Reflex Cash Management Application Form Borang Permohonan Perkhidmatan Pengurusan Tunai Reflex

REGISTRATION CENTRE Please forward complete Application Form together with other documents in the Checklist below to the following address

Officer in Charge Cash & Payment Operations Systems & Operations Division RHB Bank Berhad Level 3, Tower 3 Jalan Tun Razak 50400 Kuala Lumpur.
CHECKLIST BEFORE SUBMISSION TO BANK: 1. 2. 3. 4. 5. Complete Application Form Photocopy of I/C of your appointed System Administrators (SysAdmin1 and SysAdmin2) Board Resolution from Principal account (for Premium Package) Board Resolution of Subsidiary Companies (if you wish to link additional accounts) Form 49 ( ( ( ( ( ) ) ) ) )

FOR BANK USE ONLY

Please tick () where applicable:

BANK@WORK
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GUIDE TO COMPLETE REFLEX APPLICATION FORM

Reflex Cash Management Packages There are 2 available packages as follows: 1. Basic Package for account inquiry only. 2. Premium Package for account inquiry plus financial transaction (e.g. Fund transfer, payment via RENTAS, IBG, Remittances, Payroll with contributions to statutory bodies (EPF, SOCSO, LHDN), etc.) This option requires the submission of Board Resolution. The Board Resolution must follow the Banks standard format downloadable from the Banks website (www.rhb.com.my). Part A Principal Applicant Complete this section with company details. All fields are mandatory and must be completed. 1. Name of Company Fill in your company / association / club / society name. 2. Registration Number Fill in with company / association / club / society registration number. 3. Tax No - Fill in your company Tax number with LHDN. 4. EFP No Fill in the Employer number registered with EPF. 5. SOCSO No Fill in the company SOCSO number. 6. Address Fill in your company address (P.O. Box address is not allowed). 7. Postcode Fill in postcode. 8. Telephone Number Fill in your company contact number. 9. Fax Number - Fill in your company fax number. 10. E-mail Address - Fill in your company email address is mandatory. 11. Principal Account Number Fill in the company account number which is consider the main account. 12. Branch Fill the RHB branch where the account is opened. 13. Type of account select Conventional if it is normal account, Islamic if it is an Islamic account. Part B Linking of additional accounts This section allows you to link all accounts and facilities you have with the bank. You may include loan account, multi-currency account as long as they belong to your company. 1. Would you like to link additional accounts? Select Yes if you choose to, otherwise select No. 2. Fill in the account details with the account number and the account name if you choose to link. Part C Linking of Subsidiary Accounts This section allows company to link their subsidiary accounts. Board Resolution from the subsidiary is required to allow the linking. Kindly follow the Banks standard format downloadable from the Banks website (www.rhb.com.my). 1. Account Number specify the account numbers to link. 2. Account Name specify the name of accounts to be linked. Part D Appointed SysAdmin1 and SysAdmin2 Company must appoint 2 persons as System Administrators. SysAdmin1 is responsible to perform setup e.g. creation of user and user profile. SysAdmin2s role is to approve the creation and amendment done by SysAdmin1. If the SysAdmin1 and SysAdmin2 roles are hold by the same person, kindly fill in the both Part C (a) and Part C (b). This section capture the system administrators details 1. Salutation Select Mr, Mrs, Miss or Ms accordingly. 2. Name Fill in the person name appointed to the role. 3. Telephone No Fill in the contact number of the appointed person. 4. NRIC No Fill in the identification card number of the appointed person. 5. Email Address Fill in the email address of the appointed person. 6. Signature signature of the appointed person. Part E Number of End-Users Specify the number of users required for each role for your company to operate Reflex Cash Management for both Basic Package & Premium Package. 1. Number of user(s) required for Data Entry. 2. Number of user(s) required for Reviewer this is optional. 3. Number of user(s) required for Authorizer. 4. Authorizer details are mandatory for Premium Package. Kindly fill in the personal details of the appointed authorizer as follows: a. Name Name of the appointed authorizer. b. NRIC Identity card of the appointed authorizer. c. Email Address Email address of the appointed authorizer(s). d. Reflex User ID specify the preferred user ID. 5. For both Basic Package & Premium Package, the 2 tokens for SysAdmin1 and SysAdmin2 are provided for free. For end users (Data Entry, Reviewer, and Authorizer), for every token requested, RM50.00 will be charged per token. Amount will be debited from registered Account. Part F Declaration by Principal Account Kindly read and understand before signing. To be signed by the person(s) authorized for operation of current account or the authorized person as per your Board Resolution (for Premium Package).

