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					                   Fees and Charges                                                          Finance Charges                                                                               | Credit Cards |
Annual Fees                                                   Interest rate %    p.a.#   on: (effective 31 March 2009)                                                                     Credit for all that really matters
                                                              Retail Transactions
   --
                                                              Based on prior prompt repayment of the minimum or full payment for:
              Standard Chartered Credit Cards                 i. 13.5% p.a. : Last 12 consecutive months.
                                                              ii. 16% p.a.    : 10 months or more within the last 12 consecutive months.
                             VISA / MASTERCARD                iii. 17.5% p.a. : Less than 10 months within the last 12 consecutive months.
 Card Type                           Supplementary (RM)
                 Principal (RM)                               Finance charges are calculated on the outstanding amount on a daily basis.
                                           Flexi              Cash Advance
 Classic               90                   50                18% p.a. of the outstanding amount calculated on a daily basis from the transaction
                                                              date until full repayment date.
 Gold                 175                   100               Balance Transfer
 Platinum             250                   135               18% p.a. of the outstanding amount calculated on a daily basis after the expiry or
                                                              upon the termination of the relevant promotion due to any reason whatsoever.
                                                              Retail Transactions                                                                                                          Standard Chartered
        Standard Chartered Business Visa Credit Cards         i. Interest Free Period
                                           VISA                   20 days from statement date – if all outstanding balance of the previous month
                                                                  is fully paid.
 Card Type                                                    ii. No Interest Free Period                                                                                                  Credit Cards
                                      Principal (RM)              If Cardmember opts to pay partial or minimum payment* within due date,
                                                                  finance charges on retail transactions** will be imposed from the day of
 Gold                                      200                    transaction is posted to the Card.
                                                              * At least minimum amount due must be paid within due date and only applicable                                               Application Form
 Platinum                                  300                    for outstanding retail transactions
                                                              ** Exclude Cash Advance, Balance Transfer and Cheque-On-Call Plans
                Government Service Tax                        Cash Advance Fee
   (charged annually by the Royal Customs Department)         Up to 5% of the amount advanced or a minimum RM25, whichever is higher.
                                                              This is imposed for each Cash Advance transaction.
                                                              (Applicable for Credit Card and Cheque-On-Call)
  • RM50 service charge on each Principal Card
  • RM25 service charge on each Supplementary Card            Minimum Monthly Repayment
                                                              5% of the outstanding balance or a minimum of RM50, whichever is higher for:
                                                              i. Credit Card             ii. Balance Transfer   iii. Easy Payment Scheme
                                                              iv. Cheque-On-Call         v. FlexiPay
                                                              Late Payment Charges# (effective 1 July 2009)
                                                              Minimum RM5 or 1% of total outstanding balance as at statement date, whichever is
                                                              higher, capped to a maximum of RM50 per account.
                                                              Conversion Rate for Overseas Transactions
                                                              Determined by VISA International or MasterCard International plus administration
                                                              cost of 1%.
                                                          #   Rates are subject to change from time to time. For further information,
                                                              please visit www.standardchartered.com.my

                                                          Minimum Age:
                                                          Principal Cardmember 21 years and above, Supplementary Cardmember 18 years
                                                          and above.
                                                          Minimum Annual Income:
                                                          RM18,000        :     Classic / Gold / Business Gold
                                                          RM60,000        :     Platinum / Business Platinum
                                                          If you currently hold a valid, locally issued credit / charge card for at least 1 year,
                                                          please submit:
                                                              Photocopy of I.C. (including Supplementary Card applicants)
                                                              Photocopy of your existing credit / charge card
                                                              Name Card (for Business application)
                                                          Applicants who do not meet the above criteria, please submit:
                                                              Photocopy of I.C. (including Supplementary Card applicants)
                                                              Payslip or equivalent proof of income
                                                              Last 3 months’ bank or EPF statements
                                                              Business Registration Certificate (for the self-employed)
                                                              Form 9, 24, 49 (for private limited company)

                                                              To apply, call
                                                          1300 880 388
                                                          www.standardchartered.com.my
                                                                                                                                                                   Co. Reg. No. 115793-P




                                                                                                                                Version 8 (Printed January 2010)
Standard Chartered Credit Card Application Form                                                                            7                     PERSONAL DETAILS OF SUPPLEMENTARY CARD APPLICANT

Please indicate:                                                                                                                    Flexi                Promo Code:
        New Standard Chartered Cardmember                         Existing Standard Chartered Cardmember                   For immediate family members aged 18 years and above.
                                                                                                                           Name as in I.C. or Passport:
Please indicate type of Card(s) required: Promo Code:

