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Client Info Update CS - CGSI v1.032024

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0% found this document useful (0 votes)
81 views2 pages

Client Info Update CS - CGSI v1.032024

Uploaded by

4srpfwxpdw
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

CONFIDENTIAL

Client Information Update Form


If you have other information you wish to update us which is not listed here, please write to us and provide the relevant supporting document(s).
If you would like to correct an error on this form, do not use correcting fluid. Any amendment made must be legible and countersigned.
TO BE COMPLETED BY CLIENT AND SEND TO:
CGS International Securities Malaysia Sdn. Bhd. (formerly known as CGS-CIMB Securities Sdn. Bhd.), CLIENT SERVICES, Level 12, Menara Aras Raya, No 11, Jalan
Raja Laut, 50350 Kuala Lumpur, Wilayah Persekutuan. Telephone (603) 2635 8888, Facsimile (603) 2602 2421 www.cgsi.com.my

Client Name

Please select and state the account number (s) that require updating:

 Equities Trading & CDS  Margin Trading & CDS  All Account(s) including but not limited to CDS
Account Account Accounts
Client Code/CDS No(s): Client Code/CDS No(s): Client Code/CDS No(s):
_________________________ _________________________ _____________________________________
NOTE: Central Depository System (“CDS”) is the depository account maintained with Bursa Malaysia Depository which represents ownership record and movement
of securities. Your CDS account number shall read as: 065-001-XXXXXXXXX, please fill in the number accordingly.

I/We hereby request CGS International Securities Malaysia Sdn. Bhd. (formerly known as CGS-CIMB Securities Sdn. Bhd.) (“CGS MY”) to update
my/our particulars as follows (please fill in where the information is to be updated, otherwise the existing information registered with CGS MY
shall be deemed to be accurate as the date of this Form). 1

New Name

For change of name, a Certified True Copy of NRIC/Notification of Change Section 46(3) of the Companies Act 2016 or its equivalent is required.

NRIC/Passport/Co Registration No.

 Registered Address (As per NRIC/Passport/Co Registration No.)  Correspondence Address


For change of registered address, a Certified True Copy of NRIC/Passport/Notification of Change Section 46(3) of the Companies Act 2016 or its equivalent is required.

Address

Mobile No Home Tel No


Office No Others

Email Address²

 Cancel Product tagging ___________________________

Standing Credit Instruction³


Please tick (√) your preferred payment instruction, in accordance to the type of trading account(s) that I/We have with CGS MY.

be credited directly into my trust account maintained with CGS MY and I agree that CGS MY shall have the absolute discretion to
 determine whether interest, if any, (applicable for Conventional Broking only) is to be paid to me. Any withdrawals from my trust
account shall be credited directly into my designated bank account, as specified below.

 be credited directly into my designated bank account as specified below.


Designated Bank Account (Account Holder must be the sole applicant). Joint Account is not allowed.
Certified True Copy of the Bank Statement to be utilized here is required (2 Copies)
Bank Name
Bank Account Name
Bank Account No
1 I/We acknowledge and consent that the above particulars shall also be updated to my/our CDS account with CGS MY.
2 I/We acknowledge and consent to receive my/our daily contract statements, monthly statements, invoices or any other statements or notifications
(“statements/notifications”) that may be made available to me/us by CGS MY electronically via the email address stated above. In the event of a system failure,
I/we agree that CGS MY may adopt an alternative mode of delivery as may be determined by CGS MY from time to time. I/We also accept and assume the
inherent risks associated in receiving the above statements/notifications electronically via email.

1-2 CS/CGSI v1/032024


3 By updating this section, I/We acknowledge and consent that any fund withdrawals or payments due to me/us shall be credited directly into my designated
bank account (Standing Credit Instruction) as stated above. In consideration of you acting in accordance with my/our instruction, I/We hereby agree:
i. to refund to CGS MY of any payments wrongly made to me or wrongly credited into my trust account maintained with CGS MY and/ or the above-mentioned
bank account;
ii. not to hold CGS MY responsible for any losses arising thereof and undertake to indemnify CGS MY at all times against all claims, losses or expenses incurred
by CGS MY in connection with this instruction; and
iii. the above payment instruction shall remain in force until further written notice to me/us.
CGS MY in its sole and absolute discretion shall be entitled to vary any of the above mode or manner of payment without prior written notice to me/us.

Employment Status  Employed  Self Employed  Others __________________


Name of Employer/Business
Address of Employer/Business

Nature of Business
Designation/Occupation
Co Registration No (if own business)
Years in Employment/Business
Note: If you have existing account(s) with us, your employment information for such account(s) may be updated using the information provided in this form.

Financial Information
Gross Annual Income  Below RM 12,000  RM 12,000 – RM 24,000  RM 24,001 – RM 36,000
 RM 36,001 - RM 48,000  RM 48,001 – RM 60,000  RM 60,001 – RM 100,000
 RM 100,001 - RM 300,000  RM 300,001 – RM 600,000  RM 600,001 – RM 800,000
 RM 800,001 - RM 1,000,000  RM 1,000,001 – RM 3,000,000  Above RM 3,000,001
Estimated Net Worth  Below RM 50,000  RM 50,000 – RM 100,000  RM 100,001 – RM 200,000
 RM 200,001 – RM 500,000  RM 500,001 – RM 1,000,000  RM 1,000,001 – RM 2,000,000
 RM 2,000,001 – RM 3,000,000  Above RM 3,000,001
Source of Fund  Salary  Commission  Business Income
 Interest Income / Return Income  Rental  Investment Income
 Others ____________________
Country/Jurisdiction of Source of Fund:  Malaysia  Outside Malaysia___________
Source of Wealth  Savings  Pension Fund / EPF  Inheritance
 Gift  Sale of Real Estate  Others ____________________
Country/Jurisdiction of Source of Fund:  Malaysia  Outside Malaysia ____________

DECLARATION BY THE CLIENT


The particulars and information including any relevant document(s) provided by me/us in this client information update form is true, accurate and
correct and I/we have not withheld any material facts or information from CGS MY. If there is a change in any circumstances affecting my/ our tax
residence or change in information provided herein or which I/ We have provided to CGS MY in relation to this request, I/We agree to undertake
to notify CGS MY of such changes in a timely manner (which in any case, within 30 calendar days of its occurrence) and provide information or
suitably updated self-certification requested by CGS MY. I/We further authorise CGS MY to verify the information given herein from any source
(including third parties) and in such manner as CGS MY deem fit. I/We acknowledge and agree to continue to be bound to CGS MY’s General Terms
and Conditions and Risk Disclosure Statement for Securities (Conventional and Islamic) and such additional amendments or terms and conditions
as may be made from time to time.

Signature of Client / Authorised Signatory Signature of Client / Authorised Signatory Signature Of Dealer’s Representative/
Name: Name: Witness/ Notary Public
NRIC/Passport/Co.Reg. No: NRIC/Passport/Co. Reg No: Name:
Date: Date: NRIC/Passport:
Date:
FOR OFFICE USE ONLY
Description Verified By Updated By Date
Updating Client Information

2-2 CS/CGSI v1/032024

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