CARDS / KAD-KAD. Barcode Area. Staff ID No./ Referral ID No./ No. ID Perujuk. Channel/ Source Code/ Kod Rujukan. Region/ Daerah.

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1 RHB BANK CREDIT CARD APPLICATION FORM / BORANG PERMOHONAN KAD KREDIT RHB BANK Please send completed form to: / Sila lengkapkan borang dan hantar ke: RHB BANK BERHAD CARDS & UNSECURED BUSINESS CREDIT CARD APPLICATION UNIT, Level 4, No. 75, Jalan Tun H. S. Lee, Kuala Lumpur Referral ID No./ No. ID Perujuk Region/ Daerah Branch/ Cawangan Channel/ Saluran Staff ID No./ No. ID Pekerja Source Code/ Kod Rujukan Barcode Area Please tick ( ) 1 (one) option below / Sila tanda ( ) 1 (satu) pilihan di bawah CARDS / KAD-KAD I wish to apply for the following card / Saya ingin memohon kad berikut: RHB CCAF-0104/18 No annual fee for all of the below Principal and Supplementary cards / Tiada yuran tahunan untuk semua kad Utama dan Sampingan di bawah INFINITE CARD / KAD INFINITE VISA Programme Code / Kod Program: B Z A 9 1 SIGNATURE CARD / KAD SIGNATURE VISA Programme Code / Kod Program: C Z A 0 8 WORLD CARD / KAD WORLD MASTERCARD Programme Code / Kod Program: CZA31 All of the below cards will enjoy 1st year waiver for Principal Card and for life waiver for Supplementary Card on annual fees / Semua kad di bawah akan menikmati pengecualian yuran tahunan untuk tahun pertama bagi Kad Utama dan seumur hidup bagi Kad Sampingan PLATINUM CARD / KAD PLATINUM VISA MASTERCARD Programme Code / Kod Program: AVA 2 4 SMART VALUE CARD / KAD SMART VALUE VISA MASTERCARD Programme Code / Kod Program: CZA38 CZA39 SOGO-RHB CARD / KAD SOGO-RHB VISA Programme Code / Kod Program: CZA17 MyEG-RHB CARD / KAD MyEG-RHB VISA Programme Code / Kod Program: C Z A 3 0 Purpose of Application / Tujuan Permohonan: Card Delivery to / Penghantaran Kad ke Billing Address / Alamat Bil Branch, Please specify / Cawangan, Sila nyatakan PERSONAL DETAILS / BUTIRAN PERIBADI Residential Status / Taraf Permastautin Malaysian Citizen / Holding Other Country Permanent Resident Status? / Warganegara Malaysia Memegang Status Pemastautin Tetap Lain? Permanent Resident No. / Nombor Pemastautin Tetap Permanent Resident Pemastautin Tetap Non Malaysian Citizen / Country of Origin / Bukan Warganegara Malaysia Asal MyKad / MYPR Number / Nombor MyKad / MYPR Title / Gelaran Mr. / Encik Ms. / Cik Others / Lain-lain Name per MyKad / Passport / Nama seperti MyKad / Pasport Name on Card / Nama pada Kad Sex / Jantina Male / Lelaki Female / Perempuan Date of Birth / Tarikh Lahir D D M M Y Y Y Y Race / Bangsa Academic Qualification / Kelayakan Akademik Marital Status / Taraf Perkahwina Spouse s Name / Nama Pasangan Spouse s Employer / Majikan Pasangan Spouse s Contact No. / No. Tel. Pasangan Bumiputera / Bumiputera Chinese / Cina Primary / Sekolah Rendah Single / Bujang RESIDENTIAL DETAILS / BUTIRAN KEDIAMAN Married / Kahwin Indian / India Secondary / Sekolah Menengah Divorced / Bercerai Others / Lain-lain Degree / Diploma Ijazah Widowed / Janda / Duda Address / Alamat E-mel Passport No. / No. Pasport (Non-Civilian No.) Masters/ Phd No. of Children / Bilangan Anak Spouse Working / Pasangan Bekerja Current Home Address / Alamat Rumah Home Tel. / No. Tel. Rumah Mobile Tel. No. / No. Tel. Bimbit Postcode / Residence is / Rumah Milik Own / Sendiri Rented / Sewa Parents / Ibubapa Company / Syarikat Years resided / Tahun menetap M M Y Y

2 Permanent Home Address (If P.O. Box is rented or employer-owned, please complete this portion) / Alamat Rumah Tetap (Sila lengkapkan bahagian ini jika Peti Surat disewa atau milik majikan) EMPLOYMENT DETAILS / BUTIRAN PEKERJAAN Postcode / Sector of Employment / Sektor Pekerjaan Type of Income / Jenis Pendapatan Employer / Majikan Employer / Majikan Salaried / Gaji Bulanan Government Employee / Kakitangan Kerajaan Self-Employed / Bekerja Sendiri Private Employee / Kakitangan Swasta Self-employed/Own Account Worker / Bekerja Sendiri/Pekerja Akaun Sendiri Office Address / Alamat Pejabat Postcode / Office Tel. No. / No. Tel. Pejabat Position / Jawatan Type of Business / Jenis Perniagaan Annual Income / Pendapatan Tahunan STATEMENT DELIVERY / PENGHANTARAN PENYATA View my e-statements via / Lihat e-penyata saya melalui e-mel address / Alamat e-mel : Please note that there will be no hardcopy statement issued to you should you choose to view your statement via e-statement. If you like to view your e-statement via please proceed to register your online banking at the nearest RHB branches. / Sila ambil perhatian bahawa salinan penyata tidak akan diserahkan kepada anda sekiranya anda memilih untuk meneliti penyata melalui melalui e-penyata. Jika anda ingin meneliti e-penyata anda melalui sila daftarkan perbankan dalam talian anda di cawangan RHB terdekat. FINANCIAL REFERENCE / RUJUKAN KEWANGAN (SELF DEBT DECLARATION) Kindly choose code from the "Occupation Field Code" as stated at the last page of this application form / Sila pilih kod dari "Kod Bidang Pekerjaan" yang tertera di helaian akhir borang permohonan ini. Kindly choose code from the "Types of Business Code" as stated at the last page of this application form / Sila pilih kod dari "Kod Jenis Perniagaan" yang tertera di helaian akhir borang permohonan ini. Years employed / Tahun bekerja M M Y Y Billing Address / Alamat Bil Home / Rumah Office / Pejabat I / We, (name) hereby declare that: / Saya / Kami I/We do not have any non-bank organization outstanding debts Saya/Kami tidak mempunyai baki hutang di institusi-institusi bukan kewangan (nama) mengesahkan bahawa: I/We do have non-bank organization outstanding debts as per below details Saya/Kami mempunyai baki hutang di institusi-institusi bukan kewangan seperti di bawah Bank / Finance Company / Others / Bank / Syarikat Kewangan/ Lain-lain Type