APPLICATION FORM FOR PROPERTY FINANCING-i FACILITY FOR NON-INDIVIDUAL BORANG PERMOHONAN UNTUK KEMUDAHAN PEMBIAYAAN HARTANAH-i BAGI BUKAN INDIVIDU
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1 APPLICATION FO FOR PROPERTY FINANCINGi FACILITY FOR NONINDIVIDUAL BORANG PEOHONAN UNTUK KEMUDAHAN PEMBIAYAAN HARTANAHi BAGI BUKAN INDIVIDU Type of Customer Jenis Pelanggan New Baru Existing (CIF No.) Sedia Ada (No. CIF): Classification of residency status under Foreign Exchange Administration Rules. Klasifikasi status pemaustatin di bawah Peraturan Pentadbiran Pertukaran Asing. (Please tick ( ) the appropriate boxes below. Sila tandakan ( ) pada kotak yang bersesuaian di bawah. NonResident Bukan Pemaustatin Resident Pemaustatin Resident Controlled Company (RCC) Syarikat Kawalan Pemaustatin NonResident Controlled Company (NRCC) Syarikat Kawalan Bukan Pemaustatin You are a NonResident if you are: Anda adalah Bukan Pemaustatin jika; A company incorporated outside Malaysia Sebuah syarikat diperbadankan di luar Malaysia You are a Resident if Anda adalah Pemaustatin jika; A body Incorporatedregistered with Companies Commission Malaysia Suruhanjaya Syarikat Malaysia (e.g. company limited liability partnership general partnership soleproprietorship) Sebuah badan yang diperbadankan berdaftar dengan Suruhanjaya Syarikat Malaysia Suruhanjaya Syarikat Malaysia (contohnya syarikat syarikat perkongsian terhad perkongsian am pemilik tunggal) An overseas Branch, Subsidiary, Regional Office, Sales Office, Representative Office of a Resident Company Cawangan, Subsidiari, Pejabat Serantau, Pejabat Jualan, Pejabat Perwakilan Syarikat Pemastautin di luar negara Malaysian branch of company incorporated outside Malaysia and registered with Companies Commission Malaysia Suruhanjaya Syarikat Malaysia under S562(3)(a) & (b) Companies Act 2016 Syarikat Cawangan di Malaysia yang diperbadankan di luar Malaysia dan berdaftar dengan Suruhanjaya Syarikat Malaysia Suruhanjaya Syarikat Malaysia di bawah S562 (3) (a) & (b) Akta Syarikat 2016 Labuan entities established under Labuan IBFC's legal framework comprising the following eight Acts Entitientiti Labuan yang ditubuhkan di bawah rangka undangundang Labuan IBFC yang terdiri daripada lapan akta berikut: Labuan Financial Services Authority Act 1996 (Act 545) Labuan Business Activity Tax Act 1990 (Act 445) Labuan Companies Act 1990 (Act 441) Labuan Trusts Act 1996 (Act 554) Labuan Foundations Act 2010 (Act 706) Labuan Limited Partnerships and Limited Liability Partnerships Act 2010 (Act 707) Labuan Financial Services and Securities Act 2010 (Act 704) Labuan Islamic Financial Services and Securities Act 2010 (Act 705) Foreign Embassies, Consulates, High Commission, Supranational International Organization in Malaysia Kedutaan Besar, Konsulat, Suruhanjaya Tinggi, Pertubuhan Supranasional Antarabangsa di Malaysia NonResident Controlled Company (NRCC) is a resident company in Malaysia where: Syarikat Kawalan Bukan Pemastautin (NRCC) adalah syarikat pemastautin di Malaysia sekiranya; More than 50 of its shareholding is held by non resident andor NRCCs Lebih daripada 50 pegangan sahamnya dipegang oleh bukan pemastautin dan atau NRCC It is a branch of a company which is incorporated outside Malaysia Ia adalah sebuah cawangan bagi sebuah syarikat yang diperbadankan di luar Malaysia Even if the majority shareholding is held by residents but the ultimate right of control is held by nonresident andor NRCC Walaupun pemegangan saham majoriti adalah dipegang oleh pemaustatin tetapi hak mutlak kawalan dipegang oleh bukan pemastautin dan atau NRCC Even if the ultimate right of control is held by residents, the majority shareholding is held by nonresidents and andor NRCCs Walaupun hak mutlak kawalan dipegang oleh