Kibb Cifupd 2019 R4 0

INDIVIDUAL/CORPORATE
CUSTOMER INFORMATION UPDATE FORM

(Please read the terms and conditions before filling this form. Please complete this form in BLOCK LETTERS and mark (X) wherever applicable.)
A. INDIVIDUAL / CORPORATE PARTICULARS
Form of Identification Co. Registration

Passport Army/Police Identity Others, please specify
/ NRIC
Identification No. / Old NRIC
Company Registration No.
CDS Trading
Account Number
3 0 7 3 - - Account Number
B. CHANGE OF CUSTOMER’S PARTICULARS FOR TRADING ACCOUNT
B.1 ADDRESS DETAILS Permanent / Registered Address Mailing / Business Address
Address
City
State
Postcode Country
B.2 CONTACT DETAILS

E-mail Address1
Mobile No. 1 Home

+ Telephone No.+
Office
Telephone No. + Extension No.
1
Mandatory if you are signing up for Electronic Share Payment Direct Credit (‘ESP’).
B.3 BANK DETAILS

ESP3 Yes No (to revoke) Bank Account Currency MYR Others, please specify:
Name of Bank
Bank Account Name
Bank Account No. 2 Joint Account Yes No

2
Please note that for ESP only 1 (one) Current or Savings account denominated in Ringgit Malaysia (RM) maintained with a Financial Institution based in Malaysia is acceptable. Please
provide copies of NRIC/Other ID document, and bank account statement or passbook for verification.
3
Not applicable to Kenanga Futures Sdn Bhd.
B.4 OTHER PARTICULARS – INDIVIDUAL
B.4.1 MARITAL STATUS Single Married Others, please specify
B.4.2 SPOUSE OR NEXT OF KIN PARTICULARS
Name
Form of
NRIC Passport Army/Police Identity Others, please specify
Identification
Identification No. Old NRIC

Relationship
Occupation
With Customer
Contact No.
Name of
Employer/Company
B.4.3 FINANCIAL STATUS
Annual Income (RM)

(please select either one)
☐ < RM 12,000 ☐ RM 12,001 – RM 30,000 ☐ RM 30,001 – RM 60,000 ☐ RM 60,001 – RM 90,000
☐ RM 90,001 – RM 120,00 ☐ RM 120,001 – RM 240,000 ☐ > RM 240,000
Estimated Networth (RM) ☐ < RM 50,000 ☐ RM 50,001– RM 100,000 ☐ RM 100,001 – RM 200,000 ☐ RM 200,001 – RM 500,000
(please select either one) ☐ RM 500,001 – RM 1 Million ☐ > RM 1 Million – RM 3 Million ☐ > RM 3 Million
KIBB/CIFUPD/2019/R4.0 Page 1 of 2
B.4 OTHER PARTICULARS – INDIVIDUAL (Cont.)
B.4.4 EMPLOYMENT STATUS

Unemployed/
Salaried ( _______ Years) Self-Employed ( _______ Years)
Others, please specify ________________________
Name of Employer/
Company
Occupation /
Designation
Type of Business
Employer’s /
Company’s Address
City
State
Postcode Country
B.5 OTHER PARTICULARS – CORPORATE
Type of Business
Ownership Malaysia Bumiputra Controlled Malaysia Non-Bumiputra Controlled Foreign Controlled/Non Malaysian Controlled
Government Controlled Others please specify
Paid-Up Capital (RM)
Ownership Structure Non-Complex Complex if the Beneficial Owner is unidentifiable

(please select either one) (Complex Structure, please furnish more details)
B.6 OTHER RELEVANT PARTICULARS – INDIVIDUAL / CORPORATE (please specify)
C. DECLARATION BY CUSTOMER
The particulars and information including any relevant document provided by me/us in this application form are true and correct and I/we have not withheld any material facts
or information from Kenanga Group. I/We undertake to furnish Kenanga Group with such additional particulars including any relevant document as Kenanga Group may
require from time to time. I/We further authorise Kenanga Group to verify the information given from any source (including third parties) and in such manner as Kenanga
Group shall deem fit. I/We undertake to inform Kenanga Group in writing should there be any change(s) to my/our particulars declared in this Customer Updating Form. I/We
acknowledge and agree to be continued to be bound to the terms of the Customer Information Form (“CIF”) and the *Client Account Common Terms and Conditions, or the
*Client Account Common Terms and Conditions for Islamic Stockbroking or the *Terms and Conditions governing Securities Borrowing and Lending products and facilities
(*where applicable).
For Corporate Customer

Only.
Please affix your
_________________________________________________________
company stamp /
Signature of Customer (Individual) / Authorised Signatory (Corporate)
common seal in
Name: accordance to the Board
NRIC/Passport/Co.Reg./Other ID: Resolution
Date:
Signature of Dealer’s Representative

Name:
NRIC/Passport/Other ID:
Date:
D. FOR OFFICE USE ONLY
DESCRIPTIONS VERIFIED BY APPROVED BY UPDATED BY
Updating of Customer Information Form
Note: “Kenanga Group” means Kenanga Investment Bank Berhad or any of its subsidiaries, including branches, and shall include its respective successors in title and
assigns. “Beneficial Owner” has the meaning as in the Securities Industry (Central Depositories) Act and the Depository Rules.
Kenanga Investment Bank Berhad (15678-H)

Kenanga Futures Sdn Bhd (353603-X)
KIBB/CIFUPD/2019/R4.0 Page 2 of 2

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INDIVIDUAL/CORPORATE

CUSTOMER INFORMATION UPDATE FORM

A. INDIVIDUAL / CORPORATE PARTICULARS

Form of Identification Co. Registration

B. CHANGE OF CUSTOMER’S PARTICULARS FOR TRADING ACCOUNT

B.1 ADDRESS DETAILS Permanent / Registered Address Mailing / Business Address

B.2 CONTACT DETAILS

Mobile No. 1 Home

B.3 BANK DETAILS

Bank Account Name

Bank Account No. 2 Joint Account Yes No

B.4 OTHER PARTICULARS – INDIVIDUAL

B.4.1 MARITAL STATUS Single Married Others, please specify

B.4.2 SPOUSE OR NEXT OF KIN PARTICULARS

Identification No. Old NRIC

B.4.3 FINANCIAL STATUS

Annual Income (RM)

B.4.4 EMPLOYMENT STATUS

B.5 OTHER PARTICULARS – CORPORATE

Government Controlled Others please specify

Paid-Up Capital (RM)

Ownership Structure Non-Complex Complex if the Beneficial Owner is unidentifiable

B.6 OTHER RELEVANT PARTICULARS – INDIVIDUAL / CORPORATE (please specify)

For Corporate Customer

Signature of Dealer’s Representative

D. FOR OFFICE USE ONLY

DESCRIPTIONS VERIFIED BY APPROVED BY UPDATED BY

Updating of Customer Information Form

Kenanga Investment Bank Berhad (15678-H)

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