Source of Fund Source of Fund Source of Fund
Y Y M M Country Country Exposure (%)
Length of Services
1.
Total Assets Under Management (AUM) 2.
Expected deposits and investments for the next 12 months
3.
< RM 50k RM 50k – RM 100k RM 100k – RM 500k
4.
RM 500k – RM 1m RM 1m – RM 3m RM 3m - RM 5m
> RM 5m 5
PAGE 2 of 2
 Print Clear Save As
FGROP 010/2022_v3 (updated 13.07.2023)

PRODUCT FORM – PRINCIPAL APPLICANT (INDIVIDUAL)

PART B1: DEPOSITORY ACCOUNT/-i OPENING APPLICATION FORM
PROGRAMME TYPE
Enrolment in Joy@Work

ACCOUNT TYPE
Individual Account
Joint Account; Signing Condition:
Joint Applicant Name(s):
Joint Applicant MyKad/Passport No.:
Minor Account (aged 12 years old – below 18 years old)

PRODUCT TYPE

Current/Saving Account Please refer to the Appendix on the last page and select one option.

Current Account/-i Savings Account/-i Purpose of Account Opening:

Product Name:

Multi Currency Account Please refer to the Appendix on the last page and select one option.

Multi Currency Account Purpose of Account Opening:

Qard Multi Currency Account-i
Please tick (√) where applicable

Product Name Product Specific Declarations

INDA - Individual Account I/We DO NOT have domestic Ringgit borrowing with any financial institutions in Malaysia and in the event
I/we have any domestic Ringgit borrowing/financing, I/we undertake to inform the Bank immediately.
I/We do have domestic Ringgit borrowing with any financial institutions in Malaysia and my/our total
investment in foreign currency assets including this application do not exceed RM1 million equivalent
(computed in aggregate based on the resident individual, sole proprietor or general partnership’s
investment in foreign currency assets) in aggregate this calendar year.
I/We do have domestic Ringgit borrowing with any financial institutions in Malaysia and my/our total
investment in foreign currency assets including this application has exceeded RM1 million equivalent
(computed in aggregate based on the resident individual, sole proprietor or general partnership’s
investment in foreign currency assets) in aggregate this calendar year. I/We furnish the approval letter
from BNM (Ref: ) as supporting document.

EDEA - Education and Employment Account I/We hereby submit the documentary evidence and justification for education/ employment abroad
to comply with the requirements set out by Bank Negara Malaysia.

INEX - Individual Export Proceed Account I/We hereby confirm:

a) The proceeds credited into the account are strictly from exports.
b) To provide documentary evidence, as and when it is required by the Bank.

Note: The Bank may request from the Customer(s) additional supporting document(s) to verify the transaction(s) from the above account(s).
*Up to RM1 million for individual under Foreign Exchange Policy Notices (FEPN).

Debit Card Please tick (√) where applicable

Debit Card Debit Card-i Overseas Transactions

Debit Card Type: Card Not Present Transaction

Safe Deposit Box Please refer to the Appendix on the last page and select one option.
Please tick (√) where applicable
Purpose of Account Opening:
I am keen to subscribe the *Safe Deposit Box (SDB)

* Subject to the availability of vacant box at SDB branches. Please visit your preferred RHB branch to complete the opening of Safe Deposit Box.

PART B2: VISA PREPAID CARD APPLICATION FORM

APPLICANT TYPE

Individual Applicant Please refer to the Appendix on the last page and select one option.
Minor Applicant (aged 12 years old - below 18 years old) Purpose of Account Opening:
Prepaid Card No:
Please tick (√) where applicable
Overseas Transactions Card Not Present Transaction

PAGE 1 of 9
 FGROP 010/2022_v3 (updated 13.07.2023)

PART B3: UNIT TRUST/-i/DIRECT BOND/SUKUK/STRUCTURED INVESTMENT/-i

ACCOUNT OPENING APPLICATION FORM
ACCOUNT TYPE

Individual Account
Joint Account; Signing Condition: FOR EITHER ONE TO SIGN ONLY
Joint Applicant Name(s):
Joint Applicant MyKad/Passport No.:

PRODUCT TYPE

Unit Trust/-i Please refer to the Appendix on the last page and select one option.