pemaustatin, majoriti pemegangan dipegang oleh bukan pemastautin dan atau NRCC Note: For Ringgit Account Opened by NonResident, please complete DECLARATION BY NONRESIDENTS MAINTAINING OPERATING RINGGIT ACCOUNT IN MALAYSIA. Nota: Bagi Akaun Ringgit yang Dibuka oleh Bukan Pemastautin, sila lengkapkan PENGAKUAN OLEH BUKAN PEMAUSTATIN YANG MENYELENGGARA MENGURUSKAN AKAUN RINGGIT DI MALAYSIA. SECTION A BAHAGIAN A PERSONAL PARTICULARS FOR NONINDIVIDUAL BUTIRBUTIR PERIBADI BAGI BUKAN INDIVIDU of Company Business Syarikat Perniagaan Type of Business Jenis Perniagaan Sole Proprietor Pemilikan Tunggal Partnership Perkongsian Public Listed Syarikat Senarai Awam Cooperative Koperasi Private Limited Co. Syarikat Sdn. Bhd Lainlain Registration No. No. Pendaftaran of Incorporation Ditubuhkan of Operation Beroperasi Place of Incorporation Tempat Diperbadankan Bumiputera Status Status Bumiputera Yes Ya No Tidak Nature of Business Jenis Perniagaan Industry Industri Paidup Capital Modal Berbayar Construction Pembinaan Transportation Pengangkutan Plantation Perladangan GST Registration No. No. Pendaftaran GST of Operation Tempoh Beroperasi Manufacturing Pengeluar Statutory Body Badan Berkanun Service Perkhidmatan Lainlain No. of Fulltime Employee No. Pekerja Tetap Trading (WholesalerRetailerPetrol Station) Perdagangan (PemborongPeruncitStesen Minyak) Staff Kakitangan Page 1 of 7 Muka Surat 1 dari 7
2 Correspondance Address Alamat Surat Menyurat Business Address Alamat Perniagaan Office Telephone Telefon Office Fax Faks Address Alamat Emel DETAILS OF DIRECTORSPARTNERS BUTIRAN PENGARAHRAKAN KONGSI Director Partner 1 PengarahRakan Kongsi 1 Full (As per ID Document) Penuh (Seperti dalam Dokumen Pengenalan Diri) of Birth Lahir of Birth Kelahiran Expiry Tamat of Issue yang Mengeluarkan Home Address Alamat Rumah Mobile Phone Telefon Bimbit Home Telephone Telefon Rumah Address Alamat Emel Nationality Kewarganegaraan Malaysian Malaysia Permanent Resident Penduduk Tetap NonCitizen (Specify) Bukan Warganegara (Nyatakan) Race Bangsa Malay Melayu Chinese Cina Indian India Lainlain Religion Agama Islam Islam Hindu Hindu Christian Kristian Buddhist Buddha Yes Ya No Tidak of origin asal Shareholding Pemegang Saham Guarantor Penjamin Occupation Pekerjaan Lainlain Employment Berkerja of Birth Lahir Director Partner 2 PengarahRakan Kongsi 2 Full (As per ID Document) Penuh (Seperti dalam Dokumen Pengenalan Diri) of Birth Kelahiran Expiry Tamat of Issue yang Megeluarkan Home Address Alamat Rumah Page 2 of 7 Muka Surat 2 dari 7
3 Mobile Phone Telefon Bimbit Home Telephone Telefon Rumah Address Alamat Emel Nationality Kewarganegaraan Malaysian Malaysia Race Bangsa Malay Melayu Chinese Cina Indian India Lainlain Religion Agama Islam Islam Hindu Hindu Christian Kristian Buddhist Buddha Yes Ya No Tidak Permanent Resident Penduduk Tetap NonCitizen (Specify) Bukan Warganegara (Nyatakan) of origin asal Shareholding Pemegang Saham Guarantor Penjamin Occupation Pekerjaan Lainlain Employment Berkerja of Birth Lahir Director Partner 3 PengarahRakan Kongsi 3 Full (As per ID Document) Penuh (Seperti dalam Dokumen Pengenalan Diri) of Birth Kelahiran Expiry Tamat of Issue yang Mengeluarkan Home Address Alamat Rumah Mobile Phone Telefon Bimbit Home Telephone Telefon Rumah Address Alamat Emel Nationality Kewarganegaraan Malaysian Malaysia Race Bangsa Malay Melayu Chinese Cina Indian India Lainlain Religion Agama Islam Islam Hindu Hindu Christian Kristian Buddhist Buddha Yes Ya No Tidak Permanent Resident Penduduk Tetap NonCitizen (Specify) Bukan Warganegara (Nyatakan) of origin asal Shareholding Pemegang Saham Guarantor Penjamin Lainlain Employment Berkerja Occupation Pekerjaan YOUR COMMITMENTS WITH OTHER CREDIT PROVIDERS (NONBANKS ONLY)** KOMITMEN DENGAN PEMBIAYA KREDIT LAIN (BUKAN