        Visa Classic                              Visa Gold                                   Visa Platinum
        MasterCard Classic                        MasterCard Gold                             MasterCard Platinum
                                                                                                                                    Mr                         Mrs                          Miss                        Dr                     Madam
        Nissan Advantage Visa Classic             Nissan Advantage Visa Gold
                                                                                                                           Sex:                                Male                         Female
        Business Visa Gold                        Business Visa Platinum                                                   I.C. No.:
1                                        YOUR PERSONAL DETAILS                                                             (Old)     | | | | | | | | |                                    (New)   | | | | | | |–| | |–| | | | |
Name as in I.C. or Passport:                                                                                               Passport No. (For Non-Malaysians):                                           Date of Birth (Day / Mth / Yr):

                                                                                                                                                                                                       | | |– | | |– | | | | |
                                                                                                                           Nationality:                                                                 Mobile:
        Mr                   Mrs                    Miss                   Dr                       Madam
Sex:                         Male                   Female
                                                                                                                                                                                                       | | | |–| | | | | | | |
I.C. No.:
                                                                                                                           Relationship:
(Old)
        | | | | | | | | |                         (New)
                                                          | | | | | | |–| | |–| | | | |                                    Occupation:                                                                  Annual Income:
Passport No. (For Non-Malaysians):                                             Date of Birth (Day / Mth / Yr):
                                                                                                                                                                                                          RM
                                                                           | | | | | | | | | | |
                                                                                        –            –
Nationality:                                                                   Race:                                       Sources of income:                    Salary                  Commission             Business Income                Investment Returns

                                                                                                                                                                 Others, please specify: ____________________
Marital Status:              Single                   Married                     Widowed                Divorced          Present residential address (P.O. Box address not accepted):
                                                                               No. of Dependents _____________________
Highest Education:           Degree                   Post Tertiary                Professional               Diploma
                             Secondary                Primary                     Technical                Others
                                                                               Please specify: _________________________
Name to appear on Card(s) (Limited to 19 letters only):
                                                                                                                                                                                                               Postcode:
| | | | | | | | | | | | | | | | | | | |
Company name to appear on Card (For Business Card only):                                                                   Tel.:     | | | | | | | | | | | | |
                                                                                                                                             –
                                                                                                                           Name of employer:
| | | | | | | | | | | | | | | | | | | |
Billing address:             Home                     Office
For Non-Malaysians Only:
    The facility granted is not to finance / refinance the purchase / construction of immovable properties /               Nature of business:
    purchase of land.
    I / We declare that my / our loans, other than housing loan from all sources within Malaysia, do not exceed               | | | | | | | | | | | | |
                                                                                                                           Tel.:            –
    RM10 million.                                                                                                          Name to appear on Card(s) (Limited to 19 letters only):

2                                                YOUR RESIDENCE                                                            | | | | | | | | | | | | | | | | | | | |
Present residential address (P.O. Box address not accepted):                                                               8                                                  CREDIT CARD eSTATEMENT
                                                                                                                           I, the applicant hereby agree to subscribe to the eStatement service which provides information on the balance outstanding, arrears,
                                                                                                                           transaction, personal particulars and details regarding the Credit Card account applied herein and I irrevocably and unconditionally authorise
                                                                                                                           Standard Chartered Bank Malaysia Berhad to send me electronic mail to the email address stated below for the eStatement service.
                                                                                                                           I hereby agree that I shall be bound by all applicable Terms and Conditions of the eStatement service.

                                                                      Postcode:                                            Email address:

Tel.:                                                           Mobile:                                                            Tick here if you do not wish to receive your Credit Card statement via normal mail

