MAMASAVINGS APPLICATION FORM   

MAMASAVINGS SHARIAH-COMPLIANT DEPOSIT SCHEME APPLICATION FORM/ BORANG PERMOHONAN SKIM DEPOSIT MAMASAVINGS PATUHI KONSEP SYARIAH/ 符合伊斯兰教义的马联储蓄计划申请表格

Please complete in “BOLCK LETTERS’ and box where appropriate.

  NAME AND ADDRESS OF APPLICANT / NAMA DAN ALAMAT PEMOHON / 申请者姓名与地址
  PARTICULAR OF APPLICANT / MAKLUMAT PEMOHON / 申请者资料
         
         
                       
         
                   
  PARTICULAR OF JOINT APPLICANT / MAKLUMAT PEMOHON BERSAMA / 联合申请者资料
  DEPOSIT DETAILS / MAKLUMAT DEPOSIT / 储蓄详情




   
   
   
   
   
   
   
   
   
   
** the Cheque must be made payable to/ Cek mesti dibayar atas nama/ 支票必须支付给 “Koperasi Simpanan Dan Kredit Bersatu Malaysia Berhad”.
  SIGNATURES/ TANDATANGAN/ 签名
I/We have read and fully understood all the Notes and the Terms and Conditions in this Form and the Prospectus and I/We wish to deposit in the above-mentioned MamaSavings Shariah Compliance Deposit Scheme and agree to be bound by the aforementioned Notes, Terms and Conditions. I/We also aware of the Fees and Charges directly and indirectly incurred when deposit in the Deposit Scheme. I/We hereby declare that I/We am/are the beneficial owner(s) of this deposit account and this application is not founded by gains from any unlawful activities. I/We declare that the above particulars are true and complete and that no information was withheld that may influence the acceptance of this application.

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  I hereby confirm that I have read and accept the terms and conditions stated in the form.
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