BANK SAHAJA)** ** (e.g. AEON Credit, PTPTN, MARA, etc.) (cth. AEON Credit, PTPTN, MARA, dll.) Commitment 1 Komitmen 1 of Entity Entiti Monthly Payment Bayaran Bulanan Type of Financing Jenis Pembiayaan Remaining Financing Term Baki Tempoh Pembiayaan Type of Financing Jenis Pembiayaan Remaining Financing Term Baki Tempoh Pembiayaan Commitment 2 Komitmen 2 of Entity Entiti Monthly Payment Bayaran Bulanan SECTION B BAHAGIAN B FINANCING DETAILS MAKLUMAT PEMBIAYAAN Facility Applied Kemudahan yang dipohon Package Applied Pakej Dipohon Product Bundling Gabungan Produk Commodity Murabahah No Tidak Yes (Specify) Ya (Nyatakan) Information on Takaful Coverage Maklumat untuk Perlindungan Takaful Takaful Coverage Perlindungan Takaful Yes Ya Takaful Coverage Perlindungan Takaful Mortgage Reducing Term Takaful (MRTT) Takaful Bertempoh Gadai Janji Berkurangan (MRTT) Takaful Company Syarikat Takaful No Tidak Request for Waiver (Specify) Permintaan untuk Penepian (Nyatakan) Lainlain Panel Panel NonPanel Bukan Panel Page 3 of 7 Muka Surat 3 dari 7
4 Contribution paid by: Sumbangan Takaful dibayar oleh: Selffinancing Dibiayai Sendiri Financed Dibiayai Insured Applicant (s) Pemohon Yang Dilindungi 1 1 Term Tempoh Insured Amount Amaun Dilindungi Insured Amount Amaun Dilindungi 2 2 Term Tempoh Details of Financing Butirbutir Pembiayaan Months Bulan Purchase Price Harga Belian Tenure Tempoh Profit Rate Kadar Keuntungan Financing Amount Jumlah Pembiayaan Fixed Rate Kadar Tetap MRTT Variable Rate Kadar Berubah : Lainlain: Monthly Instalment Ansuran Bulanan Effective Rate Kadar Efektif SECTION C BAHAGIAN C PARTICULARS OF PROPERTYSECURITY BUTIRAN HARTANAH SEKURITI Purpose of Facility Tujuan Pembiayaan Purchase of Property from Developer Pembelian Hartanah daripada Pemaju Subsale Pembelian Hartanah dari pihak ketiga Purchase of Land Pembelian Tanah RefinancingRemortgage (Purpose): Pembiayaan SemulaPencagaran Semula (Tujuan): Property Type Jenis Hartanah Residential Kediaman Commercial Perniagaan Landed Bertanah Landed Bertanah NonLanded Tidak Bertanah NonLanded Tidak Bertanah Auction Lelong Building Type Jenis Bangunan Land Area Keluasan Tanah Construction Status Taraf Pembinaan of Developer Vendor PemajuPenjual Built up Area Keluasan Bangunan sq ft sqm kps Completed Siap Under Construction Dalam Pembinaan sq ft sqm kps Relationship of Vendor with Applicant Hubungan Penjual dengan Pembeli Yes (Specify) Ya (Nyatakan) Project Details Butirbutir Projek Walkin Secara Terus No Tidak EndFinancing Pembiayaan Akhir Project Projek Project Sale Status Status Jualan Projek Units Sold Unit dijual Total Units Jumlah Unit Property Address Alamat Hartanah Purchase Price Harga Belian of SPA SPA Valuation for completed property Penilaian bagi hartanah siap Valuer 2 Penilai 2 Valuer 1 Penilai 1 Page 4 of 7 Muka Surat 4 dari 7
5 Encumbered To Dicagarkan Kepada Title Particulars Butiran Hakmilik Master Induk Individual Individu Strata Strata Lainlain Title No. No. Hakmilik Lot No. No. Lot Mukim Mukim District Daerah Expiry date Luput Land Type Jenis Tanah Freehold Pegangan Bebas Leasehold Pegangan Pajak Land Use Kegunaan Tanah Residential Perumahan Commercial Komersial Industrial Industri Agriculture Pertanian Lainlain Title Transfer Restriction Sekatan pada hakmilik Native Rizab Orang Asli Consent Izin Kerajaan Malay Reserve Rizab Melayu Bumiputra Lot Lot Bumiputra No Restriction Tiada Sekatan Security Type Jenis Sekuriti Charge Gadaian Assignment Penyerahan Hak 1st Party Pihak Pertama 3rd Party Pihak Ketiga SECTION D BAHAGIAN D PRIVACY CONSENT NOTICE NOTIS PRIVASI DATA & PERSETUJUAN You hereby agree and consent to MBSB Bank collecting, using, processing and disclosing your personal information including and not limited to your sensitive personal data as stated in