CDS FMN010 Application For Opening of Account

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the 3 copies of this form to your ADA
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BURSA MALAYSIA DEPOSITORY SDN BHD (165570 W)

APPLICATION FOR OPENING OF ACCOUNT
Please read the instructions on the reverse before completing the Form.
OLD NRIC / PASSPORT / AUTHORITY CARD / REG. NO.:
To be completed by ADA / ADM / Bursa Depository

(where applicable)
NEW NRIC NO.:
PARTICIPANT TYPE:
NAME OF APPLICANT (AS PER NRIC/PASSPORT / AUTHORITY CARD/REGISTRATION DOCUMENT):

ADA / ADM CODE:
ACCOUNT QUALIFIER (FOR TRUSTEES / CORPORATE BODY, IF ANY):
INVESTOR TYPE:
ACCOUNT TYPE (FOR ADA ONLY):
DE
PO
SI
TO
RY
REGISTERED ADDRESS OF APPLICANT (AS PER NRIC / PASSPORT / AUTHORITY CARD / REGISTRATION DOCUMENT) (SEE NOTE 5):
BENEFICIARY:
POST CODE:
TOWN:
STATE:
COUNTRY:
STATE:
COUNTRY:
STATE:
COUNTRY:
CORRESPONDENCE ADDRESS:
POST CODE:
TOWN:
STATE:
COUNTRY:
TELEPHONE NO.:
NATL / PLACE OF INCORP.:
CROSS (X) WHERE APPLICABLE
NATIONALITY / PLACE OF INCORPORATION:
RACE / OWNERSHIP:
(SEE NOTE 13)
(
(
RACE / OWNERSHIP:
) MALAYSIAN
) FOREIGNER
DECLARATION BY APPLICANT / AUTHORISED SIGNATORY(IES) / ATTORNEY(S)
*I / We hereby:i. declare that I have attained 18 years of age (for individuals

only)
ii. declare that I am not an undischarged bankrupt (for individuals
only)
iii. agree to be bound by the Rules of Bursa Malaysia Depository
Sdn. Bhd. (Bursa Depository) and any amendments thereto
iv. agree to be bound by any procedures and / or directives issued
by Bursa Depository
v. affirm that I have no other individual securities account
maintained with this Authorised Depository Agent (ADA) (for
individuals only)
vi. affirm that this account *is / is not for pledged securities
vii. affirm that all the information stated in this Application Form
and Specimen Signature Cards is correct
viii. undertake to notify the ADA / Bursa Depository of any change of
particulars or information provided by *me / us in this Application
Form
ix. declare that *I / We *am / are the *beneficial owner(s) /
authorised nominee of all securities credited into this
account.
DECLARATION BY DEALERS REPRESENTATIVE / ADAS AUTHORISED OFFICER(S) /

NOTARY PUBLIC / OTHERS AS APPROVED BY BURSA DEPOSITORY
(To be completed when applicant is not present in person)
I hereby affirm and attest that the particulars of the applicant have been verified to be
true and the *signature(s) / thumbprint(s) of the *applicant / authorised
signatory(ies) / attorney(s) belong(s) to the *applicant / authorised
signatory(ies) / attorney(s) who *has / have appeared in person before me.
NAME
NRIC NO.
LICENSE NO.
:
(IF APPLICABLE)
DESIGNATION
SIGNATURE
DATE
FOR OFFICE USE ONLY
To be completed by ADA / Bursa Depository

(Sign and affix company rubber-stamp)
:
DATE :
APPROVED BY :
DATE :
DATA ENTRY BY :
DATE :
VERIFIED BY
CDS ACCOUNT NUMBER ALLOTTED:
SIGNATURE OF APPLICANT / AUTHORISED SIGNATORY(IES)**
DATE
* Delete whichever inapplicable

** Affixation of common seal or company rubber-stamp (where applicable)
FMN010
CROSS (X) WHERE APPLICABLE (FOR INDIVIDUALS ONLY)

Applicant appeared in person and the original *NRIC / Passport / Authority Card was
verified by us.
Application received from *Dealers Representative / ADAs Authorised Officer(s)/
Notary Public / Others as approved by Bursa Depository.
NF/11
Page 1 of 3