Unit Trust Unit Trust (Islamic) Purpose of Account Opening:

Direct Bond/Sukuk Please refer to the Appendix on the last page and select one option.
Direct Bond/Sukuk Purpose of Account Opening:
Please complete Part C: Declaration of sophisticated investors under schedule 6 and/or schedule 7 of the capital markets and services act 2007 (“cmsa”)

Structured Investment/-i Please refer to the Appendix on the last page and select one option.

Structured Investment Structured Investment (Islamic) Purpose of Account Opening:

Please complete Part C: Declaration of sophisticated investors under schedule 6 and/or schedule 7 of the capital markets and services act 2007 (“cmsa”)

I/We authorise the Bank to Debit/Credit the applicable Shares, Principal and Interest/Profit amount into the below accounts accordingly. No third party
account is allowed for physical delivery of shares.

RHB Savings/Current/Multi Currency Account/-i For shares traded on Bursa Malaysia For shares traded on foreign stock
exchange

Savings/Current Account No. (MYR) Account Qualifier Name: Account Qualifier Name:

Multi Currency Account No. (FCY) CDS Account No.: Trading Account No.:

WARNING
FOR UNIT TRUST/-i
UNIT TRUST SCHEMES AND UNITS IN SUCH SCHEMES ARE NOT PROTECTED BY PERBADANAN
INSURANS DEPOSIT MALAYSIA (“PIDM”) AND ANY MONEY WITHDRAWN FROM AN INSURED
DEPOSIT FOR THE PURPOSE OF PURCHASING ANY UNITS IN A UNIT TRUST SCHEME IS NO
LONGER PROTECTED BY PIDM.
FOR DIRECT BOND/SUKUK
THIS IS NOT A PRINCIPAL GUARANTEED PRODUCT. THE HOLDER OF THE INVESTMENT IS
ASSUMING THE CREDIT RISK OF THE ISSUER OF THE INVESTMENT. IN THE EVENT OF WINDING
UP, LIQUIDATION OR RATING DOWNGRADE OF THE ISSUER OF THE INVESTMENT OR IF YOU
SELL THE INVESTMENT PRIOR TO MATURITY, YOU WILL SUFFER A POTENTIAL CAPITAL LOSS.
THE INVESTMENT IS NOT PROTECTED BY PERBADANAN INSURANS DEPOSIT MALAYSIA.
FOR STRUCTURE INVESTMENT
THE RETURNS ON YOUR STRUCTURED PRODUCT INVESTMENT WILL BE AFFECTED BY THE
PERFORMANCE OF THE UNDERLYING ASSET / REFERENCE, AND THE RECOVERY OF YOUR
PRINCIPAL INVESTMENT MAY BE JEOPARDISED IF YOU MAKE AN EARLY REDEMPTION. THIS
STRUCTURED PRODUCT INVESTMENT IS NOT PROTECTED BY PERBADANAN INSURANS
DEPOSIT MALAYSIA.
PAGE 2 of 9
 FGROP 010/2022_v3 (updated 13.07.2023)

PART B4: PERSONAL FINANCING/-i APPLICATION FORM

LOAN/FINANCING DETAILS

Please tick (√) where applicable Purpose of Account Opening: Personal Loan/Financing
Personal Financing Personal Financing/-i Amount Applied:
Enrolment in Personal Smart Shield (PSS) Yes No
RM
Personal Financing-i
Financing Tenure:
Enrolment in TAKAFUL Group Credit Family Takaful Yes No
Months
Civil Sector
Maintain the same monthly payment, in the event of Standardised Financing Disbursement Account:
Base Rate Islamic (SBRI) adjustment Yes No New
Private Sector/Potongan Gaji Majikan Existing;
Pensioners
Purpose of Application (Please tick (√) one)
005 Personal Consumption 037 Booking Fee - Car 038 Debt Consolidation 039 Education
040 Electrical Goods 041 Home Furnishing/Equipment 042 Medical Expenses 043 Online Financing
044 Personal Refinancing 045 Property/House Financing 046 Renovation 047 Travel