the application form for the purposes disclosed in detail in the MBSB Bank Privacy Notice that can be accessed at In the event you do not wish us, our affiliates, consultants or any third parties that we have contracted or engaged to communicate marketing offers to you andor you wish to make any inquiries or complaints, request access, amend or you elect to limit our right to process your personal data; you may contact us at or us at enquiry@mbsbbank.com. Any request to access or amend personal data may be subject to a fee and also requirements under the Personal Data Protection Act We may review and update this Notice from time to time to reflect changes in the law, changes in our business practices, procedures and structure, and the community s changing privacy expectations. While it is not generally feasible to notify you of changes to this Notice, the latest version of the MBSB Bank Privacy Notice will be available on MBSB Bank s website. By signing this application form, you represent and warrant that you have read and understood this Notice and MBSB Bank s Privacy Notice. Anda dengan ini bersetuju dan membenarkan MBSB Bank mengumpul, menggunakan, memproses dan mendedahkan maklumat peribadi anda termasuk dan tidak terhad kepada data peribadi yang sensitif seperti yang dinyatakan di dalam borang permohonan bagi tujuan yang dibincangkan secara terperinci di dalam Notis Privasi MBSB Bank yang boleh dilayari di laman web rasmi MBSB Bank; Sekiranya anda tidak ingin kami dan juga anakanak syarikat, syarikatsyarikat bersekutu, perunding atau manamana pihak ketiga yang telah dilantik oleh MBSB Bank untuk berkomunikasi dengan anda bagi menawarkan pemasaran danatau anda ingin membuat sebarang pertanyaan atau aduan, memohon akses, meminda, danatau anda memilih untuk menghadkan hak kami untuk memproses data peribadi anda, anda boleh menghubungi kami di atau emel di enquiry@mbsbbank.com. Sebarang permintaan untuk mengakses atau meminda data peribadi adalah tertakluk kepada bayaran dan juga syaratsyarat di bawah Akta Perlindungan Data Peribadi Kami boleh mengkaji semula dan mengemas kini Notis ini dari semasa ke semasa untuk mencerminkan perubahan di dalam UndangUndang, perubahan di dalam amalan perniagaan, prosedur dan struktur dan perubahan keperluan privasi masyarakat. Walaupun sebarang perubahan terhadap Notis ini pada lazimnya adalah tidak dimaklumkan kepada anda, versi terkini Notis Privasi MBSB Bank boleh didapati di laman web rasmi MBSB Bank. Dengan menandatangani borang permohonan ini, anda mewakili dan menjamin bahawa anda telah membaca dan memahami Notis ini dan Notis Privasi MBSB Bank. SECTION E BAHAGIAN E DECLARATIONDISCLOSURE BY APPLICANTCOAPPLICANTGUARANTOR PERAKUANPENDEDAHAN OLEH PEMOHONPEMOHON BERSAMAPENJAMIN 1. IWe hereby declare that Iwe amare NOT a bankrupt. SayaKami mengesahkan bahawa sayakami TIDAK muflis. 2. IWe declare that the information furnished in this form are completely true and accurate and Iwe have not withheld any information which may prejudice myour financing application or have a bearing on your financing decision. SayaKami mengesahkan bahawa maklumat yang disediakan di dalam borang ini adalah benar, tepat dan lengkap dan sayakami tidak menyembunyikan sebarang maklumat yang mungkin prejudis terhadap permohonan pembiayaan sayakami atau mempunyai kesan ke atas keputusan pembiayaan anda. 3. IWe hereby authorize youyour representative to obtain the relevant information relating to this application from any relevant source as deemed suitable by MBSB Bank but not limited to any bureaus or agencies established by Bank Malaysia ( BNM ) or other parties. The authorization to obtain the relevant information is also extended to prospective guarantors, security providers, authorized depository agent