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A. Company Information
Company Name
Business Registration Number
Type Of Services Offered
Principal Company
Region
- Select Option -
Central
Southern
Northern
East Coast
East Malaysia
Company Email
Company Phone Number
Company Website
Correspondence Address Line 1
Correspondence Address Line 2
Correspondence Address Line 3
Postcode
State
- Select Option -
Johor
Kedah
Kelantan
Melaka
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
Sabah
Sarawak
Selangor
Terengganu
Kuala Lumpur
Labuan
Putrajaya
Number Of Outlets
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B. Member Representative Information
Company Representative Name
Attach Company Representative NRIC/Passport Copy
NRIC / Passport No
Position / Designation
Mobile Number
Representative Email
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C. Compliance Officer's Details
Head of Compliance Information
- Select Option -
Change Of Head of Compliance
Existing Head of Compliance
Head Of Compliance Name
NRIC / Passport No
Mobile Number
Email Address
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D. Person In Charge To Handle Public Feedback / Complaints (as per the details on the MAMSB Feedback Channel Notice displayed at your outlets)
Name of Person In Charge of Customer Feedback
Position / Designation
Mobile Number
Email Address
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E. Details of Agents Certificate
Attach Latest Copy Of Certificate of Agent Appointment By Principal
Agent Certificate Tenure
From Date
To Date
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F. Digital Channel Information
Does your company have a mobile application for your currency exchange and/or remittance services?
Yes
No
If yes, please provide the name of your mobile application
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G. Contact Person for MSB Advisor Mobile Application and IT Related Matters
Name
Position / Designation
Email
Phone Number
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Login Details
Email
Password
Confirm Password
Items
Price (RM)
Registration Fee
350
Total Amount to Pay
0.00
PERAKUAN PEMOHON (Declaration By Applicant) Kami mengaku bahawa segala maklumat yang diberikan adalah tepat dan benar. Kami sedar bahawa pihak Persatuan mempunyai hak untuk menolak permohonan ini jika mendapati sebarang maklumat yang diberikan adalah tidak tepat atau palsu. We do solemly affirm that all information provided are accurate and true. We are aware that the Association has the authority to reject this application if any of the information provided is inaccurate or false.
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