Forms

Know You Client(KYC) Form (For Individuals)

This information is required by the Bank Negara in order to comply with the Anti-Money Laundering & Counter Financing of Terrorism (AML/CFT).
Fullname *
As in NRIC / Passport
NRIC / Passport No. *
NRIC / Valid passport number
Date of birth *

Day Month Year
Date
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mailing Address (if different from the above)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Citizen *
Handphone No. *
E-mail *
example@example.com
Company Name
Newly incorporated Existing Company
Type a question

Shareholder Director
Sources of Capital

Personal assets of shareholder Borrowings / Loans Other
Nature of business
Name of Beneficial Owner (s) (if any)
Name
Shares percentage %
Name
Shares percentage %
I confirm that the above information is true and accurate, and you are authorised to supply any or all of such information for due diligence purposes to the Regulations if so requested by them. We also undertake to notify you of any future changes to the above information.
Signature

Clear
Should be Empty:

Form