and other party relating to this application as deemed necessary by MBSB Bank. SayaKami memberi kebenaran kepada MBSB Bank wakil MBSB Bank untuk mendapatkan maklumat yang relevan terhadap permohonan ini dari sumbersumber yang relevan dan yang dianggap sesuai oleh MBSB Bank termasuk dan tidak terhad kepada manamana biro atau agensi yang ditubuhkan oleh Bank Malaysia ( BNM ) atau pihak yang lain. Kebenaran untuk mendapatkan maklumat yang relevan juga merangkumi bakal penjamin danatau pemberi sekuriti dan manamana wakil penyimpan yang dibenarkan dan pihak yang berkenaan dengan permohonan ini yang dianggap sesuai oleh MBSB Bank. 4. IWe understand that MBSB Bank reserves the absolute right to approve or decline this application as MBSB Bank deems fit without assigning any reason. SayaKami faham bahawa pihak MBSB Bank mempunyai hak mutlak untuk meluluskan atau menolak permohonan tanpa menyatakan sebarang alasan. 5. IWe expressly irrevocably consent and authorize MBSB Bank to furnish all relevant information relating to or arising from or in connection with the financing facilities to any subsidiary companies of MBSB Bank, its agents andor such persons or BNM, Cagamas Berhad and debt collection agents or such other authority or body established by BNM, or such other authority having jurisdiction over MBSB Bank as MBSB Bank may absolutely deem fit and such other authority as may be authorized by law. SayaKami bersetuju tanpa hak menarik balik dan tanpa syarat memberi kebenaran kepada MBSB Bank untuk mendedahkan sebarang maklumat yang diperlukan berkaitan dengan atau berbangkit daripada apaapa hubungan dengan kemudahan pembiayaan kepada manamana anak syarikat MBSB Bank, ejennya, danatau manamana individu atau BNM, Cagamas Berhad dan ejen pemungut hutang atau manamana pihak berkuasa lain yang mempunyai bidang kuasa ke atas MBSB Bank di mana MBSB Bank secara mutlak berhak memberi kata putus dan manamana pihak berkuasa yang dibenarkan selaras dengan undangundang. 6. IWe hereby further expressly irrevocably consent and authorise MBSB Bank to seek any information concerning meus with or from any credit referencereporting agencies, including but not limited to CCRIS, CTOS, RAMCI, FIS andor Inland Revenue Authorities or any authority as MBSB Bank may from time to time deem fit. SayaKami bersetuju tanpa hak menarik balik dan tanpa syarat memberi kebenaran kepada MBSB Bank untuk mendapatkan sebarang maklumat berkaitan sayakami daripada manamana agensi rujukan kredit, termasuk dan tidak terhad kepada CCRIS, CTOS, RAMCI, FIS danatau Lembaga Hasil Dalam atau manamana pihak berkuasa yang diputuskan oleh MBSB Bank dari masa ke semasa. 7. IWe also acknowledge that it is a requirement that all information relating to this application must be transmitted andor updated to the Central Credit Reference Information System ("CCRIS"), a database maintained by BNM as and when necessary. SayaKami juga mengesahkan bahawa semua maklumat berkaitan permohonan ini mestilah dimaklumkan danatau dikemaskini kepada Sistem Maklumat Rujukan Kredit Pusat ("CCRIS"), pangkalan data yang diuruskan oleh BNM apabila perlu. 8. I We shall comply with MBSB Bank's requirements in respect of myour application and Iwe understand that MBSB Bank's offer of the financing shall be subject to MBSB Bank performing the necessary verification. SayaKami akan mematuhi segala keperluan MBSB Bank untuk permohonan sayakami dan sayakami memahami bahawa tawaran pembiayaan oleh MBSB Bank adalah tertakluk kepada pengesahan yang diperlukan oleh MBSB Bank. 9. IWe hereby undertake to notify andor inform the emergency contact person and myour spouse that their personal data has been provided to MBSB Bank and undertake to indemnify and hold MBSB Bank harmless in the event of any legal repercussions arising from myour failure to notify the said emergency contact personspouse. SayaKami dengan ini bersetuju untuk memberitahu danatau menghubungi penama rujukan kecemasan dan suami isteri bahawa data peribadi mereka telah diberi kepada MBSB Bank dan berjanji tidak akan mengambil sebarang tindakan ke atas MBSB Bank sekiranya timbul sebarang tindakan undangundang daripada kegagalan sayakami untuk memberitahu penama rujukan kecemasanpasangan sayakami. 