You may download the company s trading account opening forms as follows:

Transcription

1 Dear Valued Clients, Download Trading & CDS Account Form You may download the company s trading account opening forms as follows: 1. Individual Account Application Form + Bursa Malaysia Depository Specimen Signature Card (page 3-9) 2. Individual Islamic Account Application Form + Bursa Malaysia Depository Specimen Signature Card (page 10 15) for those interested to open Islamic Trading Account As for the Bursa Malaysia CDS Forms (ENG OR BM), please download at the following links: 1. Bursa Malaysia CDS Account Form - ENG m_2017.pdf 2. Bursa Malaysia CDS Account Form - BM _2017.pdf Should you have any doubts, please do not hesitate to contact your respective dealers / remisiers, our nearest branches & offices or our Customer Service at or servicecenter@jssb.com.my. Regards, JUPITER SECURITIES SDN BHD 1

2 Checklist for Individual Account Opening: Individual Account Application Form (Normal / Islamic) 1 set (6 pages) Bursa Malaysia Depository Specimen Signature Card 1 set Bursa Malaysia CDS Account Form 1 set (3 pages) Photocopy of NRIC (front & back) 4 sets Photocopy of Passport (page with photo) 4 sets (for Foreigners) Photocopy of Bank Statement / Bank Savings Book / Details of Client s Account obtained from client s online statement certified by the bank / Letter from bank confirming client s account details 2 sets Notes: 1. For the Bursa Malaysia Depository Specimen Signature Card, client to sign in the Specimen Signature box. 2. For the Bursa Malaysia CDS Account Form, client to sign at the Signature of Applicant column (in pages 1, 2 & 3). 2

3 INDIVIDUAL ACCOUNT APPLICATION FORM Level 8 & 9, Menara Olympia No. 8, Jalan Raja Chulan Kuala Lumpur Tel: Fax: Corporate jssb_corporate@jssb.com.my Share Trading Online: CCD009-V(7)2014/03 FOR OFFICE USE ONLY NOTE : Please enclose a photocopy of CDS ACCOUNT NO identity card or passport AND business card. CLIENT CODE DEALER / REMISIER CODE PART A: PERSONAL PARTICULARS (TO BE COMPLETED BY APPLICANT) PERSONAL DETAILS FULL NAME OF APPLICANT (as per NRIC) NRIC / PASSPORT NO. DATE OF BIRTH New Passport No. Old Police/Army No. GENDER RACE MARITAL STATUS NATIONALITY HOME ADDRESS (current) MALE FEMALE MALAY CHINESE INDIAN OTHERS SINGLE MARRIED MALAYSIAN OTHERS CITY / STATE POST CODE CONTACT EMPLOYMENT DETAILS EMPLOYMENT STATUS NAME OF EMPLOYER / FIRM / BUSINESS NATURE OF BUSINESS DESIGNATION (If employed) (house phone) (handphone) ( ) EMPLOYED SELF EMPLOYED RETIRED UNEMPLOYED REGISTRATION NO (If self employed) YEARS IN EMPLOYMENT/BUSINESS OFFICE / BUSINESS ADDRESS CITY / STATE POST CODE OFFICE CONTACT GROSS ANNUAL INCOME (telephone no) (facsimile no) ( ) BELOW RM12,000 RM12,001-RM24,000 RM24,001-RM36,000 RM36,001-RM48,000 OTHER INCOME RM RM48,001-RM60,000 RM60,001-RM100,000 RM100,001-RM300,000 ABOVE RM300,000 ESTIMATED NET WORTH RM (optional) MAILING ADDRESS (please tick) HOME OFFICE OTHERS (if selected, please provide address below) CITY / STATE POST CODE BANK REFERENCE BANK BRANCH / ADDRESS ACCOUNT NO ACCOUNT TYPE (please tick) SAVINGS ACCOUNT CURRENT ACCOUNT PLEASE NOTE : INCOMPLETE INFORMATION OR DOCUMENT MAY RESULT IN THE APPLICATION BEING REJECTED

4 PART A: PERSONAL PARTICULARS (CONTINUE) SPOUSE/NEXT OF KIN CONTACT DETAILS FULL NAME RELATIONSHIP CONTACT NUMBER OTHER INFORMATION 1. What is your investment a) term and b) objective? a) Short term Long term b) Capital growth Savings Dividend income Others 2. How much return do you expect from your investment (taking into consideration high returns means high risks)? < 5% 5% - 10% 11% - 20% 21% - 50% > 50% 3. What is your risk tolerance? Conservative Moderate Aggressive 4. What is your main source of funds to finance the investment? Own cash Mortgage Margin Finance Overdraft Unsecured loans (e.g.credit card) Others 5. How long have you been trading in the capital market? < 1 year 1-5 years 6-10 years > 10 years PART B: POLITICAL AFFILIATION (PURSUANT TO AMLATFA GUIDELINES) 1. Do you hold, or have you previously held, or are you actively seeking a position or being considered for a prominent public position? Yes No If Yes, Position held Since 2. Does any of your immediate family member(s) hold or has previously held or is actively seeking a position or is being considered for a prominent public position? Yes No If Yes, Please provide the following details:- Name of Relative Relationship Position Held PART C: TERMS AND CONDITIONS (Applicant is advised to read through the terms and conditions carefully before signing the form) I hereby:- 1. request you to open an account (hereinafter referred to as "the Account") under the account name set out in Part A above for the purchase and sale of stocks and/or shares, debentures, unit trusts, bonds, obligations securities and instruments (hereinafter referred to as "the securities") quoted on the Bursa Malaysia Securities Berhad ("Bursa Malaysia") or on any other relevant exchange or exchanges, as the case maybe, in force at any time and in accordance to existing and new rules and regulations that may be introduced from time to time. 2. undertake to abide by the Rules and Regulations of the Bursa Malaysia and any other relevant exchange or exchanges, as the case maybe, and any relevant regulations governing the purchase and sale of securities as may be in force from time and at any time including any statutory amendments, modifications or reenactments thereto. 3. undertake to make immediate payment against delivery of Securities purchased on my behalf. I further undertake to pay the amounts of deposits required by you on purchase contracts made on my behalf and the balance of which (if any) shall be paid in accordance with delivery procedures stated under the Rules & Regulations and/or any of the directions of the relevant stock exchange. 4. undertake to deliver to you promptly any and all transfer deeds and certificates or documents of title of securities which you have sold for me and/or on my behalf and all other documents as you may require from time to time. In the event that any of the transfer deeds and certificates or documents of title of securities are subsequently discovered to be forged or stolen or missing, I agree and undertake to replace the same immediately failing which I shall deem to have authorised you to buy in the same to cover my position and I shall be liable for all costs incurred through the buying-in. 5. authorise you at your sole discretion to sell out or buy in such Securities in the manner and upon such conditions prescribed in the Rules and Regulations of the Bursa Malaysia or any other relevant exchange or exchanges, as the case maybe, and you may deem necessary to clear my trading position with you and I undertake to indemnify you against all expenses, losses and/or damages which you may sustain thereby. In the event of such selling out or buying in, you shall not be responsible for any losses and damages that I may incur or suffer as a result therefrom. 6. authorise you to deal in any manner you may deem fit with all or any of the stocks, shares or documents of titles of securities purchased for or under my account which I have not effected payment without being held liable for any losses and damages that I may incur or suffer as a result therefrom. 7. agree that interest on any balance outstanding under the Account from the time being owing to you may at your sole discretion be capitalised at the end of each month and added for all purposes to the balance outstanding under the Account and shall thenceforth bear interest at such rate as you may have determined at that time and/or any other time without any notice to me. Page 2 of 6