of Facility [Home Financing / Vehicle Financing / Personal Financing/Others] / Jenis Kemudahan [Pembiayaan Perumahan / Pembiayaan Kenderaan / Pembiayaan Persendirian/Lain-lain] Financing Amount (RM) / Jumlah Pembiayaan (RM) Outstanding Balance (RM) / Baki Belum Jelas (RM) Monthly Payment Amount (RM) / Amaun Bayaran Balik Bulanan (RM) I/We, the undersigned hereby declare that the above information provided by me/us are true and correct and in the event that the bank subsequently discovered that any of the information provided are found to be false, incorrect or incomplete, the Bank shall have the absolute discretion to cancel or vary the facility approved. Saya/Kami, penandatangan di bawah, dengan ini mengesahkan bahawa maklumat yang disediakan oleh saya/kami di atas adalah benar dan betul dan sekiranya Bank kemudiannya mendapati bahawa sebarang maklumat yang disediakan adalah tidak benar, salah atau tidak lengkap, pihak Bank berhak mengikuti budi bicara muklaknya membatal atau mengubah kemudahan yang telah diluluskan. PERSONAL SECURITY REFERENCE / RUJUKAN KESELAMATAN PERIBADI Mother s Maiden Name / Nama Ibu Sebelum Kahwin EMERGENCY CONTACT PERSON (Family Members Not Staying With You) / JIKA BERLAKU KECEMASAN HUBUNGI (Ahli Keluarga Yang Tidak Tinggal Bersama) Name / Nama Company Name / Nama Syarikat Tel No. / No. Tel Relationship / Hubungan

3 SUPPLEMENTARY CARD APPLICATION / PERMOHONAN KAD SAMPINGAN Residential Status / Taraf Permastautin Malaysian Citizen / Holding Other Country Permanent Resident Status? / Warganegara Malaysia Memegang Status Pemastautin Tetap Lain? Permanent Resident No. / Nombor Pemastautin Tetap Permanent Resident Pemastautin Tetap Non Malaysian Citizen / Country of Origin / Bukan Warganegara Malaysia Asal MyKad / MYPR Number / Nombor MyKad / MYPR Title / Gelaran Mr. / Encik Ms. / Cik Others / Lain-lain Name per MyKad / Passport / Nama seperti MyKad / Pasport Name on Card / Nama pada Kad Sex / Jantina Male / Lelaki Female / Perempuan Date of Birth / Tarikh Lahir D D M M Y Y Y Y Race / Bangsa Academic Qualification / Kelayakan Akademik Marital Status / Taraf Perkahwina Spouse s Name / Nama Pasangan Spouse s Employer / Majikan Pasangan Spouse s Contact No. / No. Tel. Pasangan Bumiputera / Bumiputera Chinese / Cina Primary / Sekolah Rendah Single / Bujang RESIDENTIAL DETAILS / BUTIRAN KEDIAMAN Married / Kahwin Indian / India Secondary / Sekolah Menengah Divorced / Bercerai Others / Lain-lain Degree / Diploma Ijazah Widowed / Janda / Duda Address / Alamat E-mel Passport No. / No. Pasport (Non-Civilian No.) Masters/ Phd No. of Children / Bilangan Anak Spouse Working / Pasangan Bekerja Current Home Address / Alamat Rumah Home Tel. / No. Tel. Rumah Residence is / Rumah Milik Own / Sendiri Rented / Sewa Parents / Ibubapa Company / Syarikat Permanent Home Address (If P.O. Box is rented or employer-owned, please complete this portion) / Alamat Rumah Tetap (Sila lengkapkan bahagian ini jika Peti Surat disewa atau milik majikan) Mobile Tel. No. / No. Tel. Bimbit Years resided / Tahun menetap M M Y Y Postcode / EMPLOYMENT DETAILS / BUTIRAN PEKERJAAN Postcode / Sector of Employment / Sektor Pekerjaan Type of Income / Jenis Pendapatan Employer / Majikan Employer / Majikan Salaried / Gaji Bulanan Government Employee / Kakitangan Kerajaan Self-Employed / Bekerja Sendiri Private Employee / Kakitangan Swasta Self-employed/Own Account Worker / Bekerja Sendiri/Pekerja Akaun Sendiri Office Address / Alamat Pejabat Postcode / Office Tel. No. / No. Tel. Pejabat Position / Jawatan Type of Business / Jenis Perniagaan Annual Income / Pendapatan Tahunan Kindly choose code from the "Occupation Field Code" as stated at the last page of this application form / Sila pilih kod dari "Kod Bidang Pekerjaan" yang tertera di helaian akhir borang permohonan ini. Kindly choose code from the "Types of Business Code" as stated at the last page of this application form / Sila pilih kod dari "Kod Jenis Perniagaan" yang tertera di helaian akhir borang permohonan ini. Years employed / Tahun bekerja M M Y Y Billing Address / Alamat Bil Home / Rumah Office / Pejabat

4 CONFIRMATION AND DECLARATION BY RHB BANK BERHAD CREDIT CARD APPLICANT / PENGESAHAN DARI PEMOHON KAD KREDIT RHB BANK BERHAD I/We have been briefed on the description and benefits pursuant to the Product Disclosure Sheet that has been given to me/us of the RHB Credit Card applied herein. I/We hereby confirm and declare that all the information provided by me/us is complete, true and correct and that I/we authorise RHB Bank Berhad (the Bank) to verify any information provided and to obtain from any source including Inland Revenue as the Bank considers appropriate any information, which the Bank may require. The Bank may, at its sole and absolute discretion, approve or reject my/our application. I/We agree that by signing and/or using the card(s), I/we agree to be bound by and to comply with all terms and conditions of the Bank Cardholder Agreement(s) which will be sent to me/us with the card(s) upon approval of my/our application and any other terms and conditions imposed by the Bank from time to time for credit card facilities and all amendments thereto and agree that the RHB Bank Visa/ MasterCard Credit Card may only be used to such terms and conditions. I/We understand the card(s) when issued remain the property of the Bank and must be returned to the Bank upon request and shall be subjected to cancellation by giving notice of thirty (30) calendar days. I/We further irrevocably and unconditionally agree, authorise and permit the Bank to share or disclose all the information provided by me/us to its co-brand partner(s) and/or its related corporations, where necessary to operate the RHB Co-brand Credit Card(s) programme in order