application for opening of account - market | bursa … malaysia depository sdn bhd (165570 w)...

BURSA MALAYSIA DEPOSITORY SDN BHD (165570 W)

APPLICATION FOR OPENING OF ACCOUNTPlease read the instructions on the reverse before completing the Form.

OLD NRIC / PASSPORT / AUTHORITY CARD / REG. NO.:

NAME OF APPLICANT (AS PER NRIC/PASSPORT / AUTHORITY CARD/REGISTRATION DOCUMENT):

To be completed by ADA / ADM / Bursa Depository(where applicable)

ACCOUNT QUALIFIER (FOR TRUSTEES / CORPORATE BODY, IF ANY):

NEW NRIC NO.:PARTICIPANT TYPE:

ADA / ADM CODE:

INVESTOR TYPE:

ACCOUNT TYPE (FOR ADA ONLY):

BENEFICIARY:

STATE: COUNTRY:

REGISTERED ADDRESS OF APPLICANT (AS PER NRIC / PASSPORT / AUTHORITY CARD / REGISTRATION DOCUMENT) (SEE NOTE 5):

POST CODE:

STATE: COUNTRY:

TOWN:

POST CODE: TOWN:

TELEPHONE NO.:

CORRESPONDENCE ADDRESS:

STATE:

RACE / OWNERSHIP:

COUNTRY:

NATL / PLACE OF INCORP.:

STATE:

MALAYSIANFOREIGNER

( ) MALAYSIAN( ) FOREIGNER

CROSS (X) WHERE APPLICABLE

(SEE NOTE 13)

COUNTRY:

NATIONALITY / PLACE OF INCORPORATION:

DECLARATION BY APPLICANT / AUTHORISED SIGNATORY(IES) / ATTORNEY(S)DECLARATION BY DEALER’S REPRESENTATIVE / ADA’S AUTHORISED OFFICER(S) /

NOTARY PUBLIC / OTHERS AS APPROVED BY BURSA DEPOSITORY

FOR OFFICE USE ONLY

RACE / OWNERSHIP:

(To be completed when applicant is not present in person)

To be completed by ADA / Bursa Depository(Sign and affix company rubber-stamp)

I hereby affirm and attest that the particulars of the applicant have been verified to betrue and the *signature(s) / thumbprint(s) of the *applicant / authorisedsignatory(ies) / attorney(s) belong(s) to the *applicant / authorisedsignatory(ies) / attorney(s) who *has / have appeared in person before me.

NAME

NRIC NO.

LICENSE NO.(IF APPLICABLE)

DESIGNATION

SIGNATURE

DATE

:

:

:

:

:

:

VERIFIED BY

APPROVED BY

DATA ENTRY BY

CDS ACCOUNT NUMBER ALLOTTED:

CROSS (X) WHERE APPLICABLE (FOR INDIVIDUALS ONLY)Applicant appeared in person and the original *NRIC / Passport / Authority Card wasverified by us.Application received from *Dealer’s Representative / ADA’s Authorised Officer(s)/Notary Public / Others as approved by Bursa Depository.

:

:

:

DATE

DATE

DATE

:

:

:

*I / We hereby:-declare that I have attained 18 years of age (for individualsonly)

i.

declare that I am not an undischarged bankrupt (for individualsonly)

ii.

agree to be bound by the Rules of Bursa Malaysia DepositorySdn. Bhd. (Bursa Depository) and any amendments theretoagree to be bound by any procedures and / or directives issuedby Bursa Depositoryaffirm that I have no other individual securities accountmaintained with this Authorised Depository Agent (ADA) (forindividuals only)affirm that this account *is / is not for pledged securitiesaffirm that all the information stated in this Application Formand Specimen Signature Cards is correctundertake to notify the ADA / Bursa Depository of any change ofparticulars or information provided by *me / us in this ApplicationFormdeclare that *I / We *am / are the *beneficial owner(s) /authorised nominee of all securities credited into thisaccount.

iii.

iv.

v.

vi.vii.

viii.

ix.

SIGNATURE OF APPLICANT / AUTHORISED SIGNATORY(IES)**

* Delete whichever inapplicable

** Affixation of common seal or company rubber-stamp (where applicable)

DATE

NF/11FMN010 of 3

DEPOSITORY








ADA / ADM CODE:

INVESTOR TYPE:


BENEFICIARY:

STATE: COUNTRY:


POST CODE:

STATE: COUNTRY:

TOWN:

POST CODE: TOWN:

TELEPHONE NO.:


STATE:

RACE / OWNERSHIP:

COUNTRY:


STATE:

MALAYSIANFOREIGNER



(SEE NOTE 13)

COUNTRY:




FOR OFFICE USE ONLY

RACE / OWNERSHIP:




NAME

NRIC NO.