SETTLEMENT INSTRUCTION

Personal Financing Account No. Settlement Amount Monthly Payment

No. Institutions/Cooperatives
or Credit Card No. (RM) (RM)*

*For settlement of financing account based on CCRIS report

I expressly instruct the Bank to deduct any amount from the approved Facility to settle any outstanding balance on my behalf according to the details
as per compiled in the above instructions and/or as per the outstanding amount reported in the Central Credit Reference Information System (CCRIS)
report with an additional amount of up two (2) months monthly installment. I agree to pay the settlement balance in excess of the approved Facility (if
any) after the Bank has made payment in accordance to my instruction here and pursuant to the settlement letter by the respective institutions that is/
are enclosed herewith. I agree to request for refund or excess amount (if any) directly from the respective institutions pursuant to the settlement made
by the Bank in accordance to my instruction here. I also agree that I will not make or take any claims or actions towards the Bank in acting according to
my instruction herein, unless such claims or actions arises out of the act, omission, default, negligence and/or misconduct on the part of the Bank and/
or any of its employees, representatives and agents of the Bank.

PART B5: CREDIT CARD/-i APPLICATION FORM

REQUEST TYPE

New Card Additional Card Upgrade Card

PRODUCT TYPE

Please tick (√) where applicable Excess Limit Fee Consent

Credit Card Credit Card-i I/We hereby agree and consent the Bank may debit my/our card account
for excess limit transactions, where an excess limit fee of RM50 may be
Card Type: VISA MASTERCARD imposed whenever the Total Outstanding Balance exceeds the combined
card limit due to an excess limit transactions.
Product Name:
Yes No
Product Code:
For Credit Card (not applicable to Credit Card-i)
Name on Card: (maximum 19 characters)
Enrolment in Life Credit Shield by Tokio Marine Life Insurance Malaysia
Bhd. (TMLIM)
Yes No
Card Delivery to:
Residential Address For “Yes” to enrol, below are my disclosure and consent:-
Office Address • I/We hereby confirm that I/we am/are in good health and have not been
Mailing Address advised of or received any treatment for any major health conditions such
as heart disease, stroke, cancer, hepatitis, HIV infection or AIDS, diabetes,
Card Collection at Branch: (Applicable for Non Face to Face application)
hypertension, respiratory disease, and kidney disease; or any other
disorders or disabilities.; and
(Branch Name) • I/we understand that the amount of premium to be paid shall be based on
the aggregate outstanding balance of the Life Assured as at the monthly
Purpose of Account Opening: Personal Loan/Financing
billing dates at RM0.65 per RM100 outstanding balance.; and
• I/we hereby request and authorize the Bank to debit my/our RHB Credit
Card account to TMLIM for premium due under the Life Credit Shield.

PAGE 3 of 9
 FGROP 010/2022_v3 (updated 13.07.2023)

PART B6: HOME/PROPERTY LOAN/FINANCING APPLICATION FORM

LOAN/FINANCING TYPE
Individual Loan/Financing
Joint Loan/Financing;
Joint Applicant Name:
Joint Applicant MyKad/Passport No.:

PRODUCT TYPE AND DETAILS

Please tick (√) where applicable Please refer to the Appendix on the last page and select one option.
Conventional Loan Islamic Financing
Purpose of Account Opening: Personal Loan/Financing
Facility Type
Home Loan/Financing-i
Purpose of Facilities (Please tick (√) one)
Commercial Term Loan/Financing-i
Purchase of Property from Developer Subsale
Term Loan/Financing-i Residential
Refinancing (with Cash-Out) Top-Up (for existing account)
Home Loan/Commercial Term Loan + Overdraft
Refinancing (without Cash- Out) Purchase of Land
Product Name:
Tenure: Months
Loan/Financing Amount: RM Purchase Price/Indicate Market Value (for Refinancing):
Term Loan/Financing: RM RM