5 PART C: TERMS AND CONDITIONS (Continue) 8. agree to pay such fees, charges and/or interests whatsoever that maybe imposed by you from time to time in relation to any debit balance outstanding in the Account including without limitation, handling fees, service charges and interest at such rate you may determine from time to time and that I agree to be bound by the prevailing rate appearing on the Contract Notes, Contra Statements, Monthly Statements or any other correspondences sent to me from time to time. 9. agree that all payments made by me to you, may at your sole discretion, be used firstly to set-off against any interests, fees and charges due to you before using the remaining of same to deduct the contra losses and/or any monies owed under the Account; and further agree and undertake to settle immediately all sums of monies due on contra losses or other monies howsoever owing under the Account and authorise you to utilise and set-off any contra profit/gain or proceeds from any sales or monies due to me towards payment or settlement of my liabilities. In this regard, you shall be entitled (but not obliged) to make any set-off from the Account prior to actual payment by me of the sums owing to you. 10. declare that all oral instructions/orders made by me through the telephone shall not be revoked or withdrawn by me and shall therefore be deemed confirmed upon such oral instructions/orders being made. I further agree that you may record my telephone calls to you which may strictly at your discretion be used as evidence of such oral instructions/orders. 11. authorise you to mortgage, pledge or hypothecate any collateral shares to any bank(s) and/or financial institution(s). 12. authorise you to post my Contract Notes, Contra Statements, Monthly Statement of Accounts, letters and/or other documents to me at my address stated herein (or such other address as may be notified to you in writing) by ordinary post, and the same shall be deemed received by me upon the expiration of three (3) days from the date of posting. Any certification made by any of your officers that the same has been properly posted to me on a specified date shall be deemed sufficient proof of same. 13. shall forthwith notify you in writing of any change of any address on my part. 14. declare and agree that I shall notify you in writing of any disputes, discrepancies, incorrectness or irregularities arising from my Contract Notes, Contra Statements, Monthly Statement of Accounts, letters and/or other documents within five (5) days from the date of receipt or deemed receipt of the same by me, failing which I shall be deemed to have accepted, agreed and admitted to the correctness, truth, veracity and accuracy as to the price and quantity of shares bought or sold as stated therein as well as to the amount of monies due and owing by me to you, and I shall in no manner thereafter dispute or challenge the same in a court of law or otherwise. 15. declare that: I have not been adjudicated a bankrupt and have no knowledge of any pending bankruptcy proceedings commenced against me, and/or I have not been listed as a defaulter by the Bursa Malaysia or by any other exchange or exchanges. 16. declare and agree that my application herein is subject to your approval and you are absolutely entitled at your sole discretion to reject my application or impose such conditions and/or restrictions as you may deem fit without giving any reasons therefor. 17. agree that you may at any time at your discretion close or suspend my account without giving any reasons whatsoever (including but not limited to the Account being inactive, badly conducted or dormant). 18. declare and undertake that all particulars and informations given in this application form are true and correct and that I have not withheld any material fact or information from you. I hereby authorise you to verify at any time and from time to time any or all the particulars and/or information furnished herein in any such manner as you shall deem fit. 19. declare and agree that a certificate and/or statement duly certified by any of your officers as to the monies and liabilities for the time being incurred or due to you by me shall be final and conclusive evidence of my indebtedness to you in any legal proceedings against me or my heirs, representatives, personal administrator and/ or successors in title and assign. 20. agree to at all times keep you fully and effectively indemnified against all actions, suits proceedings, claims, demands, losses, charges, penalties, fees, fines, costs, debts, interests, legal fees (on a fully indemnity basis) and expenses whatsoever made, taken, brought, instituted, imposed, suffered, incurred, prosecuted or payable in any way howsoever (including without limitation negligence, on your part or the part of your agents, employees or servants) against or by you to any person arising thereof or incidental to all matters relating to the Account with you including without limitation the agreements, undertakings and covenants herein save in relation to scripless securities under the Bursa Malaysia Depository Sdn Bhd (Bursa Depository), the consequences arising from any wilful act, omission, neglect, fraud or error on your part. Your right of indemnity conferred herein shall continue in full force and effect and shall continue to subsist hereafter notwithstanding the suspension, termination or closure of the Account with you. 21. agree to indemnify you for all legal charges (on a full indemnity basis), costs and expenses that you may incur or suffer as a result of you bringing or commencing any legal actions against me for the purpose of recovering any monies due and owing by me to you and/or for the enforcement of any of your rights stated herein. 22. undertake to be responsible for the safekeeping of any identification document issued by you. I understand and agree that I shall not hold you responsible for any losses/damages incurred due to unauthorised use of the aforesaid identification document. 23. declare that all the agreements and undertakings herein contained and the rights and obligations therefrom shall be governed by and construed in all respects in accordance with the laws of Malaysia and agree to submit to the jurisdiction of the courts of Malaysia. 24. agree that any failure or delay on your part to insist in any one or more instances upon the performance of any provisions contained herein shall not be construed as a waiver or relinquishment of any of your rights to future performance or such provisions or any of my obligations in respect of such future performance which shall continue in full force and effect. 25. agree that in the event any or more of the provisions contained herein shall for any reason be held to be unenforceable, illegal or otherwise invalid in any respect under the law governing the terms herein (being the law of Malaysia) or its performance, such unenforceability, illegality or invalidity shall not affect any other provisions herein and the provisions herein shall then be construed as if such unenforceable, illegal or invalid provisions had never been contained herein. 26. agree that I shall not make any claims against you in the event I suffer losses or damages as a consequence of my failure to observe or comply with the trading guidelines now existing or such other trading guidelines issued by you from time to time or the relevant authorities. 27. agree that I shall have no claim whatsoever against you for any payment in respect of securities which shall also include dealing in the CDS Account as defined in the Securities Industry (Central Depository) Act 1991, sold by me or delivery of certificates or other documents or indicia of title of securities purchased by me in the event I have authorised my Dealer s Representative or any other named person (s) to collect payments and/or transfer deeds and certificates or other documents or indicia of titles of securities on my behalf from you. 28. declare and agree that so long as there are monies remain owing hereunder to you, you shall have a lien on all and any monies now or hereafter standing to my credit in any account maintained with you and/or any of your related companies as defined under the Companies Act, including but not limited to Jupiter Capital Sdn Bhd (hereinafter referred to as the Related Companies ) and you shall also have a lien on any shares, stocks and securities belonging to me or under my control which have been deposited with you and/or the Related Companies for whatsoever purpose and which you shall have the liberty and at your sole discretion to sell or otherwise dispose of the said monies and/or shares, stocks and securities at any time and from time to time without any notice given to me for the purpose of off-setting same against the monies remain owing hereunder to you. 29. declare and agree that I have read and understood the terms and conditions hereof and further declare and agree that I have not been induced into entering this contract nor any other or all contracts or contract which may now or hereafter be entered by me subsequent and pursuant by means of duress occasion and/or undue influence on your part or on the part of your agents, representatives, employees or officers and that I shall not be entitled to allege otherwise. I further declare that I am fully aware of the risks involved in share market transactions and accept sole responsibility therefore. Page 3 of 6

