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The document is an application form for credit facilities from Tong Lee Trading Sdn Bhd, requiring detailed customer information, business registration details, and guarantor information. It outlines the terms of payment, conditions for credit approval, and includes a declaration of consent regarding personal data protection and credit reporting. The form also includes a guarantee section for signatories to ensure compliance with payment obligations.

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0% found this document useful (0 votes)
26 views6 pages

Open Acc Form

The document is an application form for credit facilities from Tong Lee Trading Sdn Bhd, requiring detailed customer information, business registration details, and guarantor information. It outlines the terms of payment, conditions for credit approval, and includes a declaration of consent regarding personal data protection and credit reporting. The form also includes a guarantee section for signatories to ensure compliance with payment obligations.

Uploaded by

yashglobal2020
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

APPLICATION FORM FOR CREDIT FACILITIES

TONG LEE TRADING SDN BHD (1085713-X)


LOT.6 JALAN PERUSAHAAN 3, KAWASAN PERUSAHAAN BATU 17
48000 RAWANG SELANGOR

Sales Rep Name: _____________________________ Sales Rep Code: ________________ Routing: _________________

A. CUSTOMER DETAILS

Company Name: ____________________________________________________________________________________________

Address : ______________________________________________________________________________________________

_____________________________________________________________________________________________

Telephone No: ______________________________________ Person to Contact : _________________________________

Fax No: _____________Email Address:______________________Business Closed on :___________________________________

B. DELIVER TO GPS Search latitude and longitude: _____________________________________________________

Business Name: _______________________________________________________________________________________________

Address : _______________________________________________________________________________________________

_______________________________________________________________________________________________

Telephone No: ________________________________ Person to Contact : ___________________________________________

Fax No: ______________________________________ Email Address :____________________________________________

Office Contact: ________________________________ Delivery Instruction : _________________________________________

C. BUSINESS REGISTRATION INFORMATION DOCUMENTS REQUIRED: FORM 9, FORM 24, FORM 44, FORM 49

Business Registration No: ________________________

Date of Incorporation : __________________________ Place of Incorporation : ________________________________

Authorized Capital RM: __________________________ Paid Up Capital RM : ________________________________

Sole Proprietorship ( ) Partnership ( ) Limited Co ( ) Other ( ) ________________________________

Name of Proprietor / Partners / Directors NRIC No: Position

1._______________________________________ ________________________ __________________________

2._______________________________________ ________________________ __________________________

3._______________________________________ ________________________ __________________________

4._______________________________________ ________________________ __________________________

D. BANKERS DETAILS

BANKERS ACCOUNT NO ADDRESS

1.________________________________________ ________________________ __________________________

2.________________________________________ ________________________ __________________________

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E. GUARANTORS DETAILS

GUARANTORS (Name/NRIC No.) POSITION ADDRESS

1.__________________________________ ________________________ __________________________

2.__________________________________ ________________________ __________________________

3.__________________________________ ________________________ __________________________

F. RELATED / ASSOCIATED COMPANIES

1.___________________________________________________________________________________

2.___________________________________________________________________________________

G. TERMS OF PAYMENT

Proposed Normal Credit Limit RM: _______________________ Proposal Season Limit RM: ______________________

Terms: Cash ( ) / Credit ( ) Payment Term (Days) : ______________________

H. CATEGORY OF CUSTOMERS (OUTLET TYPE)

C&G – (07) PROVISION SHOP – (31) MINI MARKET – (32) COFFEE SHOP – (35) SCHOOL & CANTEEN – (41)

WHOLESALER – (66) Ind SUPERMARKET – (09) TOP 20/ LARGE PROVISION – (34) PHARMACY – (08)

