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My EG Services Berhad: Application Form Prepaid Facility For Booking Account

This document is an application form for a prepaid facility booking account with My EG Services Berhad. It requests company information and login details. It specifies the minimum deposit amount of RM200, requirements to maintain a RM10 balance, and payment details. It lists terms and conditions such as suspension for unpaid balances or breaches. The applicant declares understanding of MyEG's privacy policy by signing.

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dinesh
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104 views4 pages

My EG Services Berhad: Application Form Prepaid Facility For Booking Account

This document is an application form for a prepaid facility booking account with My EG Services Berhad. It requests company information and login details. It specifies the minimum deposit amount of RM200, requirements to maintain a RM10 balance, and payment details. It lists terms and conditions such as suspension for unpaid balances or breaches. The applicant declares understanding of MyEG's privacy policy by signing.

Uploaded by

dinesh
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
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My EG Services Berhad (505639-K)

Level 43, MyEG Tower, No 8, Jalan Damansara, Empire City, PJU 8, 47820 Petaling Jaya Selangor
Tel : 03 7664 8000 Fax : 03 7801 0079
www.myeg.com.my For Office Use Only

APPLICATION FORM Booking Account No. _______________________

PREPAID FACILITY FOR BOOKING ACCOUNT


A. COMPANY INFORMATION
Company Name : Permit No.
Office Address :

Telephone No. Fax No.


Mobile Phone no. Email Address :

Contact Person for Payment :

B. LOGIN USER ID INFORMATION


User Name :

Designation :

IC Number : H/Phone No.

E-mail Address (if any)

Login USER ID

C. PREPAID INFORMATION
Login USER ID (case sensitive)

Application Date : Bank-in Date : Cash/Cheque No.


(Minimum of RM200.00)-must
Deposit Amount :RM have account balance of RM
10.00 at all times.

How would you like us to inform you of your account number? By - email fax phone
please tick one

D. IMPORTANT DOCUMENT TO BE ATTACHED


1. Bank-in Slip for deposit amount (please write your company's name on the slip)
2. Please fax this Application Form to us with ALL information clearly and completely filled.
E. TERMS AND CONDITIONS
1. Top up account can only be made from Monday - Friday (except on Public Holidays) between 8.00am - 5.00pm.
2. All payments shall be made payable to "My EG Services Berhad." at the following account number :
Bank : MAYBANK BERHAD
Account Number : 512866103029
3. MyEG Sdn Bhd has the right to suspend or terminate the account in the event that :
a) any payment due is not settled in full on the due date.
b) credit limit set is breached.
c) upon request from the Company.
F. DECLARATION
"I have read and understood My E.G. Services Berhad Privacy Policy (Policy") (https://www.myeg.com.my/privacy.html) and consent to the
processing of my personal data in accordance with the terms in the Policy. I also acknowledge that the above information is correct."

“Saya telah membaca dan memahami Polisi Privasi (“Polisi”) My E.G. Services Berhad (https://www.myeg.com.my/BM/privacyBM.html) dan bersetuju
dengan pemprosesan data peribadi saya menurut terma-terma Polisi tersebut. Saya juga mengakui bahawa maklumat di atas adalah tepat.”

Signature :

Name :

IC No. Company Stamp


My EG Services Berhad (505639-K)
Level 43, MyEG Tower, No 8, Jalan Damansara, Empire City, PJU 8, 47820 Petaling Jaya Selangor
Tel : 03 7664 8000 Fax : 03 7801 0079
www.myeg.com.my

TOP UP OF MYEG SERVICES BERHAD PREPAID ACCOUNT:-

Please fill in completely and fax to 03-7801 0079:

Booking Account LDL/CDL Prepaid Account

1) Account No. Permit No.

2) Company Name : _________________________________________

3) Bank-in Amount : RM _______________

4) Bank-in Date : ___ / ___ / _____

5) If payment by Cheque, Issuer Bank ___________________ Cheque No _____________


Please attached;
1) Bank in Slip (yellow copy) Maybank or Bank in slip (green copy) RHB
2) Machine Slip
3) Machine Scanning

6) If payment by bank-in Cash Deposit,


Please attached;
1) Bank in Slip (yellow copy) Maybank or Bank in slip (green copy) RHB
2) Machine Slip

All payment shall be made to "My EG Services Berhad" at Maybank Berhad Account no. 5-12866-10302-9 or RHB Bank Berhad Account no. 2-14129-0012209-1
nt no. 2-14129-0012209-1

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