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Please mark the box(s) below with which Reflex Cash Management Services you intend to obtain

Account Management Service only (Basic Package) Account Management and Transactional Services (Premium Package)
(Must submit this form together with Board Resolution)

Do you have the following facilities with us? Please indicate below.
Trade facility Credit Card Merchant Your merchant number ____________ _______ Yes ____ Yes ____ (If you answered Yes above) No ____ No ____

Part A - Principal Applicant

About Your Company/ Association/ Club / Society /Partnership
*Name of Company / Association / Club / Society:

*Registration Number:

Tax No:

EPF No:

SOCSO No:

*Address:

*Postcode:

*Contact person1

*Contact Person 2

*Telephone Number 1:

Fax Number 1:

*E-mail Address 1:

Telephone Number 2:

Fax Number 2:

E-mail Address 2:

*Principal Account Number:

Branch:

*Type of account:

Conventional

Islamic

* Compulsory to fill in.

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Part B - Reflex Cash Management Services allows linking of additional accounts should you have more than one account with the Bank (belonging to the principal applicant).
1. 2. Would you like to link additional accounts? (YES / NO) If yes, please fill in the account numbers below.

(Please state the account number in a separate letter if the space is insufficient)
1. Account Number Account Name

2. Account Number

Account Name

3. Account Number:

Account Name

4. Account Number

Account Name

Part C Linking of Subsidiary / Related Accounts Reflex Cash Management Services allows you to link your subsidiary/related accounts under the Principal Applicant
1. 2. Would you like to link your account with your subsidiary accounts? (YES / NO) If yes, please fill in the account numbers below together with the Board Resolutions from the subsidiary companies allowing the Principal Applicant to view their accounts (as per attached sample).

(Please state the account number in a separate letter if the space is insufficient)
1. Account Number Account Name

2. Account Number

Account Name

3. Account Number

Account Name

4. Account Number

Account Name

5. Account Number

Account Name

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Part D - Appointed SysAdmin1 (or System Administrator) and SysAdmin2 (or System Authorizer) Details are mandatory.
I/We appoint the persons named below to receive and acknowledge the Token and PIN Mailer as the SysAdmin1 or SysAdmin2 to operate the Reflex Cash Management Services on behalf of the Company/ Association/ Club/ Society/Partnership. Such persons shall be fully responsible for the use of the said Token and PIN Mailer. a. SysAdmin1 / System Administrator (please submit photocopy of IC)
Name Mrs. Miss Ms. SysAdmin1 / System Administrator 's Signature Email Address Telephone No.

Salutation Mr. NRIC No.

b.

SysAdmin2 / System Authorizer (please submit photocopy of IC/Passport)

Name Mrs. Miss Ms. SysAdmin2 / System Authorizer's Signature Email Address Telephone No.

Salutation Mr. NRIC No.

Part E Number of End-Users User

Data Entry Person appointed to input the data via Reflex. Reviewer Appointed staff to review information inserted by Data Entry. Authorizer Person appointed by company to authorize transactions made via Reflex. Training (for Premium Package) Training by our Solution Specialist on how to easily utilize Reflex. It is highly recommended for you to apply. a. b.

Basic Package
** Minimum 1 unit required. Additional required? Quantity ______ a. a.

