SME First Account Application Form

Transcription

1 SME First Account Application Form Date: This form covers following: SME First Account/ SME First Account-i SME First Investment Account-i 3 Internet Banking:MU Biz/MU 4 Maybank AutoCredit Print out the form and fill in your details. Bring the printed form with completed details to your nearest branch. (A) BUSINESS PARTICULARS Company/Firm Business Registration Number Date of Registration Date of Incorporation In Operation Since - - Place of Registration Country of Permanent Residence Residence Status Citizenship Citizenship Description Authorised Capital Paid Up Capital Annual Sales Turnover No of Full Time Employees Office Number Mobile Number Business/Correspondence Address Postcode Business Type Sole Proprietorship Partnership Private Limited Society/Association/Club Nature of Business/Activities Cheque Book required Yes No Contact Person No Designation Tel.No SME First Account Application Form v3. Page

2 (B) PERSONAL PARTICULARS OF SOLE PROPRIETOR (applicable to sole proprietorship ) Gender Birth Date - - ID No ID Type Race CIF No Citizenship Employer Occupation Occupation Sector Income Tel.No (C) BUSINESS/COMPANY/SOCIETY BANKING ACCOUNT SME First Account SME First Account-i SME First Investment Account-i Particulars of Partners, Directors, Committee Members, etc. (other than sole proprietor) No Identity Card / Passport Number Place of Issue Colour Citizenship Race Condition of Signature Anyone of Member All Members As per resolution/others (D) INTERNET BANKING APPLICATION i) MaybankU access will be issued for sole proprietorship. For existing sole proprietorship with MaybankU access, your SME First Account will be linked to your existing MaybankU access. ii) For non-sole-proprietorship, are you an existing MaybankU Biz customer? Yes No iii) If Yes, do you want to link your SME First Account to your existing MaybankU Biz access? Yes No Appointment of Users (Total maximum 5 users. One User will have one type of ID Access only). (approved as per Board Resolution or Mandate Letter / Minutes of Meeting) Type of Access Viewer Function Allowed User can view the account details only Maker Checker User can view and initiate the transaction only. The transaction will be sent to Checker for approval User can view, approve transaction and upload Maybank AutoCredit file only SME First Account Application Form v3. Page

3 (D) INTERNET BANKING APPLICATION - continued Please appoint minimum Checker (Minimum Checkers for Society, Club & Association) to approve the transaction initiated by the Maker. User IC / ID No. Mobile No. If D (iii) is yes, kindly indicate existing MaybankU Biz access number. Type of ID access Viewer Checker Maker ID Access Number (Please tick one only) (For branch use only) User IC / ID No. Mobile No. If D (iii) is yes, kindly indicate existing MaybankU Biz access number. Type of ID access Viewer Checker Maker ID Access Number (Please tick one only) (For branch use only) User 3 IC / ID No. Mobile No. If D (iii) is yes, kindly indicate existing MaybankU Biz access number. Type of ID access Viewer Checker Maker ID Access Number (Please tick one only) (For branch use only) User 4 IC / ID No. Mobile No. If D (iii) is yes, kindly indicate existing MaybankU Biz access number. Type of ID access Viewer Checker Maker ID Access Number (Please tick one only) (For branch use only) User 5 IC / ID No. Mobile No. If D (iii) is yes, kindly indicate existing MaybankU Biz access number. Type of ID access Viewer Checker Maker ID Access Number (Please tick one only) (For branch use only) SME First Account Application Form v3. Page 3