to provide me/us with services relating to said programme, to communicate with me/us, to promote offers, to fulfill requests including redemption of co-brand partner s points, and for identification, validation and verification purposes in relation thereto. I/We irrevocably agree and consent to receiving SMS notifications from co-brand partner(s) and/or its related corporations in relation to any matter relevant to the RHB Co-brand Credit Card(s) which the Bank, co-brand partner(s) and /or its related corporations may deem necessary from time to time. I/We hereby confirm that no further permission or consent from me/us is necessary or required in relation to all of the above disclosures and this declaration shall constitute the consent required pursuant to Section 134 of Financial Services Act 2013 and any other contractual consent for such disclosures. I/We acknowledge that my/our membership will be subjected to the further terms and conditions of the bank which will be given to me/us with my/our approved credit card. I/We shall not dispute the contents of the faxed/scanned copy received by the Bank which shall be deemed as the original application form and I/we shall produce the original application form to the Bank upon request. I/We agree to abide by the Anti-Money Laundering, Anti-Terrorism Financing and Proceed of Unlawful Activities Act 2001 (Act 613). For Principal Card applicant only: I/We agree to be liable for all transactions charged to my/our Principal Cardmember(s) and any Supplementary Card(s) issued. For Supplementary Card applicant only: I/We agree to be liable for all transactions charged to my Supplementary Card(s) issued. I/We hereby confirm that the preferred language for this transaction which I/we opt for as stated below (Please tick where applicable). Saya/Kami telah diberitahu tentang keterangan dan faedah berhubung dengan Helaian Pendedahan Produk yang telah diberikan kepada saya/kami berkaitan dengan Kad Kredit RHB yang dimohon di sini. Saya/Kami dengan ini mengesahkan dan mengaku kesemua maklumatyang diberikan oleh saya/kami adalah lengkap, benar dan tepat dan saya/kami memberi kebenaran kepada RHB Bank Berhad (Bank) untuk mengesahkan sebarang maklumat dan mendapat daripada mana-mana sumber termasuk Lembaga Hasil Dalam sebarang maklumat yang dianggap perlu atau diperlukan oleh Bank. Bank berhak atas budi bicara mutlaknya untuk melulus atau menolak permohonan saya/kami. Saya/Kami bersetuju dengan menandatangani dan/atau menggunakan kad, saya/kami bersetuju untuk diikat oleh dan mematuhi kesemua terma-terma dan syarat-syarat Perjanjian Ahli Kad yang akan dihantar kepada saya/kami bersama kad setelah permohonan ini diluluskan dan kesemua term-terma dan syarat-syarat Perjanjian Kad Kredit Bank dan terma-terma dan syarat-syarat lain yang dikenakan oleh Bank dari semasa ke semasa untuk kemudahan Kad Kredit dan kesemua pindaan dan bersetuju bahawa Kad Kredit VISA/MasterCard RHB Bank hanya boleh digunakan tertakluk kepada terma-terma dan syarat-syarat tersebut. Saya/Kami faham bahawa kad adalah sentiasa hakmilik Bank dan hendaklah diserahkan kepada Bank apabila diminta dan boleh dibatalkan oleh Bank dengan memberi notis tiga puluh (30) hari kalendar. Saya/Kami dengan perihal tidak boleh dibatalkan dan dengan tiada syarat bersetuju untuk memberi kebenaran dan membenarkan Bank berkongsi atau memberi semua maklumat yang dibekalkan oleh saya/kami kepada rakan kongsi jenama bersamanya dan/atau syarikat berkaitan untuk menjalankan program Kad Kredit Rakan Kongsi Jenama Bersama RHB Bank bagi menyediakan perkhidmatan-perkhidmatan yang bersangkutan dengan program berkenaan kepada saya/kami, untuk berkomunikasi dengan saya/kami, mempromosikan tawaran, memenuhi permintaan termasuklah penebusan mata dan juga untuk tujuan pengenalan, mengesahkan serta penentusahan yang berkenaan dengannya. Saya/Kami bersetuju dan mengizinkan untuk menerima pemberitahuan SMS dari rakan kongsi jenama bersama dan/atau syarikat berkaitan berkenaan dengan sebarang perkara yang berkaitan dengan Kad Kredit Rakan Kongsi Jenama Bersama RHB Bank seperti mana yang dianggap perlu oleh Bank, rakan kongsi jenama bersama dan/atau syarikat berkaitan dari semasa ke semasa. Saya/Kami dengan ini mengesahkan bahawa tiada kebenaran atau kelulusan selanjutnya dari saya/kami adalah perlu berkaitan dengan perkara tersebut di atas dan deklarasi ini adalah kebenaran yang perlu di bawah Seksyen 134 Akta Perkhidmatan Kewangan 2013 dan segala kebenaran berasas kontrak untuk pemberian maklumat tersebut. Saya/Kami mengakui bahawa permohonan saya/kami akan tertakluk kepada terma dan syarat daripada Bank yang akan diberikan kepada saya/kami dengan Kad Kredit saya/kami yang diluluskan. Saya/Kami tidak akan mempertikaikan isi kandungan salinan faks/imbasan yang diterima oleh Bank yang dikira sebagai borang permohonan sebenar dan saya/kami akan mengeluarkan borang permohonan sebenar kepada Bank apabila diminta. Saya/Kami bersetuju untuk mematuhi undang-undang Akta Pencegahan Pengubahan Wang Haram, Pencegahan Pembiayaan Keganasan Dan Hasil Daripada Aktiviti Haram 2001 (Akta 613). Untuk pemohon Kad Utama sahaja: Saya/Kami bersetuju untuk menanggung kesemua transaksi yang dicajkan kepada Kad Utama saya/kami dan Kad Tambahan yang dikeluarkan. Untuk pemohon Kad Tambahan sahaja: Saya/Kami bersetuju untuk menanggung kesemua transaksi yang dicajkan kepada Kad Tambahan yang dikeluarkan. Saya/Kami mengesahkan bahawa saya/kami memilih bahasa seperti yang dinyatakan di bawah sebagai bahasa untuk transaksi ini (Sila tanda mana yang berkenaan). English / Bahasa Inggeris Bahasa Malaysia PRIVACY NOTICE FOR NEW CUSTOMERS / NOTIS PRIVASI UNTUK PELANGGAN-PELANGGAN BARU I/We understand that RHB Bank Berhad ("RHB") will