Appendix 3
FACILITY APPLICATION FORM
Name of Client
New NRIC No
Old NRIC No/ Passport No/Reg No
Contact No
Email
ExistingTrading A/c No.
1.
2.
Existing CDS A/c No.
1.
2.
Capital Markets Services
Representative’s Licence Holder
Name/Code
I/We wish to apply for the following account opening/facility(ies) with Kenanga Investment Bank Berhad.
By ticking (√ ) against the relevant facility(ies) below, I/We am/are requesting for the said facility.
Facility
1
Online Trading:
Local
Global
5
Cash Upfront Trading
Initial Deposit:
2
RM
Payment Mode
Margin Trading
Cheque
Others, please specify
Margin T+10
6
3
Cash
E-Trade Trading
Global/Bursa Multi-Currency Equities Trading
i
Cash Deposit: RM
Declaration of Domestic Ringgit Credit Facilities as at to-date
(for Malaysia Residents Only)
I/We do not have domestic ringgit credit facilities as defined
under the Exchange Control Notices of BNM.
I/We have domestic ringgit credit facilities as defined under
the Exchange Control Notices of BNM. I/We hereby
acknowledge that we have read and understood the
Exchange Control Act 1953 and/or BNM’s FEA policy and shall
abide by the provisions at all material time.
Shares Pledged: As per list attached
7
8
E-Statement
Contract Notes
Monthly Statements
Margin Statements
Trust Account Statements
E-Share Payment
Payment Instruction
Bank/Branch
ii Declaration of Exposure in Foreign Securities for the current
calendar year-to-date:
Type of Account
Currently invested
RM
Account Number
Remaining balance for investment
RM
Joint A/c
iii Contra in Foreign Securities
Yes
No
Yes
No
(Please submit a photocopy of passbook/latest bank statement for
verification purpose)
9
iv Settlement Currency for Foreign Securities Trading
Intra-Day Trading
Intra-Day Option
Ringgit Malaysia (RM)
(FIFO)
(T+3)
No
Non-Ringgit Malaysia (Non-RM)
v Dividend Payment in Foreign Securities
Ringgit Malaysia (RM)
Non-Ringgit Malaysia (Non-RM)
vi Trade in US securities? If yes, please execute the W8Ben Form.
4
Securitised Trading Account
Shares Deposited: As per list attached
221211
10
Custodial
11
3rd Party Pledge Trading
12
Trust
13
Securities Portfolio Access Authorisation for Balance Enquiry
Request
14
Others, please specify
1
Declaration by Applicant
I/We hereby declare as follows:1
I/We have read and understood the relevant terms and conditions contained in the “Terms” in relation to the abovementioned accounts/facilities and fully
accept and agree to be bound by the said terms and conditions.
2
The particulars and information given in this application form are true and correct and I/we have not withheld any material facts or information from the
Bank. I/We undertake to furnish the Bank with such additional particulars as the Bank may require from time to time. I/We further authorize the Bank to verify
the information given from any source (including third parties) and in such manner as the Bank shall deem fit. I/We undertake to inform the Bank in writing
should there be any change(s) to my/our particulars declared in this Facility Application Form.
Witnessed by:
Capital Markets Services Representative’s Licence
Holder or Authorised Officer of Kenanga Investment
Bank Berhad or Notary Public
(Only applicable for Individual Applicant)
Signature of Client
Signature
Date
Name
(For corporation, please affix your company rubber
stamp/common seal, in accordance to Board Resolution)
Date
NRIC No/Passport No
For Office Use Only
Verified By
Date
Approved By
Date
Trading A/c No
Data Entry By
Date
CDS A/c No
2