• Remisier/DR/AO to indicate type of account • CDS # is to be

Remisier/Dealer’s
Representative[“DR”]/Authorized
Officer of CIMB Bank Berhad [“AO”] to
complete client’s name here.
 Remisier/DR/AO to indicate type of
account
 CDS # is to be completed by staff
from CDS or Nominees
 Client code is to be completed by
Data Management from CIMB
Investment Bank Berhad [“CIMBIB”]
Note:
It is important to advise client to read this
page before completing the form.
Notes:
It is mandatory for client to complete all the
information as required under Section A to
D.
Section A
 Client to select the type of broking,
Conventional / Islamic
 Client to select the type of account to be
opened, client can  both Direct &
Securitised if he wishes to open both
accounts.
 Client to indicate whether he wants to
go online by  on Online Trading box
 Client to indicate whether he wants to
trade cross border by  on Non-Ringgit
Securities Trading box
 Client can  Clicks Trader if he wants
to open Clicks Trader account at any of
CIMB Bank branch
Notes:
It is mandatory for client to complete all the
information as required Section B to D
Notes:
(a) Direct Trading Account (Non-Pledged
Account) – A trading account which is
tagged to a CDS account opened under
the name of client e.g. Lim Ah Kow
(b) Securitised Direct Trading Account
(Pledged Account) – A trading account
which is tagged to a CDS account opened
under the name of client e.g. Lim Ah Kow
(c) Securitised Nominees Trading Account –
A trading account which is tagged to a
Central Depository System (“CDS”)
account opened under the name of
CIMSEC Nominees (Tempatan/Asing) Sdn
Bhd Pledged Securities Account for “name
of client”.e.g. CIMSEC Nominees
(Tempatan) Sdn Bhd Pledged Securities
Account for Lim Ah Kow;
(d) Clicks Trader - A trading account which is
tagged to a Central Depository System
(“CDS”) account opened under the name
of CIMSEC Nominees (Tempatan/Asing)
Sdn Bhd Pledged Securities Account for
“name of client”.e.g. CIMSEC Nominees
(Tempatan) Sdn Bhd Pledged Securities
Account for Lim Ah Kow;
Notes:
It is mandatory for client to complete all
the information as required under Section
E to H
Section I
It is important to advice client to read &
understand the risk disclosure statement for
securities.
Section I
It is important to advice client to read &
understand the T&C.
Where client is unable to read & understand
the provisions as contained in the
application form Remisier/ DR/AO is
required to translate or explain these
provisions in the language or dialect which
is understood by the client & such language
or dialect used is to be indicated in the
space provided at Page 7.
Notes:
Section L– Payment Instruction
Client can opt for :(a) Direct credit into his CIMB Bank
account – Indicate the 14 digits account
no and remember to enclose a
photocopy of passbook or bank
statement.
(b) By Cheque
(c) Credit directly into his trust account
maintained with CIMBIB
Client can only select for one of the above
and this payment instruction shall remain in
force until further notice to CIMBIB in
writing.
Notes:
Section K– Instructions To Receive
Contracts Statements Via Email
Client can instruct CIMBIB to send daily
contract statement via email.
Client need to provide :(a) Contact Number
(b) Email Address(es)
Notes
Section L –Declaration By Client
Client needs to complete :Part (9) – Applicable for client trading in
cross border to declare whether he has
any domestic ringgit credit facilities.
Client to endorse his signature at the
space marked “Signature of Applicant” &
indicate name, NRIC no. & date of signing.
Who can witness: DR / Remisier

 AO (Applicable to Bank Branch
Broking only)
 Notary Public
Indicate Name, NRIC & date
Section M (Declaration By DR)
–To Be Completed By DR/AO
(Applicable to Bank Branch Broking
only)
Remisier/DR/AO to complete the following
info:(a) Proposed trading Limit
(b) Name of the sales person, if
applicable
(c) Day Trading Facility – Circle yes, if
Remisier/DR/AO would like to extend
day trade to his client & indicate the
rate applicable (Bursa floor rate is
0.15%)
(d) As part of KYC Remisier/DR/AO it is
mandatory for Remisier/DR/AO to
furnish this additional information.
(e) Jurat clause – Where client is unable
to read & understand the provisions
as contained in the application form
Remisier/DR/AO is required to
translate or explain these provisions
in the language or dialect which is
understood by the client & such
language or dialect used is to be
indicated in the space provided at
Page 9.
(f) Remisier/DR/AO is to sign on the
space provided and to affix the rubber
stamp bearing their name & License
no. Thereafter indication date of
signing.