use, collect, record, store, share and/or process my/our personal information, including, without limitation, my/our contact details, background information, financial data and other information relevant to my/our application for the product and / or service which (a) I/We have provided in this form or through any other contact with RHB Banking Group (which shall include RHB's holding company(s), subsidiary(s), and any associated company(s), including any company as a result of any restructuring, merger, sale or acquisition), or (b) has been obtained from analysis of my/our payment and other transactions/services within the RHB Banking Group, or (c) has been obtained from third parties such as employers, joint applicants/accountholders, guarantors, legal representatives, industry/financial related associations, credit bureaus or credit reporting agencies, retailers, social networks and fraud prevention agencies or other organizations for any and/or all of the following purposes ( Purpose ), if applicable: (i) providing this product and/or service and notifying me/us about important changes or developments to the features; (ii) updating and managing the accuracy of RHB Banking Group's records; (iii) prevention, detection or prosecution of crime, and complying with legal and regulatory obligations; (iv) assessment and analysis including credit / lending / insurance risks / behaviour scoring / market and product analysis and market research; (v) communications and ensuring customer satisfaction, which may include conducting surveys to improve the quality of our products and services, responding to inquiries and complaints and to generally resolve disputes; (vi) determining the amount of my/our indebtedness and recovering debt that I/we owe to RHB; (vii) maintaining my/our credit history for present and future reference; (viii) enabling an actual or proposed assignee of RHB, or participant or sub-participant of RHB to evaluate my/our transactions which are intended to be the subject of the assignment, participation or sub-participation; (ix) cross-selling, marketing and promotions of products and/or services of RHB Banking Group and its strategic alliances; (x) for RHB s corporate events (including networking events, launching of products, etc) /contests, of which photographs/ images of me/us may be captured and may be used for RHB s publications; or (xi) protecting RHB Banking Group's interests and other ancillary or related purposes. I/We understand and acknowledge that it is necessary for RHB to process my/our personal information for the Purpose, without which RHB will not be able to provide the product/service that I/we have requested from RHB and to notify me/us about important changes or developments to the products/services. Where I/we have provided RHB with sensitive personal information (in particular, information consisting my/our physical/mental health for applications of insurance products/services), I/we hereby provide RHB with my/our express consent to process the same in the manner described in this Privacy Notice. I/We may exercise my/our options in respect of receiving marketing materials (including cross-selling, marketing and promotions as described above) at any time by visiting any RHB Bank Branch or contact RHB Banking Group Customer Care Centre at I/We understand that RHB may disclose my/our personal information (or sensitive personal information, if applicable) to other companies within the RHB Banking Group, service providers, merchants and strategic partners, vendors including debt collection agencies, professional advisers, industry/financial related associations, credit bureaus or credit reporting agencies and fraud prevention agencies, governmental agencies, other financial institutions and any of their respective agents, servants and/or such persons, whether located within or outside Malaysia for the Purpose, if applicable, subject at all times to any laws (including regulations, standards, guidelines and/or obligations) applicable to RHB. I/We further understand that I/we may request for correction (if my/our personal information is inaccurate, outdated, incomplete, etc), access to (a prescribed fee may be charged), or deletion (if I/we no longer have any existing products/services with RHB Banking Group) of my/our personal information or limit the processing thereof at any time hereafter by submitting such request via post, or fax to the following address: RHB Banking Group Customer Care Centre Level 7 Menara AA, JalanTun Razak, Kuala Lumpur, Malaysia. Facsimile number: / Telephone number: / customer.service@rhbgroup.com I/We acknowledge that RHB Banking Group may modify or update its Privacy Notice from time to time, a copy of which is available at and that I/we may channel any complaints or inquiries I/we may have in the manner indicated above. ACKNOWLEDGEMENT AND CONSENT By providing my/our personal information and signature, I/we consent to RHB processing my/our personal information for any necessary disclosures and overseas transfers of my/our personal information to relevant third parties, for the Purpose, if applicable. I/We agree to the disclosure and/or transfer of my/our personal information to relevant third parties as a result of any restructuring, sale or acquisition of any company within the RHB Banking Group, provided that the recipient uses my/our personal information for the Purpose, if applicable. I/We also represent and warrant that I/we have sufficiently obtained the consent of third party individual(s) (e.g. family, spouse, related parties, supplementary cardholder and/or emergency contact persons, etc) whose personal information I/we have disclosed to RHB to allow RHB to process the same in relation to the Purpose, if applicable.

