Account Opening Form |
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| Please write in block letter and select where applicable |
| New Customer |
Existing Customer |
| Preferred Branch |
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| (A) Account Requirement |
| Type of Account |
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| Category of Account |
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Currency Type |
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| Mode of Placement |
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Initial Deposit |
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| (B) Personal Details |
| 1st Applicant (Primary Account Holder) |
| Salutation |
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| Full Name (as in NRIC) |
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| New NRIC No. |
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Old NRIC No. |
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| Other Identification (if without NRIC info)Please state ID Type |
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Date of Birth |
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| Gender |
Male
Female
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Nationality |
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| Race |
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Bumiputra |
Yes
No
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| Religion |
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Residency Status |
Resident
Non Resident
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| Marital Status |
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| Highest Education Level |
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| Name of University/College/Institute of Higher Learning |
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| Residental Address |
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| Mailing Address (if different from the above) |
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| Occupation |
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| Nature of Business |
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Name of Employer/Name of Business (if self-employed) |
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| Address of Employer/Business |
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| Annual Income |
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Type the code shown
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(C) Declaration |
I/We hereby to confirm and declare that all particulars declared above are true and accurate.
Save as disclosed herein, neither I/we nor any of my/our partners/directors/shareholders/guarantors are directly related to any director or staff of Kuwait Finance House (Malaysia) Berhad (KFHMB), neither as spouse, parents or children.
I/We hereby authorize KFHMB to conduct and verify all necessary background checks and/or investigation on my financial status and/or standing with any organization, companies, corporations and/or authorities at KFHMB's sole discretion and to disclose any of my/our information to any KFHMB Group of Companies, Bank Negara Malaysia and any other relevant parties or authorities.
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