10. This application form and all supporting documents that were submitted to MBSB Bank shall be the sole property of MBSB Bank and MBSB Bank is entitled to retain the same irrespective of whether myour application is approved or rejected by MBSB Bank. Borang permohonan ini dan semua dokumen sokongan yang telah diserahkan kepada MBSB Bank adalah hak milik mutlak MBSB Bank dan MBSB Bank berhak untuk mengekalkan semua dokumen tanpa mengira samaada permohonan sayakami diluluskan atau ditolak oleh MBSB Bank. 11. IWe hereby irrevocably agree to waive myour rights to a refund where the amount is not exceeding 5.00 arising from but not limited to early settlement or closure of myour financing account. IWe further consent and authorize MBSB Bank to donate the said amount to charitable organisations deemed appropriate by MBSB Bank. SayaKami bersetuju tanpa hak menarik balik bagi bayaran balik di mana jumlahnya tidak melebihi 5.00, hasil daripada tetapi tidak terhad kepada penyelesaian awal atau penutupan akaun pembiayaan sayakami. SayaKami seterusnya membenar dan memberi kuasa kepada MBSB Bank untuk menderma jumlah tersebut kepada badanbadan kebajikan yang difikirkan wajar oleh pihak MBSB Bank. Page 5 of 7 Muka Surat 5 dari 7
6 CREDIT TRANSACTIONS AND EXPOSURES WITH CONNECTED PARTIES TRANSAKSI KREDIT DAN PENDEDAHAN DENGAN PIHAK BERKAITAN Do you have any immediate family or close relatives (including parents, brothersister and their spouses, dependent's spouse and ownstepadopted child) that are employees of MBSB Bank? Adakah anda mempunyai ahli keluarga atau saudara terdekat (termasuk ibubapa, abangkakakadik dan pasangan, pasangan dibawah tanggungan, anak dan saudara tiriangkat) yang sedang bekerja dengan MBSB Bank? Yes Ya No Tidak If Yes, please complete the information below: Jika Ya, sila lengkapkan maklumat dibawah: Relationship Hubungan CONSENT FOR CROSSSELLING, MARKETING, PROMOTIONS, ETC PERSETUJUAN UNTUK JUALAN SILANG, PEMASARAN, PROMOSI DAN LAINLAIN IWe expressly consent and authorize MBSB Bank to process any information that Iwe have provided to MBSB Bank for the purposes of crossselling, marketing and promotions including disclosure to its strategic partners or such persons or third parties as MBSB Bank deem fit. SayaKami mengesahkan bahawa sayakami memberi kebenaran dan kuasa kepada MBSB Bank yang tidak boleh dibatal tanpa kebenaran untuk mendedahkan sebarang maklumat yang telah sayakami kemukakan kepada MBSB bagi tujuan jualan silang, pemasaran dan promosi termasuk pendedahan kepada rakan strategik atau manamana individu atau pihak ketiga yang difikirkan wajar oleh MBSB Bank. Yes Ya No Tidak HIGH NETWORTH INDIVIDUAL CUSTOMER ("HNWI") INDIVIDU YANG BERPENDAPATAN TINGGI ("HNWI") HNWI means an individual whose total net personal assets, or total net joint assets with his or her spouse, exceeds 3 million or its equivalent in foreign currencies, excluding the value of the individual's primary residence. Calculation of HNWI is total asset less total liabilities. HNWI bermaksud seseorang individu di mana jumlah bersih asetaset peribadi, atau jumlah bersih asetaset bersama dengan pasangan, melebihi 3 juta atau yang setaraf dengannya dalam mata wang asing, tidak termasuk nilai kediaman utama individu tersebut. Pengiraan HNWI adalah berdasarkan jumlah keseluruhan aset tolak jumlah