The MAS American Express® Gold Business Card

gives you more Enrich Miles

Apply now and enjoy :

First Year Annual Fee Waiver

10,000 Enrich Miles*

With Automatic Enrich Silver Status

Convenient Payment OptionsYou can place all your business utility spend on auto bill with your MAS American Express Gold Business Card ensuring all your important recurring business utility bills are paid on time. In addition, you can earn valuable Enrich Miles for all these charges.

You can also conveniently pay your MAS American Express Gold Business Card bills online or at over 400 Maybank branches or at over 2,000 Maybank Kawanku ATMs nationwide with cash or cheque. Saturday banking is also available at some branches. For more information, visit www.maybank2u.com

Cash Withdrawals Cash withdrawals are available at all national Maybank ATMs and over 900,000 American Express ATMs worldwide.

Emergency Card ReplacementIn the event of a lost or stolen card, a replacement Card will be sent to you in 24 hours when in Malaysia and within 5 days when overseas. Once your Card has been reported lost or stolen you will not be held liable for any transactions made on the Card.

Customer ServiceThe Customer Service Hotline is open during business hours for enquiries about your Card account, for advice on Card services, or to request details regarding American Express Travel Offices.

* 2,000 Enrich Miles valid on the first transaction and 8,000 Enrich Miles on the first Malaysia Airline ticket purchase.

For more information, please call 1800 88 9559 or email businesscard@maybank.com.my or apply now by returning your completed application form via email or fax 03-2026 2414.

Apply now and enjoy :

First Year Annual Fee Waiver

10,000 Enrich Miles*

Terms & Conditions apply

Maybankard CentreCommercial Card, 39th Floor, Menara Maybank

100 Jalan Tun Perak, 50050 Kuala Lumpur. www.americanexpress.com.my/businesscard

Embark On A Journey Of Discovering The MAS American Express® Gold Business CardThe MAS American Express Gold Business Card offers you and your company superior benefits and savings with the ability to earn Enrich Miles faster, together with exclusive airline benefits.

Designed to provide convenience anytime, anywhere, you will soon discover the many possibilities that simplify day to day business and travel, regardless of whether you are in Malaysia or abroad.

2,000 Bonus Enrich Miles On First Transaction

8,000 Bonus Enrich Miles On Your First Malaysia Airlines Ticket Purchase

50% Bonus Enrich Miles On Local Spend Of RM10,000 Annually

5% Savings On Malaysia Airlines International Flights Year Round

First Year Annual Fee Waiver

EXCLUSIVE REWARDS AND SAVINGS

Earn More Enrich MilesEarn 2,000 Enrich Miles immediately upon your first transaction and an additional 8,000 Enrich Miles for your first Malaysia Airlines ticket purchase with your Business Card.

Get 2 Enrich Miles for every RM5 spent overseas and 1 Enrich Mile for local spend. Also, enjoy a 50% bonus for all local Enrich Miles accrued on the anniversary of your Business Card, rewarding you with 1.5 Enrich Miles for every RM5 spent locally when you spend RM10,000 and above annually.

Year Round Savings On Malaysia Airlines International FlightsEnjoy exclusive 5% savings1 on international flights departing from Malaysia when you travel with Malaysia Airlines. These savings will enable you and your carded employees to fly more throughout the year for less. You can obtain these savings

through major travel agents, the Malaysia Airlines Call Centre, Malaysia Airlines’ ticket offices and online via MHdirect2.

1 5% savings apply to MHsmart and above for flights departing from Malaysia.

2 MHdirect will be available to MAS American Express Business Cardmembers by the end of Q1 2012.

Year Round Savings On Business ExpenditureSave time negotiating corporate rates with individual suppliers and enjoy savings of up to 20% on everyday business and travel spend through a select group of merchants.

