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IBG Form-New

This document is an authorization form for interbank fund transfer submitted by a company to Takaful Ikhlas General Berhad. It provides the company's details such as name, registration number, address, contact information and banking details including bank name, address, account number and SWIFT code. The company authorizes Takaful Ikhlas General Berhad to credit all monies due to the company directly into the bank account provided. It notes that the company is responsible for the accuracy of the information submitted and Takaful Ikhlas General Berhad will not be liable for any losses due to incorrect details. It also lists important points regarding the direct credit facility and documents required for verification of identity and bank account

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Zarina Jusoh
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192 views1 page

IBG Form-New

This document is an authorization form for interbank fund transfer submitted by a company to Takaful Ikhlas General Berhad. It provides the company's details such as name, registration number, address, contact information and banking details including bank name, address, account number and SWIFT code. The company authorizes Takaful Ikhlas General Berhad to credit all monies due to the company directly into the bank account provided. It notes that the company is responsible for the accuracy of the information submitted and Takaful Ikhlas General Berhad will not be liable for any losses due to incorrect details. It also lists important points regarding the direct credit facility and documents required for verification of identity and bank account

Uploaded by

Zarina Jusoh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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TAKAFUL IKHLAS GENERAL BERHAD

AUTHORISATION FORM FOR INTERBANK GIRO FUND TRANSFER

New registration Change of details

Company Details :-

Name of Applicant/Company
NRIC No./Co. Registration No.
Address

Telephone No.
Fax No.
Person In Charge Name 1. 2.
E-mail Address 1. 2.
Telephone No. 1. 2.

Banking Details :-

Name of Bank MAYBANK


Bank Address CAMERON HIGHLANDS BRANCH, 69-70, PERSIARAN CAMELIA 4 ,
39000 TANAH RATA,CAMERON HIGHLANDS

Bank Account No. 156048127828


SWIFT Code MBBEMYKL

We hereby authorise Takaful Ikhlas General Berhad to credit all monies due to us into bank account
as indicated above. We declare that all the above information is true and correct. Takaful Ikhlas General
Berhad will not be liable for any financial loss due to inaccuracies of the information provided.

Authorised Signatory (ies) Company Stamp

Name : ZARINA BINTI JUSOH


Date :
Designation :

** Important
1. This facility allows payment to be credited into the above mentioned account.
2. Please attached (i) copy of NRIC or Passport or Business Registration Form whichever is applicable and (ii) 1st page of [a] your bank
statement: or [b] your bank saving book showing the account name and account number; or [c] details of your bank account
obtained from your bank's website that has been certified by your bank; or [d] letter from your bank confirming bank account
details.

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