4 (E) MAYBANK AUTOCREDIT (ACCOUNTS AND PAYMENT DETAILS) Payment Software (e.g. UBS, HR000, Sage) Yes No If yes, please specify Payment Type Salary Others Total Payment Amount (RM) Total Number of Staff Company's Short (Max 3 Letters) SME First Account Number (for debiting purposes & for branch use only) (F) FATCA/CRS ENTITY/ INDIVIDUAL SELF-CERTIFICATION FORM Both Sole Proprietorship and Entity, must complete section Sole Proprietorship, complete section - Individual Self-Certification Entity, complete section 3 - Entity Self-Certification Section : Jurisdiction of Residence and Taxpayer Identification Number (TIN) Complete the following table indication : (i) the jurisdiction of residence where the account holder is a resident for tax purposes (except for Malaysia) and (ii) the account holder s TIN for each jurisdiction indicated. Indicate All jurisdictions of residence. If a TIN is unavailable, indicate which of the following reasons is applicable: Reason A The jurisdiction where the account holder is a resident for tax purpose does not issue TINs to its residents. Reason B The account holder is unable to obtain a TIN. Reason C TIN is not required. (Note: Select this reason only if the authorities of the jurisdiction of residence do not require the TIN to be disclosed.) No (Entity) Company / (Sole Proprietor) Director / Shareholder/ Country of TIN If no TIN available, indicate Management Staff Tax Residence Reason A, B or C Please explain in the following boxes why you are unable to obtain a TIN if you selected Reason B above. 3 Section : Individual Self-Certification (Sole proprietorship) Definitions applicable The term U.S. person or United States person means a person described in section 770(a)(30) of the Internal Revenue Code: The term United States person means (A) a citizen or resident of the United States Please check Yes or No for each of the following questions Yes No Are you a U.S. Citizen? Do you hold a U.S. Permanent Resident Card (Green Card) 3 Are you a U.S. Resident? 4 If you have ticked No to all three questions above, then please tick as: Non U.S. person 5 If you have ticked Yes to any of the three questions above, please tick as: U.S. person Please fill up U.S. IRS form W9 ( SME First Account Application Form v3. Page 4

5 (F) FATCA/CRS ENTITY/ INDIVIDUAL SELF-CERTIFICATION FORM - continued For Office Use (Maybank Staff to complete if Borrower is Sole Proprietor) Reasonable Test: To be filled by Relationship Manager. Questions below to be considered in conjunction with all documents & forms collected from customers (including this form) U.S. Indicia Status Yes/No Action required if Yes (FATCA Documentation Checklist) Have the account holder(s) provided a U.S. place of birth? If account holder is confirmed U.S person: - Form W-9 or If account holder is non U.S person: - Certificate of Loss of Nationality, and appropriate documentation N or - Form W-8BEN N Have the account holder(s) provided any indication that the account holder(s) are U.S. citizen or resident? Have the account holder(s) provided a U.S. address (including P.O. Box)? Have the account holder(s) provided only a U.S. telephone number? Have the account holder(s) provided a U.S. telephone number and a non U.S. telephone number? Have the account holder(s) provided any standing instructions to transfer funds to an account maintained in the U.S.? Have the account holder(s) granted Power of Attorney to a Person with a U.S. address? Have the account holder(s) provided only a U.S. hold mail or in care of address, that is the sole address for this account? Customer(s) FATCA classification: Non U.S. person U.S. person Recalcitrant customer with U.S. Indicia Recalcitrant customer without U.S. Indicia Recalcitrant customer that is U.S. Person Recalcitrant customer that is dormant account If account holder is confirmed U.S person: - Form W-9 If account holder is non U.S person: - Appropriate documentation N or - Form W-8BEN N CRS Indicia Status Yes/No Action required if Yes (FATCA Documentation Checklist) 3 4 Have the account holder(s) provided any indication that the account holder(s) are from other Jurisdictions N3? Have the account holder(s) provided any other Jurisdiction address (including P.O. Box)? Have the account holder(s) provided one or more telephone numbers in other Jurisdiction? Have the account holder(s) provided any standing instructions to transfer funds to an account maintained in other Jurisdictions? 5 6 Have the account holder(s) granted Power of Attorney to a Person with address of other Jurisdiction? Have the account holder(s) provided hold mail or in care of address of other Jurisdictions, that is the sole address for this account? Documentary evidence to establish the Account Holder s Jurisdiction status. Section 3: Entity Self Certification (Company i.e. Patnership, Sdn Bhd) Part Non Financial Entity (NFE) Active Business - At least 50% of its gross income (for the previous calendar year) from these business activities and not from passive income such as investments, dividends, interest, rents or royalties. - At least 50% of assets held by produce or are held to produce active income. Start Up Company - Date of incorporation not more than 4 months. - Not yet operating a business and has no prior operating history - Investing capital in assets with the intent to operate a new line of business other than that of a financial institution 3 Excepted non-financial entity in liquidation or bankruptcy - An entity that is not Financial Institution or investment entity in the past five years. - An entity in the process of liquidation or bankruptcy or re-organising with the intent to continue or recommence operations in business other than that of a Financial Institution. Active NFFE FATCA/CRS Status Excepted non- financial start- up company Excepted non-financial entity in liquidation or bankruptcy SME First Account Application Form v3. Page 5