TERMS & CONDITIONS


DECLARATION AND CONSENT

1. I/We confirm that all information contained herein and all supporting documents that I /We have provided are true and
complete.
2. I/We will notify Tong Lee Trading Sdn. Bhd. (“the Supplier”) in the event of change of owner, partners, shareholders, business
name and business address within seven (7) days of such change.
3. The Supplier may from time to time increase and/or reduce my/our credit limit (herein called ‘Additional Facilities’) with the
Supplier at its discretion without notice. If the Additional Facilities are given, all the terms and conditions set by the Supplier
in this application form will apply to the Additional Facilities as well. All declaration, consent or any other representation made
by me/us in this application form will remain applicable to the Additional Facilities, unless otherwise advised by me/us in
writing.
4. The Supplier may give notices (including computer generated notices or statements that do not require any signature) by
post, facsimile, personal delivery, insertion in any statement of account to me/us; or any such mode as may be practicable
and allowed by the Supplier, to my/our last known address, facsimile number or electronic mail address notified in writing by
me/us to the Supplier. These notices are deemed delivered to me/us:
4.1. in the case of post, two days after the date of posting, regardless of whether the notices are returned undelivered or
unclaimed;
4.2. in the case of facsimile, on the day of transmission;
4.3. in the case of electronic mail, on the day of transmission provided that the Supplier has not received a failed or
undeliverable message from my/our host provider within the day of transmission; and
4.4. in the case of personal delivery, at the time of delivery.
5. Any notice or communications from me/us to the Supplier must be sent by personal delivery or ordinary mail to the address
and/or email specified by the Supplier from time to time. Such notices shall only be received when acknowledged by the
Supplier. The Supplier may rely on such notices and communications without having to enquire as to the identity of the person
giving or purporting to give such notices and communications or as to its authenticity. I/We bear the risk of such
communications including the risk of it being given by unauthorised persons. I/We will indemnify the Supplier against all
losses, claims, demands, costs, and all other liabilities of whatever nature which the Supplier may incur or suffer as a
consequence of it accepting and acting on such communication.

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6. I/We undertake to pay all amounts due to the Supplier in accordance with the credit terms given by the Supplier, which will
be stated in this application form if this application is approved. I/We also undertake to pay immediately upon demand by
the Supplier in writing, all outstanding amount due to the Supplier when the following events occurred:
6.1. I/We default in payment of any amount on its due date; or
6.2. Any information, declaration and representation made or implied by me/us is found to be misleading and incorrect; or
6.3. Any legal proceedings, suit or action of any kind whatsoever (whether criminal or civil) is instituted against me/us.
7. I/We agree that any statement/certificate issued by an officer of the Supplier as to the amount outstanding is deemed to be
conclusive proof of indebtedness.
8. I/We agree that upon demand or upon the occurrence of any event stated in paragraph 6, the Supplier can exercise all or any
of the following rights and powers:
8.1. to enter and take possession of all or part of the good(s) purchased by me/us from the Supplier (hereinafter called the
Goods).
8.2. to sell the good(s) by public auction or private treaty at such price, in such manner and generally on such terms the
Supplier decides at its absolute discretion. The Supplier can bid at any such sale.
8.3. to sue and bring a civil action to recover all amounts due to the Supplier.
9. I/We agree that the Supplier will charge an interest of 1.5% per month on the overdue outstanding sum.
10. I/We undertake to indemnify the Supplier against any losses or expenses which the Supplier sustains or incurs because of any
delay or default in payment by me/us. This includes, but not limited to legal fees, court fees, Letter of Demand charges and
all incidental costs.
11. I/We agree that the Supplier reserves the right to suspend further sales of products and services to me/us or revoke this
credit facility without prior notice and without reason. In the event of legal proceedings instituted by the Supplier against
me/us, any legal processes documents shall be deemed to have been duly served on me/us:
11.1. if the legal document is sent by hand, at the time a copy of the document is left at my/our lastknown address in the
Supplier’s record; or
11.2. if the legal document is sent by registered post, on the seventh (7th) day (including the day of posting) from the date the
document is posted to my/our last known address in the Supplier’s record, regardless of whether the documents are
returned undelivered or unclaimed.
12. I/We agree that the approval or refusal of this credit facilities will be entirely at the discretion of the Supplier for which no
explanation will be given.
13. I/We confirm that there are no proceedings (whether civil or criminal) pending or threatened against me/us.
14. I/We confirm that there are no bankruptcy or winding-up proceedings that have been started or threatened against me/us.
No receiver or liquidator has been appointed to take over my/our assets.
15. In the event of a change in the legal structure of my/our business, I/We agree that all terms, condition,declaration, consent
and representations contained in this form shall continue in full force and effect to:
15.1. the new firm, if our organisation is a partnership, and it is dissolved to form a new one due to theintroduction of a new
partner or the death, bankruptcy, insanity or retirement of any existing partners; or
15.2. the new company, if our organisation is corporation, it is amalgamated or taken over by otherfirms; and
15.3. all monies and liabilities due or incurred to the Supplier from or by the new firm or corporation as though there had
been no change in the firm as previously constituted.
16. I/We have read and understood the Personal Data Protection Act 2010 (PDPA), which contains details on how the Supplier
processes/protects my/our personal data.
16.1. I/We consent to and authorise the Supplier to disclose my/our personal data and accounts details to the Supplier’s data
processors or service providers engaged to carry out the Supplier’s functions and activities, the Supplier’s related
corporations and associated companies, regulatory bodies (government agencies, law enforcement bodies and courts),
debt collection agents, lawyers and any such persons or bodies to whom the Supplier is legally required to disclose.
17. Pursuant to the Credit Reporting Agencies Act 2010, we, the Borrower and I/We, the following individuals as
Directors/Shareholders/Business Interest Parties, hereby give the Supplier consent to obtain and/or disclose any Credit
Information (as defined in the Act) relating to the Borrower and me/us from and/or to any credit reporting agency or any
source deemed appropriate to verify the Borrower’s and my/our credit history as the Supplier and/or any credit reporting
agency or any source deemed appropriate may deem fit under any applicable law, regulation, guidelines, regulatory
requirement or directive in relation to the Borrower’s credit application or transaction with the Supplier for the following
purposes (but not limited to):
17.1. Opening of account
17.2. Credit evaluation
17.3. Credit/account review