TRAVEL SERVICES AND BENEFITS

Complimentary Travel Accident Insurance Coverage3

Enjoy complimentary Travel Accident Insurance of up to RM700,000, as well as Travel Inconvenience coverage for missed connections, luggage delay and luggage loss when airfare is booked through your MAS American Express Gold Business Card.3 Subject to the terms and conditions of the Master Policy.

Automatic Enrich Silver Membership ProgrammeWith the MAS American Express Gold Business Card, you enjoy automatic Enrich Silver membership, which provides you with a host of travel privileges as you fly with Malaysia Airlines. Cardmember benefits include 5kg excess baggage allowance, an invitation to subscribe to the Golden Lounge Privilege Programme, and a 25% Elite Tier Bonus.

Please note that Cardmembers will have to re-qualify for Enrich Silver membership on an annual basis for continued retention, as detailed in your Enrich Welcome Letter.

Global Assist®

Should you run into a legal or medical emergency while travelling, you can call our free Global Assist® service which can put you in touch with an English speaking doctor or lawyer. This service is available 24 hours a day virtually anywhere in the world whenever you travel more than 150km from home, for up to 90 days. You can call the Global Assist® hotline at +603-2031 7888 (English) or +603-2032 1888 (Mandarin) for a local referral service.

FINANCIAL CONTROL FOR YOUR BUSINESS

Easy ReconciliationAll expenses you charge to the MAS American Express Gold Business Card are consolidated into a simple monthly statement. This enables you to reconcile your spend with greater ease, having a single document of reference to tie your business receipts or invoices to.

Receive a year end summary of charges which consolidates all your expenses for the previous year into one simple report. If you have more than one card tied to your business, it will consolidate all the expenses on each card within the report so you have a single point of reference for your business expenditure.

Flexible Credit LimitsAs your Business Card limit is assessed on your Company’s profitability it is not attached to any personal cards you currently hold. Therefore, in most circumstances, you can receive a higher credit limit with the Business Card then you would with an additional Personal Card.

Interest-Free CreditYou pay no interest charges on any of your transactions for 20 days from the date of your monthly billing statement if you have paid the previous month’s statement in full. This means up to 50 days interest-free on purchases, should you use your 30 days pre-statement advantageously. If you opt to pay partial or minimum payment, the finance charges on your transactions will be calculated from the day the transactions are posted to your account.

CONVENIENCE AND PEACE OF MIND

Access To U.S. Online Shopping With Globaleshop is an online service for MAS American Express Business Cards. Enjoy secure and hassle-free shopping at any U.S. merchant, including those that don’t deliver internationally, and have your purchases delivered to your doorstep in Malaysia. Our buy-for-me concierge service will also make purchases on your behalf at U.S. sites that do not accept international cards, enabling you to source unique business gifts or accessories to differentiate your business.

MAS American Express® Gold Business CardKad Bisnes Emas MAS American ExpressApplication Form • Borang Permohonan

MAS American Express Gold Business Card Kad Bisnes Emas MAS American ExpressAnnual Fee | Yuran Tahunan : RM250

Business Data • Data Bisnes

Other Information • Lain-Lain Maklumat

Company Application • Permohonan Syarikat

Business Owner Information • Butiran Pemilik Perniagaan

Company Name to Appear on the Card within 19 spaces | Nama Syarikat dicetak pada Kad dalam 19 petak

Address same as previous, if not, please fill in | Alamat sama dengan terdahulu, jika tidak, sila isikan

Address | Alamat

Postcode | Poskod

Business Premise | Premis Perniagaan Own | Milik Sendiri

Rented | Sewa

Tel (Business) | Tel (Bisnes)

Extension | Sambungan

Fax No. | No. Faks

No. of Employees | Jumlah Pekerja

Industry or Nature of Business | Industri atau Sifat Perniagaan

Registration No. | No. Pendaftaran

Total Assets | Jumlah Aset-Aset (RM)