6 Part Non Financial Entity (NFE) continued 4 Passive Investment Entity It derives more than 50% of its gross income from passive income such as investments, dividends, interests, rents or royalties For Controlling Person, please indicate the name of all Controlling Person(s) of the Account Holder: 3 Note: () Complete the FATCA/CRS Controlling Person Self Declaration Form for each of the Controlling Person. () If there is no natural person(s) who exercise control of the account holder then the Controlling Person will be the natural person(s) who hold the position of senior managing official. Note: If you do not belong to any of the above, please complete and submit U.S IRS Form W8BENE ( Passive NFFE (G) REQUIREMENTS FOR ACCOUNT OPENING, INTERNET BANKING & MAYBANK AUTOCREDIT APPLICATION Note:. For Board Resolution & Authorisation Letter, to use the Bank's Standard Specimen/Format if you are NEW to the Bank.. Introducer-Must maintain conventional or Islamic current account or Mudarabah Investment account with the Bank with satisfactory track record. Section : Business / Company /Society. Company Accounts- All documents needs to be Certified True Copy by Company Secretary Memorandum & Articles of Association / Constitution /CoSec Confirmation New Act Sec Copy of all Directors' IC or Passport and Authorised Signatories Certificate to Commence Business (for Public Companies Only) Form 9 (Certificate of Incorporation of Private Company) / Notice of Registration Form 3 (Change of Company ) / Notice of Registration of New Form 4 / Return for Allotment of Shares Form 49 / Notification of change in the Register of Directors, Managers & Secretaries Resolution of the Board of Directors Authorisation Letter (Authorised Signatories For Account) Common seal with Company Registration Number Initial Deposit/ placement of RM, (Upon opening of account). Club, Society, Association, Cooperative,Societies Accounts Copy of IC or Passport of Authorised Signatories Certificate of Registration Copy of the Rules & Regulations or Constitutions List of the Current Board members Letter of Approval from Registrar specifying investment of funds (for Cooperative only) Resolution to open account with the Branch Letter of Introduction Mandate Letter Initial Deposit/ placement of RM, (Upon opening of account).3 Sole Proprietor / Partnership Accounts Identity Card / Passport of the proprietor/all partners & authorised signatories Certificate of Registration / Business Registration Form A (for Sole Proprietorship), Form B (for Partnerships) & D (Business License) Deed of Partnership Letter of Introduction Common seal with Company Registration Number Initial Deposit/Placement of RM, (Upon opening of account) Section : Maybanku Biz & Maybank AutoCredit Mandate Letter (for Partnerships / Professionals) Minutes of Meeting (for Clubs, Societies & Association) Board Resolution (for Private Limited Companies) SME First Account Application Form v3. Page 6