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17.4. Credit/account monitoring
17.5. Debt recovery purposes. This may entail the listing in the credit reporting agencies’ credit reportto their subscribers, of
any form of actions taken against the Borrower and me/us.
17.6. Scoring solutions
17.7. Employment evaluation
17.8. Legal documentation and/or action consented to a contract or facility granted.

18. This consent shall remain applicable as long as the Borrower is maintaining an account/loan/credit/any transaction with the
Supplier.

Company Stamp: Company Stamp:


Name of signatory: Name of signatory:
NRIC/Passport No: NRIC/Passport No:
Designation: Designation:

GUARANTEE

I/We (Name/NRIC)………………………………………………….. the undersigned in consideration of TONG LEE TRADING SDN BHD (1085713-
X) (hereinafter referred as “the Company”) agreeing to supply or continuing to supply (Name/Address)
________________________________________________________________________________________________________
_____________________________________________________________________________________________(hereinafter
“the Customer”) goods on credit, hereby jointly and severally agree with the Company as follows:
(a) To pay on demand all monies due from time to time to the Company pursuant to any Contract or any collateral agreement
between the Company and the Customer.
(b) To promptly, diligently and fully comply with and to cause the Customer to similarly comply with all the conditions and
obligations on the part of the Customer to be observed and performed pursuant to the Terms and Conditions of the
Contract and any collateral agreement between the Company and the Customer and/or any third party from time to
time.
(c) This Guarantee will continue despite any act, neglect, default, compromise or indulgence of the Company or the
death, bankruptcy, guardianship, mental illness or incapacity of the Guarantor(s).
(d) I/We will not seek recovery of any money from the Customer to reimburse the me/us for payment made to or at the
direction of the Company until the Company has been paid in full.
(e) I/We will indemnify the Company against any loss the Company might suffer as a result of any default by the Customer
pursuant to the Terms and Conditions of the Contract or any collateral agreement between the Company and the
Customer and/or any third party or the Customer exceeding its powers suffering any form of administration
contemplated by the Companies Act 2016 (as varied amended and supplemented from time to time) in the event of
insolvency and liquidation, or becoming deregistered.
(f) I/We shall be bound by the Terms of this Guarantee despite any assignment by the Company or Customer of their
respective rights and/or obligations under any Contract and/or despite any variation of the Terms and Conditions
incorporatedin the Contract and/or any collateral agreement between the Company and the Customer and/or any third
party whether with or without my/our consent or notice to me/us.
(g) Each Guarantor executing this Guarantee and Indemnity shall be bound by its terms whether or not it is executed by any
other named Guarantor(s) and/or transfer of any rights, duties or obligations by either the Company or the Customer
and/or any variation of the Terms and Conditions of the Contract (including this Application Form For Credit Facilities)
whether express or implied.
(h) A reference to the Guarantor(s) in this Guarantee and Indemnity means a reference to each named person and the
provisions of this Guarantee and Indemnity shall bind each of them and their respective legal personal representatives
both jointly and each of them separately.
(i) I/We further jointly and severally agree that my/our liability under this Guarantee shall be as principal debtor(s) and not
merely as surety and shall be a continuing security and shall be irrevocable and my/our liability shall not be in any way
discharged diminished or affected by the granting of time or indulgence to the Customer or by the effecting of any
compromise with the Customer or any agreement not to sue the Customer or any variation of the Terms and Conditions
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or any change in the constitution of the Customer and my/our liability hereunder shall subsist whether or not you have
a legal right and whether or not you have availed yourself of your legal remedies against the Customer.

