Rev 5 Webonline Dot Com Sdn Bhd (510377-P) A-G-15, SME Technopreneur Centre 2, 2260 Jalan Usahawan 1, 63000 Cyberjaya, Selangor Darul Ehsan GST Reg No : 001865469952 Tel : 03-8318 8977 Fax : 03-8318 5977 www.webcash.com.my www.webonline.com.my Webcash Merchant Registration Know Your Client (KYC) Form This form is required for Know Your Customer (KYC) Validation as part of our regulatory purposes requirements. All information required is mandatory and failure to update any part may result in a delay to your application to Webonline for a Merchant Account. Please email completed form to info@webonline.com.my or fax to 03-8318 5977 Business Information Please enter the information for your group, organization, government entity, individual business or partnership. Sole Proprietorship Partnership Private Limited Company (Sdn Bhd) Government Entity Society / Organization Limited Liability Partnership (LLP) Business Type - Business registration forms will be requested upon evaluation approval. Business Name Business Registration No GST Registered Yes, GST No : No Date of Incorporation Address Line 1 Address Line 2 City Postcode State / Province / Region Contact No Country : Tel : Fax : Business Website URL Contact Person Name Email Tel : 1 Business owner / Primary Contact Information Please enter the contact information for the owner of this business and the primary contact person for this account Business Owner Full Name Title / Designation Contact Number Email Primary / Secondary Contact Full Name Title / Designation Contact Number Email Product / Service Information Please enter the product / service information. Product Category Online Shopping Computer & ICT Services Education Food & Beverages Transportation Transportation Association Services Travel & Accommodations Others Product / Service Description Projected Monthly Sales 2 Merchant Account Type & Fees Please select your preferred account type Standard Merchant Merchant Registration Yearly Fee Transaction Fee : Internet Banking (Cimbclicks, Maybank2u, Maybank2e, Hong Leong Online, PBE Bank, RHB Now, Bank Islam & Affin Bank) Transaction Fee : Webcash Prepaid Minimum Settlement Settlement Charges Refund Charges Premium Merchant RM188.00 / one time* Free 3%* RM388.00 / one time* RM200.00 / year* 2%* 3%* RM100.00 NIL Subject to Bank 2%* NIL NIL Subject to Bank * Effective from 1 April 2015, all fees including Merchant registration fee, annual renewal fee and transaction fee are subject to 6% GST, GST only applicable for Malaysia Merchant. Remarks Please enter any special request, question or feedback. I certify that I am authorized to give the above information and that I believe it to be true to the best of my knowledge. Full Name : Date : Authorized Signatory : Company Stamp: 3