Consent Form
Consent Form
Consent Form
1. Thank you for your interest in applying for Boost Credit products and services
(“Application”).
2. Pursuant to the Credit Reporting Agencies Act 2010 (“CRA Act”) and all other
relevant laws and regulations, you agree and give your consent to Axiata Digital
Capital Sdn Bhd / authorised officers / any other third party appointed by us /
CTOS Data Systems Sdn Bhd (“CTOS”) / Experian Information Services
(Malaysia) Sdn Bhd (“Experian”) / Credit Bureau Malaysia Sdn Bhd (“CBM”) /
any other registered credit reporting agency under the CRA Act (“We/Us/Our”)
to:
(a) process the information that you have provided to us (including your
personal data, or those of any others (that have provided their consent to
you), for the purposes of assessing the Application and other matters in
connection therewith;
(b) conduct relevant checks on your credit profile, property ownerships, legal
proceedings, litigations, trade / shareholdings, identity, background,
compliance risk, business, background and any other checks and
verifications which are relevant to your business relationship / credit facility
with us in connection with your company, business, its directors/
shareholders / owners / partners / guarantors / individuals / party / officers /
employees (as may be applicable) with any registered credit reporting
agencies under the CRA Act at any time, for as long as such business
relationship/ facility continues to exist between us and you and/or where any
dues owed to us remain unpaid and outstanding; and
(c) disclose your information including trade/account conduct and other matters
in connection therewith to the relevant monitoring systems like Central Credit
Reference Information System (“CCRIS”) and Dishonoured Cheque
Information System (“DCHEQS”) and/or any other information system
maintained by any registered credit reporting agencies.
(a) we may conduct background / business / credit / trade checks, CCRIS and
DCHEQS checks on you / your shareholders / your directors / your officers /
employees (as may be applicable) at any time for as long as we have a
business / trade relationship with you, for any one or more of the following
purposes:
(i) assessing the Application;
(ii) pre-screening a prospective client / customer / supplier / contract (as may
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be applicable);
(iii) opening of account;
(iv) credit / account monitoring;
(v) credit / account evaluation;
(vi) credit / account review;
(vii) debt recovery;
(viii) legal documentation consequent to a contract or facility granted in
connection with the Application; and
(ix) any other matters in connection therewith.
(b) you also give your consent to CBM, CTOS, Experian and any other
registered credit reporting agencies under the CRA Act, to:
(i) procure your CCRIS, DCHEQS and any other credit information from
relevant data sources;
(ii) disclose credit information relating to you and/or your company, its
directors/ its shareholders / owners / partners / guarantors / individuals /
party / officers / employees (as may be applicable) to guarantors, us, our
agents and our affiliate companies as and when the services of the
credit reporting agency/ies is/are used for purposes mentioned above;
(iii) share any trade information / account conduct as mentioned in
Paragraph 2 (c) above to other subscribers of their services; and
(iv) transfer and disclose any credit information relating to you and/or your
company, its directors/ its shareholders / owners / partners / guarantors /
individuals / party / officers / employees (as may be applicable) to
relevant third parties and/or data processor either located within or
places outside Malaysia when required.
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5. You confirm that you have read and understood Axiata Digital Capital Sdn Bhd’s
Privacy Notice available on our platform or when shared with you and you give
your consent to Us to process, use and retain your personal information in
accordance with the Privacy Notice for the purposes of the Application, the grant
and administration of any subsequent service or facility granted and matters in
connection therewith.
________________________ Date:
Authorized signatory
Full Name :
NRIC No./Passport No. :
Mobile Phone No. :
Affix Company/Business
Designation : Stamp here (if
Email Address : applicable):
Company/Business Name :
Company/Business Reg. No. :
For Company/Business related individual (e.g. partners, directors, shareholders, third party guarantors)
________________ ________________
Name : Name :
NRIC/Passport No NRIC/Passport No
Designation: Designation:
Date : Date :
________________ ________________
Name : Name :
NRIC/Passport No NRIC/Passport No
Designation: Designation:
Date : Date :