SIGNATURE(S) OF GUARANTOR(S)

This Guarantee is executed as a deed and binding legal obligation. All company director(s) where the Customer is a company,
or all partners where the Customer is a partnership, must give this guarantee.

Dated this: _____________________day of ____________________20_____

Signature: ______________________________ Signature: ______________________________

Name of signatory: _______________________ Name of witness: _________________________

NRIC/Passport No: ________________________ NRIC/Passport No: ________________________

Designation: _____________________________

Date:___________________________________

Signature: ______________________________ Signature: ______________________________

Name of signatory: _______________________ Name of witness: _________________________

NRIC/Passport No: ________________________ NRIC/Passport No: ________________________

Designation: _____________________________

Date: ___________________________________

APPROVAL

APPROVED TERMS OF PAYMENT

Normal Credit Limit RM: _______________________ Season Limit RM: ______________________

Terms: Cash ( ) / Credit ( ) Payment Term (Days): ______________________

APPROVED BY: -

_____________________________________ Date: _______________________

AUTHORISED SIGNATORY(IES)/COMPANY STAMP

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To Whom it may concern,

Dear Sir,

RE: Consent Authorization under Personal Data Protection Act 2010 (“PDPA Act”) and Credit Reporting Agency Act 2010 (“CRA Act”)

Pursuant to the CRA Act, I/we (Name/NRIC)……………………………… the undersigned do hereby give my/our consent to you and any Credit Reporting
Agencies registered under the CRA Act to process my/our company and personal data. By this consent, I/We understand and agree that:

i) You may conduct credit/trade checks on us and where applicable, our director(s), shareholder(s), and guarantor(s) (collectively
the “Parties”), with Credit Reporting Agencies at any time for as long as I/we have a trade relationship with you or where any
dues remain unpaid and outstanding with you, for any one or more of the following purposes:

ii) *Opening of account *Credit/Account monitoring *Credit/Account review *Debt recovery


*Credit/Account evaluation *Legal documentation consequent to a contract or facility granted by you

iii) You may disclose any information on the Parties’ conduct of their accounts with you, to any business entity/ies for bona fide
trade checking at any time. The Parties are also aware and understand that such information will be provided to a credit reporting
agency/ies, who may in turn share such information to subscribers of their service.

iv) Where you require any processing of our application to be processed by any processing center located outside Malaysia (including
your Head Office), the Parties hereby give consent to any Credit Reporting Agencies to disclose their credit reports to such
locations outside Malaysia.

v) Apart from the above, the Parties undersigned do give our consent to you and any Credit Reporting Agencies, to process my/our
personal data as per the PDPA Act.

Signed By Signed By

_____________________ ____________________

Company Chop: Company Chop:


Name : Name :
NRIC No.: NRIC No. :

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