Reflex Cash Management Application Form Borang Permohonan Perkhidmatan Pengurusan Tunai Reflex REGISTRATION CENTRE Please forward complete Application Form together with other documents in the Checklist below to the following address Officer in Charge Cash & Payment Operations Systems & Operations Division RHB Bank Berhad Level 3, Tower 3 Jalan Tun Razak 50400 Kuala Lumpur. CHECKLIST BEFORE SUBMISSION TO BANK: 1. Complete Application Form ( ) 2. Photocopy of I/C of your appointed System Administrators (SysAdmin1 and SysAdmin2) ( ) 3. Board Resolution from Principal account (for Premium Package and / or Financial Supply Chain Management) ( ) 4. Board Resolution of Subsidiary Companies (if you wish to link additional accounts) ( ) 5. Form 49 ( ) 6. SME Declaration Form ( ) FOR BANK USE ONLY Sales Code Campaign Code Branch Code Staff ID Please tick ( ) where applicable: BANK@WORK 1
GUIDE TO COMPLETE REFLEX APPLICATION FORM Reflex Cash Management Packages There are 3 available packages as follows: 1. Basic Package for account inquiry only. 2. Premium Package for account inquiry plus financial transaction (e.g. Fund transfer, payment via RENTAS, IBG, Remittances, Payroll with contributions to statutory bodies (EPF, SOCSO, LHDN), etc.) This option requires the submission of Board Resolution. The Board Resolution must follow the Bank s standard format downloadable from the Bank s website (www.rhbgroup.com). 3. Financial Supply Chain Management for Financial Supply Chain transaction (e.g. Upload Invoice, accept Invoice, upload Debit Note, upload Credit Note, Invoice payment, Request for Financing etc.) Part A Principal Applicant Complete this section with company details. All fields are mandatory and must be completed. 1. Name of Company Fill in your company / association / club / society name. 2. Registration Number Fill in with company / association / club / society registration number. 3. Tax No - Fill in your company Tax number with LHDN. 4. EFP No Fill in the Employer number registered with EPF. 5. SOCSO No Fill in the company SOCSO number. 6. Address Fill in your company address (P.O. Box address is not allowed). 7. Postcode Fill in postcode. 8. Telephone Number Fill in your company contact number. 9. Fax Number - Fill in your company fax number. 10. E-mail Address - Fill in your company email address is mandatory. 11. Principal Account Number Fill in the company account number which is consider the main account. 12. Branch Fill the RHB branch where the account is opened. 13. Type of account select Conventional if it is normal account, Islamic if it is an Islamic account. Part B Linking of additional accounts This section allows you to link all accounts and facilities you have with the bank. You may include financing account, multi-currency account as long as they belong to your company. 1. Would you like to link additional accounts? Select Yes if you choose to, otherwise select No. 2. Fill in the account details with the account number and the account name if you choose to link. Part C Linking of Subsidiary Accounts This section allows company to link their subsidiary accounts. Board Resolution from the subsidiary is required to allow the linking. Kindly follow the Bank s standard format downloadable from the Bank s website (www.rhbgroup.com). 1. Account Number specify the account numbers to link. 2. Account Name specify the name of accounts to be linked. Part D Appointed SysAdmin1 and SysAdmin2 Company must appoint 2 persons as System Administrators. SysAdmin1 is responsible to perform setup e.g. creation of user and user profile. SysAdmin2 s role is to approve the creation and amendment done by SysAdmin1. If the SysAdmin1 and SysAdmin2 roles are hold by the same person, kindly fill in the both Part C (a) and Part C (b). This section capture the system administrators details 1. Salutation Select Mr, Mrs, Miss or Ms accordingly. 2. Name Fill in the person name appointed to the role. 3. Telephone No Fill in the contact number of the appointed person. 4. NRIC No Fill in the identification card number of the appointed person. 5. Email Address Fill in the email address of the appointed person. 6. Signature signature of the appointed person. Part E Number of End-Users Specify the number of users required for each role for your company to operate Reflex Cash Management for Basic Package, Premium Package & Financial Supply Chain Management. 1. Number of user(s) required for Data Entry. 2. Number of user(s) required for Reviewer this is optional. 3. Number of user(s) required for Authorizer. 4. Authorizer details are mandatory for Premium Package & Financial Supply Chain Management. Kindly fill in the personal details of the appointed authorizer as follows: a. Name Name of the appointed authorizer. b. NRIC Identity card of the appointed authorizer. c. Email Address Email address of the appointed authorizer(s). d. Reflex User ID specify the preferred user ID. 5. For Basic Package, Premium Package & Financial Supply Chain Management the 2 tokens for SysAdmin1 and SysAdmin2 are provided for free. For end users (Data Entry, Reviewer, and Authorizer), for every token requested, RM50.00 will be charged per token. Amount will be debited from registered Account. Part F Declaration by Principal Account Kindly read and understand before signing. To be signed by the person(s) authorized for operation of current account or the authorized person as per your Board Resolution (for Premium Package & Financial Supply Chain Management). 2