7 (H) DECLARATION Section : Business / Company / Society Banking Account ) I/We hereby declare that the information provided herein is true and correct. Saya/Kami mengaku bahawa segala maklumat yang diberikan adalah betul dan benar. ) I/We hereby acknowledge having received and read the terms and conditions governing the conduct of banking accounts in my/our name(s). Saya/Kami mengaku bahawa saya/kami telah menerima, membaca dan memahami syarat-syarat mengenai pentadbiran akaun yang dibuka sekarang dan berikutnya. 3) I/We hereby agree to be bound by the provisions of the terms and conditions and any amendments to the same for any account(s) opened with the Bank now hereafter. Saya/Kami bersetuju mematuhi dan terikat dengan syarat-syarat tersebut dan mana-mana perubahan dalam syarat pentadbiran akaun yang dibuka sekarang dan berikutnya. 4) I/We hereby declare that I/We have not been reported to DCHEQS at Bank Negara Malaysia's Credit Bureau in the last 6 months. Saya/Kami mengaku bahawa saya/kami tidak pernah dilaporkan kepada DCHEQS oleh Biro Kredit Bank Negara Malaysia dalam tempoh masa 6 bulan lalu. 5) I/We have not committed any act of bankruptcy at the time the account(s) is/are opened. Saya/Kami mengaku bahawa saya/kami tidak pernah melakukan apa-apa perbuatan kebankrapan pada masa akaun/akaun-akaun saya/kami dibuka. 6) I/We hereby agree to examine and notify the Bank of any errors, irregularities or discrepancies in the statement of account sent to me/us and to notify the Bank if I/We fail to receive such monthly statement. Saya/Kami bersetuju untuk memeriksa dan memberitahu pihak bank atas sebarang kesilapan, kesalahan, atau keraguan di dalam penyata akaun yang dihantar kepada saya/kami dan akan memberitahu pihak bank sekiranya saya/kami tidak menerima penyata bulanan tersebut. 7) I/We have been informed that this product is eligible/*not eligible for protection by PIDM and have been provided with copy of the PIDM Brochure (*for Mudarabah Investment Account). Saya/Kami telah dimaklumkan bahawa produk ini layak/*tidak layak dilindungi oleh PIDM dan telah diberikan satu salinan brosur PIDM (*bagi Akaun Pelaburan Mudarabah). 8) A service charge of RM0.00 will be levied on Current/ Savings/Mudarabah Investment Account if it is opened and closed within 3 months. Caj perkhidmatan sebanyak RM0.00 akan dikenakan sekiranya akaun semasa/simpanan/pelaburan Mudarabah dibuka dan ditutup dalam tempoh kurang dari 3 bulan. 9) I/We hereby agree to comply with the Foreign Exchange Administration Rules of Bank Negara Malaysia. Saya/Kami bersetuju mematuhi Foreign Exchange Administration Rules oleh Bank Negara Malaysia. 0) I/We hereby confirm that there has been no changes to the company s M & A which affects the opening of the new account. Saya/Kami mengesahkan bahawa tiada perubahan di dalam M&A syarikat kami yang akan menjejaskan pembukaan akaun baru. ) I/We hereby declare that the information and documents provided in our earlier application form of has not changed and confirm that our earlier Board of Directors Resolution of on the opening of the Foreign Currency Account is still valid and effective and agreed to be bound by the same. Saya/Kami mengaku bahawa maklumat dan dokumen yang diberikan semasa permohonan pembukaan akaun terdahulu tidak berubah dan mengesahkan Resolusi Lembaga Pengarah pada untuk pembukaan Akaun Semasa Matawang Asing masih sah dan berkuatkuasa dan bersetuju dengan terma dan syarat. ) I/We hereby agree for the Bank to automatically create acceptable foreign currency in future into my/our account. Saya/Kami bersetuju pihak bank mewujudkan mata wang asing yang bersesuaian secara automatik di dalam akaun saya/ kami. 3) I/We hereby agree with the prevailing and future PSR as displayed on Rate Board/ Saya/Kami bersetuju dengan Nisbah Perkongsian Keuntungan (PSR)semasa dan akan datang seperti yang dipamerkan di papan kadar / Note: Item 4,5 and 6 applicable only for Current/Mudarabah Investment Account. Item 9,0, and applicable only for Master Foreign Currency Account. Item 3 applicable only for Mudharabah based accounts. Nota :Perkara 4,5 dan 6 hanya untuk pemegang Akaun Semasa/Pelaburan Mudarabah sahaja. Perkara 9,0, dan hanya untuk pemegang Akaun Matawang Asing sahaja. Perkara 3 hanya tertakluk kepada akaun-akaun berasaskan prinsip Mudharabah. Section : Personal Data Protection Act (PDPA)- Sole Proprietor I whereby declare that I have read, understood and agree to the terms of the Maybank Group Privacy Notice and I am/we are expressly consenting to and authorising Maybank Group: to request for and to obtain all the personal information and data in this form for the purpose of processing this application and all other purposes which are required in relation to any products, services and promotions offered by Maybank Group. to disclose my/our personal data to the Other Entities and External Parties when required for the purposes stated therein ; and /or to collect and process my /our sensitive personal data for the purpose of this application (where applicable). Saya/kami mengisytiharkan bahawa saya telah baca dan fahami serta bersetuju untuk tertakluk kepada Notis Privasi Kumpulan Maybank dan saya menyatakan persetujuan dan memberi kuasa kepada Kumpulan Maybank: untuk meminta dan memperolehi kesemua maklumat dan data peribadi dalam borang ini bagi tujuan memproses permohonan ini dan semua tujuan-tujuan lain yang diperlukan berkaitan dengan mana-mana produk, perkhidmatan dan promosi yang ditawarkan oleh Kumpulan Maybank. untuk mendedahkan data peribadi saya/kami kepada Entiti-entiti Lain dan Pihak Luar apabila dikehendaki bagi tujuan yang dinyatakan didalamnya; dan/atau. untuk mengumpul dan memproses data sensitif peribadi saya/kami untuk tujuan permohonan ini (yang mana berkaitan). By signing this form, I/We further confirm that all personal data that I/We have provided are all true, up-to-date and accurate. Should there be any changes to any of my/our personal data, I/We shall notify Maybank Group immediately. Dengan menandatangani borang ini, Saya/Kami seterusnya mengesahkan bahawa kesemua data peribadi yang saya/kami telah berikan adalah semuanya benar, terkini dan tepat. Sekiranya terdapat apa-apa perubahan pada mana-mana data peribadi saya/kami, saya/kami akan memaklumkan kepada Kumpulan Maybank dengan serta merta. SME First Account Application Form v3. Page 7

