Page 1 of 2
IOPAO01(01July17)
D D M M Y Y Y Y
Y Y
Y Y
No YesI am a tax resident of another country(s) outside Malaysia :
PART D - DECLARATION BY APPLICANT
No Yes:
No Yes:(if yes, please specify)
(if yes, please specify)
1 .2.3.
DECLARATION OF POLITICALLY EXPOSED PERSONS (PEPs)
DECLARATION PURSUANT TO COMMON REPORTING STANDARD (CRS) ON TAX RESIDENCY
DECLARATION PURSUANT TO RULE 5.15(9) OF THE BURSA MALAYSIA SECURITIES BHD.
DECLARATION PURSUANT TO TERMS AND CONDITION FOR THE OPERATION OF SECURITIES TRADING ACCOUNT(s) IN ISLAMIC STOCKBROKING WINDOW OF MSSB
YOU ARE REQUIRED TO DECLARE WHETHER YOU / FAMILY MEMBER* / CLOSE ASSOCIATE** ARE CURRENTLY ENTRUSTED WITH A PROMINENT PUBLIC FUNCTION*** IN MALAYSIA OR A FOREIGN COUNTRY?
No, I am / My family member(s) / close associate(s) are not
Yes, I am / My family member(s) / close associate(s) are
YOU ARE REQUIRED TO DISCLOSE WHETHER ANY DEALING IN SECURITIES IN RESPECT OF YOUR TRADING ACCOUNT(S) IS CONDUCTED FOR YOURSELF OR ON BEHALF OF ANOTHER PERSON
for me as principal
for and on behalf of the party set out below, from whom, through whom or on whose behalf the securities are to be dealt with. I shall however remain liable for the dealings without prejudice to your right against the said party:-
a)
c)d)
e)
h)
i)Online Client
Non-Online Client
j)
f)
i)
SUBSCRIBED AND SOLEMNLYdeclared by the account holder
PLEASE PRINT THE COMPLETED FORM AND PHYSICALLY SIGN WITHIN THE BOX
D D MM Y Y Y Y
lacca ecurities dn articipating Organisation Of rs sia ecuritie erha
Before me,
D D MM Y Y Y YPage 2 of 2
(16121-H)
IOPAO01BFeb20
ISLAMIC STOCKBROKING WINDOWINDIVIDUAL TRADING ACCOUNT APPLICATION FORMPRODUCT DETAILS
PART ONE - ACCOUNT DETAILS
(As per NRIC/Passport/ Authority
PART TWO - ACCOUNT TYPE
Islamic Trading - Cash Upfront Account
PART THREE - ONLINE TRADING FACILITYWe would like to apply for online trading :
FOR INTERNAL USE ONLY
J
Others, please specify :
I am NOT a Resident of MalaysiaI am a Resident of Malaysia
and I undertake to inform MSSB immediately should I subsequently obtain
PART FIVE- DECLARATION BY APPLICANT
Signature of Applicant
Applicant Name :
D D M M Y Y Y Y
PLEASE PRINT THE COMPLETED FORM AND PHYSICALLY SIGN WITHIN THE BOX
PART SIX - TO BE COMPLETED BY DEALER’S REPRESENTATIVE
How do I know the applicant
Poor
Cash -
Applicant knowledge of trading rules
Intra day Trade
Proposed trading limit recommended
Name of broker :RM
Yes No
Excellent
Shares -
RM
RM
(16121-H)
DECLARATION BY DEALER’S REPRESENTATIVE
D D M M Y Y Y Y
PLEASE PRINT THE COMPLETED FORM AND PHYSICALLY SIGN WITHIN THE BOX
FOR INTERNAL USE ONLY - DOCUMENT CHECKLIST
Account type
Country Code
Intraday
Trading Limit Keyed-in by
Checked by
0 1 2 0 0 1
:
:
:
A V G 0 0 1 K
J
NoYes
If YES, Account No :
NoYes
NoYes
Correspondence Address : NoYes
Low Risk High RiskMedium Risk
RECOMMENDED BY CREDIT CONTROL
NoYes
NoYes
No
RM
Yes
Remarks