cir ops epay standing instruction

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Allianz Life Insurance Malaysia Berhad (104248-X)

Agency Correspondence

Level 29, Menara Allianz Sentral203, Jalan Tun SambanthanKuala Lumpur Sentral50470 Kuala Lumpur

CUSTOMER SERVICE CENTERGround Floor, Block 2APlaza Sentral, Jalan Stesen Sentral 5Kuala Lumpur Sentral50470 Kuala Lumpur Tel : 603-2264 1188

Fax::

603-2264 0688603-2264 1199

Toll-freeWebsite

::

1300-88-1028www.allianz.com.my

Dear Agency Members

Happy New Year and wishing you a prosperous year ahead!

We are pleased to announce our first initiative of the year - to accept standing ePay instruction from customers with

immediate effect. This is in line with our continuous efforts to better serve our valued customers and improve our

business processes.

Standing ePay instruction facility enables the company to keep the bank account details of the customer, such that any

future payouts (e.g. excess premium refund, regular/guaranteed cash payment, partial withdrawal, policy loan,

surrender, maturity or claims) from the company shall be made through GIRO (ePay) to customer’s nominated bank

account. It’s a hassle-free payment method and we can all say bye to lost-cheque worries!

Please take note of the “Important Notices” below for standing ePay instruction:

(1) This instruction affects all the policies of the customer (i.e only ONE bank account is allowed per customer)

(2) A copy of the bank statement/first page of the bank account book with account details is encouraged to be

provided as supporting document to ensure accuracy

(3) It is only applicable to banks that participate in the Interbank Giro Payment System (IBG)

(4) The following bank accounts are not allowed:

I. Overseas bank account;

II. Corporate bank account (for keyman policy, mortgage reducing term assurance policy);

III. Any local bank account that is not in the name of the Policy Owner/Assignee;

IV. Any joint bank account unless the Policy Owner/Assignee is the primary joint account holder.

(5)

The customer may at any time submit a new standing ePay instruction to supersede the old standing ePayinstruction

(6) This instruction may not be suitable for foreigners as the passport number will subject to change upon renewal

We wish to assure you that banks will continue to perform mandatory validations on bank account number and NRIC for

all electronic payment transactions. Therefore, please be reminded that it is important for our customers to update

their new NRIC in their bank account to avoid any failure in payment transfer.

Ref. No.:

To:

LOP-PMD/PGT/SL/AGY/2016-0002

All Agency Members

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Chief Operations Officer

Operations Division

8 January 2016

STANDING ePay INSTRUCTION

Copy To

Chief Sales Officer (Life)

Deputy Chief Sales Officer (Life)

RMs, ADMs & ADEs

Sales & Distribution (Life) Dept. Heads

Operations Department Heads

Branch Operations

Pages:

From:

Department:

Date:

Subject:


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Agency Correspondence

Level 29, Menara Allianz Sentral203, Jalan Tun SambanthanKuala Lumpur Sentral50470 Kuala Lumpur

CUSTOMER SERVICE CENTERGround Floor, Block 2APlaza Sentral, Jalan Stesen Sentral 5Kuala Lumpur Sentral50470 Kuala Lumpur Tel : 603-2264 1188

Fax::

603-2264 0688603-2264 1199

Toll-freeWebsite

::

1300-88-1028www.allianz.com.my

An email notification will be provided by Citibank (our merchant bank for ePay) to the payee if there is a valid email

address in our record. In addition, we will also notify both the servicing agent and the payee via SMS if the ePay is

approved/ rejected. Kindly be advised that the payment is expected to be credited into the customer’s bank account

within 3 – 5 working days and the actual turnaround time is dependent on the customer’s bank.

Please allow us to take this opportunity to share with you the common reasons for rejected ePay transactions. They are:

1) NRIC/Passport Number maintained in bank account and our records are not the same

2) Bank account number provided is invalid (e.g debit card number provided instead of account number)

3) Account Closed

4) Non transaction account

We attach a sample of the E-payment Authorization Form for your reference. The E-form has made available in the

Agent Portal. Let’s work hand in hand to reduce the usage of cheques as directed by Bank Negara Malaysia and promote

GIRO payment. Don’t wait and please submit the completed ePay instruction to our nearest branch office for hassle-

free payouts, especially those customers who have opted for Guaranteed Cash Payments to be withdrawn annually.

For more details, please visit to our nearest branch or contact Allianz Contact Centre at 1-300-88-1028.

Thank you.