MRTA/CLTA/MRTT/MLTT: RM Declaration on Net Purchase Price of Property RM*

Property Gross Purchase Price
Legal/Valuation Fee: RM Discounts, adjustments, rebates or any
other form of benefits which may distort the
Total: RM true property value (including gifts and any
arrangement by developers to bear the cost
related to the purchase of the property)
Property Net Purchase Price

Mortgage Reducing Term Assurance/ Financed by Bank Pay by Cash

Takaful Yes
(MRTA/MRTT) Covered Amount:
RM Term Covered: Years
Credit Level Term Assurance/
Mortgage Level Term Takaful 1. I/We have decided not to take up the MRTA/CLTA/MRTT/MLTT.
(CLTA/MLTT) No
2. I/We are fully aware and have been briefed on the benefits of MRTA/ CLTA/MRTT/MLTT.

PARTICULARS OF PROPERTY/SECURITY

Property/Security Type: Property Address:

Residential Commercial
Construction Status:
Completed Under Construction %
Owner Occupied: Yes No First House: Yes No
City
No. of Storeys:
Postcode
Built-up Area (sq ft/sqm): Land Area (sq ft/sqm):
State

Country

Property Sub-type:
Residential Commercial
Apartment Semi-Detached Bungalow Factory Shop Apartment Light Industrial Building
Service Apartment Condominium Flat Shop House Office Suites Shop Office
Townhouse Other: Retail Lot Other:

TITLE PARTICULARS

Title Type: Master Individual Strata Land Use: Residential Industrial Commercial Agriculture
Title Transfer Restriction: Native Reserve State Consent Malay Reserve Bumiputera No Restriction

Title No.: Sub-district:

District: Land Tenure: Freehold

State: Leasehold, Leasehold Expiry:

Lot No.: D D / M M / Y Y Y Y

PAGE 4 of 9
 FGROP 010/2022_v3 (updated 13.07.2023)

PART B7: OVERDRAFT AGAINST FIXED DEPOSIT

APPLICATION TYPE

Individual Applicant
Joint Applicant; Joint Applicant Name:
Joint Applicant MyKad/Passport No.:

OVERDRAFT DETAILS

Overdraft Amount: RM Fixed Deposit: RM

PART B8: HIRE PURCHASE LOAN/FINANCING APPLICATION FORM

These facilities are governed by Hire Purchase Act 1967

LOAN/FINANCING TYPE

Individual Loan/Financing; Guarantor Name: 1) ; 2)

Guarantor MyKad/Passport No.: 1) ; 2)

PRODUCT TYPE AND DETAILS

Please tick (√) where applicable

Conventional Loan, Hire Purchase Loan
Islamic Financing; Inclusive Hire Purchase Reducing Term Takaful (HPRTT) Yes No
Hire Purchase-i (Fixed Rate)
Please refer to the Appendix on the last page and select one option.
Vehicle Financing-i (Variable Rate)
Purpose of Account Opening:
Purchase Price (OTR): RM

Loan/Financing Amount: RM Driving License No.:

Loan /Financing Tenure: Years

Vehicle Condition: New Used* Unregistered Recon Used Recon* Pre-registered*

*If selected Used, Used Recon, Pre-registered, please fill up below details

PARTICULAR OF VEHICLE

Vehicle Make/Brand: Registration Date: D D / M M / Y Y Y Y

Vehicle Model: Registration No.:

Year Make: Chassis No.:

Engine No.:

TRADE-IN GOOD DETAILS

Description of Trade-in: Year of Manufacture:

Make & Model: Chassis No.:

Engine: Trade-in Deposit: RM

PAGE 5 of 9
 FGROP 010/2022_v3 (updated 13.07.2023)

PART C: DECLARATION & CONSENT BY APPLICANT(S) **

** These declaration and Consent shall apply to all RHB Bank Berhad and/or RHB Islamic Bank Berhad, as the case may be, (“the Bank”) product(s)
which you apply for as stated in the application form(s). The Bank being the licensed financial institution granting the account/loan/financing product(s)
referred to in the application form(s) completed by me/us.

