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[( EKAJAYA (M) SON. BHD. (298559- D)

APPLICATION TO OPEN A TRADING ACCOUNT

PRIVATE & CONFIDENTIAL

REGISTERED NAME OF THE COMPANY:

REGISTRATION NO.: CATE OF REGISTRATION:

(Preose attach photocopy of ccrtijicacc of lncorporaclon/Rcgiscrotlon)

REGISTERED AOORESS :

LEGAL CONSTITUTION OF COMPANY & CAPITAL (for Private or Public Limited Compony):

Sole Proprietor I Partnership Private Limited Company Public Limited Company

(Please rick one)

AUTHORISED CAPITAL

PAI D-UP CAPITAL

DETAILS OF SHAREHOLDERS:

Name Nationality l/C Number Share{%)

DETAILS OF DIRECTORS & SEN IOR MANAGEMENT

Name Age Qualifications Designation

BUSINESS ADDRESS:

TEL. NO.: FAX NO.:

POSTAL ADDR ESS {If different) :

Head Office : Suite 8.o1, 8th Floor, Crown House, Crystal Crown HalbOUr V1ew Hotel, No. 21 I , Pers1aran Raja Muoa Musa, 42000 Pelaounan Klang, S818ngor.
Tel: 03-30011648 Fax: 03-30018648, 30019648
Shah Alam Office : Lot 2-39 & 41 , Persiaran Tengku Ampuan, Lion Industrial Park, Section 22, 40300 Shah Alam, Selangor. Tel: 03-51918648(3 Lines) Fax: 035191 9648
lpoh Office : Lot 111979, Jalan Kuala Kangsar, 31200 lpoh, Perak Oarul Ridzuan. Tel: 05-2916648, 2918648 Fax: 052912001
Kangar Office : Bukit Ketri Mukim Of Chuping, 02450 Kangar, Perlis. Tel: 049384648 Fax: 04-9384648
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[( EKAJAYA (M) SON. BHD. (298559-D)

CATEGORY OF COMPANY: (PLEASE TICK)

M~jor Distributor
Trading House Hardware Dealer Industrial User Developer/Contractor

MAJOR ASSETS OF THE COMPANY

I
Description Location
I i:stim~ted Vauc (RM) C h~rged Free

I
I

DETAILS OF MAIN BANKERS & CREDIT FACILITIES

Name, Branch & Account Number Type of Facilities Amount (RM) Security Offered

DETAILS OF MAJOR TRADE CREDITORS: (ot leost 3)

N~me & Loc~tion Products I

I
Credit Limit Credit Terms Security Issue

I
:

DETAILS OF GUARANTEES ISSUED TO MAJOR TRADE CREDITORS

I
Type (Bank/Corporate/Director) To Who I Amount(RM) Date of Expiry

Head Office : Suite 8.01 , 8lh Floor, Crown House, Crystal Crown Harbour View Hotel, No. 217, Persiaran Raja Muda Musa, 42000 Pelabuhan Klang, Selangor.
Tel: 03-30011648 Fax: 03-30018648, 30019648
Shah Alam Office : Lot 2-39 & 41 , Persiaran Tengku'Ampuan, Lion Industrial Park, Section 22. 40300 Shah Alam. Selangor. Tel: 03-5191e648(3 Lines) Fax: 03-51919648
lpoh Office : Lot 111979. Jalan Kuala Kangsar, 31200 lpoh. Perak Darul Ridzuan. Tel: 05-2916648. 2918648 Fax: 05-2912001
Kangar Office : Bukit Ketri Mukim Of Chuping, 02450 Kangar, Per1is. Tel: 04-9384648 Fax: 04-9384648
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[( EKAJAYA (M) SON. BHD. (298559-D )

MONTHLY COMMITMENT :
Bag Bulk Total

DETAILS OF GUARANTEES TO BE PROVIDED :

,.-
Type Bank kvrporate Directors (Joint&Several)

Amount(RM) I

I, - - - - -- - - - - - - -- - - - - - - (NRIC No. _ _ _ _ _ _ _ __ _ __ __, Sole-proprietor/Partner/Director of

- - - - - - - - - - - - - - -- -- - - -- - - - - - - - ----hereby declare that the Information given 1n t his

application form is true and will undertake promptly to inform EKAJAYA (M) SON BHu of any chJn; c$ in the information provided at any future date

and agree to accept and abide by the trading terms of EKAJAYA (M) SON BHD and fl:rtr"r aer r>e :-

l . To settle all outstanding debts with EKAJAYA (M) SON BHD within 30 ca:~ndor JJys from the date the debts are incurred.

2. To allow EKAJAYA (M) SON BHD at its sole discretion to charg0 interest on - 11 oo1tstdndine debts at the rate of 1.5% per month, such in terest

accruing after the expiry of t he 30 calen dar day from t he outstanding debts ar~ :ncurccd.

3. That EKAJAYA (M) SDN BHD reserves the right to stop supply, wit hhold or cancel approvJI for the credit fa cilities at its ab;olute di;cretion

without giving any reason s whatsoever and may demand full s~ttlement immediately of all sums that may be owing by me/us at such t ime.

SIGNATURE: DESIGNATION :

OFFICIAL COMPANY STAM P: DATE:

N.B. Please furnish th e follow:11~ ,o expeci:e processing of applicJtion :

- Private Limited I Public Limited ( om~any:

a) M & A b) Form 24 & 49 c) L:i: e~ t Au dited t./C d) Last 3 months bank statement

- Sole Proprietor I Partnership Conip~ny:

a) Company Registration b) L~t> t Profit & l.oss and Balance Sheet Account

c) Last 3 months bank statc :-:i c~:

Head Office : Suite 8.o1, 8th Floor, Crown House, Crystal Crown Harbour V'.f?IN Hotel, No. 217, Persiaran Raja Muda Musa, 42000 Pelabuhan Klang, Selangor .
Tel: ~30011648 Fax: ~18648, 30019648
Shah Alam Off:ce : Lot 2-39 & 41 , Persiaran TengkuAmpuan, Lion Industrial Park, Section 22. 40300 Shah Alam. Selangor. Tel: 03-51918548(3 Lines) Fax: 03-51919648
lpoh Office : Lot 111979, Jalan Kuala Kangsar, 31200 lpoh, Perak Darul Ridzuan. Tel: 05-2916648. 2918648 Fax: 05-2912001
Kangar Office : Bukit Ketri Mukim Of Chuping, 02450 Kangar. Perlis. Tel: 04-9384648 Fax: 04-9384648