5 Saya/Kami faham bahawa RHB Bank Berhad ("RHB") akan menggunakan, mengumpul, merekod, menyimpan, berkongsi dan/atau memproses maklumat peribadi saya/kami, termasuk, tanpa had, butir-butir pengenalan saya/kami, maklumat latar belakang, data kewangan dan maklumat lain yang berkaitan dengan permohonan saya/kami untuk produk dan / atau perkhidmatan yang a) telah saya/kami berikan di dalam borang ini atau melalui sebarang perhubungan lain dengan Kumpulan Perbankan RHB (termasuk syarikat-syarikat induk RHB, syarikat-syarikat subsidiari, dan mana-mana syarikat yang berkenaan), termasuk mana-mana syarikat yang terhasil daripada mana-mana penyusunan semula, penggabungan, jualan atau pengambilalihan atau b) diperolehi daripada analisis pembayaran saya/kami dan urusniaga/perkhidmatan yang lain dalam Kumpulan Perbankan RHB, atau c) diperolehi daripada pihak ketiga seperti majikan, pemohon bersama/pemegang-pemegang akaun, penjamin-penjamin, wakil-wakil perundangan, persatuan-persatuan berkaitan industri/kewangan, biro-biro kredit atau agensi-agensi pelaporan kredit, penjual-penjual, rangkaian-rangkaian sosial dan agensi-agensi pencegahan penipuan atau organisasi-organisasi lain, untuk mana-mana dan/atau semua tujuan-tujuan yang berikut ("Tujuan"), jika berkaitan: (i) menyediakan produk dan/atau perkhidmatan ini dan memaklumkan saya/kami tentang sebarang perubahan penting atau perkembangan tentang ciri-ciri produk dan/atau perkhidmatan tersebut; (ii) mengemaskini dan menguruskan ketepatan rekod Kumpulan Perbankan RHB; (iii) pencegahan, pengesanan atau pendakwaan jenayah, dan pematuhan obligasi-obligasi perundangan dan peraturan; (iv) penilaian dan analisis termasuk pemarkahan kredit / pinjaman / risiko insurans / kelakuan, analisis pasaran dan produk dan penyelidikan pasaran; (v) perhubungan dan memastikan kepuasan pelanggan, yang mungkin termasuk menjalankan kajian-kajian meningkatkan kualiti produk-produk dan perkhidmatan-perkhidmatan kami, membalas kepada pertanyaan dan aduan serta untuk menyelesaikan percanggahan secara umumnya; (vi) menentukan jumlah hutang saya/kami dan pemungutan hutang yang saya/kami berhutang kepada RHB; (vii) mengekalkan sejarah kredit saya/kami untuk rujukan semasa dan akan datang; (viii) membolehkan pemegang serah hak sebenar atau yang dicadangkan oleh RHB, atau peserta atau sub peserta RHB untuk menilai urus niaga saya/kami yang bertujuan untuk menjadi subjek penyerahhakan, penyertaan atau sub penyertaan; (ix) penjualan silang, pemasaran dan promosi produk dan/atau perkhidmatan Kumpulan Perbankan RHB dan rakan-rakan kongsi strategik; atau (x) bagi acara-acara korporat RHB (termasuk acara rangkaian, pelancaran produk, dan lain-lain)/ pertandingan, di mana gambar/ imej saya/kami mungkin akan ditangkap dan boleh digunakan untuk penerbitan RHB. (xi) melindungi kepentingan Kumpulan Perbankan RHB dan tujuan sampingan atau tujuan lain yang berkenaan. Saya/Kami faham dan mengakui bahawa RHB perlu memproses maklumat peribadi saya/kami untuk Tujuan tersebut, tanpanya RHB tidak akan dapat menyediakan produk/perkhidmatan yang saya/kami minta daripada RHB dan untuk memaklumkan saya/kami tentang sebarang perubahan penting atau perkembangan tentang produk/perkhidmatan tersebut. Di mana saya/kami telah memberi RHB maklumat peribadi sensitif (khususnya, maklumat tentang kesihatan fizikal / mental saya/kami untuk permohonan bagi produk insurans / perkhidmatan), saya/kami dengan ini memberikan RHB persetujuan nyata saya/kami untuk memproses mengikut cara yang dinyatakan dalam Notis Privasi ini. Saya/Kami boleh menjalankan pilihan saya/kami berkenaan dengan menerima bahan-bahan pemasaran (termasuk penjualan silang, pemasaran dan promosi seperti yang dinyatakan di atas) pada bila-bila masa dengan melawat mana-mana Cawangan RHB Bank atau hubungi RHB Banking Group Customer Care Centre di talian Saya/Kami faham bahawa RHB mungkin akan mendedahkan maklumat peribadi saya/kami (atau maklumat peribadi sensitif, jika berkenaan) kepada syarikat-syarikat lain di dalam Kumpulan Perbankan RHB, penyedia-penyedia perkhidmatan, peniaga-peniaga dan rakan-rakan kongsi strategik, pembekal-pembekal termasuk agensi-agensi pemungutan hutang, penasihat-penasihat profesional, persatuan- persatuan berkaitan industri/kewangan, biro-biro kredit atau agensi-agensi pelaporan kredit dan pencegahan penipuan, agensi-agensi kerajaan, institusi-institusi kewangan yang lain dan mana-mana ejen, pekerja, dan/atau mana-mana orang mereka, sama ada bertempat di dalam atau di luar Malaysia untuk Tujuan tersebut, jika berkenaan, tertakluk pada setiap masa kepada mana-mana undang-undang (termasuk peraturan-peraturan, piawaian, garis panduan dan / atau obligasi) yang terpakai kepada RHB. Saya/Kami juga faham bahawa saya/kami boleh meminta untuk membuat pembetulan (jika maklumat peribadi saya/kami adalah tidak tepat, ketinggalan zaman, tidak lengkap, dan lain-lain), akses kepada (fi yang ditetapkan mungkin dikenakan), atau untuk menghapuskan (jika saya/kami tidak lagi mempunyai apa-apa produk/perkhidmatan yang sedia ada dengan Kumpulan Perbankan RHB) ke atas maklumat peribadi saya/kami atau mengehadkan pemprosesan itu pada bila-bila masa selepas ini dengan mengemukakan permintaan tersebut melalui pos, e-mel atau faks kepada alamat berikut: RHB Banking Group Customer Care Centre, Level 7 Menara AA, JalanTun Razak, Kuala Lumpur, Malaysia. Nombor Faks: / Nombor Telefon: / Emel: customer.service@rhbgroup.com Saya/Kami mengakui bahawa Kumpulan Perbankan RHB boleh mengubahsuai atau mengemas kini Notis Privasi ini dari masa ke semasa, dimana salinannya boleh didapati di dan saya/kami boleh menyalurkan sebarang aduan atau pertanyaan yang saya/kami mungkin ada dengan cara yang ditunjukkan di atas. PENGIKTIRAFAN DAN KEBENARAN Dengan memberikan maklumat peribadi saya/kami berserta tandatangan, saya/kami mengizinkan RHB memproses maklumat peribadi saya/kami untuk mana-mana pendedahan yang diperlukan dan pemindahan maklumat peribadi saya/kami ke luar negara kepada pihak ketiga yang berkaitan, jika berkenaan. Saya/Kami