Opening New Maybank Account(s)
Please select:
New Maybank Customer
Existing Maybank Customer  
 
I wish to open the following account:
   
I choose Maybank    Branch to maintain my new account.

 
 Primary Holder
(For Yippie Club and Yippie-i Account, please put trustee/guardian's name as primary holder and child's name as secondary holder)
   
Title:  
Name (As per IC/Passport):  
Type of ID:  ID Number: 
New IC Number:  
House Tel. Number:
Office Tel. Number:
Handphone Number:
Date of Birth (dd/mm/yyyy): / /
Gender: Male     Female 
Race:  
Citizenship:  
Occupation:  
Sector:  
Monthly Income Range:  
Education:  
Marital Status:  
Number of Children: Below 13 years: From 13 to 18 years:
Preferred Language:  
E-mail Address:  
Correspondence Address:  
 
 
 
Postcode:  
Resident Status:  
Country Permanent Resident:  
Religion:  
Lifestyle / Interest:  
 Antique Collection  Art / Theater  Club Membership / Golf
 Computers  Fashion  Fine Dining
 Health  Home Decor  Automobile
 Music  Outdoor / Travel  Sports
 
 Others    
Additional Financial Product / Service:  
 Credit Card  Home Financing  Car Financing
 Share Trading  Insurance (General)  Insurance (Life)
 Unit Trust / Investment  None of the above
Employer Detail:
Name:  
Address:  
 
 
 
Telephone:
 
 Personal Data Protection Act (PDPA)  
I am declaring that I have read and understood and agreed to be subject to the Maybank Group Privacy Notice and expressly consenting to and authorising Maybank Group:

-To request for and to obtain all the personal information and data in this form for the purpose of processing this application and all other purposes which are required in relation to any products and services offered by Maybank Group.

-To disclose my personal data to other entities within the Maybank Group and other external parties when required.

-To collect and process my sensetive personal data for the purpose of this application (where applicable).

By signing this form, I/We further confirm that all personal data that I/We have provided are all true, up-to-date and accurate. Should there be any changes to any of my/our personal data, I/We shall notify Maybank Group immediately.
With regards to promotional and marketing materials:

 Yes, I/we expressly agree to Maybank Group and/or Other Entities processing my/our personal data for promotional and marketing purposes.
 No, I/we do not agree to Maybank Group and/or Other Entities processing my/our personal data for promotional and marketing purposes.
   
 FATCA/CRS Individual Self-Certification  
I represent and declare that the information provided above is true, accurate and complete.

I understand that the term "U.S. person" means any citizen or resident of the United States.

I hereby consent for Malayan Banking Berhad or any of its affiliates, including branches (collectively "the Bank") disclosing the financial accounts information to regulatory authorities in accordance with the requirements of Foreign Account Tax Compliance Act and Common Reporting Standard as may be stipulated by applicable laws, regulations, agreement or regulatory guidelines or directives.

I hereby agree that the Bank may classify me as reportable account and/or suspend, recall or terminate my account(s) and/or facilities granted to me, in the event I fail to provide accurate and complete information and/or documentation as the Bank may require.

I hereby agree that the Bank may withhold from my account(s) such amounts in accordance with the provisions of Foreign Account Tax Compliance Act or as may be stipulated by applicable laws, regulations, agreement or regulatory guidelines or directives.

I undertake to notify the Bank in writing within 30 calendar days of any change in circumstances which causes the information contained herein to become incorrect.
 
 FATCA Self Certification
 
YES       NO
Are you a united State Citizen?         
Do you hold a United State Permanent Resident Card (Green Card)?         
Are you a United State Resident?         
If you have ticked "No" to all three questions above, then please tick as:     
If you have ticked "Yes" to all three questions above, then please tick as:     
Please fill up U.S. IRS form W9 https://www.irs.gov/pub/irs-pdf/fw9.pdf?portlet=103
 
 Jurisdiction of Residence and Taxpayer Identification Number (TIN)
 
Complete the following table indication :

 (a) the jurisdiction of residence where the account holder is a resident for tax purposes (except for Malaysia) and

 (b) the account holder's TIN for each jurisdiction indicated. Indicate All jurisdictions of residence.

If a TIN is unavailable, indicate which of the following reason is applicable:

Reason A - The jurisdiction where the account holder is a resident for tax purpose does not issue TINs to its residents.

Reason B - The account holder is unable to obtain a TIN.