6 PART C: TERMS AND CONDITIONS (Continue) 30. declare and agree that you may at your absolute discretion without any prior notice (whether in writing or otherwise) amend or vary the terms and conditions herein stated at any time or from time to time and/or impose additional clauses which shall bind me as if the amendments and additional clauses had been originally set out herein. 31. declare that the dealings in securities in respect of the Account are or shall be carried out for me as principal and I make this solemn declaration conscientiously believing the same to be true. 32. acknowledge and agree that if I wish to trade online, I will always abide by all terms and conditions imposed by you as stipulated with the Terms and Conditions relating to the online trading facility and that you may at any time and from time to time impose or vary such other terms and conditions at your sole and absolute discretion. Upon the imposition or amendment being posted by you on the website, notice of the same shall be deemed to have effected. As I continue to trade using the online trading facility or give any order (s) for trade subsequent to the effective date of notice, I shall be deemed to have agreed and accepted the new or amended terms and conditions imposed by you whereof these provisions shall be binding upon me from the date of posting. The relevant provisions of this Agreement shall hereafter be deemed to have been amended, modified, supplemented and/or varied accordingly and shall be read and construed as if such amendments, modifications, supplements and/or variations had been incorporated in and had formed part of this Agreement at the time of execution hereof. 33. agree to allow you to place monies from my Trust Account with Licensed Financial Institutions in current accounts or an interest or non-interest bearing accounts or on fixed deposit accounts or money market instruments, either on Conventional or Islamic banking accounts/products to earn interest or dividend or hibah. In addition, I hereby authorise you to make withdrawals from the said Trust account to settle purchase contract, contra losses and other dues owing to you. 34. acknowledge that you are at liberty to vary my trading limit from time to time without assigning any reasons to me and I agree not to hold you liable for whatever losses, damages, costs incurred as a result of such variation. 35. a) authorise the licensed dealer s representative (DR) handling the Account or other named person(s) nominated by me in writing to act on my behalf to collect payment cheques due to me and such other acts or things as I may effectually do in connection with the Account to facilitate the delivery and settlement of my dealings with you; b) further request and authorise the DR or other named person(s) nominated by me in writing to utilise my cheque(s) which is/are due to me from the proceeds of my sale(s) and contra gain(s) for the purpose of offsetting against any amount(s) due and owing by me to you; c) agree not to hold you responsible for any losses arising thereof and undertake to indemnify you at all times against all claims, losses or expenses incurred by you in connection with this authorisation pursuant to the above request(s) in (a) and (b) above; d) agree to ratify and confirm all and whatsoever the authorised representatives or his/her agent shall do; e) agree that this authorisation shall remain in force until further notice by me in writing and duly acknowledged by your authorised officer. 36. agree that I shall not hold you or any of your officers, employees or agents responsible or liable for whatever losses incurred as a result of the acts, representations and/or omissions of the dealer s representative in carrying out his/her duties in connection with the Account. 37. agree that you have absolute discretion to withhold, disallow or refuse the request for the transfer of securities from my CDS account so long as there are any monies or liabilities remain owing or may be incurred by me under the Account. ANTI-MONEY LAUNDERING ACT 2001 AND GUIDELINES ON PREVENTION OF MONEY LAUNDERING AND TERRORISM FINANCING CAPITAL MARKET INTERMEDIARIES ( AMLA ) I understand and accept the following:- i) I shall at all times adhere to and comply with AMLA with respect to all transactions or matters whatsoever and howsoever arising whether directly or indirectly with you, and in particular:- a) you shall be entitled to keep records of all my transactions and to further disclose any information pertaining to me, as may be required by law or any governmental or regulatory authority for purposes of compliance with AMLA; b) undertake to provide you with all relevant informations and documents, as and when requested, for purposes of identification of the client and verification of the source of funds under the know your client principles. ii) I further confirm that all monies paid to you come from lawful sources and not from unlawful activities. STRUCTURED WARRANTS RISK DISCLOSURE STATEMENT I understand and accept the following:- i) the purchaser of a structured warrant is subject to the risk of losing the full purchase price of the structured warrant and all transaction costs; ii) in order to realise any value from a structured warrant, it is necessary to sell the structured warrants or exercise the structured warrants on or before their expiry date; iii) under certain conditions, it may become difficult to sell the structured warrants; iv) upon exercise of the structured warrants, the issuer may settle its obligations via actual delivery of the underlying assets, in cash or a combination of both depending on the terms of the issue of the structured warrants; v) the placing of contingent orders, such as stop-loss or stop-limit orders, will not necessary limit my losses to the intended amount. Market conditions may not make it possible to execute such orders; vi) the high degree of leverage that is obtainable from structured warrants because of the small initial outlay can work against me as well as in my favour. The use of leverage can lead to large losses as well as gain; vii) this brief statement cannot disclose all the risks associated with trading in structured warrants. ELECTRONIC CONTRACT NOTES/STATEMENTS I understand and accept the following:- i) issuance and delivery of the contract notes/statements in electronic form shall be delivered to my address (as stated above) and I shall no longer receive contract notes in hardcopy form. ii) in the event of the remote possibility of a system failure where the electronic contract notes/statements cannot be generated and/or delivered to me via , contract notes will be sent to me in a hardcopy form via the postal service. iii) that there are risks inherent in communication by electronic mail, these risks include the security risks of interception, unauthorised access to such communications, the risks of corruption of such communications and the risks of viruses or other harmful devices and I shall not hold you liable for such inherent risks. CONSENT FOR DISCLOSURE OF CREDIT INFORMATION Pursuant to the Credit Reporting Agencies Act 2010,I hereby give you consent to obtain and or disclose any credit information (as define in the Act) relating to me from Insolvency Department, RAM Credit Information Sdn Bhd or any source deemed appropriate to verify my credit history as you may deem fit under any applicable law, regulation, guidelines regulatory requirement or directive. This consent is applicable in relation to my request to open an account and shall remain applicable as long as I maintained the Account. PERSONAL DATA PROTECTION ACT 2010 By providing my personal data to you, I hereby give you consent to collect and process my personal data for the purpose stated in your Personal Data Protection Notice Please visit to view and read the Personal Data protection Notice. Page 4 of 6

