Baiduri Business i-Banking Application Form

Baiduri Business i-Banking Application Form

1. COMPANY PROFILE

Name	:	CIF No.	:
Registration No.	:	Fax No.	:
Mailing Address	:	Email Address	:

		Tel No. (O)	:
		(M)	:
Postcode

2. APPOINMENT OF BUSINESS i-BANKING USERS

INPUTTER: User/s who can create transaction/application and view transaction status

1. Inputter ID	:		Designation	:
(Name in alphabetical - within 10 characters)
Name	:		Salutation	:	Mr Mrs Ms Mdm
IC /Passport No.	:	Y P G	Tel No. (O)	:
Signature	:		(M)	:
			Email Address	:


2. Inputter ID	:		Designation	:
(Name in alphabetical - within 10 characters)
Name	:		Salutation	:	Mr Mrs Ms Mdm
IC /Passport No.	:	Y P G	Tel No. (O)	:
Signature	:		(M)	:
			Email Address	:


3. Inputter ID	:		Designation	:
(Name in alphabetical - within 10 characters)
Name	:		Salutation	:	Mr Mrs Ms Mdm
IC /Passport No.	:	Y P G	Tel No. (O)	:
Signature	:		(M)	:
			Email Address	:

VIEWER: User/s who can view account summary, limit enquiry and transaction status

1. Viewer ID	:		Designation	:
(Name in alphabetical - within 10 characters)
Name	:		Salutation	:	Mr Mrs Ms Mdm
IC /Passport No.	:	Y P G	Tel No. (O)	:
Signature	:		(M)	:
			Email Address	:


2. Viewer ID	:		Designation	:
(Name in alphabetical - within 10 characters)
Name	:		Salutation	:	Mr Mrs Ms Mdm
IC /Passport No.	:	Y P G	Tel No. (O)	:
Signature	:		(M)	:
			Email Address	:


3. Viewer ID	:		Designation	:
(Name in alphabetical - within 10 characters)
Name	:		Salutation	:	Mr Mrs Ms Mdm
IC /Passport No.	:	Y P G	Tel No. (O)	:
Signature	:		(M)	:
			Email Address	:

3. APPOINTMENT OF COMPANY AUTHORISER(S) FOR BUSINESS i-BANKING (must be designated company signatories)

AUTHORIZER: User/s who can authorize transaction/application created by Inputter, view account summary, limit enquiry, transaction status and perform other services

1. Authorizer ID	:		Designation	:
(Name in alphabetical - within 10 characters)
Name	:		Salutation	:	Mr Mrs Ms Mdm
IC /Passport No.	:	Y P G	Tel No. (O)	:
Signature	:		(M)	:
			Email Address	:



2. Authorizer ID	:		Designation	:
(Name in alphabetical - within 10 characters)
Name	:		Salutation	:	Mr Mrs Ms Mdm
IC /Passport No.	:	Y P G	Tel No. (O)	:
Signature	:		(M)	:
			Email Address	:



3. Authorizer ID	:		Designation	:
(Name in alphabetical - within 10 characters)
Name	:		Salutation	:	Mr Mrs Ms Mdm
IC /Passport No.	:	Y P G	Tel No. (O)	:
Signature	:		(M)	:
			Email Address	:

4. ELECTRONIC FUNDS TRANSFER TO THIRD PARTY ACCOUNT

I/We wish to access my following third party account(s)

Account No.

Name of Account

5. ELECTRONIC FUNDS TRANSFER TO ANOTHER BANK IN BRUNEI

	Beneficiary Name	Beneficiary Account No.	Bank	Payment Description
1.
2.
3.

6. ELECTRONIC FUND TRANSFER ABROAD

1. Beneficiary Details			1. Beneficiary Bank Details
Beneficiary Name	:		Beneficiary Bank	:
Beneficiary Account Number	:		Address	:
Telephone No.	:	Currency :	Swift Code (if any)	:
2. Beneficiary Details			2. Beneficiary Bank Details
Beneficiary Name	:		Beneficiary Bank	:
Beneficiary Account Number	:		Address	:
Telephone No.	:	Currency :	Swift Code (if any)	:
3. Beneficiary Details			3. Beneficiary Bank Details
Beneficiary Name	:		Beneficiary Bank	:
Beneficiary Account Number	:		Address	:
Telephone No.	:	Currency :	Swift Code (if any)	:

7. AUTHORIZATION RULES (only applicable to authorizer/s)

The authorization rules given below must correspond exactly to the signing instruction of the company as given in the account mandate

1.	Monetary Transaction
		Any ONE of the Authoriser/s
		Any TWO of the Authoriser/s
		Other instruction :
		(please specify)
2.	Non-Monetary Transaction
		Any ONE of the Authoriser/s
		Any TWO of the Authoriser/s
		Other instruction :
		(please specify)
3.	Set Daily Limit *Customer may choose another limit for use with Baiduri Business i-Banking Service must not exceed the bank daily limit.
	(please refer to Term & Conditions Paragraph 6)
		Any ONE of the Authoriser/s
		Any TWO of the Authoriser/s
		Other instruction :
		(please specify)
4.	Suspend User/s
	(please refer to Term & Conditions Paragraph 6)
		Any ONE of the Authoriser/s
		Other instruction :
		(please specify)

Note: Other services require only one of the Authoriser/s

8. COLLECTION OF USER ID, PIN MAILERS, TOKEN PIN AND TOKEN

1. *I/We hereby authorized