DESIGNATION

SIGNATURE

DATE

:

:

:

:

:

:

VERIFIED BY

APPROVED BY

DATA ENTRY BY



:

:

:

DATE

DATE

DATE

:

:

:


i.


ii.


iii.

iv.

v.

vi.vii.

viii.

ix.




DATE

NF/11FMN010 of 3

ADA/ADM








ADA / ADM CODE:

INVESTOR TYPE:


BENEFICIARY:

STATE: COUNTRY:


POST CODE:

STATE: COUNTRY:

TOWN:

POST CODE: TOWN:

TELEPHONE NO.:


STATE:

RACE / OWNERSHIP:

COUNTRY:


STATE:

MALAYSIANFOREIGNER



(SEE NOTE 13)

COUNTRY:




FOR OFFICE USE ONLY

RACE / OWNERSHIP:




NAME

NRIC NO.


DESIGNATION

SIGNATURE

DATE

:

:

:

:

:

:

VERIFIED BY

APPROVED BY

DATA ENTRY BY



:

:

:

DATE

DATE

DATE

:

:

:


i.


ii.


iii.

iv.

v.

vi.vii.

viii.

ix.




DATE

NF/11FMN010 of 3

DEPOSITOR

INSTRUCTIONS FOR COMPLETION OF APPLICATION FOR OPENING OF ACCOUNT FORM

1.

2.

3.

4.

This form must be completed in triplicate.

Please type or write using BLOCK LETTERS.

Each box should contain only one letter. Leave one box between words.

The following completed application must be accompanied by the required documents as stated below:-

TYPE OF APPLICANTINDIVIDUAL

COMPANY INCORPORATED UNDER THECOMPANIES ACT 1965

SOCIETY REGISTERED UNDER THESOCIETIES ACT 1966 OR CO-OPERATIVESOCIETIES ACT 1948

CORPORATIONS INCORPORATED BY ANACT OF PARLIAMENT OR STATEENACTMENT

Two copies of:-i. NRIC / Passport / Armed Forces or Police Personnel Authority CardTwo certified true copies of:-ii. Power of Attorney (if applicable)Two certified true copies of:-i. Board Resolutionii. Memorandum and Articles of Associationiii. Form 8 or 9, 24, 44 and 49 (Form 13 and 20 only if applicable)iv. Power of Attorney (if applicable)Two certified true copies of:-i. Constitution / By-Laws of the Societyii. Certificate of Registrationiii. Resolution of Governing Body (ie. Committee / Board)

5. a) For individual applicants apart from armed forces / police personnel, use the address as stated in national identity card or a valid and unexpired JPN 1/9, JPN 1/11 or JPN 1/22.b) For armed forces / police personnel, use the address of their respective camp / base / station.c) For foreign applicants, use the address as stated in the passport (if any).

6. An individual is required to be present in person to apply for a CDS account, unless waived by the Authorised DepositoryAgent (ADA).

7. The witness to the account opening application must certify on the photocopies of the NRIC / Passport / Armed Forces or PolicePersonnel Authority Card / supporting documents.

8. Form defaced by erasure or any kind of correcting fluid may result in the application being rejected.

9. Any amendment made on the form must be legible and signed by the applicant / authorised signatory(ies) of the corporateapplicant.

10. Where affixation of common seal is not required, corporate investors must ensure that they affix the company rubber-stamp.

11. Bursa Malaysia Depository Sdn Bhd (Bursa Depository) reserves the right to reject applications, which do not conform to theRules of Bursa Depository (including amendments thereto), and / or guidelines or instructions issued by Bursa Depository fromtime to time.

12. Please contact your ADA if you do not receive the Account Opening Notice within 14 days after opening your account.

13. A foreigner is defined as:-a)b)c)d)e)

f)

g)

an individual who is not a citizen of Malaysia;a body, corporate or unincorporate, which is incorporated or constituted, as the case may be, outside Malaysia;a trustee administering a trust which is constituted under any foreign law;a trust corporation which is incorporated under any foreign law:a society, including a co-operative society or any other institution, which is constituted, registered or incorporated underany foreign law;a nominee company incorporated in Malaysia which-(i) is identified with the word “(Asing)” in its name; and(ii) performs the services of a nominee, agent or trustee solely for or on behalf of legal or beneficial owners of securities who are foreigners; ora company, other than a company described under paragraph (f), which is incorporated in Malaysia and where any one ofthe persons or a combination of the persons referred to in paragraph (a), (b), (c), (d) or (e) is entitled to exercise or controlthe exercise of more than fifty per centum of the voting rights of the company.

Two certified true copies of:-i. Board Resolutionii. Power of Attorney (if applicable)iii. In respect of statutory body other than EPF, LUTH, SOCSO, LTAT, copy of the act / enactment incorporating the said body

DOCUMENTS TO BE SUBMITTED

application for opening of account - market | bursa … malaysia depository sdn bhd (165570 w)...

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