Reason C - TIN is not required.

(Note: Select this reason only if the authorities of the jurisdiction of residence do not require the TIN to be disclosed.)
 
Country of Tax Residence TIN If no TIN available, indicate Reason A, B or C
1
2
3
Please explain in the following boxes why you are unable to obtain a TIN if you selected Reason B above.
1
2
3
Note: If the account holder is a resident for tax purpose in more than three countries, please use separate sheet.
 
 Secondary Holder
   
Relationship:  
Title:  
Name (As per IC/Passport):  
Type of ID:  ID Number: 
New IC Number:  
House Tel.Number:
Office Tel. Number:
Handphone Number:
Date of Birth (dd/mm/yyyy): / /
 
Gender: Male     Female 
Race:  
Citizenship:  
Occupation:  
Sector:    
Monthly Income Range:  
Education:
Marital Status:  
Number of Children: Below 13 years: From 13 to 18 years:
Preferred Language:  
E-mail Address:  
 Personal Data Protection Act (PDPA)  
I am declaring that I have read and understood and agreed to be subject to the Maybank Group Privacy Notice and expressly consenting to and authorising Maybank Group:

-To request for and to obtain all the personal information and data in this form for the purpose of processing this application and all other purposes which are required in relation to any products and services offered by Maybank Group.

-To disclose my personal data to other entities within the Maybank Group and other external parties when required.

-To collect and process my sensetive personal data for the purpose of this application (where applicable).

By signing this form, I/We further confirm that all personal data that I/We have provided are all true, up-to-date and accurate. Should there be any changes to any of my/our personal data, I/We shall notify Maybank Group immediately.
With regards to promotional and marketing materials:

 Yes, I/we expressly agree to Maybank Group and/or Other Entities processing my/our personal data for promotional and marketing purposes.
 No, I/we do not agree to Maybank Group and/or Other Entities processing my/our personal data for promotional and marketing purposes.
   
 FATCA/CRS Individual Self-Certification  
I represent and declare that the information provided above is true, accurate and complete.

I understand that the term "U.S. person" means any citizen or resident of the United States.

I hereby consent for Malayan Banking Berhad or any of its affiliates, including branches (collectively "the Bank") disclosing the financial accounts information to regulatory authorities in accordance with the requirements of Foreign Account Tax Compliance Act and Common Reporting Standard as may be stipulated by applicable laws, regulations, agreement or regulatory guidelines or directives.

I hereby agree that the Bank may classify me as reportable account and/or suspend, recall or terminate my account(s) and/or facilities granted to me, in the event I fail to provide accurate and complete information and/or documentation as the Bank may require.

I hereby agree that the Bank may withhold from my account(s) such amounts in accordance with the provisions of Foreign Account Tax Compliance Act or as may be stipulated by applicable laws, regulations, agreement or regulatory guidelines or directives.

I undertake to notify the Bank in writing within 30 calendar days of any change in circumstances which causes the information contained herein to become incorrect.
 
 FATCA Self Certification
 
YES     NO
Are you a united State Citizen?         
Do you hold a United State Permanent Resident Card (Green Card)?         
Are you a United State Resident?         
If you have ticked "No" to all three questions above, then please tick as:     
If you have ticked "Yes" to all three questions above, then please tick as:     
Please fill up U.S. IRS form W9 https://www.irs.gov/pub/irs-pdf/fw9.pdf?portlet=103
 
 Jurisdiction of Residence and Taxpayer Identification Number (TIN)
 
Complete the following table indication :

 (a) the jurisdiction of residence where the account holder is a resident for tax purposes (except for Malaysia) and

 (b) the account holder's TIN for each jurisdiction indicated. Indicate All jurisdictions of residence.

If a TIN is unavailable, indicate which of the following reason is applicable:

Reason A - The jurisdiction where the account holder is a resident for tax purpose does not issue TINs to its residents.

Reason B - The account holder is unable to obtain a TIN.

Reason C - TIN is not required.

(Note: Select this reason only if the authorities of the jurisdiction of residence do not require the TIN to be disclosed.)
 
Country of Tax Residence TIN If no TIN available, indicate Reason A, B or C
1
2
3
Please explain in the following boxes why you are unable to obtain a TIN if you selected Reason B above.
1
2
3
Note: If the account holder is a resident for tax purpose in more than three countries, please use separate sheet.
 
 I have read and understand the Terms & Condition