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Enjoy Exclusive Privileges

ENJOY EXCLUSIVE PRIVILEGES
Direct Access credit card rewards you instantly with distinctive privileges, offers and more!
2% Petrol Rebate
Enjoy 24 hours approval* with
Enjoy an exclusive 2% rebate
Personal Overdraft
just 2 SIMPLE steps:
at any petrol station nationwide
A hassle-free overdraft
and save!
facility that does not require
(Rebate shall be capped to a maximum
spending of RM2,500 at all petrol stations
any collateral nor guarantor.
Step 1 : Download & complete the
or rebate of RM50 per card per monthly
statement and is applicable to

application form
Direct Access MasterCard only.)
Step 2 : Fax or scan the duly completed
Premier Plus Account

application form together with a
(Current Account)
A flexi-payment plan that

copy of your NRIC and business card
A combination of current and
allows you to enjoy repayment
savings accounts, complete

to the fol owing fax / e-mail address
on retail purchases by instalment
with Autodebit and Autosweep
of up to 20 months.
facilities.
Fax : 03-2381 5533
E-mail : mktgda@cimb.com
0% Interest Balance
Exclusive Rebate Offers
Transfer
Watch out for our exclusive
Enjoy 0% interest for 6 months
rebate offers from time to
Apply now and get a 2GB Pendrive
when you transfer your balances
time and enjoy these exclusive
from other credit cards.
for FREE upon card approval!
rewards!
(Applicable to new cardmembers only.)
Promotion is valid till 31 March 2009.
ADDITIONAL PLATINUM CARD EXCLUSIVES
Platinum Indulgence
Luxurious Suite At The Dewan
Pamper your exquisite desires
Filharmonik PETRONAS, KLCC
from a fine selection of
Enjoy classical music in the
preferential privileges, catered
private and luxurious CIMB Bank
exclusively for Direct Access
Corporate Suite at special price.
Platinum cardmembers.
All these exciting specials, plus other rewarding treats await you!
For more information, please log on to www.directaccess.com.my
Direct Access is a division of CIMB Bank Berhad [13491-P]
*Terms & Conditions:
1. The application form is available and can be downloaded at the MICPA and Direct Access websites
[www.micpa.com.my / www.directaccess.com.my]. Applications must be duly completed and
must be faxed / e-mailed to Direct Access (please use the fax numbers and e-mail address as
stated in the application forms) on Banking Working Days before 12 noon (Saturdays, Sundays
and Public Holidays excluded) (Receipt Date) or the Receipt Date wil be deemed to be the next
Banking Working Day.
2. SMS notification shall be sent out to approved applicants only on the next Banking Working Day
after the Receipt Date.
3. The Bank reserves the right to substitute the free gift with another gift of equivalent value, at
any time without giving any prior notice or assigning any reason whatsoever to the customers.
4. The free gift is on an “As Is” basis and for approved new applicants only.
5. The Bank reserves the right at its absolute discretion to vary, delete or add to any of the above
Terms and Conditions.
The Way Banking Should Be
SIRIM
Certified to ISO 9001:2000
Cert. No. : AR 1350
The Way Banking Should Be
SIRIM
Certified to ISO 9001:2000
Cert. No. : AR 1350
AN INVITATION RESERVED ONLY FOR MICPA MEMBERS
MICPA
8 9 3 5
SIRIM
Tel : 03-6204 7878
The Way Banking Should Be
Certified to ISO 9001:2000
Cert. No. : AR 1350
Documents required, non-returnable :
REQUIREMENTS
3 A photocopy of I/C (both sides, enlarge)
The Way Banking Should Be
SIRIM
Certified to ISO 9001:2000
3 Business Card
Cert. No. : AR 1350
Income
Platinum Card
: RM80,000 per annum
3 Latest Salary Slip / Income Tax Receipt / EA Form
Gold Card

: RM24,000 per annum
I HEREBY APPLY FOR THE DIRECT ACCESS MICPA FREE FOR LIFE
CREDIT CARD (PLEASE ✔) :
Minimum Age
Principal

: 21 years old
u MasterCard & VISA Platinum
u MasterCard & VISA Gold
Note : Additional credit cards will share a combined credit line
MY PERSONAL DETAILS
MY PERSONAL SECURITY CODE
Mother’s Maiden Name :
u Mr
u Miss
u Madam
u Dr
u Others
Full Name as in NRIC :
MY BILLING AND CARD DELIVERY INSTRUCTIONS
Please Send My Statement To : u Home
u Office
New I/C No. :