Existing Maybank Company Account | Akaun Syarikat Maybank Terkini

Yes | Ya No | Tidak

If yes, Maybank Account No. | Jika ya, No. Akaun Maybank

Full Name as in NRIC | Nama Penuh mengikut KP (Mr/Mrs/Ms/Dr/Others)

Name to Appear on the Card with Surname in full within 19 spaces | Nama pada Kad dengan nama keluarga sepenuhnya dalam 19 petak

Date of Birth | Tarikh Lahir (day/month/year)

Male | Lelaki Female | Perempuan

NRIC/Passport No. | KP/No. Pasport

Nationality | Kewarganegaraan

Present Residential Address | Alamat Kediaman Kini

Postcode | Poskod

Tel (Home) | Tel (Rumah)

Mobile No. | No. Tel Bimbit

Email | Emel

Company Name (in full) | Nama Syarikat (sepenuhnya)

Position | Jawatan

Gross Annual Salary | Gaji Tahunan Kasar (RM)

I am an existing Enrich member | Saya merupakan ahli Enrich

Card No. | No. Kad

I do not have an Enrich Card, please enrol me as a new Enrich member | Saya tidak mempunyai Kad Enrich, sila daftarkan saya sebagai ahli baru Enrich

Enrich Membership • Keahlian Enrich

It is essential that forms are completed in full. All information is required and will be subject to verification before an account can be established, insufficient information may cause unnecessary delays in the processing of your application. All applicants must read the Declaration stated before signing at the signature of applicant column at the end of this application form. Ia penting borang-borang itu disiapkan dalam penuh. Semua maklumat diperlukan dan akan tertakluk kepada pengesahan sebelum satu alasan dapat dimantapkan, maklumat sedikit boleh menyebabkan kelewatan tidak perlu dalam pemprosesan permohonan anda.Semua pemohon wajib membaca Pengakuan yang tertera sebelum menandatangan di petak tandatangan pemohon di penghujung borang permohonan ini.

Important Information • Nota-Nota Penting

Note : Add-on Cardmembers will be issued with the same Card type as the Principal Cardmember | Nota : Jenis Kad yang sama dengan Kad Utama akan dikeluarkan kepada ahli Kad Tambahan.

Eligibility : Company turnover below RM5 million. | Kelayakan : Perolehan syarikat bawah RM5 juta.

This Section is an application to establish an American Express Business Card Account. From this account we will issue Business Cards to qualified members of your company.

Seksyen ini adalah satu permohonan untuk mewujudkan akaun Kad Bisnes American Express. Daripada akaun ini, kami akan mengeluarkan Kad Bisnes untuk ahli-ahli yang layak di syarikat anda.

I will be the contact for Central Bill Payments and Statement | Saya akan menjadi penghubung untuk Bayaran dan Penyata Pusat Bil

Yes | Ya No | Tidak Not Sure | Tidak Pasti

I will be the contact approver for any Add-on Cards for the Company | Saya akan menjadi penghubung untuk pengulusan Kad Tambahan

Yes | Ya No | Tidak Not Sure | Tidak Pasti

If you have stated No or Not Sure to either of the above statements, Maybank will qualify this information upon receipt of your application form

Jika anda telah menyatakan Tidak atau Tidak Pasti untuk salah satu kenyataan-kenyataan di atas, Maybank akan melayakkan maklumat ini atas penerimaan borang permohonan anda

If your Enrich mailing address differs from your current address, please call Enrich at 1300 88 3000 to update your information. | Jika alamat surat-menyurat berbeza dengan alamat semasa, sila hubungi Enrich di 1300 88 3000 untuk mengemaskini maklumat anda.

First Year Annual Fee Waiver

M H

The annual Service Tax of RM50 (Principal Card and Add-on Card) will be imposed on each Card.

Cukai Perkhidmatan tahunan sebanyak RM50 (Kad Utama dan Kad Tambahan) akan dikenakan untuk setiap Kad.