bersetuju dengan pendedahan dan/atau pemindahan maklumat peribadi saya/kami kepada pihak ketiga yang berkaitan akibat daripada apa-apa penyusunan semula, penjualan atau pengambilalihan mana-mana syarikat dalam Kumpulan Perbankan RHB, dengan syarat bahawa penerima menggunakan maklumat peribadi saya/kami untuk Tujuan tersebut sahaja. Saya/Kami juga menyatakan dan menjamin bahawa saya/kami telah cukup memperolehi persetujuan individu-individu pihak ketiga (contohnya keluarga, pasangan, pihak-pihak berkaitan, pemegang kad tambahan dan/atau orang hubungan kecemasan, lain-lain) di mana maklumat peribadi mereka telah saya/kami dedahkan kepada RHB untuk membenarkan RHB membuat pemprosesan yang sama berhubung dengan Tujuan, jika berkenaan. CONSENT FOR CROSS SELLING, MARKETING, PROMOTIONS, ETC. / KEBENARAN UNTUK PENJUALAN SILANG, PEMASARAN, PROMOSI, DAN LAIN-LAIN I/We consent and authorize RHB Bank Berhad 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. / Saya/Kami mengizin dan membenarkan RHB Bank Berhad memproses dan mendedahkan apa-apa maklumat yang saya/kami telah berikan kepada RHB untuk tujuan penjualan silang, pemasaran dan promosi (termasuk untuk menjalankan tawaran dan pertandingan), dan menjalankan kajian (bagi memperbaiki kualiti produk/perkhidmatan) kepada Kumpulan Perbankan RHB (di mana termasuk syarikat induk, anak-anak syarikat, mana-mana syarikat yang berkaitan dan/atau mana-mana syarikat/cawangan yang terhasil daripada apa- apa penyusunan semula, penggabungan, jualan atau perolehan, sama ada di dalam atau di luar Malaysia), rakan-rakan kongsi strategik, penyedia-penyedia perkhidmatan dan agen-agen, pekerja-pekerja dan/atau mana-mana orang mereka atau pihak ketiga, jika berkenaan. EXCESS LIMIT FEE CONSENT / PERSETUJUAN YURAN MELEBIHI HAD I/We hereby agree and consent that RHB Bank may debit my/our Card Account for excess limit transactions, where an excess limit fee of RM50 may be imposed whenever the Total Outstanding Balance exceeds the combined card limit due to an excess limit transactions. Saya/Kami dengan ini bersetuju dan membenarkan RHB Bank mendebitkan Akaun Kad saya/kami untuk transaksi melebihi had, di mana yuran melebihi had RM50 boleh dikenakan apabila Jumlah Baki Tertunggak melebihi gabungan had kad yang disebabkan oleh transaksi melebihi had. FOR PRINCIPAL CARD / UNTUK PEMOHON KAD UTAMA i. I confirm and agree to the fee payable/waiver and the product benefits explained by the sales agent for my RHB Credit Card application. Saya mengesahkan dan bersetuju dengan yuran yang kena dibayar/dikecualikan dan faedah produk yang diterangkan oleh ejen jualan untuk permohonan Kad Kredit RHB. For NEW RHB Credit Card Applicant who earns RM36,000 or less per annum (Item ii, iii, iv) / Khusus untuk pemohon-pemohon Kad Kredit RHB Bank berpendapatan tahunan RM36,000 dan ke bawah (Perkara ii, iii, iv) ii. I have been briefed and made to understand by RHB sales staff/representative on the following: a) Credit Cardholders can only own Credit Cards from a maximum of two (2) credit card issuers. b) The maximum credit limit extended shall be two times monthly income of new Cardholder.

6 Saya telah diberi keterangan oleh kakitangan dari bahagian jualan/wakil RHB Bank seperti berikut: a) Pemegang Kad Kredit hanya boleh memiliki Kad-kad Kredit daripada maksima dua (2) mana-mana pengeluar Kad Kredit. b) Had maxima kredit yang diberikan kepada RHB Kad Kredit baru adalah dua (2) kali ganda gaji Pemegang Kad bagi setiap pengeluar kad kredit. iii. I have Credit Card(s) from two (2) or more credit card issuers and I intend to apply for a new RHB Credit Card now. Saya ingin memohon kad kredit dari RHB Bank dan pada ketika ini saya sudah mempunyai kad-kad kredit dari dua (2) pengeluar kad. If Yes, please proceed to declaration iv. Below / Jika Ya, sila rujuk kepada pengisytiharan iv. di bawah iv. I shall cancel/have cancelled my existing Credit Card(s) with other credit card issuer(s) as follow. Saya akan/telah membatalkan kad kredit yang sedia ada dengan pengeluar kad-kad kredit seperti berikut: Date of Cancellation a) Bank: Tarikh Pembatalan: b) Bank: Date of Cancellation Tarikh Pembatalan: v. Date of Cancellation c) Bank: Tarikh Pembatalan: Please proceed to submit my RHB Credit Card Application immediately and I understand RHB Bank may at its sole and absolute direction, approve or reject my application. Sila teruskan permohonan saya dengan segera bagi mendapatkan kad kredit RHB Bank dan saya memahami bahawa RHB Bank berhak atas budi bicara mutlaknya untuk melulus atau menolak permohonan saya. CREDIT RATING AGENCIES (CRA) CONSENT DECLARATION FORM / BORANG AKAUN KEBENARAN AGENSI PELAPORAN KREDIT I/We, authorize and consent RHB 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 Overlapping Credit limit review Upgrading Restructuring Saya/Kami, dengan ini memberi kuasa dan memberi kebenaran kepada RHB Bank untuk mendapatkan apa-apa maklumat kredit daripada CTOS dan/atau mana-mana Agensi Pelaporan Kredit berdaftar seperti yang didefinisikan di bawah Akta Agensi Pelaporan Kredit 2010 tanpa sebarang notis lanjut kepada Saya/Kami bagi tujuan seperti yang berikut (mana-mana yang berkenaan) :- Pemprosesan permohonan kredit Kajian semula had kredit Penyusunan semula Pertindihan Naik taraf permohonan Signature of Principal Applicant / Tandatangan Pemohon Kad Utama Name / Nama: MyKad No./Passport No. / No. MyKad/No. Pasport: Signature of Supplementary Applicant / Tandatangan Pemohon Kad Tambahan Name / Nama: MyKad No./Passport No. / No. MyKad/No. Pasport:

