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Company Name* :

Contact Person * :

Contact Number * :

Is your company registered with Suruhanjaya Syarikat Malaysia (SSM)?* :

Yes
No

Does your company send money overseas from Malaysia for payments of goods and services?* :

Yes
No

Does your company send money overseas for at least 3 times a year?* :

Yes
No

Declaration* :

By submitting the information above, I hereby declare that the particulars stated herein are accurate and true and I agree for the Bank and/or their Partner to contact me on this product or service.

I have read and understood the terms and conditions.