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
1. - - -
2. - - -
3. - - -
4. - - -
5. - - -

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 IC /Passport No. to collect the User ID, PIN Mailers, Token Pin Mailer and Token on my/out behalf.
2. *I/We to collect the User ID, Pin Mailers, Token Pin Mailers and Token at Branch.

9. DECLARATION BY APPLICANT
I/We hereby:
    Apply for the use of the Baiduri Business i-Banking Service as set out above and agree by the Disclaimer and Terms & Conditions contained therein the Baiduri Business i-Banking Service User Guide issued to *me/us and such Disclaimer and Terms & Conditions maiy be amended and varied by the Bank from time to time. This Disclaimer, Terms & Conditions is also available on the Bank's website
    Confirm and agree that the authorization rules of Baiduri Business i-Banking Service are in accordance to the signing instruction in the account mandate given by the company.
    Confirm that all the information provided herein is true and accurate to the best of my/our knowledge as at the date of this application.
    Authorize the Bank to issue User ID, Pin Mailers, Token Pin Mailers and Token(s) to the authorized Baiduri Business i-Banking user or authorizer.He/She may collect the User ID, Pin Mailers, Token Pin Mailers and Token(s) on behalf and return the signed User ID, Pin Mailer, Token Pin Mailer and Token(s) acknowledgement. Upon receipt of the acknowledgement by the Bank, the Bank will then activate the Baiduri Business i-Banking Service and make it available to the Company.
 
Enclosed herewith is our Company Director Resolution (not applicable for sole proprietorship & partnership Company) and the certified true copies of Identity Cards/Passports of our companty users and authorizers.
 
        Specimen Signatures
1. Name :  
  User ID :  
  IC/Passport No. : __________________________________________
2. Name :  
  User ID :  
  IC/Passport No. : __________________________________________
3. Name :  
  User ID :  
  IC/Passport No. : __________________________________________
4. Name :  
  User ID :  
  IC/Passport No. : __________________________________________
         
         
  Company Seal : __________________________________________  
  (if required)      
  Date : _____________  

For Branch Use Only
Attended By :   Branch Chop :  
Checked By :  
Date :  

For e-Banking Section Use Only
Inputted By : ________________ Initial : ________________
Authorized By : ________________ Initial : ________________
Letter of Activation issued : Y / N