顾客注册文件

Download as pdf or txt
Download as pdf or txt
You are on page 1of 5

TKC Aurum Manufacturing Sdn Bhd (765955-T)

No 6, Lorong Jelawat 2, Kaw. Perusahaan Seberang Jaya, 13700 Perai, Penang. Ref: Ver3.0 /2022/09
Tel : 04-3809984 (Sales & Marketing) ,3809983(Acct) Fax : 04-3809980

CUSTOMER REGISTRATION FORM

Company Full Name :


Registration No : (Old) (New)

Date Of Incorporation :
Business Address :

Registered Address :

Business Type : Sole Prop / Partnership / Private Ltd


Business Activities : Retail / Trading / Wholesale / Manufacturing / Online
(Circle which related)
Others :
Nature of Business :
Office Phone : Fax :
Office Phone (Acc) :
FB / Instagram / Website :
Contact to send statement : Whatsapp or Email (*either one only)
1)
Subsidiaries Company (if any) :

* Please attach ALL as below : (Tick)


- Certificate of Incorporation

For Private Ltd - Latest Form 24,44,49, Annual Return


(Sdn Bhd) OR Section 14, 51, 46(3), 58
- Copy of all currect Director's IC (Cross 'TKC Only')

- Certificate of Incorporation
For Sole-prop / Partnership - Details of company's owners
- Copy of all currect owner / partner's IC (Cross 'TKC Only')

For Office Use

Introduce by : Acc Create Date :

Remarks : Acc Create By :

KYC Checking :
TKC Aurum Manufacturing Sdn Bhd (765955-T) Ref: Ver3.0 /2022/09
No 6, Lorong Jelawat 2, Kaw. Perusahaan Seberang Jaya, 13700 Perai, Penang.
Tel : 04-3809984 (Sales & Marketing) ,3809983(Acct) Fax : 04-3809980

KYC FORM (KNOW YOUR CUSTOMER)


Product Range : Annual Turnover :
Major Market : Number of employee :
Directors
Name IC Number Nationality

1)

2)

3)
Ultimate Beneficiary Owner / Shareholder (Top)
Name IC Number Share% Relationship (Yes/No)

1)

2)

3)

4)

Authorised Representative Details (Trade)


Name : Mobile No. :
Position : Email Address :

Politically Exposed Person (PEP)


1) Any of the Company's directors, partners or officers is a Politically Exposed Person OR Relative of PEP ?
Yes. Name: _______________________________________ Position : __________________________
Name: _______________________________________ Position : __________________________
No.

Company Structure and Internal Compliance


1) Does your company have written Know Your Customer (KYC) procedures ? Yes No
2) Does your company have written Anti-Money Laundering (AML) procedures ? Yes No

RE : Consent Authorisation
Pursuant to the CRA Act 2010 and Central Bank of Malaysia Act 2009, I/we the undersigned do hereby give my/our consent to you and CTOS Data Systems Sdn Bhd
a registered credit reporting agency under any one or more of the the CRA Act to process my/ our company personal data.
By this consent, I/ we understand and agree that:
i) You may conduct credit/trade check on me/ us and where applicable with CTOS at any time for as long as I/we have a trade relationship with you or where any dues
remain unpaid and outstanding with you, for any one or more of the following purposes:
* Opening of account * Credit/Account monitoring * Debt recovery * Credit/Account evaluation * Credit/Account review
* Legal documentation consequent to a contract or facility granted by you.
ii) You may disclose any information on my/our conduct of my/our account (s) with you, to any business entity/ies for bona fide trade checking at any time.
I/We am/are also aware and understand that such information will be provided to CTOS, who may in turn share such information to subscribers of their service.
iii) Where you require any processing of my/our application to be processed by any processing centre located outside Malaysia (including your Head Office),
I/ we hereby give consent to CTOS to disclose my/our credit, CCRIS & DCHEQS reports to such locations outside Malaysia.
iv) Apart from the above, I/we the undersigned do give my/our consent to you and the CTOS, to process my/our personal data as per the PDPA Act.
Agree NOT Agree
Sign by Director / Shareholder only :

Company Stamp Name: Name: Name:


Dear Valued Customer,

Our company is a Reporting Institution, reponsible to submit yearly DCR (Data And Compliance Report), and other
relevant requirements, to compliance with the Anti Money Laundering Act, under Bank Negara Malaysia.

Therefore your given documents just for identify purpose, shall be treated as confidential and shall not be disclosed
to any party other than the marketing team,directors,management of TKC Aurum.

You might also like