Old I/C No. :
Please Courier My Card To
: u Home
u Office
-
-
OTHER BANKING SERVICES
Name to appear on Card (Not more than 19 letters) :
Yes, I would like to apply for the fol owing services :
u Overdraft Facility (subject to eligibility & minimum income requirement is RM60,000 p.a.)
Race :
u Malay
u Chinese
u Indian
u Others
u Credit Card PIN (to access ATM and CIMB Clicks online statement)
Marital Status : u Single
u Married
u Widowed
u Divorced
Sex :
u Male
u Female
DECLARATION (BY INDIVIDUAL BORROWERS) IN CONNECTION WITH BANK NEGARA
GUIDELINES ON CREDIT TRANSACTIONS AND EXPOSURES WITH CONNECTED PARTIES
MY PROFESSIONAL QUALIFICATIONS
Please complete this declaration section if any of the below is applicable to you.
✔
(No declaration from you denotes that it is not applicable).
u Yes, I am a member of The Malaysian Institute of Certified Public Accountants (MICPA)

Membership No. :
1. u I am a staff of the CIMB Group1.
2. u To the best of my knowledge, I have close relative(s)2 employed under the CIMB Group
MY HOME ADDRESS

or has acted as my guarantor.
Residential Address :
Particulars of my close relative(s) in CIMB Group :
Name
I/C No.
Relationship
Acted As Guarantor
(Indicate Yes or No)



Postcode :
Residence is : u Owned - No loan
u Owned - With loan
u Rented

u Employer’s
u Parents / Relatives
Years there :
Home Tel :
1 CIMB Group means CIMB Bank Berhad or CIMB Islamic Bank Berhad or CIMB Investment Bank Berhad
-
or other subsidiaries or companies control ed by the aforesaid respective banking institutions.
2 Close relative(s) include parents / spouse of staff including the spouse’s dependents children / spouse
Mobile Tel :
of the children / brother and sister / spouse of brother / sister and any other dependents and persons
-
who may influence / be influenced by the staff.
E-Mail :
‘DECLARATION’ SECTION
I hereby declare and certify that all the information given by me in this application is true, accurate and complete. Notwithstanding
the generality of the foregoing, I confirm that the Bank is authorised to verify and or make any checks and/or obtain any information
and/or confirmation, with or from any credit reference agencies, and/or from any financial institution, on me and/or any other
MY EMPLOYMENT DETAILS (FAX OR E-MAIL BUSINESS CARD)
person, individual and/or entity as the Bank may deem fit, for any purposes which the Bank deems fit.
Name of Company :
I hereby request CIMB Bank to issue, upon approval of this application, the credit card (s) which I have indicated.
I acknowledge that the use of the credit card(s) issued to me shall be subject to CIMB Bank’s Cardmember agreement
(“Cardmember Agreement”), which wil be sent to me with the credit card(s) upon the approval of this application, and agree to be
bound by the terms and conditions set forth in the Cardmember Agreement upon issuance or use of the credit card(s).
Address :
I acknowledge that CIMB Bank reserves the sole and absolute right to decline or reject my application without assigning any
reasons therefore.
I also acknowledge that it is a requirement by Bank Negara Malaysia (“BNM”) that all information relating to this application, whether
successful or otherwise, must be updated and/or transmitted to the Central Credit Information System (“CCRIS”), a database
maintained by BNM. In addition thereto, CIMB Bank is hereby irrevocably and unconditional y authorised to disclose any information
or particulars given by me herein to any person(s) in or out of Malaysia and for such purpose(s) as CIMB Bank deems fit, proper
or necessary at any time. I understand that the credit card(s) when issued shal at al times remain the property of CIMB Bank and
must be duly returned upon request by CIMB Bank.




Postcode :
I further agree liability to accept liability for all amount incurred arising from the use of my credit card(s) issued pursuant to this
application or at any time thereafter at my request.
Position :
Office Tel :
-
u Salaried employee
u Self-employed
Years there :
Gross Annual Salary :
Other income per annum :
R M
R M
Principal Applicant’s Signature :
Date :
Please fax or scan the completed application form (together with your enlarged I/C (front & back), latest salary slip and business card*) to the following:
Fax: 03-2381 5533 or E-mail: mktgda@cimb.com
*Al documents submitted are non-returnable

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