1. FOR ALL PRODUCTS:

i. I/We hereby confirm and declare that all the information provided by me/us is complete, true and correct and I/We authorise the Bank
to verify any information provided and to obtain from any source including Inland Revenue Board as the Bank considers appropriate any
information, which the Bank may require such its discretion and approve or reject my/our application.
ii. I/We hereby confirm that I/We have received or downloaded, briefed, read, informed and understood the following applicable documents
governing the operation of the relevant account(s). I/We agree to be bound by them and/or such other terms and conditions of which the
Bank may modify or amend or update from time to time with 21 calendar days’ prior written notice to me/us. I/We am/are aware the below
documents of the product(s) that I/We applied for is/are available in RHB Website [Link]:
a) The Bank’s Terms and Conditions: [Link]/others/terms-conditions/[Link]
b) The Bank’s Product Disclosure Sheet: [Link]
c) The Bank’s Privacy Notice: [Link]
d) For minor accounts, indemnity by parents or legal guardian under Indemnity and Limitation of Liability in the Bank’s Terms and Conditions:
[Link]/others/terms-conditions/[Link]
e) Perbadanan Insurans Deposit Malaysia (PIDM) brochure: [Link]
f ) Notification of incidental fees/charges that will be incurred at [Link]
iii. I/We consent to and authorizes the RHB Bank Berhad 196501000373 (6171-M) / RHB Islamic Bank Berhad 200501003283 (680329-V) to
disclose my/our application status with my/our referrer in the event that I/we was/were referred by any referrer authorized by the Bank.
Consent for cross selling, marketing, promote products and services of strategic partners
iv. 
Please √ where applicable
I/We consent and authorize the Bank to process and disclose any information that I/we have provided for the purposes of cross selling,
marketing, promotions (including administering offers and competitions), and conducting surveys (to improve the quality of products/
services) to RHB Banking Group (which shall include the holding company(s), its subsidiary(s), any associated company(s) and/or any
company/branch as a result of any restructuring, merger, sale or acquisition, whether in or outside Malaysia), strategic partners, service
providers and its agent, servant and/or such persons or third parties, if applicable

2. FOR DEPOSITORY ACCOUNT/-i OPENING

I/We have been informed on the purpose of registration One Time Password (OTP) for RHB Now Internet Banking.

3. FOR CARDS
i. I/We agree that by activating, signing on and/or using the card(s) issued by the Bank, I/we agree to be bound by and to comply with all the
Terms and Conditions in relation to such card(s).
ii. F
 or customers who enroll for Life Credit Shield by Tokio Marine Life Insurance Malaysia Bhd. (TMLIM):
a) I/We hereby authorise the Bank to disclose to TMLIM any information relevant to obtain this insurance coverage.

b) I/We agree and authorise for TMLIM to collect, record, hold and store my/our personal data including any sensitive personal data collected

via the revised form for the purpose of processing the insurance application.
c) I/We am/are aware the below documents of the product(s) that I/We applied for is/are available in the following links:

(i) TMLIM’s Terms of Use: [Link]
(ii) TMLIM’s Privacy Notice: [Link]
(iii) TMLIM’s Product Disclosure Sheet:
[Link]

4. FOR DIRECT BOND/SUKUK OR STRUCTURED INVESTMENT/-i

DECLARATION OF SOPHISTICATED INVESTORS UNDER SCHEDULE 6 AND/OR SCHEDULE 7 OF THE CAPITAL MARKETS AND SERVICES
ACT 2007 (“CMSA”)