8 (H) DECLARATION - continued Section 3: Foreign Account Tax Compliance Act (FATCA)/ Common Reporting Standard (CRS) a) I/We represent and declare that the information provided above is true, accurate and complete. I/We understand that the term "U.S. person" means any citizen or resident of the United States. b) I/We certify that I/We are authorised to sign for the Account Holder in respect of all the account(s) to which this form relates. c) I/We hereby consent to Malayan Banking Berhad or any of its affiliates, including branches (collectively the Bank ) disclosing the financial accounts information to regulatory authorities in accordance with the requirements of the Foreign Account Tax Compliance Act and Common Reporting Standard as may be stipulated by applicable laws, regulations, agreement or regulatory guidelines or directives. d) I/We hereby agree that the Bank may withhold from my/our account(s) such amounts in accordance with the provisions of the Foreign Account Tax Compliance Act or as may be stipulated by applicable laws, regulations, agreement or regulatory guidelines or directives. e) I/We hereby agree that the Bank may classify me/us as a reportable account(s) or non-participating foreign financial institution ("NPFFI") and/or suspend, recall or terminate my/our account(s) and/or facilities granted to me/us, in the event I/We fail to provide accurate and complete information and/or documentation as the Bank may require. f) I/We undertake to notify the Bank in writing within 30 calendar days if there is a change in any information which I/We have provided to the Bank. a) Saya/Kami memberi representasi dan mengakui bahawa maklumat yang diberikan di atas adalah benar, tepat dan lengkap. Saya/kami memahami bahawa istilah individual AS bermaksud mana-mana warganegaar atau pemastautin Amerika Syarikat. b) Saya/Kami mengesahkan bahawa saya/kami diberi kuasa untuk menurunkan tanda tangan bagi Pihak Pemegang Akaun berhubung dengansemua akaun yang berkaitan dengan borang ini. c) Saya/Kami dengan ini membenarkan Malayan Banking Berhad atau mana-mana anggota kumpulan, termasuk cawangan (secara kolektif Bank ) untuk melaporkan maklumat saya/kami kepada pihak berkuasa mengikut peruntukan di bawah Foreign Account Tax Compliance Act dan Common Reporting Standard yang telah ditetapkan oleh undang-undang, peraturan, perjanjian atau garis panduan atau arahan yang berkenaan. d) Saya/Kami dengan ini membenarkan Bank untuk menahan sejumlah amaun dari akaun saya/kami mengikut peruntukan di bawah Foreign Account Tax Compliance Act yang telah telah ditetapkanoleh undang-undang, peraturan, perjanjian atau garis panduan atau arahan yang berkenaan. e) Saya/Kami membenarkan Bank untuk mengklasifikasikan saya/kami sebagai akaun yang perlu dilaporkan dan/atau sebagai institusi kewangan asing yang tidak mengambil bahagian Non-participating Foreign Financial Institution (NPFFI) dan/atau menggantung, menarik balik atau menamatkan akaun saya/kami dan/atau kemudahan yang diberikan kepada saya/kami, sekiranya saya/kami gagal memberikan maklumat yang tepat dan lengkap dan/atau dokumen yang dikehendaki oleh Bank. f) Saya/Kami mengakujanji untuk memaklumkan Bank secara bertulis dalam tempoh 30 hari calendar jika terdapat sebarang perubahan kepada maklumat yang telah saya/kami berikan kepada Bank. SME First Account Application Form v3. Page 8

