CIF No. ________________ (For Bank Use only) UOB Internet Banking (Business) Subscription Form – Transactional Please complete the form by filling up where appropriate. Transaction Banking, Level 9, Menara UOB, Jalan Raja Laut, 50350 Kuala Lumpur □ Upgrade from Enquiry Package (only for existing customer) Business Details (Mandatory Fields) Business Registration No. Business Name Business Mailing Address PLEASE DO NOT USE P.O. BOX Business email Company ID (Choice is subject to availability and The Bank reserves the right to re-assign another ID without informing) Minimum of 2 characters with no spaces or special characters. For service package upgrade, please specify your current Company ID. Contact Person Name (All reports will be sent to this email. You may include more than ONE email) Contact No. UOB Internet Banking Service Package Transactional Account Information (Account and Trade Enquiry) Y Y Account And Trade Services (Cheque Services, Bill Payment, FD Placement, Statement Request, Loan Repayment, Funds Transfer, Letter of Credit, Bank Guarantee, Banker’s Acceptances Payment, Trust Receipt Payment, Debit Note Enquiry) Remittance and Cash Management Services (Cashier’s Order, New Share Application, Local Fund Transfer Y (RENTAS), Bulk Issuance of Cashier’s Order, Interbank Giro/Payroll Payment) Please proceed to fill in Authorization Matrix below Transaction Authorisation (To be selected amongst the Company Signatories named below) This is the monthly charges for the Transactional Service Package (Please enquire for Special Pricing for SME setups) Fee RM100 per month st This is the charge for each Security Token issued. The 1 2 tokens are issued FOC. RM150 per Token Debit Fee from this Subscription Account No. (This Subscription Account is used to debit all subscription fees, administration & service charges(cost of Security Token(s)) relating to use of UOB Internet Banking (Business) Service) Section A : Accounts Linkage (Default to “All Accounts” if no Account No. is provided) □ All Accounts (Opened with UOB as at date of this application) □ Include Trade 1. 2. 3. 4. 5. 6. Accounts Section B : 3rd Party# Account(s) to be Added (These accounts are your beneficiary’s account opened with UOB and payment made will be via internal bank transfer) 1. Beneficiary Name: ________________________________________ Account No. 2. Beneficiary Name: ________________________________________ Account No. 3. Beneficiary Name: ________________________________________ Account No. Section C: Company Administrators (Default to “Access to Payroll Function” unless indicated) □ Single Control (Singly approve administrative functions) (Please select ONE only : □ Dual Control (Jointly approve administrative functions) Note : This is the default setup for Sole-Proprietorship. Administrator’s Name (as per NRIC) And NRIC Number (Mandatory Fields) Login ID (6 characters minimum & please do not leave blank) Administrator’s Email Address & Handphone Number Alpha and/or Numeric Mandatory Field 1. Mandatory Field □ No access to Payroll Function N R I C N U M B E R S CIF No.: _______________ (For Bank Use only) H A N D P H O N E N O H A N D P H O N E N O 2. Alpha and/or Numeric □ No access to Payroll Function N R I C N U M B E R BIB Transactional Form Version 2.2 dd 28012014 CIF No.: _______________ S (For Bank Use only) Signature UOB Internet Banking (Business) Subscription Form – Transactional Please complete the form by filling up where appropriate. Transaction Banking, Level 9, Menara UOB, Jalan Raja Laut, 50350 Kuala Lumpur Section D: Company Signatories Please select ONE only : □ *Sequential (signatory creates and approves a particular transaction) Note : This is the default setup for Sole-Proprietorship. □ Non-Sequential (signatory who creates a transaction has to forward to another signatory for approval) *Please exercise caution and carefully consider your internal control processes before selecting the “Sequential” option. Since this option allows a signatory to create and approve a particular transaction, it carries security risk compared to the “Non-Sequential” option which requires another signatory to approve a created transaction. Login ID Signatory’s Name (as per NRIC) And NRIC Number (Mandatory Fields) (6 characters minimum & please do not leave blank) Signatory’s Email Address & Handphone Number Alpha and/or Numeric Mandatory Field Signature 1. Mandatory Field for ALL Group (if any) : ____ N R I C N U M B E R S CIF No.: _______________ (For Bank Use only) H A N D P H O N E N O H A N D P H O N E N O H A N D P H O N E N O H A N D P H O N E N O 2. Alpha and/or Numeric Group (if any) : ____ N R I C N U M B E R S CIF No.: _______________ (For Bank Use only) 3. Alpha and/or Numeric Group (if any) : ____ N R I C N U M B E R S CIF No.: _______________ (For Bank Use only) 4. Alpha and/or Numeric Group (if any) : ____ N R I C N U M B E R S CIF No.: _______________ (For Bank Use only) Section E : Authorization Matrix (Please Select ONE only) □ Any ONE for any transaction and amount □ Any TWO jointly for any transaction and amount □ Any ___ for any transaction and amount □ Any ___ from each Group for any transaction and amount □ Any ___ from Group A and Any ___ from Group B for any transaction and amount □ Group and Signing Limit as follows : Authorization Limit Amount < RM100,000 Authorization Conditions Any One from Group A I/We hereby apply for the services of UOB Internet Banking (Business) Service as set out above. I/We agree to abide and be bound by the terms and conditions governing the UOB Internet Banking (Business) Service including any amendments, supplements and additions thereto made from time to time by the Bank, which terms and conditions are available at all the Bank branches and at www.uob.com.my. I/We confirm that the person(s) whose information appear in the Company Administrators and Company Signatories sections above and/or in other letter(s) of instruction is/are authorized to perform and effect the above services opted by me/us at any time and from time to time for and on my/our behalf in relation to the abovementioned account(s). I/We confirm that the abovementioned Company Administrators and Company Signatories have sufficient authority and effect all transactions of such services for and on our behalf and all such transactions shall be binding and conclusive on me/us. I/We confirm that all the information provided herein is true and accurate to the best of my/our knowledge as at the date of this application. I/We authorize UOB to issue Login Password(s), Token(s) and Token PIN(s) to the Company Signatories, where applicable. I/We authorize UOB to debit all subscription fees, administrative and services charges relating to my/our application and/or use of UOB Internet Banking (Business) Service from the Subscription Account as specified above. I/We hereby confirm that I/we have received, read, understood and agreed to be bound by the Privacy Notice issued by United Overseas Bank (Malaysia) Bhd as may relate to the processing of my/our personal data. _________________________ _________________________ _________________________ Name Approved Person Date : _______________ Name Approved Person Date : _______________ Name Approved Person Date : _______________ For Bank Use For Bank Use Attending Officer Name : _____________________________________________ Attending Office Contact No. : _________________________________________ Verified by : _____________________ Approved By : ____________________ BIB Transactional Form Version 2.2 dd 28012014 Verified by : __________________ Approved By : ______________________