• 3.BUSINESS OWNER/AUTHORISED REPRESENTATIVE

  • *Please provide a Letter of Authorisation if the Authorised Representative is not a Director or Shareholder with more than 25% interest

    4.MAIN OUTLET AND USER DETAILS

  • Supervisor - View assigned outlet, can void OR Cashier - View assigned outlet, can’t void

  • Settlement Report Email c Tick if same as Business Owner/Authorised Representative

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  • 5.SUPPORTING DOCUMENTS GUIDELINE**

  • COMPULSORY DOCUMENTS FOR ALL MERCHANT TYPES

  • Copy of Identity Card (I/C) / Valid Passport – Front & Back *Strikethrough with “For Boost Use Only”

    Bank Statement - Bank Statement Header of any month in the latest 3 months

  • FOR CASH/DIRECT AND POS MERCHANTS

  • Business Registration from Suruhanjaya Syarikat Malaysia (SSM) / LLP:-

    A. Sole Proprietor/Partnership

    SSM Business Information and Information of Current Owner

    (i) SSM Corporate Information/SSM Section 68 (ii) SSM Form 13/Change of Company Name *If applicable

    C. Limited Liability Partnership (LLP)

    LLP Act, LLP Section 10 (1) & (2)

    Board Resolution / Letter of Authorization *If applicable

    **SSM form validity date must be within the last 6 months

  • FOR ASSOCIATIONS & RELIGIOUS BODIES, COOPERATIVES AND UNIVERSITIES

  • Letter of Confirmation of Bank Account from Bank

    **Refer to Onboarding Guidelines for detailed list of documents according to Merchant Category

  • SECTION

  • DESCRIPTION

  • MDR

  • Tick (/)

  • Charitable Organisations / Education Line

    1 Outlet - Multiple QRs creation at same business location

    (For Office Use Only) Remarks (if any):

    I/We hereby declare that (a) I/we are authorized to execute this Merchant Application Form; (b) all information provided herein is true and correct; (c) all original documents provided to Axiata Digital eCode Sdn Bhd (“eCode”) are genuine and updated; and (d) all photocopies provided to eCode are true copies of the original documents. I/We undertake to notify eCode in writing if there is/are any change(s) on the information/documents provided to eCode earlier (including but not limited to the following documents, where applicable):- a) Corporate Information/Section 68 for Sdn. Bhd./Bhd.; or b) Business Information and Information of Current Owner for Sole Proprietorship/Partnerships; or c) IC of owner for individual merchants with no business registration I/We agree that eCode reserves the right to approve or reject my/our application as eCode deems fit without assigning any reason. I/We agree to be bound by the Boost Merchant Terms and Conditions and privacy policy available on http://myboost.com.my/merchant-tnc as at the date of this Application Form. I/We agree to accept Boost as our payment method and not to charge Boost users any fees for using Boost when making payment to us. I/We further authorize eCode to verify the information/documents given by me/us from any source (including third parties and regulatory bodies) and in such manner as eCode shall deem fit. I/we have understood all requirements indicated by eCode and will ensure that total compliance is met at all times. Any penalty(s) imposed due to non- compliance by Bank Negara Malaysia (in the event of any breach of data/non-compliance) will be fully borne by me/us. I/we agree to receive periodical marketing updates and in-store promo materials to be used and displayed at my/our outlet(s) and for eCode to conduct outlet and staff engagement.

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