7 PART D: DECLARATION BY APPLICANT By signing this Application Form, I hereby declare/ agree/ undertake that:- a) I am not under eighteen(18) years of age; b) I am not in the employment of another Participating Organisation of Bursa Malaysia Securities Berhad; c) the signature below shall also be the specimen for all communications, instructions and transactions requiring my signature; d) I have read, understood and agreed to comply with the Terms and Conditions, including AMLA and Structured Warrant Risk Disclosure Statement as set out under part C of this Application Form, including such additional amendments or terms and conditions may be made from time to time. And I make this solemn declaration conscientiously believing the same to be true. I also confirm my application for a trading limit of RM or any other limit approved by the Company from time to time. Signature of Applicant Signature of Witness (Dealer's Representative/ Authorised Officer of Jupiter Securities Sdn Bhd/Notary Public-with Stamp) Name: Name: IC No.: IC No.: Date : Date : PART E: DECLARATION BY DEALER'S REPRESENTATIVE DEALER'S REPRESENTATIVE'S COMMENTS RELATIONSHIP: RELATIVE FRIEND BUSINESS ACQUAINTANCE OTHERS ASSOCIATE NO. OF YEARS KNOWN : TRADING PATTERN: SHORT TERM LONG TERM MIXED NOT KNOWN GAIN INVESTMENT PAYMENT RECORD: PROMPT AVERAGE POOR NOT KNOWN TRADING LIMIT RECOMMENDED: RM PLEASE INDICATE BASIS OF RECOMMENDATION AND ANY SUPPORTING REASON(S): BASIS OF RECOMMENDATION (please tick) INCOME/REVENUE STATUS FINANCIAL NET WORTH/SHAREHOLDERS' FUNDS OTHERS Supporting reason(s) on basis of recommendation: DECLARATION I hereby:- 1. request Jupiter Securities Sdn Bhd to allow the Applicant to open a trading account with the Company; 2. confirm the existence of the Applicant and that all information given in this Application Form are true and correct to the best of my knowledge; 3. shall be responsible for making good any bad debts incurred by the applicant; 4. indemnify Jupiter Securities Sdn Bhd for all losses incurred in this account including professional fees/solicitors charges. Signature of Dealer's Representative Name: Dealer's Representative Code: Date Page 5 of 6