By signing below, I acknowledge that I have read and agree to the declaration stated / Dengan menandatangani di bawah, saya mengakui yang saya telah membaca dan bersetuju kepada perisytiharan yang dipaparkan

_______________________________________________ __________________

Signature of Applicant | Tandatangan Permohon Date | Tarikh

_______________________________________________ __________________

Authorised Signatory | Tandatangan Rasmi Date | Tarikh

_______________________________________________________________________Name | Nama

_______________________________________________________________________Position | Jawatan

Company Stamp | Cop Syarikat

To expedite processing, please enclose the following documents (certified true copies):

I) Business Registration Form A/B/Form 9, 24 and 49/Trading License

II) Last 2 years audited financial statements

III) Last 6 months company bank statements

IV) Company’s memorandum and article of association

V) Copy of NRIC (both sides) or passport

Vl) SME Bureau consent letter

Untuk mempercepatkan pemprosesan, sila sertakan dokumen-dokumen (salinan sebenar diperakui):

I) Borang Pendaftaran Perniagaan A/B/Borang 9, 24, 49/Lesen Perniagaan

II) 2 tahun terakhir penyata kewangan yang diaudit

III) 6 bulan terakhir penyataan bank untuk syarikat

IV) Memorandum dan artikel persatuan syarikat

V) Salinan Kad Pengenalan (depan dan belakang) atau pasport

Vl) Surat kebenaran SME Biro

Declaration“I/We declare that the above information given by me/us is true and complete. I/We hereby authorise you to verify information on me/us from whatever source you consider appropriate from any financial institution and the Director General of Inland Revenue Department on any information which Malayan Banking Berhad may require. I/We further agree and authorise the Bank to make the relevant credit references with external parties including but not limited to CCRIS, and any other credit reference agencies and that in so doing the Bank shall be entitled to disclose such information as may be necessary in order for the external parties to provide the Bank with the references/confirmation sought. I/We confirm that I/we shall read the terms and conditions of the Malayan Banking Berhad Credit Cardholder Agreement which have been displayed on the Malayan Banking Berhad’s maybank2u.com website and agree to be bound by them and all future amendments thereto before accepting and receiving the card(s). In the event I/we require a hard copy of the said Malayan Banking Berhad Credit Cardholder Agreement, I/we may request for a copy of the same from the Bank. I/We further agree that the company and I/we will be Jointly & Severally responsible for the liabilities and obligations of all Cardmember(s) applied under the company, for the charges made with the Business Card. The Bank shall reserve the absolute right to approve or reject my/our application as the Bank deems fit without assigning any reason. I/We understand the Card(s) remain the property of Malayan Banking Berhad and shall be subject to cancellation without notice and would be returned upon request. I/We hereby agree to you disclosing information to Bank Negara Malaysia regarding my/our credit facilities and my/our account with you, as may be required, whether pursuant to law or otherwise. Malayan Banking Berhad shall not be liable whether directly or indirectly to me/us or any other persons for such disclosure.”