Please mark the box(s) below with which Reflex Cash Management Services you intend to obtain Account Management Service only (Basic Package) Account Management and Transactional Services (Premium Package) (Must submit this form together with Board Resolution) Financial Supply Chain Management (Must submit this form together with Board Resolution) Do you have the following facilities with us? Please indicate below. Trade facility Yes No Credit Card Merchant Yes No Your merchant number (If you answered Yes above) Part A - Principal Applicant About Your Company/ Association/ Club / Society /Partnership *Name of Company / Association / Club / Society: *Registration Number: Tax No: EPF No: SOCSO No: *Address: *Postcode: *Contact person1 *Contact Person 2 *Telephone Number 1 : Fax Number 1: *E-mail Address 1: Telephone Number 2: Fax Number 2: E-mail Address 2: *Principal Account Number: Branch: *Type of account: Conventional Islamic * Compulsory to fill in. For Bank Use Only Account Number : CIF Number : Authorised Signatory(ies) : 3
Part B - Reflex Cash Management Services allows linking of additional accounts should you have more than one account with the Bank (belonging to the principal applicant). 1. Would you like to link additional accounts? (YES / NO) 2. If yes, please fill in the account numbers below. (Please state the account number in a separate letter if the space is insufficient) 1. Account Number Account Name 2. Account Number Account Name 3. Account Number: Account Name 4. Account Number Account Name Part C Linking of Subsidiary / Related Accounts Reflex Cash Management Services allows you to link your subsidiary/related accounts under the Principal Applicant 1. Would you like to link your account with your subsidiary accounts? (YES / NO) 2. If yes, please fill in the account numbers below together with the Board Resolutions from the subsidiary companies allowing the Principal Applicant to view their accounts (as per attached sample). (Please state the account number in a separate letter if the space is insufficient) 1. Account Number Account Name 2. Account Number Account Name 3. Account Number Account Name 4. Account Number Account Name 5. Account Number Account Name 4
Part D - Appointed SysAdmin1 (or System Administrator) and SysAdmin2 (or System Authorizer) Details are mandatory. I/We appoint the persons named below to receive and acknowledge the Token and PIN Mailer as the SysAdmin1 or SysAdmin2 to operate the Reflex Cash Management Services on behalf of the Company/ Association/ Club/ Society/Partnership. Such persons shall be fully responsible for the use of the said Token and PIN Mailer. a. SysAdmin1 / System Administrator (please submit photocopy of IC) Salutation Mr. Mrs. Miss Ms. Name Telephone No. NRIC No. SysAdmin1 / System Administrator 's Signature Email Address b. SysAdmin2 / System Authorizer (please submit photocopy of IC/Passport) Salutation Name Mr. Mrs. Miss Ms. Telephone No. NRIC No. SysAdmin2 / System Authorizer's Signature Email Address Part E Number of End-Users User Basic Package Premium Package Financial Supply Chain Management Data Entry Person appointed to a. ** Minimum 1 unit required. a. ** Minimum 1 unit required. a. ** Minimum 1 unit required. input the data via Reflex. b. Additional required? Quantity Additional required? Quantity Additional required? Quantity Reviewer Appointed staff to review information Not Applicable a. Optional. Do you require? **Yes No a. Optional. Do you require? **Yes No inserted by Data Entry. b. Additional required? Quantity b. Additional required? Quantity Authorizer Person appointed by company to authorize transactions made via Reflex. Training (for Premium Package) Training by our Solution Specialist on how to easily utilize Reflex. It is highly recommended for you to apply. Not Applicable 1. **Minimum 1 2. Additional required? Quantity We would like to have / Kami memerlukan: *** On-site training at your office (Chargeable). Please state location: Classroom training at any RHB branch (Free of charge). Please state location: 1. **Minimum 1 2. Additional required? Quantity No training required. ** RM50.00 will be charged per token and will be debited from registered account. *** RM150.00 will be levied every time a training session is conducted at your site. It will be debited from your account after training is completed. 5
Part F - Declaration by Principal Applicant 1. I/We hereby apply for the service of Reflex Cash Management provided by RHB Bank Berhad / RHB Islamic. 2. I/We hereby authorize the Bank to debit the principal account with the service charges set forth below: a. Subscription service charge b. Service charge c. Token charge d. Training charge Notes on the service charges The subscription and service charges above shall be debited from your account upon issuance of your Corporate ID/Organization ID. The service fee shall be debited from your account up on processing of your payment files. It is charged based on per transaction basis. The subscription fee is charged based on the number of applicant / company s account to be used for the service. The training charge is levied every time a training session is conducted at your site. It will be debited from your account after training is completed. The subscription, service, token, and training charges above are non-refundable. Token charge is applicable for replacement of lost or damaged tokens. Effective 1st Apr 2015 all fees/charges incurred will be subjected to 6% GST (where applicable). 