For customers of new with Security Device shown below or Login via SMS, please complete Page 2 to Page 4 ONLY.

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1 Maintenance Form For customers of new with Security Device shown below or Login via SMS, please complete Page 2 to Page 4 ONLY. For customers of old BizChannel@CIMB with USB Token* shown below, please complete Page 5 ONLY. * The above USB Token is applicable to customers of old BizChannel@CIMB. Please note that we are in the midst of migrating customers to new BizChannel@CIMB platform. 1

2 Version 1.6 ( ) Maintenance Form (Only for existing subscriber) Please submit duly completed Maintenance Form to the address below. If you need assistance, please contact Attention to: Processing Team 25 th Floor, Menara CIMB, Jalan Stesen Sentral 2, Kuala Lumpur Sentral, Kuala Lumpur. Company Details (Mandatory - Bank will be in touch with Contact Person below for clarifications) Company Name Company ID Contact Person Contact No. (Office) - - (Mobile) - Instruction: Please fill up the section(s) where applicable Update Company Details [please tick ( ) and fill up where applicable] (Country Code) (Area Code) (Country Code) Company Name Mailing Address Contact Person Contact No. (Office) - - (Country Code) (Area Code) (Mobile) - (Country Code) Note: Please submit the change request of Company Name for Current Account at our branches prior submitting the changes in BizChannel@CIMB. Add/Delete Account(s) From BizChannel@CIMB [please tick ( ) and fill up where applicable] Add Delete Account No. Add Delete Account No. Add Delete Corporate Card(s) No. Note: Please provide an additional attachment if there are extra corporate card(s) to be accessed 2

3 Add/ Delete/ Edit Authorised User(s)/ System Administrator(s) - For LITE / Standard Package, please proceed to section (A) OR - For LITE / Customised Package, please proceed to section (B) (A) Add/ Delete/ Edit Authorised User(s) for LITE / Standard Package Only Please tick ( ) one Add Delete Edit Reset Password Full Name as per NRIC/ Passport Role* [Mandatory to tick ( )where applicable] Inquiry Maker Authoriser** GST Manager - Accounting Software Integration*** [Please tick ( ) where applicable] Mobile No.**** eg: (+60) (Country code) Mobile No. **** Note: * Please note that a transaction cannot be created and authorised by the same Authorised User. ** A security device will be issued for each new Authoriser and sent to your company s Contact Person. Please ensure at least 1 Authoriser is appointed for your company. *** Direct integration for GST Payment creation in BizChannel@CIMB from Accounting Software, applicable only for Maker role under Standard Package **** Mandatory and cannot be repeated for different Authorised Users. (B) Add/ Delete/ Edit System Administrator(s)* for LITE / Customised Package Only Please tick ( ) one Add Delete Edit Reset Password Full Name as per NRIC/ Passport [Mandatory. A security device will be issued to each new System Administrator and sent to your company s Contact Person.] Mobile No.** eg: (+60) (Country code) Mobile No. ** Note: * Please ensure at least 2 System Administrators are appointed for your company **Mandatory and cannot be repeated for different System Administrators. Security Device Replacement [please tick ( ) and fill up where applicable] Defective device (Please return the defective device(s) within 30 days from the date delivered to get a replacement at no cost, otherwise RM106.00** will be debited from your company account.) Replacement of device due to exceeded 3 tries of device PIN (RM106.00** will be debited from your company account for each replacement.) Loss of device (RM106.00** will be debited from your company account for each replacement.) Name*: Device requisition for additional Authoriser(s) only (Only applies to Customised Transaction package. RM106.00** will be debited from your company account for each device.) No. of device(s) required: * Full Name of Authorised User or System Administrator as per NRIC/Passport ** Inclusive of 6% GST 3

4 Suspension / Reinstatement of Authorised User(s) / System Administrator(s) Full Name as per NRIC/ Passport Suspension Please tick ( )one Reinstatement Reason Upgrade Service Package [please tick ( )where applicable] LITE Transaction 50 (please complete section (A) above if there is a change of Authorised Users. Please complete section (B) above if there is a change of System Administrators. LITE Transaction 100 (please complete section (A) above if there is a change of Authorised Users. Please complete section (B) above if there is a change of System Administrators. Standard Transaction (please complete section (A) above) Customised Inquiry (please complete section (B) above. Bank will need to delete & re-assign new Company ID). Customised Transaction (please complete section (B) above if applicable. Bank will delete all access including transaction details & re-assign new Company ID for upgrade from Standard Package) if condition require. Termination [please tick ( )if applicable] I hereby wish to terminate my subscription to BizChannel@CIMB Declaration By Company I / We hereby i. wish to request for changes to the services indicated in this Maintenance Form ( Services ) and hereby acknowledge that the use of the Services is subject to CIMB s Terms and Conditions (available at ii. accept and agree to be bound by the same (including all amendment thereto from time to time). iii. confirm that all the information provided by us in this Maintenance Form are true, correct and not misleading. iv. authorise the Bank to issue User Password(s) and/or security device(s) to Authorised User(s) and/or System Administrator(s), where applicable. Main Company FOR BANK (BRANCH) USE ONLY Referred By : Staff Branch Code / Team: Staff ID: Contact No: Remarks: 4

5 Inquiry Data Entry Authoriser Authorisation Group Bulk TT Bulk Payments Bulk Payments - Payroll B2B Payments Government Payment Services Collection Enquiry Direct Debit - MEPS FX/ Money Market BizChannel@CIMB User Maintenance Form (only for existing BizChannel@CIMB subscriber) Version 2.0 (201410) *Mandatory field Company Name*: Note : This form is applicable for one (1) company only Contact Person*: Contact No.* : address*: (A) Company Details to be updated ( if applicable) Note : Token(s) and pin mailer will be delivered to this address. Update Mailing Address : (B) Contact Person(s)' Details to be updated (if applicable) Note : New contact person details will replace the existing contact details Add Del Name (Mr/Mrs/Ms) Contact No. Address (C) Account(s) Details to be updated (if applicable) Request Add Del Account Number Currency** 1) 2) 3) 4) ** Currencies : MYR, USD, GBP, JPY, AUD, NZD, SGD, CHF, EUR, CAD & THB (D) Access & Profile to be updated (Please tick where applicable) Notes : 1) Roles and modules selected on the form will be added to the new / existing users. 2) To remove existing roles / modules of the users, please indicate in the remarks column. (applicable for existing users only) 3) Please enclose certified true copy of photocopied NRIC/ Passport of new Authorised User(s) by either Company Director or Bank Officer. Role Modules Name (as per IC/ Passport) IC No (New)/ Passport Specific Account(s) Access Remarks (Please fill in account reference as per Section C) (E) Authorisation Condition Schedule to be updated (if applicable) Notes : 1) Authorising condition required to be updated if different from the Authorisation Condition Schedule in Application Form. 2) The authorisation limit and authorising condition will apply to all the account numbers. Authorisation Limit Authorising Condition Remarks (F) Termination/ Suspension/ Reactivate (Applicable for users only) Name (as per IC/ Passport) Please tick either one Termination Suspension Reactivate Reason(s) (G) Termination of Bizchannel@CIMB Note : The company as above and all existing users will be terminated from Bizchannel@CIMB. I hereby wish to terminate my subscription to BizChannel@CIMB Date Date Date Date Please mail the completed form to : Transaction Banking Malaysia 21st Floor, Bangunan CIMB, Jalan Stesen Sentral 2, Kuala Lumpur Sentral, 50470, Kuala Lumpur Tel No:

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