Premium Package
** Minimum 1 unit required. Additional required? Quantity ______ Optional. Do you require? **Yes No Additional required? Quantity ______ **Minimum 1 Additional required? Quantity ______

Not Applicable

b. Not Applicable 1. 2.

We would like to have / Kami memerlukan: *** On-site training at your office (Chargeable). Please state location:

_______________________________________________ _______________________________________________
Classroom training at any RHB branch (Free of charge). Please state location:

_______________________________________________ _______________________________________________
No training required.

** RM50.00 will be charged per token and will be debited from registered account. *** RM150.00 will be levied every time a training session is conducted at your site. It will be debited from your account after training is completed.

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Part F - Declaration by Principal Applicant

1. 2. I/We hereby apply for the service of Reflex Cash Management provided by RHB Bank Berhad. I/We hereby authorize the Bank to debit the principal account with the service charges set forth below: a. b. c. d. Subscription service charge Service charge Token charge Training charge

Notes on the service charges The subscription and service charges above shall be debited from your account upon issuance of your Corporate ID/Organization ID. The service fee shall be debited from your account upon processing of your payment files. It is charged based on per transaction basis. The subscription fee is charged based on the number of applicant / companys account to be used for the service. The training charge is levied every time a training session is conducted at your site. It will be debited from your account after training is completed. The subscription, service, token, and training charges above are non-refundable. Token charge is applicable for replacement of lost or damaged tokens. 3. For more details on the terms and conditions and service charges applicable (as defined in the Form for Selection of Reflex Cash Management), please visit www.rhb.com.my . At your request, the Bank may provide you with information on the service charges applicable to the Transactional Services (as defined in the Form for Selection of Reflex Cash Management). I/We shall be deemed to have read, understood and accept the Terms and Conditions that govern the use of Reflex Cash Management before submitting this application. The Terms and Conditions are made available at www.rhb.com.my. Upon receipt of our application for the Services (either the Account Management Services (known as Basic Package) or a combination of Account Management and Transactional services (known as Premium Package and other services) as stated in Page 1 of this application form), I/we accept and acknowledge that the Bank may in its absolute discretion accept or reject the application. If the Bank accepts the application, the Bank will give written notice of its acceptance and permit us to commence access and/or use of the Services. I/We note that the Terms and Conditions and this Form submitted to the Bank shall govern our access and/or use of the services. Any other forms and/or the Application Form previously submitted by us to the Bank shall be deemed to apply to both the existing services obtained by us and the additional services applied for hereunder. I/We hereby confirm that I/We are authorized to act for and on behalf of the Company/Association/Club/Society/Partnership to apply for the Reflex Cash Management provided by the Bank. I/We hereby confirm that all information provided is true and accurate to the best of my/our knowledge as at the date of this application. I/We hereby confirm that I/We have read, understood and agreed to the terms and conditions of the Reflex Cash Management, this Application Form and the Terms and Conditions made available on www.rhb.com.my and agree irrevocably and unconditionally to be bound by such terms and conditions.

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8. 9.

* FOR REFLEX CASH MANAGEMENT APPLICATION

** FOR TRADE SERVICES IF APPLICABLE

_________________________________________________________ Authorized Signatory (ies) * and Company Stamp (Chop) / Date Name : _____________________________________________ Designation : _____________________________________________ NRIC No : _____________________________________________

_________________________________________________________ Authorized Signatory (ies) ** and Company Stamp (Chop) / Date Name : _____________________________________________ Designation : _____________________________________________ NRIC No : _____________________________________________

*Authorized Person(s) signature as per Board Resolution (or such other document acceptable to the Bank) for operation of current accounts for banking transactions.

**Authorized Person(s) signature as per Board Resolution (or such other document acceptable to the Bank) for operation of existing trade facilities/services as furnished to the
Bank, if different from * above.

For Bank Use Only

Reflex Registration Centre Corporate ID: Signature and other particulars verified Officers' signature & name stamp (chop) Verified by: Corporate Commercial Trade Credit Card Merchant

Approved by:

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