For High Net Worth Individual, I hereby declare that

My total net personal assets or total net joint assets with my spouse exceeds Ringgit Malaysia Three Million (RM3,000,000.00) or its
equivalent in foreign currencies excluding the value of my primary residence; or
My gross annual income exceeds Ringgit Malaysia Three hundred Thousand (RM300,000.00) or its equivalent in foreign currencies per
annum in the preceding twelve (12) months; or
My joint gross annual income with my spouse exceeds Ringgit Malaysia Four Hundred Thousand (RM400,000.00) or its equivalent in foreign
currencies per annum in the preceding twelve (12) months; or
My total net personal investment portfolio or total net joint investment portfolio with my spouse in any capital market products exceeds
Ringgit Malaysia One Million (RM1,000,000.00) or its equivalent in foreign currencies

5. FOR LOAN/FINANCING TRANSACTIONS AND EXPOSURES WITH CONNECTED PARTIES

Do you have any immediate family or close relatives (including parents, brother, sister, dependent and own/step/adopted child and their spouses)
that are employees of RHB Banking Group?

Yes, Relationship No

PAGE 6 of 9
 FGROP 010/2022_v3 (updated 13.07.2023)

6. FOR LOAN/FINANCING PRODUCTS OR JOY@WORK ENROLMENT

I/We, authorize and consent the Bank to obtain any credit information from CTOS and/or other registered Credit Reporting Agencies as defined
under the Credit Reporting Agencies Act 2010 without further notice to me/us to such extent and for the purpose of the followings (whichever
is applicable):
Credit application processing; Credit limit review; Restructuring; Overlapping; upgrading application.

7. FOR LOAN/FINANCING PRODUCTS

Financial obligation self-declaration.
Followings are my/our outstanding debts with financial institutions and/or non-financial institutions in Malaysia.

Bank/ Type of Facility/Financing

Outstanding Balance Monthly Payment
Finance Company/Other (Housing/Car/Personal/ Financing Amount (RM)
(RM) Amount (RM)
Banks Others)

8. INDIVIDUAL SELF-CERTIFICATION
(Except for loan/financing facilities & credit card/-i product)
Please tick (√) where applicable
In compliance with Foreign Account Tax Compliance Act (FATCA) and Common Reporting Standard (CRS), the Bank is required to collect and report
certain information of an account holder to the local tax authority. You may refer to the Definitions and Interpretation for a summary of terms used in
the Personal Banking Standard Terms & Conditions at [Link]
If there is a change in your information, please notify the Bank and provide an updated self-certification.
As a financial institution, the Bank is not allowed to give tax advice to our customers. Please consult your tax or legal adviser on matters related
to FATCA and CRS.

Foreign Account Tax Compliance Act (FATCA) Declaration Tax Residency Declaration

I am a U.S. Person. (i.e. U.S. green card holder or U.S. passport I confirm that I am a Malaysia Tax Resident status only.
holder). ①

I am not a U.S. Person. I confirm that I am a Malaysia Tax Resident status and have tax
residency with other country / jurisdictions. ②

I am a Non - U.S. Person but one or more of the below is/are I confirm that I am not a Malaysia Tax Resident status and have
applicable to me: tax residency with other country / jurisdictions. ③
I was born in U.S. (or a U.S. territory) but am no longer a U.S.
citizen as I have voluntarily surrendered my citizenship as
evidenced by the attached documents.
I have a current U.S resident or mailing address.
I have a current U.S contact number.
I have a standing instruction to transfer funds to an account
maintained in the U.S.
I have a power of attorney or signatory authority granted to
a person with a U.S address.
If you have selected ① or ② or ③ above, please declare the country/jurisdictions and the respective TINs that you are a tax resident of
(other than Malaysia):

If exceed three country / jurisdictions, please use a separate sheet.