keseluruhan liabiliti. Does your total net personal assets or total net joint assets with your spouse exceeds 3 million? Adakah jumlah bersih asetaset peribadi anda atau jumlah bersih aset bersama dengan pasangan anda melebihi 3 juta? Yes Ya No Tidak POLITICALLY EXPOSED PERSON ("PEP") INDIVIDU BERKAITAN POLITIK ("PEP") PEP Individuals who are or who have been entrusted with prominent public functions domestically or internationally. Family members of PEPs are defined as those who may be expected to influence or be influenced by that PEP, as well as dependents of the PEP. This includes the PEP s: PEP seseorang Individu yang diamanahkan dengan Fungsi Awam Yang Penting samaada domestik atau antarabangsa. Ahli keluarga PEP adalah ditakrifkan sebagai mereka yang dijangka boleh mempengaruhi atau dipengaruhi oleh PEP tersebut dan juga tanggungan PEP. Ianya termasuk: i. Spouse and dependents of the spouse; Pasangan suami atau isteri berserta tanggungannya; ii. Child (including step children and adopted children) and spouse of the child; Anak (termasuk anak tiri atau anak angkat yang sah) berserta pasangan suami atau isteri kepada anakanak tersebut; iii. Parent; and Ibu bapa; dan iv. Brother or sister and their spouses. Adik beradik berserta pasangan suami atau isteri mereka. Definition of Related Closed Associates of PEPs: Definisi KenalanKenalan yang Berkait Rapat dengan PEPs: Related close associate to PEP is defined as individual who is closely connected to a PEP, either socially or professionally. Kenalankenalan yang berkait rapat dengan PEP ditakrifkan sebagai individu yang saling berhubung dan berkait rapat dengan PEP, samada secara sosial atau profesional. For NonIndividual Untuk Bukan Individu: 1. Does any of your director(s), shareholder(s) or authorized personnel(s) hold, have previously held or isare actively seeking a position or being considered for a prominent public position? Adakah manamana pengarah anda, pemegang saham atau kakitangan yang diberi kuasa memegang, pernah memegang atau masih aktif mencari atau dalam pertimbangan untuk jawatan awam yang penting? Yes Ya No Tidak If Yes, please complete the information below: Jika Ya, sila lengkapkan maklumat di bawah: No. Pasport Designation in Company Jawatan dalam Syarikat Prominent Public Position Kedudukan Awam yang Penting ** Currently holding is actively seeking is being considered Previously holding ** Memegang jawatan buat masa ini masih aktif mencari dalam pertimbangan memegang jawatan sebelum ini 2. Does any immediate family members (include spouse, child, adopted child, stepchild, brother, sister and parent) of your director(s), shareholder(s) or authorized personnel hold, have previously held or isare actively seeking a position or being considered for a prominent public position? Adakah manamana ahli keluarga terdekat (termasuk pasangan suami dan isteri, anak, anak angkat, anak tiri, adikberadik dan ibu bapa ) bagi pengarah anda, pemegang saham atau kakitangan yang diberi kuasa memegang, pernah menyandang atausedang aktif mencari atau sedang dipertimbangkan untuk jawatan awam yang penting? Yes Ya No Tidak If Yes, please complete the information at the next page: Jika Ya, sila lengkapkan maklumat di muka surat sebelah: No. Pasport Designation in Company Jawatan dalam Syarikat Prominent Public Position Kedudukan Awam yang Penting ** Currently holding is actively seeking is being considered Previously holding ** Memegang jawatan buat masa ini masih aktif mencari dalam pertimbangan memegang jawatan sebelum ini Page 6 of 7 Muka Surat 6 dari 7