7 IMPORTANT DISCLOSURES / MAKLUMAT PENTING Minimum age required is 21 years for Principal Card and 18 years for a Supplementary Card. Minimum annual basic income required is RM150,000 for Infinite Card, RM80,000 for Signature Card or World Card, RM48,000 for Platinum Card and RM24,000 for RHB Smart Value Card and Co-Brand Card. / Para pemohon mesti berusia sekurang-kurangnya 21 tahun untuk Kad Utama dan 18 tahun untuk Kad Tambahan. Pendapatan tahunan minima yang diperlukan adalah sebanyak RM150,000 untuk Kad Infinite, RM80,000 untuk Kad Signature atau Kad World, RM48,000 untuk Kad Platinum dan RM24,000 untuk Kad RHB Smart Value dan Kad Co-Brand. DOCUMENT REQUIRED / DOKUMEN DIPERLUKAN Copy of MyKad or MyPR or Other Country PR (front and back)/ Passport copy Salinan MyKad atau MyPR atau PR Lain (depan dan belakang)/ salinan Pasport Recent 1-month salary slip/ 1 bulan penyata gaji terkini i. Recent 3-month salary slip; AND/ 3 bulan penyata gaji terkini; DAN ii. Recent 3-month bank statement evidenced by salary crediting/ 3 bulan penyata bank bukti pengkreditan gaji terkini i. Recent 6-month salary/ commission slip; AND/ 6 bulan penyata gaji/ komisen; DAN ii. Recent 6-month bank statement evidenced by salary crediting/ 6 bulan penyata bank bukti pengkreditan gaji terkini Recent 6-months bank statement/ 6 bulan penyata bank bukti pengkreditan gaji terkini Latest EPF Statement/ Penyata KWSP terkini i. Copy of the M & A or Constitution (for limited company)/ Salinan M & A atau Perlembagaan (untuk syarikat berhad) ii. Latest Tax Payment Receipt/ Resit sah Pembayaran Cukai terkini i. Latest Notice of Assessment; AND/ Notis Taksiran terkini; DAN ii. Latest tax payment receipt/ Resit sah Pembayaran Cukai (For Singapore only)/ (Untuk warganegara Singapura saja) i. Latest Pension Letter/ Pension Statement; AND/ Surat / penyata pencen terkini; DAN ii. Recent 3-month bank statement showing crediting of pension/ 3 bulan penyata bank bukti pengkreditan gaji terkini Mandatory Documents/ Dokumen Mandatori SALARIED / BERGAJI SELF-EMPLOYED / MNCs Non-MNCs Govt BEKERJA SENDIRI COMMISSION EARNER / PENDAPAT KOMISEN Letter of Employment/ Appointment (mandatory for employment for < 6 months)/ Surat Tawaran Kerja/ Pelantikan (wajip untuk tempoh pekerjaan < 6 bulan) 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 and Secretaries and Changes of Particulars (previously known as Form 49) / BoSalinan Perakuan Permerbadanan Syarikat Sendirian (sebelum ini dikenali sebagai Borang 9), Penyata Peruntukan Saham (sebelum ini dikenali sebagai Borang 24) dan Daftar Pengarah, Pengurus dan Setiausaha dan Perubahan Maklumat (sebelum ini dikenali sebagai Borang 49) Note: For any applicants employed outside Malaysia, a valid work permit is required. / Nota: Permit pekerjaan diperlukan untuk pemohon yang bekerja di luar Malaysia. LIFE CREDIT SHIELD DECLARATION / PENGAKUAN LIFE CREDIT SHIELD Protect Your Credit Card Total Outstanding Balance / Lindungi Baki Keseluruhan Tertunggak Kad Kredit Anda For as little as RM0.65 per RM100 of the total outstanding balance of your RHB Credit Card each month, you can ensure that your Outstanding balance including all installment balances will be taken care of in times of misfortunes. / Dengan bayaran serendah RM0.65 bagi setiap RM100 baki keseluruhan tertunggak berdasarkan Jumlah Baki Tertunggak Kad Kredit RHB anda setiap bulan, anda tidak perlu risau tentang baki tertunggak termasuk semua baki ansuran yang perlu anda bayar sekiranya anda ditimpa sebarang malapetaka. Death, Total and Permanent Disability (TPD) & Dread Disease (DD) / Kematian, Hilang Upaya Menyeluruh dan Kekal (HUMK) dan Penyakit Kritikal (PK) Pays for your RHB Credit Card Total Outstanding Balance up to a maximum of RM100,000 (for Co Brand and Smart Value) and RM300,000 (for Platinum, World, Signature and Infinite Card). / Membayar Keseluruhan Baki Tertunggak Kad Kredit RHB anda sehingga maksimum RM100,000 (untuk Kad Co Brand dan Smart Value) dan RM300,000 (untuk Kad Platinum, World, Signature dan Infinite). Double Indemnity for accidental death./ Indeminiti Berganda bagi Kematian Akibat Kemalangan. In addition, additional 100% of total Credit Card Total Outstanding Balances will be payable to the nominees of the Life Assured for accidental death./ Tambahan pula, 100% daripada Keseluruhan Baki Tertunggak Kad Kredit akan dibayar kepada penama-penama Hayat Yang Diinsuranskan yang meninggal dunia akibat kemalangan. Important Notice / Notis penting You should answer the questions asked by Tokio Marine Life Insurance Malaysia Bhd. (Us) honestly, fully and accurately. Failure to give answers that are full and accurate may result in Your policy being avoided, a claim not being paid or reduced, or the terms of the policy being changed. You are advised to take reasonable care not to make any misrepresentation when answering any questions asked by Us. In addition to answering the questions in the proposal form, You are also required to take reasonable care to tell us any matter which You know to be relevant to Our decision on whether to accept the risk or not and the rates and terms to be applied. You must inform us if there is any change to the information given in the proposal form after You submitted the proposal form but before the contract is entered into or varied. lf You do not understand Your duty as stated above or if You need any further explanation, You can contact Us or Our sales representative. / Anda perlu menjawab soalan yang ditanya oleh Tokio Marine Life Insurance Malaysia Bhd.( Kami ) secara jujur, lengkap dan tepat. Kegagalan untuk memberikan jawapan yang lengkap dan tepat boleh menyebabkan polisi Anda dielakkan, tuntutan tidak dibayar atau dikurangi, atau syarat-syarat diubah. Anda dinasihati untuk mengambil langkah yang sewajarnya untuk tidak membuat sebarang salah nyataan apabila menjawab soalan-soalan yang ditanya oleh Kami. Selain daripada menjawab soalan-soalan dalam borang cadangan, Anda juga dikehendaki mengambil langkah yang sewajarnya untuk memberitahu Kami apa-apa perkara yang Anda tahu yang berkaitan dengan keputusan Kami sama ada untuk menerima atau tidak risiko dan kadar dan terma yang terpakai, Anda mesti memberitahu Kami jika ada apa-apa perubahan kepada maklumat yang diberikan dalam borangcadangan setelah Anda menghantar borang cadangan itu tetapi sebelum kontrak tersebut ditandatangani atau diubah. Jika Anda tidak faham kewajipan Anda seperti yang dinyatakan di atas atau jika Anda memerlukan penjelasan yang lebih lanjut, anda boleh hubungi Kami atau wakil jualan Kami.