| | | |–| | | | | | | | |                                       | | | |–| | | | | | | |                                    9              CREDIT LIMIT ASSIGNMENT FOR SUPPLEMENTARY CARD APPLICANT
Years there:                            Email:                                                                             Yes. I would like to assign a credit line of RM __________________ for the Supplementary Card Applicant. (If no credit limit is assigned,
                                                                                                                           the Supplementary Cardmember will automatically share the Principal Cardmember’s credit line).
                                                                                                                           Purchases made under instalment payment plans are not bound and may exceed the credit limit assigned.
Residence type:
                                                                                                                           10                CREDIT CARD 24-HOUR AUTOMATED PHONE ENQUIRIES SYSTEM
        Own                  Family                   Rented              Relatives            Company
                                                                                                                           Your Telephone Identification Number (TIN) will be sent to you upon approval of your application. With the TIN, you can start to use the
        Mortgaged            Others ____________________                                                                   Credit Card 24-Hour Automated Phone Enquiries System. (For existing Standard Chartered Bank Customers, you can use your existing
                                                                                                                           TIN to enjoy the Automated Phone Enquiries Services on your new Credit Card account).
3                                   YOUR EMPLOYMENT OR BUSINESS
Name of employer:                                                                                                          11                                                            YOUR SIGNATURE
                                                                                                                           “By signing this application: you represent and warrant that all information (including any documents) you have given to
                                                                                                                           us in connection with the application is correct, complete and not misleading. (If this is not the case you may be personally
                                                                                                                           liable.); you authorise us to verify any of the information you have given to us or your credit standing from anyone we may
Address (P.O. Box address not accepted):                                                                                   consider appropriate (such as an authority or credit reference agency); you acknowledge that we may decline your
                                                                                                                           application without giving you any reason for doing so. If this happens, no contractual relationship arises between us and
                                                                                                                           you; you opt for, confirm and agree that we may give any information in connection with this application (including your
                                                                                                                           personal information) to any service provider (whether located in or outside of Malaysia) for the purposes of providing
                                                                                                                           any service to you in connection with this application (including data processing) if you are applying for any other product,
                                                                                                                           you declare that you have read and understood our Customer Terms and the applicable documents referred to in Part
                                                                                                                           A of our Customer Terms forming our banking agreement which are available at any of our branches or on our website at
                                                                      Postcode:                                            www.standardchartered.com.my and you agree to be bound by them. You acknowledge that you are bound
                                                                                                                           by any variation we make to these documents, in accordance with our banking agreement. In particular, you understand
Nature of business:                                                                                                        that by entering into our banking agreement you give indemnities, authorisations, consents and waivers and agree
                                                                                                                           to limitations on our liability; you consent to us contacting you at the address, email address and phone numbers you have
Position held:                                                  Years in service:                                          provided to us, to give you information on other products and services that we, or our strategic partners, may offer;
                                                                                                                           if your application includes any application for Supplementary Credit Cards, you acknowledge that the Principal
                                                                                                                           Cardmember shall be liable for all cost and charges incurred under the Principal and all Supplementary Credit
Office Tel.:                                                    Office Fax:                                                Cards, while each Supplementary Cardmember shall only be liable for the cost and charges incurred under his/her
                                                                                                                           own Supplementary Credit Card; and if you are applying for a Credit Card, Personal Loan / Personal Financing facility or
| | | |–| | | | | | | | |                                       | | | |–| | | | | | | | |                                  other credit facility, you confirm that you are not related to any of our or Standard Chartered Bank Malaysia Berhad’s
                                                                                                                           directors, employees involved in appraising, approving or reviewing credit facilities, or controlling shareholders (“specified
Business Registration No. (If own business only):
                                                                                                                           persons”) and no specified person is acting as your guarantor. If you are or become related to a specified person, or any
(Please enclose photocopy of Business Registration)
                                                                                                                           specified person is or becomes your guarantor, you agree to notify us of the name of and your relationship with the
Name of previous employer:                                                                                                 specified person when you become aware of the relationship.”




4                                                  YOUR INCOME
Gross annual income: RM
Sources of income:            Salary             Commission            Business Income               Investment Returns
                           Others, please specify: ____________________                                                        X                                           Date:                           X                                     Date:
Your anticipated Credit Card expenditure per month: RM _______________                                                     Signature of Principal Card Applicant                                        Signature of Supplementary Card Applicant
5                                        YOUR CREDIT REFERENCES
                                                                                                                                                                                    FOR BANK USE ONLY
                                                                                                                                                                                                                                                                            Version 8 (Printed January 2010)




Other Credit Card accounts (If any):
        Card Issuer:                                 Account No.:                                          Limit:

                                                                                                                           Branch Code                        Acq Code                                    Staff I.C.                                      Sub-ch

6                               YOUR EMERGENCY CONTACT PERSON
                                                                                                                           Referral ID                                                                         Sourcing ID
Name:
                                                                                                                           Closing ID
Relationship:
Residential address:                                                                                                       Prin       -      SRL completed            ID           SDD       EDD      Sanction Risk Customer             Yes                No

                                                                                                                           Supp -            SRL completed            ID           SDD       EDD      Sanction Risk Customer             Yes                No
                                                                                                                                                                                                                                                                            Co. Reg. No. 115793-P




                                                                      Postcode:

Home Tel.:                                                      Office Tel.:

| | | |–| | | | | | | | |                                       | | | |–| | | | | | | | |

				
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