7 DECLARATION RELATING TO FOREIGN EXCHANGE ADMINISTRATION RULES ISSUED BY BANK NEGARA MALAYSIA PENGISYTIHARAN BERKAITAN DENGAN PERATURAN PENTADBIRAN PERTUKARAN ASING YANG DIKELUARKAN OLEH BANK NEGARA MALAYSIA We hereby: Kami dengan ini: a) Declare and confirm that all personal data and information provided in and in connection with this Property Financingi Application and any other banking documents Iwe may sign or enter into from time to time is true and correct in full compliance with the Islamic Financial Services Act 2013 and Central Bank of Malaysia Act Iwe shall be fully responsible for any inaccurate, untrue or incomplete information provided in this Form. Iwe also authorise the Bank to make this information available to Bank Malaysia in compliance with Islamic Financial Services Act 2013 and Central Bank of Malaysia Act Mengisytiharkan dan mengesahkan bahawa semua data peribadi dan maklumat yang disediakan berkaitan dengan Permohonan Pembiayaan Hartanahi ini dan manamana dokumen perbankan yang lain kami boleh tandatangani dari semasa ke semasa adalah benar dan tepat tertakluk sepenuhnya mematuhi Akta Perkhidmatan Kewangan Islam 2013 dan Akta Bank Malaysia Kami akan bertanggungjawab sepenuhnya terhadap manamana maklumat yang tidak tepat, tidak benar atau tidak lengkap yang disediakan dalam Borang ini. kami juga memberi kuasa kepada Bank untuk menyediakan maklumat ini kepada Bank Malaysia dengan mematuhi Akta Perkhidmatan Kewangan Islam 2013 dan Akta Bank Pusat Malaysia b) Agree and undertake that we shall at all times comply and be responsible for the compliance with BANK NEGARA MALAYSIA s (BNM) prevailing Foreign Exchange Administration Notices & Rules as made available at BNM s website : Bersetuju dan mengaku bahawa kami akan sentiasa mematuhi dan bertanggungjawab terhadap pematuhan bagi Notis & Peraturan Pentadbiran Pertukaran Asing yang dibuat oleh BANK NEGARA MALAYSIA (BNM) seperti yang terdapat di laman web BNM: FOR GOODS AND SERVICES TAX ("GST") EFFECTIVE 1 APRIL 2015 UNTUK CUKAI BARANGAN DAN PERKHIDMATAN ( CBP ) BERKUATKUASA 1 APRIL 2015 IWe hereby agree that IWe shall be liable for all Goods and Services Tax (GST) payable in connection with this application or any account or any service in connection therein and MBSB Bank shall be authorized to debit myour account for the same. SayaKami bersetuju bahawa sayakami akan bertanggungjawab ke atas Cukai Barangan dan Perkhidmatan ( CBP ) yang berkaitan dengan permohonan ini atau manamana akaun atau apaapa perkhidmatan yang berkaitan dan MBSB Bank dibenarkan untuk mendebit akaun sayakami bagi tujuan yang sama. PRODUCT DISCLOSURE SHEET LEMBARAN PENJELASAN PRODUK IWe hereby declare that I we have been briefed on the information contained in the Product Disclosure Sheet that has been given to meus for the product applied herein. SayaKami mengesahkan bahawa sayakami telah diberitahu mengenai maklumat yang terkandung di dalam Lembaran Penjelasan Produk yang telah diberikan kepada sayakami berkaitan dengan produk yang dipohon di sini. Signature of Applicant & Company Stamp Tandatangan Pemohon & Cop Syarikat Signature of DirectorGuarantor Tandatangan PengarahPenjamin Signature of DirectorGuarantor Tandatangan PengarahPenjamin Signature of DirectorGuarantor Tandatangan PengarahPenjamin Note : You are encouraged to immediately contact MBSB Bank to discuss payment alternatives if you experience any difficulties in meeting the financing commitments Nota: Anda digalakkan menghubungi MBSB Bank dengan segera untuk membincangkan bayaran alternatif jika anda mengalami sebarang kesulitan dalam memenuhi komitmen pembiayaan. For Office Use Untuk Kegunaan Pejabat Signature of Account Relationship Manager Tandatangan Pegawai Perhubungan Pemasaran Staff No. No. Kakitangan Branch Cawangan Signature of Sales Manager Tandatangan Pengurus Pemasaran Staff No. No. Kakitangan Branch Cawangan PROPi (NONIND)AF0417v1.1 Page 7 of 7 Muka Surat 7 dari 7
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