8 LIFE CREDIT SHIELD DECLARATION / PENGAKUAN LIFE CREDIT SHIELD Declaration / Pengakuan I hereby authorise RHB Bank Bhd to disclose to Tokio Marine Life Insurance Malaysia Bhd. any information relevant to obtain this insurance coverage. / Saya 1. dengan ini memberi kuasa kepada RHB Bank Bhd untuk mendedahkan kepada Tokio Marine Life Insurance Malaysia Bhd. apa-apa maklumat yang berkenaan untuk mendapatkan perlindungan khas ini I hereby request and authorise RHB Bank Bhd to debit my RHB Credit Card Account(s) to Tokio Marine Life Insurance Malaysia Bhd. for premium due under Life Credit Shield in which I have enrolled. / Saya dengan ini meminta dan memberi kuasa kepada RHB Bank Bhd untuk mendebit Akaun-akaun Kad Kredit RHB saya kepada Tokio Marine Life Insurance Malaysia Bhd. untuk premium yang perlu dijelaskan di bawah Life Credit Shield yang telah saya sertai. I acknowledge and agree that the claim proceeds of Life Credit Shield shall be made to RHB Bank Bhd for purpose of settling the total outstanding credit card balance. / Saya mengakui dan bersetuju bahawa prosid tuntutan untuk Life Credit Shield hendaklah dibayar kepada RHB Bank Bhd untuk tujuan menjelaskan baki keseluruhan tertunggak kad kredit. I have read and understood the Product Disclosure Sheet provided to me in respect of the insurance coverage plan proposed in this form, including but not limited to the terms, description, benefits and limitation of the Life Credit Shield. / Saya telah membaca dan memahami Risalah Pendedahan Produk yang diberikan kepada saya berkenaan dengan pelan perlindungan insurans yang dicadang dalam borang ini, termasuk tetapi tidak terhad kepada terma-terma, huraian-huraian, manfaat-manfaat dan batasan-batasan pada Life Credit Shield. I agree and authorise Tokio Marine Life Insurance Malaysia Bhd., its affiliates, agents and business associates to collect, record, hold and store my personal data including any sensitive personal data collected via this insurance application or otherwise, for the purpose of processing this insurance application. / Saya bersetuju dan memberi kuasa kepada Tokio Marine Life Insurance Malaysia Bhd., Syarikat gabungan, ejen dan rakan perniagaan untuk mengumpul, merekod, memegang dan menyimpan data peribadi saya termasuk apa-apa data peribadi yang sensitif yang dikumpul melalui permohonan insurans ini atau seballiknya, untuk tujuan memproses permohonan insurans ini. I confirm that I am in good health, have not been advised of or received any treatment for any major health conditions such as heart disease, stroke, cancer, 6. hepatitis, HIV infection or AIDS, diabetes, hypertension, respiratory disease, kidney disease or any other disorders or disabilities. / Saya mengesahkan bahawa saya dalam keadaan sihat dan tidak pernah dinasihatkan untuk menjalani atau menerima apa-apa rawatan untuk apa-apa keadaan kesihatan serius seperti penyakit jantung, strok, kanser, hepatitis, jangkitan HIV atau AIDS, kencing manis, hipertensi, penyakit respirasi, penyakit buah pinggang atau sebarang gangguan dan kecacatan yang lain. PERSONAL DATA NOTICE & CONSENT STATEMENT / NOTIS DATA PERIBADI DAN PENYATA PERSETUJUAAN I complete this Enrollment Form base on the above Declaration and my understanding that my personal information will be strictly processed in accordance with the Personal Data Protection Act 2010 which shall extend to its amendments, modifications and re-enactments thereof, other related legislation and Tokio Marine Life Insurance Malaysia Bhd s strict internal policy. For further information, I can log on to Tokio Marine Life Insurance Malaysia Bhd s website at Saya mengisi Borang Pendaftaran berdasarkan Deklarasi di atas dan saya memahami bahawa maklumat peribadi saya akan tegas diproses selaras dengan Akta Perlindungan Data Peribadi 2010 termasuk pindaan-pindaannya, pengubahsuaian dan enakmen semula, atau undang-undang lain yang berkaitan dengan polisi dalaman Tokio Marine Life Insurance Malaysia Bhd yang ketat. Untuk maklumat yang selanjut, saya boleh melayari laman web Tokio Marine Life Insurance Malaysia Bhd s. I would like to enrol for my Life Credit Shield. I understand that the monthly cost of the insurance coverage is RM0.65 per every RM100 of the total outstanding balance of my RHB Credit Card. / Saya ingin mendaftar Life Credit Shield saya. Saya faham bahawa kos untuk perlindungan insurans adalah RM0.65 bagi setiap RM100 daripada keseluruhan baki tertunggak Kad Kredit RHB saya. Signature of Principal Applicant / Tandatangan Pemohon Kad Utama Date / Tarikh FOR BANK USE ONLY / UNTUK KEGUNAAN BANK SAHAJA Credit Card Number / Nombor Kad Kredit Account Number / Nombor Akaun

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