Regards for Allianz Life Insurance Malaysia Berhad

YEOH ENG HUNChief Operations Officer


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ET001

E-Payment Authorization Form / Borang Kebenaran E-Bayaran

I hereby request and authorize ALIM to direct credit the relevant payment of all my Policies with ALIM which is payable to me into my bank account upon your approval of this

form. I agree that this request is governed by the Terms and Conditions as specified in this form. / Saya dengan ini memohon dan bersetuju untuk ALIM mengkreditkan bayaran

polisi-polisi saya di ALIM yang akan dibayar kepada saya, secara terus ke dalam akaun bank saya yang dinyatakan di bawah. Saya bersetuju bahawa permohonan ini adalah

tertakluk kepada Terma dan Syarat yang dinyatakan di bawah.

Name of PolicyOwner/Assignee /Nama Pemunya Polisi/ Penerima Serah Hak

– –NRIC No. (New) /

No. KP (Baru)

NRIC No. (Old)/Passport No./Others

/ NRIC No. (Lama)/Pasport No./Lain

Bank Account HolderFull Name / NamaPemegang Akaun Bank

P M I / E - P a y m e n t A u t h o r i z a t i o n / O c t 2 0 1 5

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Head Office :

Customer Service Centre :

Level 29, Menara Allianz Sentral, 203, Jalan Tun Sambanthan, Kuala Lumpur Sentral, 50470 Kuala Lumpur.Tel : +603-2264 1188 / 2264 0688 Fax : +603-2264 8454 (PMI) www.all ianz.com.myAllianz Arena, Ground Floor, Block 2A, Plaza Sentral, Jalan Stesen Sentral 5, Kuala Lumpur Sentral, 50470 Kuala Lumpur. Toll Free: 1 300 88 1028 Fax: +603-2264 0602 Email: [email protected]

Important Notes / Notis Penting:

1. This form is to facilitate your request for certain payments issued by us to be credited to your bank account directly (“Direct Credit”) as the Policy Owner/Assignee of

the Policies with Allianz Life Insurance Malaysia Berhad (“ALIM”). TAKE NOTE: This request affects all your Policies with ALIM. / Opsyen ini adalah untuk memudahkan

pembayaran secara terus ke akaun bank anda (“Kredit Terus”) sebagai Pemunya Polisi bagi Polisi-polisi Allianz Life Insurance Malaysia Berhad (“ALIM”). AMBIL PERHATIAN:

Arahan ini akan menglibatkan semua polisi anda di ALIM.

2. Please submit a copy of NRIC/Passport together with this Direct Credit form. Bank statement/first page of your bank account passbook with account details is encouraged

although optional as a supporting document to ensure accuracy. / Sila kemukakan salinan Kad Pengenalan/Pasport bersama borang Kredit Terus ini. Penyata bank/ halaman pertama buku simpanan akaun bank anda dengan butiran akaun digalakkan dikemukakan sekali untuk kami memastikan ketepatan butiran bank akaun anda.

3. Direct Credit is only available for direct credit to banks participating in the Interbank Giro Payment System (IBG). / Kredit Terus hanya disediakan untuk bank-bank yang

mengambil bahagian dalam sistem pembayaran antara bank Giro (IBG).

4. Direct Credit is not allowed for the following bank accounts / Kredit terus tidak dibenarkan untuk akaun bank berikut :

I. Overseas bank account / Akaun bank di luar Negara;

II. Corporate bank account (for keyman policy, mortgage reducing term assurance policy) / Akaun bank korporat (untuk polisi Keyman, dasar jaminan jangka gadai janji);

III. Any local bank account that is not in the name of the Policy Owner/Assignee as stated in this form / Mana-mana akaun bank tempatan yang bukan atas nama

Pemegang Polisi seperti yang dinyatakan dalam borang ini;

IV. Any joint bank account unless the Policy Owner/Assignee is the primary joint account holder. / Mana-mana akaun bersama melainkan pemegang polisi adalah

pemegang akaun utama.

5. ALIM reserves the right to release payment by cheque if ALIM finds that any information and/or document(s) provided in or submitted with this form is incomplete,

invalid and/or inconsistent. / ALIM berhak untuk melepaskan pembayaran melalui cek jika ALIM mendapati bahawa apa-apa maklumat dan/atau dokumen yang diberikan

adalah tidak lengkap, tidak sah dan/atau tidak konsisten.