8 AUTHORISATION FOR BALANCE ENQUIRY REQUEST 1. I, the abovenamed hereby authorise (state the name of the dealer's representative) (I/C number) License No. to make a balance enquiry of my abovestated CDS Account in respect of any securities of any company. 2. The abovestated dealer's representative is authorised to execute on my behalf the Balance Enquiry Request Form as prescribed by Bursa Malaysia Depository Sdn Bhd ("Bursa Depository"). 3. The authority hereby given shall take effect on the date stipulated in the notice of acceptance, the same to be issued by the ADA to me not later than two (2) market days after receipt of this authorisation by the ADA and shall remain in force as per the following period:- (Please choose the authorisation period by crossing ( X ) at the appropriate field below) ( ) (stated the exact date the authorisation is to remain in force), (dd/mm/yyyy) or ( ) indefinite period This authorisation will remain in force unless revoked by me prior to the above date or period by a notice in writing in accordance with the prescribed form for Revocation of Authorisation for Balance Enquiry Request or revoked automatically as a result of the authorised Dealer's Representative is no longer with the ADA. 4. I hereby release (state the ADA concerned) and Bursa Depository from all liabilities of whatsoever nature arising from this authorisation, except for liabilities arising from negligence or error of Bursa Depository or the authorised depository agent and I hereby undertake to indemnify Bursa Depository from all claims and demands otherwise than as a result of any unauthorised acts of the abovestated dealer's representative. 5. This authorisation shall not in any way allow or permit the abovestated dealer's representative to deal in any way howsoever with the securities contained in my abovestated CDS account(s) without my prior written consent or authorisation. Signature of depositor Date Signature of the abovestated dealer's representative FOR OFFICE USE ONLY To be completed by ADA Sign and affix company rubber-stamp (required for ADA) RECEIVED BY : TIME / DATE : VERIFY BY : DATE : APPROVED BY : DATE : Page 6 of 6

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10 INDIVIDUAL ISLAMIC ACCOUNT APPLICATION FORM (ISLAMIC WINDOW SERVICES) Level 8 & 9, Menara Olympia No. 8, Jalan Raja Chulan Kuala Lumpur Tel: Fax: Corporate jssb_corporate@jssb.com.my Share Trading Online: CCD009-ISLAMIC V(2)2014/03 FOR OFFICE USE ONLY NOTE : Please enclose a photocopy of CDS ACCOUNT NO identity card or passport AND business card. CLIENT CODE DEALER / REMISIER CODE PART A: PERSONAL PARTICULARS (TO BE COMPLETED BY APPLICANT) PERSONAL DETAILS FULL NAME OF APPLICANT (as per NRIC) NRIC / PASSPORT NO. DATE OF BIRTH New Passport No. Old Police/Army No. GENDER RACE MARITAL STATUS NATIONALITY HOME ADDRESS (current) MALE FEMALE MALAY CHINESE INDIAN OTHERS SINGLE MARRIED MALAYSIAN OTHERS CONTACT EMPLOYMENT DETAILS EMPLOYMENT STATUS NAME OF EMPLOYER / FIRM / BUSINESS NATURE OF BUSINESS DESIGNATION (If employed) CITY / STATE POST CODE (house phone) (handphone) ( ) EMPLOYED SELF EMPLOYED RETIRED UNEMPLOYED REGISTRATION NO (If self employed) YEARS IN EMPLOYMENT/BUSINESS OFFICE / BUSINESS ADDRESS OFFICE CONTACT GROSS ANNUAL INCOME CITY / STATE POST CODE (telephone no) (facsimile no) ( ) BELOW RM12,000 RM12,001-RM24,000 RM24,001-RM36,000 RM36,001-RM48,000 OTHER INCOME RM RM48,001-RM60,000 RM60,001-RM100,000 RM100,001-RM300,000 ABOVE RM300,000 ESTIMATED NET WORTH RM (optional) MAILING ADDRESS (please tick) HOME OFFICE OTHERS (if selected, please provide address below) CITY / STATE POST CODE BANK REFERENCE BANK BRANCH / ADDRESS ACCOUNT NO ACCOUNT TYPE (please tick) SAVINGS ACCOUNT CURRENT ACCOUNT PLEASE NOTE : INCOMPLETE INFORMATION OR DOCUMENT MAY RESULT IN THE APPLICATION BEING REJECTED

11 PART A: PERSONAL PARTICULARS (CONTINUE) SPOUSE/NEXT OF KIN CONTACT DETAILS FULL NAME RELATIONSHIP CONTACT NUMBER OTHER INFORMATION 1. What is your investment a) term and b) objective? a) Short term Long term b) Capital growth Savings Dividend income Others 2. How much return do you expect from your investment (taking into consideration high returns means high risks)? < 5% 5% - 10% 11% - 20% 21% - 50% > 50% 3. What is your risk tolerance? Conservative Moderate Aggressive 4. What is your main source of funds to finance the investment? Own cash Mortgage Margin Finance Overdraft Unsecured loans (e.g.credit card) 5. How long have you been trading in the capital market? Others < 1 year 1-5 years 6-10 years > 10 years PART B: POLITICAL AFFILIATION (PURSUANT TO AMLATFA GUIDELINES) 1. Do you hold, or have you previously held, or are you actively seeking a position or being considered for a prominent public position? Yes No If Yes, Position held Since 2. Does any of your immediate family member(s) hold or has previously held or is actively seeking a position or is being considered for a prominent public position? Yes No If Yes, Please provide the following details:- Name of Relative Relationship Position Held PART C: TERMS AND CONDITIONS (Applicant is advised to read through the terms and conditions carefully before signing the form) I hereby:- 1. request you to open an account (hereinafter referred to as "the Account") under the account name set out in Part A above for the purchase and sale of stocks and/or shares, debentures, unit trusts, bonds, obligations securities and instruments (hereinafter referred to as "the securities") quoted on the Bursa Malaysia Securities Berhad ("Bursa Malaysia") or on any other relevant exchange or exchanges, as the case maybe, in force at any time and in accordance to existing and new rules and regulations that may be introduced from time to time. 2. undertake to abide by the Rules and Regulations of the Bursa Malaysia and any other relevant exchange or exchanges, as the case maybe, and any relevant regulations governing the purchase and sale of securities as may be in force from time and at any time including any statutory amendments, modifications or reenactments thereto. 3. undertake to make immediate payment against delivery of Securities purchased on my behalf. I further undertake to pay the amounts of deposits required by you on purchase contracts made on my behalf and the balance of which (if any) shall be paid in accordance with delivery procedures stated under the Rules & Regulations and/or any of the directions of the relevant stock exchange. 4. undertake to deliver to you promptly any and all transfer deeds and certificates or documents of title of securities which you have sold for me and/or on my behalf and all other documents as you may require from time to time. In the event that any of the transfer deeds and certificates or documents of title of securities are subsequently discovered to be forged or stolen or missing, I agree and undertake to replace the same immediately failing which I shall deem to have authorised you to buy in the same to cover my position and I shall be liable for all costs incurred through the buying-in. 5. authorise you at your sole discretion to sell out or buy in such Securities in the manner and upon such conditions prescribed in the Rules and Regulations of the Bursa Malaysia or any other relevant exchange or exchanges, as the case maybe, and you may deem necessary to clear my trading position with you and I undertake to indemnify you against all expenses, losses and/or damages which you may sustain thereby. In the event of such selling out or buying in, you shall not be responsible for any losses and damages that I may incur or suffer as a result therefrom. 6. authorise you to deal in any manner you may deem fit with all or any of the stocks, shares or documents of titles of securities purchased for or under my account which I have not effected payment without being held liable for any losses and damages that I may incur or suffer as a result therefrom. 7. agree to pay such fees, charges and/or interests whatsoever that maybe imposed by you from time to time in relation to any debit balance outstanding in the Account including without limitation, handling fees, service charges and other related charges. Page 2 of 6