(where applicable)
NEW NRIC NO.:
PARTICIPANT TYPE:

ADA / ADM CODE:
INVESTOR TYPE:
BENEFICIARY:
TOWN:
AD
A/
AD
M
POST CODE:
STATE:
COUNTRY:
STATE:
COUNTRY:
STATE:
COUNTRY:
POST CODE:
TOWN:
STATE:
COUNTRY:
TELEPHONE NO.:
RACE / OWNERSHIP:
(SEE NOTE 13)
(
(
RACE / OWNERSHIP:
) MALAYSIAN
) FOREIGNER

only)
only)
by Bursa Depository
individuals only)
Form
account.

NAME
NRIC NO.
LICENSE NO.
:
(IF APPLICABLE)
DESIGNATION
SIGNATURE
DATE
FOR OFFICE USE ONLY

:
DATE :
APPROVED BY :
DATE :
DATA ENTRY BY :
DATE :
VERIFIED BY
DATE

FMN010

verified by us.
NF/11
Page 2 of 3


(where applicable)
NEW NRIC NO.:
PARTICIPANT TYPE:

ADA / ADM CODE:
INVESTOR TYPE:
DE
PO
SI
TO
R
BENEFICIARY:
POST CODE:
TOWN:
STATE:
COUNTRY:
STATE:
COUNTRY:
STATE:
COUNTRY:
POST CODE:
TOWN:
STATE:
COUNTRY:
TELEPHONE NO.:
RACE / OWNERSHIP:
(SEE NOTE 13)
(
(
RACE / OWNERSHIP:
) MALAYSIAN
) FOREIGNER

only)
only)
by Bursa Depository
individuals only)
Form
account.

NAME
NRIC NO.
LICENSE NO.
:
(IF APPLICABLE)
DESIGNATION
SIGNATURE
DATE
FOR OFFICE USE ONLY

:
DATE :
APPROVED BY :
DATE :
DATA ENTRY BY :
DATE :
VERIFIED BY
DATE

FMN010

verified by us.
NF/11
Page 3 of 3
INSTRUCTIONS FOR COMPLETION OF APPLICATION FOR OPENING OF ACCOUNT FORM

1.
This form must be completed in triplicate.
2.
Please type or write using BLOCK LETTERS.
3.
Each box should contain only one letter. Leave one box between words.
4.
The following completed application must be accompanied by the required documents as stated below:-
TYPE OF APPLICANT
INDIVIDUAL
COMPANY INCORPORATED UNDER THE

COMPANIES ACT 1965
SOCIETY REGISTERED UNDER THE

SOCIETIES ACT 1966 OR CO-OPERATIVE
SOCIETIES ACT 1948
CORPORATIONS INCORPORATED BY AN
ACT OF PARLIAMENT OR STATE
ENACTMENT
5.
a)
b)
c)
DOCUMENTS TO BE SUBMITTED
Two copies of:i.
NRIC / Passport / Armed Forces or Police Personnel Authority Card
Two certified true copies of:ii. Power of Attorney (if applicable)
Two certified true copies of:i.
Board Resolution
ii. Memorandum and Articles of Association
iii. Form 8 or 9, 24, 44 and 49 (Form 13 and 20 only if applicable)
iv. Power of Attorney (if applicable)
Constitution / By-Laws of the Society
ii. Certificate of Registration
iii. Resolution of Governing Body (ie. Committee / Board)
Board Resolution
ii. 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
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.
For armed forces / police personnel, use the address of their respective camp / base / station.
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 Depository
Agent (ADA).
7.
The witness to the account opening application must certify on the photocopies of the NRIC / Passport / Armed Forces or Police
Personnel 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 corporate
applicant.
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 the
Rules of Bursa Depository (including amendments thereto), and / or guidelines or instructions issued by Bursa Depository from
time 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) an individual who is not a citizen of Malaysia;

b) a body, corporate or unincorporate, which is incorporated or constituted, as the case may be, outside Malaysia;
c) a trustee administering a trust which is constituted under any foreign law;
d) a trust corporation which is incorporated under any foreign law:
e) a society, including a co-operative society or any other institution, which is constituted, registered or incorporated under
any foreign law;
f) 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; or
g) a company, other than a company described under paragraph (f), which is incorporated in Malaysia and where any one of
the persons or a combination of the persons referred to in paragraph (a), (b), (c), (d) or (e) is entitled to exercise or control
the exercise of more than fifty per centum of the voting rights of the company.