3. For more details on the terms and conditions and service charges applicable (as defined in the Form for Selection of Reflex Cash Management), please visit www.rhbgroup.com. At your request, the Bank may provide you with information on the service charges applicable to the Transactional Services (as defined in the Form for Selection of Reflex Cash Management). 4. I/We shall be deemed to have read, understood and accept the Terms and Conditions that govern the use of Reflex Cash Management before submitting this application. The Terms and Conditions are made available at www.r hbgroup.com. 5. Upon receipt of our application for the Services (either the Account Management Services (known as Basic Package) or a combination of Account Management and Transactional services (known as Premium Package and other services) as stated in Page 1 of this application form), I/we accept and acknowledge that the Bank may in its absolute discretion accept or reject the application. If the Bank accepts the application, the Bank will give written notice of its acceptance and permit us to commence access and/or use of the Services. 6. I/We note that the Terms and Conditions and this Form submitted to the Bank shall govern our access and/or use of the services. Any other forms and/or the Application Form previously submitted by us to the Bank shall be deemed to apply to both the existing services obtained by us and the additional services applied for hereunder. 7. I/We hereby confirm that I/We are authorized to act for and on behalf of the Company/Association/Club/Society/Partnership to apply for the Reflex Cash Management provided by the Bank. 8. I/We hereby confirm that all information provided is true and accurate to the best of my/our knowledge as at the date of this application. 9. I/We hereby confirm that I/We have read, understood and agreed to the terms and conditions of the Reflex Cash Management, this Application Form and the Terms and Conditions made available on www.rhbgroup.com and agree irrevocably and unconditionally to be bound by such terms and conditions. * FOR REFLEX CASH MANAGEMENT APPLICATION ** FOR TRADE SERVICES IF APPLICABLE Authorized Signatory (ies) * and Company Stamp (Chop) / Date Name : _ Designation : NRIC No : Authorized Signatory (ies) ** and Company Stamp (Chop) / Date Name : Designation : NRIC No : *Authorized Person(s) signature as per Board Resolution (or such other document acceptable to the Bank) for operation of current accounts for banking transactions. **Authorized Person(s) signature as per Board Resolution (or such other document acceptable to the Bank) for operation of existing trade facilities/services as furnished to the Bank, if different from * above. For Bank Use Only Reflex Registration Centre Corporate Commercial Trade Corporate ID: Verified by: Credit Card Merchant Financial Supply Chain Signature and other particulars verified Officers signature & name stamp (Chop) Approved by: 6
SME DECLARATION FORM 1. I/We hereby declare that the Company/Association/Club/Society/Partnership represented by me/us belongs to the Small and Medium Enterprises as it meets either one of the two specified criteria, namely sales turnover or full-time employees whichever is lower defined as follows: Definition By Number of Employees Based on the number of full-time employees: Category Manufacturing* Services** & Other Sectors*** Micro Less than 5 full-time employees Less than 5 full-time employees Small 5 to less than 75 full-time employees 5 to less than 30 full-time employees Medium 75 to not exceeding 200 full-time employees 30 to not exceeding 75 full-time employees Definition By Annual Sales Turnover Based on annual sales turnover: Category Manufacturing* Services** & Other Sectors*** Micro Less than RM300,000 Less than RM300,000 Small RM300,000 to less than RM15 million RM300,000 to less than RM3 million Medium RM15 million to not exceeding RM50 million RM3 million to not exceeding RM20 million * Manufacturing refers to physical or chemical transformation of materials or components into new products. **Services refer to all services including distributive trade; hotels and restaurants; business, professional and ICT services; private education and health; entertainment; financial intermediation; and manufacturing-related services such as research and development (R&D), logistics, warehouse, engineering etc. *** Others refer to the remaining 3 key economic activities, namely: primary agriculture [perennial crops (e.g. rubber, oil palm, cocoa, pepper etc.), cash crops (e.g. vegetables, fruits etc.), livestock, forestry, logging, marine fishing & aquaculture], construction (infrastructure, residential & non-residential & special trade) and mining & quarrying. 2. I/We hereby confirm that all information provided is true and accurate to the best of my/our knowledge as at the date of this application. 3. I/we accept and acknowledge that the Bank may in its discretion to accept or reject the application and revise the charges with prior notice given if information provided is found to be inaccurate. 4. I/We hereby agree as follows: I. Customers successfully activated under SME-2-Reflex campaign must transact any amount within three months upon activation in order to enjoy the campaign benefits, otherwise the user tokens will be charged RM100 for Sysadmin 1 & 2 tokens (RM50 per token). II. Any cancellation of Reflex Cash Management by SME-2-Reflex customers within 1 year of activation, the user token will be charged RM100 for Sysadmin 1 & 2 tokens (RM50 per token). 5. I/We acknowledge that we have read, understood, accepted, irrevocably and unconditionally hereby agree to be bound by the said terms and conditions. RHB Bank Berhad (6171-M) 7