12 PART C: TERMS AND CONDITIONS (Continue) 8. agree that all payments made by me to you, may at your sole discretion, be used firstly to set-off against any interests, fees and charges due to you before using the remaining of same to deduct the contra losses and/or any monies owed under the Account; and further agree and undertake to settle immediately all sums of monies due on contra losses or other monies howsoever owing under the Account and authorise you to utilise and set-off any contra profit/gain or proceeds from any sales or monies due to me towards payment or settlement of my liabilities. In this regard, you shall be entitled (but not obliged) to make any set-off from the Account prior to actual payment by me of the sums owing to you. 9. declare that all oral instructions/orders made by me through the telephone shall not be revoked or withdrawn by me and shall therefore be deemed confirmed upon such oral instructions/orders being made. I further agree that you may record my telephone calls to you which may strictly at your discretion be used as evidence of such oral instructions/orders. 10. authorise you to mortgage, pledge or hypothecate any collateral shares to any bank(s) and/or financial institution(s). 11. authorise you to post my Contract Notes, Contra Statements, Monthly Statement of Accounts, letters and/or other documents to me at my address stated herein (or such other address as may be notified to you in writing) by ordinary post, and the same shall be deemed received by me upon the expiration of three (3) days from the date of posting. Any certification made by any of your officers that the same has been properly posted to me on a specified date shall be deemed sufficient proof of same. 12. shall forthwith notify you in writing of any change of any address on my part. 13. declare and agree that I shall notify you in writing of any disputes, discrepancies, incorrectness or irregularities arising from my Contract Notes, Contra Statements, Monthly Statement of Accounts, letters and/or other documents within five (5) days from the date of receipt or deemed receipt of the same by me, failing which I shall be deemed to have accepted, agreed and admitted to the correctness, truth, veracity and accuracy as to the price and quantity of shares bought or sold as stated therein as well as to the amount of monies due and owing by me to you, and I shall in no manner thereafter dispute or challenge the same in a court of law or otherwise. 14. declare that: I have not been adjudicated a bankrupt and have no knowledge of any pending bankruptcy proceedings commenced against me, and/or I have not been listed as a defaulter by the Bursa Malaysia or by any other exchange or exchanges. 15. declare and agree that my application herein is subject to your approval and you are absolutely entitled at your sole discretion to reject my application or impose such conditions and/or restrictions as you may deem fit without giving any reasons therefor. 16. agree that you may at any time at your discretion close or suspend my account without giving any reasons whatsoever (including but not limited to the Account being inactive, badly conducted or dormant). 17. declare and undertake that all particulars and informations given in this application form are true and correct and that I have not withheld any material fact or information from you. I hereby authorise you to verify at any time and from time to time any or all the particulars and/or information furnished herein in any such manner as you shall deem fit. 18. declare and agree that a certificate and/or statement duly certified by any of your officers as to the monies and liabilities for the time being incurred or due to you by me shall be final and conclusive evidence of my indebtedness to you in any legal proceedings against me or my heirs, representatives, personal administrator and/ or successors in title and assign. 19. agree to at all times keep you fully and effectively indemnified against all actions, suits proceedings, claims, demands, losses, charges, penalties, fees, fines, costs, debts, interests, legal fees (on a fully indemnity basis) and expenses whatsoever made, taken, brought, instituted, imposed, suffered, incurred, prosecuted or payable in any way howsoever (including without limitation negligence, on your part or the part of your agents, employees or servants) against or by you to any person arising thereof or incidental to all matters relating to the Account with you including without limitation the agreements, undertakings and covenants herein save in relation to scripless securities under the Bursa Malaysia Depository Sdn Bhd (Bursa Depository), the consequences arising from any wilful act, omission, neglect, fraud or error on your part. Your right of indemnity conferred herein shall continue in full force and effect and shall continue to subsist hereafter notwithstanding the suspension, termination or closure of the Account with you. 20. agree to indemnify you for all legal charges (on a full indemnity basis), costs and expenses that you may incur or suffer as a result of you bringing or commencing any legal actions against me for the purpose of recovering any monies due and owing by me to you and/or for the enforcement of any of your rights stated herein. 21. undertake to be responsible for the safekeeping of any identification document issued by you. I understand and agree that I shall not hold you responsible for any losses/damages incurred due to unauthorised use of the aforesaid identification document. 22. declare that all the agreements and undertakings herein contained and the rights and obligations therefrom shall be governed by and construed in all respects in accordance with the laws of Malaysia and agree to submit to the jurisdiction of the courts of Malaysia. 23. agree that any failure or delay on your part to insist in any one or more instances upon the performance of any provisions contained herein shall not be construed as a waiver or relinquishment of any of your rights to future performance or such provisions or any of my obligations in respect of such future performance which shall continue in full force and effect. 24. agree to allow you to place monies from my Trust Account into any Islamic financial institution. In addition, I hereby authorise you to make withdrawals from the said account to settle purchase contracts, contra losses and other dues owing to you. 25. agree that in the event any or more of the provisions contained herein shall for any reason be held to be unenforceable, illegal or otherwise invalid in any respect under the law governing the terms herein (being the law of Malaysia) or its performance, such unenforceability, illegality or invalidity shall not affect any other provisions herein and the provisions herein shall then be construed as if such unenforceable, illegal or invalid provisions had never been contained herein. 26. agree that I shall not make any claims against you in the event I suffer losses or damages as a consequence of my failure to observe or comply with the trading guidelines now existing or such other trading guidelines issued by you from time to time or the relevant authorities. 27. agree that I shall have no claim whatsoever against you for any payment in respect of securities which shall also include dealing in the CDS Account as defined in the Securities Industry (Central Depository) Act 1991, sold by me or delivery of certificates or other documents or indicia of title of securities purchased by me in the event I have authorised my Dealer s Representative or any other named person (s) to collect payments and/or transfer deeds and certificates or other documents or indicia of titles of securities on my behalf from you. 28. declare and agree that so long as there are monies remain owing hereunder to you, you shall have a lien on all and any monies now or hereafter standing to my credit in any account maintained with you and/or any of your related companies as defined under the Companies Act, including but not limited to Jupiter Capital Sdn Bhd (hereinafter referred to as the Related Companies ) and you shall also have a lien on any shares, stocks and securities belonging to me or under my control which have been deposited with you and/or the Related Companies for whatsoever purpose and which you shall have the liberty and at your sole discretion to sell or otherwise dispose of the said monies and/or shares, stocks and securities at any time and from time to time without any notice given to me for the purpose of off-setting same against the monies remain owing hereunder to you. 29. declare and agree that I have read and understood the terms and conditions hereof and further declare and agree that I have not been induced into entering this contract nor any other or all contracts or contract which may now or hereafter be entered by me subsequent and pursuant by means of duress occasion and/or undue influence on your part or on the part of your agents, representatives, employees or officers and that I shall not be entitled to allege otherwise. I further declare that I am fully aware of the risks involved in share market transactions and accept sole responsibility therefore. Page 3 of 6