CDS FMN010 Application For Opening of Account

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CDS FMN010 Application For Opening of Account

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Copyright:

Available Formats

Kindly complete, print, sign and submit all

the 3 copies of this form to your ADA

BURSA MALAYSIA DEPOSITORY SDN BHD (165570 W)

To be completed by ADA / ADM / Bursa Depository

NEW NRIC NO.:

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

ACCOUNT TYPE (FOR ADA ONLY):

NATL / PLACE OF INCORP.:

CROSS (X) WHERE APPLICABLE

NATIONALITY / PLACE OF INCORPORATION:

(SEE NOTE 13)

DECLARATION BY APPLICANT / AUTHORISED SIGNATORY(IES) / ATTORNEY(S)

*I / We hereby:i. declare that I have attained 18 years of age (for individuals

DECLARATION BY DEALERS REPRESENTATIVE / ADAS AUTHORISED OFFICER(S) /

FOR OFFICE USE ONLY

To be completed by ADA / Bursa Depository

CDS ACCOUNT NUMBER ALLOTTED:

SIGNATURE OF APPLICANT / AUTHORISED SIGNATORY(IES)**

* Delete whichever inapplicable

CROSS (X) WHERE APPLICABLE (FOR INDIVIDUALS ONLY)

BURSA MALAYSIA DEPOSITORY SDN BHD (165570 W)

To be completed by ADA / ADM / Bursa Depository

NEW NRIC NO.:

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

ACCOUNT TYPE (FOR ADA ONLY):

CROSS (X) WHERE APPLICABLE

NATIONALITY / PLACE OF INCORPORATION:

(SEE NOTE 13)

NATL / PLACE OF INCORP.:

DECLARATION BY APPLICANT / AUTHORISED SIGNATORY(IES) / ATTORNEY(S)

*I / We hereby:i. declare that I have attained 18 years of age (for individuals

DECLARATION BY DEALERS REPRESENTATIVE / ADAS AUTHORISED OFFICER(S) /

FOR OFFICE USE ONLY

To be completed by ADA / Bursa Depository

CDS ACCOUNT NUMBER ALLOTTED:

SIGNATURE OF APPLICANT / AUTHORISED SIGNATORY(IES)**

* Delete whichever inapplicable

CROSS (X) WHERE APPLICABLE (FOR INDIVIDUALS ONLY)

BURSA MALAYSIA DEPOSITORY SDN BHD (165570 W)

To be completed by ADA / ADM / Bursa Depository

NEW NRIC NO.:

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

ACCOUNT TYPE (FOR ADA ONLY):

NATL / PLACE OF INCORP.:

CROSS (X) WHERE APPLICABLE

NATIONALITY / PLACE OF INCORPORATION:

(SEE NOTE 13)

DECLARATION BY APPLICANT / AUTHORISED SIGNATORY(IES) / ATTORNEY(S)

*I / We hereby:i. declare that I have attained 18 years of age (for individuals

DECLARATION BY DEALERS REPRESENTATIVE / ADAS AUTHORISED OFFICER(S) /

FOR OFFICE USE ONLY

To be completed by ADA / Bursa Depository

CDS ACCOUNT NUMBER ALLOTTED:

SIGNATURE OF APPLICANT / AUTHORISED SIGNATORY(IES)**

* Delete whichever inapplicable

CROSS (X) WHERE APPLICABLE (FOR INDIVIDUALS ONLY)

INSTRUCTIONS FOR COMPLETION OF APPLICATION FOR OPENING OF ACCOUNT FORM

This form must be completed in triplicate.

Please type or write using BLOCK LETTERS.

COMPANY INCORPORATED UNDER THE

SOCIETY REGISTERED UNDER THE

A foreigner is defined as:a) an individual who is not a citizen of Malaysia;

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