Pengakuan“Saya/Kami sesungguhnya berikrar bahawa maklumat yang diberi di atas oleh saya/kami adalah benar dan lengkap. Saya/Kami memberi kuasa kepada anda untuk mengesahkan maklumat tentang saya/kami dan mana-mana pemohon tambahan dari mana-mana sumber yang difikirkan sesuai, dari mana-mana institusi kewangan dan Ketua Pengarah Lembaga Hasil Dalam Negeri, untuk apa sahaja maklumat yang Malayan Banking Berhad perlukan. Saya/Kami seterusnya bersetuju dan membenarkan Bank membuat rujukan kredit yang berkaitan dengan pihak-pihak luaran termasuk tetapi tidak terhad kepada CCRIS, dan mana-mana agensi rujukan kredit lain dan ketika melaksanakan sedemikian Bank berhak mendedahkan maklumat yang diperlukan agar pihak-pihak luaran dapat menyediakan rujukan/pengesahan yang diminta oleh Bank. Saya/Kami mengesahkan bahawa saya/kami akan membaca syarat dan peraturan Perjanjian Pemegang Kad Malayan Banking Berhad yang telah dinyatakan di laman web maybank2u.com Malayan Banking Berhad dan bersetuju untuk mematuhinya dan segala pindaan akan datang sebelum menerima dan mengambil kad (kad-kad). Sekiranya saya/kami memerlukan salinan Perjanjian Pemegang Kad Malayan Banking Berhad tersebut, saya/kami boleh meminta salinan tersebut daripada pihak Bank. Saya/Kami seterusnya bersetuju bahawa syarikat serta saya/kami akan menanggu liabiliti bersesama terhadap semua liabiliti dan obligasi ke atas semua Pemegang Kad yang dipohon melalui syarikat, terhadap segala caj yang dilakukan dengan menggunakan Kad Bisnes ini. Bank mempunyai hak mutlak untuk melulus atau menolak permohonan saya/kami sewajarnya tanpa memberikan apa-apa sebab. Saya/Kami faham bahawa kad tersebut masih hakmilik Malayan Banking Berhad dan akan tertakluk kepada pembatalan tanpa pemberitahuan awal dan perlu dikembalikan atas permintaan. Saya/Kami dengan ini memberi kebenaran kepada Malayan Banking Berhad untuk mendedahkan

maklumat berhubung kemudahan kad kredit atau akaun saya/kami kepada Bank Negara Malaysia, sepertimana yang ditetapkan oleh undang-undang atau sebaliknya. Malayan Banking Berhad tidak akan bertanggungjawab terhadap sebarang liabiliti, secara langsung atau tidak langsung, yang diakibatkan oleh pendedahan berkenaan, sama ada kepada saya/kami ataupun mana-mana pihak yang lain.”

I/We hereby expressly irrevocably consent and authorise the Bank to disclose any information that I have provided/disclosed to the Bank for the purpose of cross selling, marketing and promotions with other companies within Maybank Group, its agent (including but not limited to any authorities, merchants and any member of ie Visa International), servants and/or such persons or third parties as the Bank may beem fit. / Saya/Kami mengesahkan bahawa saya/kami memberi kebenaran dan kuasa kepada Bank yang tidak boleh dibatal tanpa kebenaran untuk mendedahkan sebarang maklumat yang telah saya kemukakan kepada Bank bagi tujuan jualan silang (“cross selling”), pemasaran dan promosi dengan syarikat syarikat dalam kumpulan Maybank Berhad, agen (termasuk tetapi tidak terhad kepada mana-mana pihak berkuasa, bank-bank saudagar dan mana-mana ahli institut seperti Visa International), pekerja-pekerjanya dan/atau mana-mana individu atau pihak ketiga yang difikirkan oleh Bank adalah wajar.

Please tick ( ) where applicable in relation to the above provision / Sila tanda ( ) pada yang berkenaan berhubung terma yang dinyatakan di atas.

Yes | Ya No | Tidak

Maybankard CentreCommercial Card, 39th Floor, Menara Maybank

100 Jalan Tun Perak, 50050 Kuala Lumpur. www.americanexpress.com.my/businesscard M

AS

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313

For Office Use Only Untuk Kegunaan Pejabat Sahaja

Name | Nama (FE/CSE/RB/DSE/TSE) :

___________________________________________________________________________________

PF NO. | NO. PF : ______________________________________________________________

Branch | Cawangan : __________________________________________________________

Branch Code | Kod Cawangan : ______________________________________________

Tel | Tel : _________________________________________________________________________

Fax | Faks : ______________________________________________________________________

Campaign Code | Kod Kempen : ____________________________________________

Introduced by (Lead Generator) | Diperkenalkan oleh (Lead Generator) :

____________________________________________________________________________________