No. Country / Jurisdiction of Taxpayer ID No. (TIN) If a TIN is unavailable, please state reason*
Tax Resident

* A-Country/Jurisdiction does not issue TIN | B-Country/Jurisdiction does not require the collection of TIN | C-TIN application in progress |
D-not required to register tax file | E-housewife / househusband | F-minor | G-student | H-retiree | I-foreign diplomat in embassy | O-Others
(please specify)

Note: If you are not the Account Holder, please indicate the capacity in which you are signing the form. If signing under a power of attorney,
please also attach a certified copy of the power attorney.
Capacity:

PAGE 7 of 9
 FGROP 010/2022_v3 (updated 13.07.2023)

9. APPLICANT ACKNOWLEDGEMENT AND UNDERTAKING:

i. I/We, the undersigned declare that the above information provided by me/us are true and correct and if the Bank subsequently discovers
that any of the information provided are false, incorrect or incomplete, the Bank may cancel or vary the Facility approved by giving written
notice to me/us.
ii. I/We agree that the emailed copy(ies) of the application form and/or supporting document(s) received by the Bank are deemed to be
the original application form and/or supporting document(s) and I/we am/are to produce the original application form and/or supporting
document(s) to the Bank upon request.
iii. I/We have also been advised that I/We may contact RHB Customer Contact Centre by telephone at +603-9206 8118 or by email at
[Link]@[Link] or visit any branch of the Bank if I/We do not understand any of the product features, benefit, product
disclosure sheet and/or Terms and Conditions.
iv. I/We acknowledge that the information contained in this form and information regarding my account(s) with the Bank may be provided
to Inland Revenue Board of Malaysia (IRBM) and they may exchange this information with tax authorities of other country/jurisdictions
pursuant to intergovernmental agreements to exchange financial account information
v. I/We undertake to advise the Bank within thirty (30) days of any change in circumstances which affects the tax residency status of the
individual identified in above Individual Self-Certification of this form or causes the information contained herein to become incorrect or
incomplete, and to provide the Bank with a suitably updated self-certification and declaration within thirty (30) days of such change in
circumstances.

Applicant’s Signature: Full Name as per NRIC/Passport:

Identification No.:

Date: D D / M M / Y Y Y Y

FOR BANK USE ONLY

I hereby declare that I have sighted the original copies of the documents and all information provided above is truthful and trustworthy.

Attended By: Checked & Verified By:

Name: Name:

Staff ID: Staff ID:

Date: D D / M M / Y Y Y Y Date: D D / M M / Y Y Y Y

Personal Financing/-i Unit Trust/-i

Referral
Staff ID: Campaign Code:
Product FIMM No.:
Package
Code: Code:
Direct Bond/Sukuk/Structured Investment/-i
Credit Card/-i PGM Source
Code: Code: IPPC No.:
Source
Code:
Visa Prepaid Card Hire Purchase Loan/Financing
Program
Code: PIN Serial No.: Campaign Code:

PAGE 8 of 9
 FGROP 010/2022_v3 (updated 13.07.2023)

APPENDIX

Purpose of Account Opening

■ Payroll/Salary ■ Standing Instruction
■ Savings/Fixed/Term Deposits ■ EPF Withdrawals
■ Remittance (Local/Foreign) ■ Personal Loan/Financing
■ Household/Family Expenses ■ Administration of Estate Acct
■ Investment ■ Loan Repayment/Financing Payment/Drawdown

Source of Fund
■ Income/Salary ■ Return on Investment
■ Own Bank Transfer (within RHB) ■ Fixed Deposit/Term Deposit Placement Roll Over/Renewal
■ EPF/SOCSO/Pension/Gratuity ■ Insurance/Takaful Maturity/Surrender
■ Savings/Investment ■ Legal Settlement
■ Scholarship/Allowance/Education Loan/Financing ■ Credit Facility Approve by Financial Institutions
■ Trust Funds ■ Transfer From Own Account with Other Financial Institutions
■ Divorce Settlement/Compensation ■ Spouse/Parents/Children
■ Sale of Investment/Shares/Property/Land ■ Financial Aid/Subsidies
■ Dividends/Profits ■ Part-time Income
■ Rental Proceeds ■ Inheritance
■ Commission ■ Gift/Donation
■ Directors Fee/Salary ■ Winning-legal Gambling/Contest
■ Welfare Allowance ■ Crypto Currency/Digital Asset Investment Proceeds

PAGE 9 of 9