13 PART C: TERMS AND CONDITIONS (Continue) 30. declare and agree that you may at your absolute discretion without any prior notice (whether in writing or otherwise) amend or vary the terms and conditions herein stated at any time or from time to time and/or impose additional clauses which shall bind me as if the amendments and additional clauses had been originally set out herein. 31. declare that the dealings in securities in respect of the Account are or shall be carried out for me as principal and I make this solemn declaration conscientiously believing the same to be true. 32. acknowledge and agree that if I wish to trade online, I will always abide by all terms and conditions imposed by you as stipulated with the Terms and Conditions relating to the online trading facility and that you may at any time and from time to time impose or vary such other terms and conditions at your sole and absolute discretion. Upon the imposition or amendment being posted by you on the website, notice of the same shall be deemed to have effected. As I continue to trade using the online trading facility or give any order (s) for trade subsequent to the effective date of notice, I shall be deemed to have agreed and accepted the new or amended terms and conditions imposed by you whereof these provisions shall be binding upon me from the date of posting. The relevant provisions of this Agreement shall hereafter be deemed to have been amended, modified, supplemented and/or varied accordingly and shall be read and construed as if such amendments, modifications, supplements and/or variations had been incorporated in and had formed part of this Agreement at the time of execution hereof. 33. acknowledge that you are at liberty to vary my trading limit from time to time without assigning any reasons to me and I agree not to hold you liable for whatever losses, damages, costs incurred as a result of such variation. 34. a) authorise the licensed dealer s representative (DR) handling the Account or other named person(s) nominated by me in writing to act on my behalf to collect payment cheques due to me and such other acts or things as I may effectually do in connection with the Account to facilitate the delivery and settlement of my dealings with you; b) further request and authorise the DR or other named person(s) nominated by me in writing to utilise my cheque(s) which is/are due to me from the proceeds of my sale(s) and contra gain(s) for the purpose of offsetting against any amount(s) due and owing by me to you; c) agree not to hold you responsible for any losses arising thereof and undertake to indemnify you at all times against all claims, losses or expenses incurred by you in connection with this authorisation pursuant to the above request(s) in (a) and (b) above; d) agree to ratify and confirm all and whatsoever the authorised representatives or his/her agent shall do; e) agree that this authorisation shall remain in force until further notice by me in writing and duly acknowledged by your authorised officer. 35. agree that I shall not hold you or any of your officers, employees or agents responsible or liable for whatever losses incurred as a result of the acts, representations and/or omissions of the dealer s representative in carrying out his/her duties in connection with the Account. 36. agree that you have absolute discretion to withhold, disallow or refuse the request for the transfer of securities from my CDS account so long as there are any monies or liabilities remain owing or may be incurred by me under the Account. ANTI-MONEY LAUNDERING ACT 2001 AND GUIDELINES ON PREVENTION OF MONEY LAUNDERING AND TERRORISM FINANCING CAPITAL MARKET INTERMEDIARIES ( AMLA ) I understand and accept the following:- i) I shall at all times adhere to and comply with AMLA with respect to all transactions or matters whatsoever and howsoever arising whether directly or indirectly with you, and in particular:- a) you shall be entitled to keep records of all my transactions and to further disclose any information pertaining to me, as may be required by law or any governmental or regulatory authority for purposes of compliance with AMLA; b) undertake to provide you with all relevant informations and documents, as and when requested, for purposes of identification of the client and verification of the source of funds under the know your client principles. ii) I further confirm that all monies paid to you come from lawful sources and not from unlawful activities. STRUCTURED WARRANTS RISK DISCLOSURE STATEMENT I understand and accept the following:- i) the purchaser of a structured warrant is subject to the risk of losing the full purchase price of the structured warrant and all transaction costs; ii) in order to realise any value from a structured warrant, it is necessary to sell the structured warrants or exercise the structured warrants on or before their expiry date; iii) under certain conditions, it may become difficult to sell the structured warrants; iv) upon exercise of the structured warrants, the issuer may settle its obligations via actual delivery of the underlying assets, in cash or a combination of both depending on the terms of the issue of the structured warrants; v) the placing of contingent orders, such as stop-loss or stop-limit orders, will not necessary limit my losses to the intended amount. Market conditions may not make it possible to execute such orders; vi) the high degree of leverage that is obtainable from structured warrants because of the small initial outlay can work against me as well as in my favour. The use of leverage can lead to large losses as well as gain; vii) this brief statement cannot disclose all the risks associated with trading in structured warrants. ELECTRONIC CONTRACT NOTES/STATEMENTS I understand and accept the following:- i) issuance and delivery of the contract notes/statements in electronic form shall be delivered to my address (as stated above) and I shall no longer receive contract notes in hardcopy form. ii) in the event of the remote possibility of a system failure where the electronic contract notes/statements cannot be generated and/or delivered to me via , contract notes will be sent to me in a hardcopy form via the postal service. iii) that there are risks inherent in communication by electronic mail, these risks include the security risks of interception, unauthorised access to such communications, the risks of corruption of such communications and the risks of viruses or other harmful devices and I shall not hold you liable for such inherent risks. CONSENT FOR DISCLOSURE OF CREDIT INFORMATION Pursuant to the Credit Reporting Agencies Act 2010,I hereby give you consent to obtain and or disclose any credit information (as define in the Act) relating to me from Insolvency Department, RAM Credit Information Sdn Bhd or any source deemed appropriate to verify my credit history as you may deem fit under any applicable law, regulation, guidelines regulatory requirement or directive. This consent is applicable in relation to my request to open an account and shall remain applicable as long as I maintained the Account. PERSONAL DATA PROTECTION ACT 2010 By providing my personal data to you, I hereby give you consent to collect and process my personal data for the purpose stated in your Personal Data Protection Notice Please visit to view and read the Personal Data protection Notice. Page 4 of 6