Account Holder’s Authorization

Bank Name /Nama Bank

Bank Account No. /No. Akaun Bank

Account Type / Jenis Akaun

Individual / Individu Joint (Primary accountholder only) /Bersama (Pemegang Akaun Utama sahaja)

(compulsory for payment notification) / (wajib untuk pemberitahuan pembayaran)

Mobile No. /

No. Tel Bimbit –

Email Address / Alamat E-mel

Terms and Conditions / Terma-terma dan Syarat-syarat

In consideration of ALIM agreeing to accept my request for direct credit facility to my bank account, I agree and confirm that: / Sebagai balasan ALLIANZ LIFE INSURANCE

MALAYSIA BERHAD (“ALIM”) bersetuju untuk menerima permintaan saya untuk kemudahan kredit terus ke akaun bank saya, saya bersetuju dan mengesahkan bahawa:

1. I am the holder of the bank account specified above (“Account”) and that the details thereof arecorrect, true and complete, whether or not I have provided any documents

to ALIM for verification. I shall inform ALIM about any change in the above details in writing as and when the change occurs. / Saya adalah pemegang akaun bank yang

dinyatakan di atas (“Akaun”) dan butir-butir yang diberikan di atas adalah betul, benar dan lengkap , sama ada saya telah memberikan apa-apa dokumen untuk ALIM untuk

pengesahan atau tidak. Saya akan memaklumkan ALIM mengenai apa-apa perubahan dalam butir-butir di atas secara bertulis jikalau ada perubahan.

2. I further confirm that I have full power and authority to operate the Account and I authorize ALIM to deposit the relevant payments under my Policies with ALIM which are

payable to me into the Account provided in this form. / Saya mengesahkan bahawa saya mempunyai kuasa dan yang sepenuhnya untuk mengendalikan Akaun dan saya

bersetuju dengan ALIM untuk mengkreditkan bayaran yang akan dibayar kepada saya berikutan permohonan ini, ke dalam Akaun.


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Head Office :

Customer Service Centre :

Level 29, Menara Allianz Sentral, 203, Jalan Tun Sambanthan, Kuala Lumpur Sentral, 50470 Kuala Lumpur.Tel : +603-2264 1188 / 2264 0688 Fax : +603-2264 8454 (PMI) www.all ianz.com.myAllianz Arena, Ground Floor, Block 2A, Plaza Sentral, Jalan Stesen Sentral 5, Kuala Lumpur Sentral, 50470 Kuala Lumpur. Toll Free: 1 300 88 1028 Fax: +603-2264 0602 Email: [email protected]

3. The payment into the Account shall be a valid discharge of ALIM’s liability under the Policies. /Pembayaran ke dalam Akaun itu adalah pelepasan liabiliti ALIM yang sah di

bawah Polisi.

4. ALIM shall not be held liable for any damages, losses, claims, costs and/or expenses which I may incur if the payment transaction is delayed or is not effected at all or the

payment is credited into an incorrect bank account due to incomplete or incorrect information provided by me in this form. / ALIM tidak akan bertanggungjawab ke atas

sebarang kerosakan, kerugian, tuntutan, kos dan / atau perbelanjaan yang saya tanggung jika urus niaga pembayaran tertangguh atau tidak dilaksanakan sama sekali atau

pembayaran dikreditkan ke dalam akaun bank yang tidak betul kerana maklumat yang tidak lengkap atau tidak betul yang diberikan oleh saya dalam borang ini.

5. I shall immediately refund to ALIM in full any monies paid into the Account which I am not entitled to receive. / Saya akan dengan segera membayar balik kepada ALIM

sepenuhnya apa-apa wang yang dibayar ke dalam Akaun yang saya tidak berhak terima.

6. I hereby indemnify ALIM for any damages, losses, claims, costs and/or expenses incurred by ALIM arising from or in connection with payments made to the Account in

accordance with my instructions herein. / Saya dengan ini menanggung rugi ALIM bagi apa-apa kerosakan, kerugian, tuntutan, kos dan / atau perbelanjaan yang ditanggungoleh ALIM yang timbul daripada atau berkaitan dengan pembayaran yang dibuat kepada Akaun mengikut arahan saya di sini.

7. Notwithstanding the above, ALIM reserves the right to release payment to you by cheque. / Walau apa pun yang diatas, ALIM berhak untuk membuat bayaran kepada anda

melalui cek.

8. The information provided by me may be disclosed to relevant third parties for the purpose of this form and in compliance with any legal or regulatory requirements.

/ Maklumat yang diberikan oleh saya boleh didedahkan kepada pihak ketiga yang berkaitan untuk tujuan borang ini dan mematuhi undang-undang atau peraturan yang

berkenaan.

Signature of Policy Owner/Assignee/ TandatanganPemunya Polisi/Penerima Serah Hak

Name / Nama:

Date / Tarikh:

Tel / Tel :

Signature of Witness / Tandatangan Saksi

Name / Nama:

NRIC No. / No. KP :

Address / Alamat :

Tel / Tel :

Scan To Policy No /Mengimbas ke Policy No:

Approved By /Diluluskan oleh:

Approved Date /Tarikh diluluskan:

Updated By /Kemaskini oleh:

Updated Date /Tarikh kemaskini :

Internal Use / Kegunaan Pejabat

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