9 (I) SIGNATURE Office Bearer Office Bearer ID No: ID No: Office Bearer 3 Office Bearer 4 ID No: ID No: We, as the authorized Signatories hereby agree with the attached Terms & Conditions Company Stamp Date - - For Internal Use Verification Result for Office Bearer Verification Result for Office Bearer Verification Result for Office Bearer 3 Verification Result for Office Bearer 4 Verification Result for Authorized Signatory Verification Result for Authorized Signatory Verification Result for Authorized Signatory 3 Verification Result for Authorized Signatory 4 Verification Result for Authorized Signatory 5 Verification Result for Authorized Signatory 6 Capture/Edit Verification SVS Date Initial SME First Account Application Form v3. Page 9

10 (J) SPECIMEN SIGNATURE Account Number Account Address Particulars and Signature of ID No ID No Signature Signature 3 4 ID No ID No Signature Signature For Bank Use Attended by: Approved by: SVS Date Initial Capture /Edit Date: Date: Verification Note: As per Resolution / relevant documents where applicable SME First Account Application Form v3. Page 0

11 (K) FOR BANK USE ONLY Section : Maybank AutoCredit i) For Maybank Branch Maybank AutoCredit - Service Charge per transaction. Within Maybank Account (intrabank) RM If existing Maybank AutoCredit Customer, indicate originator ID. Interbank Transaction/GIRO (All fees are excluding GST) RM + RM.00 I hereby sighted the original documents and confirm that the authorised personnel as per the Board Resolution / Mandate Letter / Minutes of Meeting Branch & Stamp PF No Contact Number Branch Date Note: Application in regards to; i) MaybankU Biz ONLY : Safe-keep application at branch ii) Maybank u Biz & Maybank AutoCredit : to autocredit_apps@maybank.com ii) For HQ, Payment & Support, Operation Use Only st time submission For Maybank AutoCredit Approved/ Declined (Please circle) Account Status: Ordinary/Privilege (Please circle one only) Please Indicate Customer Originator ID: Date Received & Stamp Date: / PF No: Date: nd time submission For Maybank AutoCredit Approved/ Declined (Please circle) Account Status: Ordinary/Privilege (Please circle one only) Please Indicate Customer Originator ID: Date Received & Stamp Date: / PF No: Date: SME First Account Application Form v3. Page

12 (L) LETTER OF INTRODUCTION (Not applicable to Sdn Bhd and Bank's Borrowing/Financing Customer) Date: The Manager.. Dear Sir/Madam, Re: Letter of Introduction To Open Current Account I/We wish to introduce... ID No.. to open a current account with Maybank. The details of my/our current account with Maybank are as follows : of Account:... Account Number:... Thank You. Yours faithfully... SME First Account Application Form v3. Page