14 PART D: DECLARATION BY APPLICANT By signing this Application Form, I hereby declare/ agree/ undertake that:- a) I am not under eighteen(18) years of age; b) I am not in the employment of another Participating Organisation of Bursa Malaysia Securities Berhad; c) the signature below shall also be the specimen for all communications, instructions and transactions requiring my signature; d) I have read, understood and agreed to comply with the Terms and Conditions, including AMLA and Structured Warrant Risk Disclosure Statement as set out under part C of this Application Form, including such additional amendments or terms and conditions as may be made from time to time. And I make this solemn declaration conscientiously believing the same to be true. I also confirm my application for a trading limit of RM or any other limit approved by the Company from time to time. Signature of Applicant Name: IC No.: Signature of Witness (Dealer's Representative/ Authorised Officer of Jupiter Securities Sdn Bhd/Notary Public-with Stamp) Name: IC No.: Date : Date : PART E: DECLARATION BY DEALER'S REPRESENTATIVE DEALER'S REPRESENTATIVE'S COMMENTS RELATIONSHIP: RELATIVE FRIEND BUSINESS ACQUAINTANCE OTHERS ASSOCIATE NO. OF YEARS KNOWN : TRADING PATTERN: SHORT TERM LONG TERM MIXED NOT KNOWN GAIN INVESTMENT PAYMENT RECORD: PROMPT AVERAGE POOR NOT KNOWN TRADING LIMIT RECOMMENDED: RM PLEASE INDICATE BASIS OF RECOMMENDATION AND ANY SUPPORTING REASON(S): BASIS OF RECOMMENDATION (please tick) INCOME/REVENUE STATUS FINANCIAL NET WORTH/SHAREHOLDERS' FUNDS OTHERS Supporting reason(s) on basis of recommendation: DECLARATION I hereby:- 1. request Jupiter Securities Sdn Bhd to allow the Applicant to open a trading account with the Company; 2. confirm the existence of the Applicant and that all information given in this Application Form are true and correct to the best of my knowledge; 3. shall be responsible for making good any bad debts incurred by the applicant; 4. indemnify Jupiter Securities Sdn Bhd for all losses incurred in this account including professional fees/solicitors charges. Signature of Dealer's Representative Name: Date Dealer's Representative Code: Page 5 of 6

15 AUTHORISATION FOR BALANCE ENQUIRY REQUEST 1. I, the abovenamed hereby authorise (state the name of the dealer's representative) (I/C number) License No. to make a balance enquiry of my abovestated CDS Account in respect of any securities of any company. 2. The abovestated dealer's representative is authorised to execute on my behalf the Balance Enquiry Request Form as prescribed by Bursa Malaysia Depository Sdn Bhd ("Bursa Depository"). 3. The authority hereby given shall take effect on the date stipulated in the notice of acceptance, the same to be issued by the ADA to me not later than two (2) market days after receipt of this authorisation by the ADA and shall remain in force as per the following period:- (Please choose the authorisation period by crossing ( X ) at the appropriate field below) ( ) (stated the exact date the authorisation is to remain in force), (dd/mm/yyyy) or ( ) indefinite period This authorisation will remain in force unless revoked by me prior to the above date or period by a notice in writing in accordance with the prescribed form for Revocation of Authorisation for Balance Enquiry Request or revoked automatically as a result of the authorised Dealer's Representative is no longer with the ADA. 4. I hereby release (state the ADA concerned) and Bursa Depository from all liabilities of whatsoever nature arising from this authorisation, except for liabilities arising from negligence or error of Bursa Depository or the authorised depository agent and I hereby undertake to indemnify Bursa Depository from all claims and demands otherwise than as a result of any unauthorised acts of the abovestated dealer's representative. 5. This authorisation shall not in any way allow or permit the abovestated dealer's representative to deal in any way howsoever with the securities contained in my abovestated CDS account(s) without my prior written consent or authorisation. Signature of depositor Date Signature of the abovestated dealer's representative FOR OFFICE USE ONLY To be completed by ADA Sign and affix company rubber-stamp (required for ADA) RECEIVED BY : TIME / DATE : VERIFY BY : DATE : APPROVED BY : DATE : Page 6 of 6

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