i wish to apply for / saya ingin memohon · 2019-10-05 · • latest 6 months salary slip / epf...

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c Mr/En c Ms/Cik c Mdm/Pn c Others (Specify) / Lain-Lain (nyatakan)______________________ Full Name (as in I.C./Passport) / Nama Penuh (Seperti dalam K.P./Pasport) Name to appear on card (Not more than 19 characters) / Nama dicetak di atas kad (tidak melebihi daripada 19 abjad) (Name should be as close as possible to your full name / Nama hendaklah tidak jauh berbeza daripada nama penuh anda) New I.C. No / No.K.P. Baru c Old I.C.No / No. K.P. Lama c MyPolis c MyTentera c Passport/Pasport Mother’s Maiden Name (Compulsory for security purposes) / Nama Ibu (Wajib untuk tujuan keselamatan) Date of Birth / Tarikh Lahir D D M M Y Y Nationality / Kewarganegaraan c Malaysian / Malaysia c Others / Lain-lain ______________________ Race / Bangsa c Malay / Melayu c Chinese / Cina c Indian / India c Others / Lain-lain ______________________ Marital Status / Taraf Perkahwinan c Married / Berkahwin c Single / Bujang c Widowed / Balu / Duda c Divorced / Bercerai No. of Dependants/ Bilangan Tanggungan NOTE: All documents are non-returnable / NOTA: Semua dokumen tidak akan dikembalikan Malaysian / Warga Malaysia Identification / Pengenalan NRIC (front & back) for BOTH Principal & Supplementary applicants. / K.P. (depan & belakang) untuk KEDUA-DUA pemohon Kad Utama & Tambahan. Employed / Bekerja Latest 3 months salary slip / EPF statement / Form BE (with tax payment receipt) / Form EA. / Penyata Gaji 3 bulan terkini / Penyata akaun KWSP / Borang BE (dengan resit pembayaran cukai) / Borang EA. Commission-based / Pendapatan Komisen Latest 6 months salary slip / EPF statement / Form BE (with tax payment receipt) / Form EA. / Penyata gaji 6 bulan terkini / Penyata akaun KWSP / Borang BE (dengan resit pembayaran cukai) / Borang EA. Self-Employed / Bekerja Sendiri Business registration certificate or Form 9 / 24 / 49 / Sijil pendaftaran perniagaan atau Borang 9 / 24 / 49. Latest 6 months company’s bank statements / Form B (with tax payment receipt) / 6 bulan penyata bank syarikat terkini / Borang B (dengan resit pembayaran cukai). Non-Malaysian (Japanese Only) / Warga Asing (Warga Jepun sahaja) Identification / Pengenalan Passport and visa for BOTH Principal & Supplementary applicants. / Pasport dan visa untuk KEDUA- DUA pemohon Kad Utama & Tambahan. Employed / Bekerja Work permit. / Permit kerja. Latest 1 month salary slip. / Penyata gaji 1 bulan terkini. Malaysia My 2nd Home Program (MM2H) / Program Malaysia Rumah Kedua Ku (MM2H) Malaysia My 2nd Home Program Permit (MM2H). / Permit Program Malaysia Rumah Kedua Ku (MM2H). Latest 6 months pension slip from Japan / Latest 6 months income proof from Japan. / Pencen 6 bulan terkini dari Jepun / Bukti pendapatan 6 bulan terkini dari Jepun. I Wish to Apply For / Saya Ingin Memohon NEW ÆON CARD ÆON CARD c New ÆON Gold VISA c New ÆON Gold MasterCard I hereby assign the ÆON MEMBER Points to / Saya bersetuju supaya mata ganjaran ÆON MEMBER dimasukkan ke: c ÆON Gold VISA c ÆON Gold MasterCard c ÆON Classic VISA c ÆON Classic MasterCard ÆON BIG CARD ÆON TOUCH ’N GO ZING CARD c ÆON BiG Gold VISA c ÆON BiG Classic VISA I hereby assign the ÆON BiG Points to / Saya bersetuju supaya mata ganjaran ÆON BiG MEMBER dimasukkan ke: I would like to apply ÆON Touch’n Go Zing Card for Saya ingin memohon Kad ÆON Touch ’n Go Zing untuk: ¨ Principal / Kad Utama ¨ Supplementary / Kad Tambahan Expiry Date / Tarikh Luput M M Y Y Y Y

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Page 1: I Wish to Apply For / Saya Ingin Memohon · 2019-10-05 · • Latest 6 months salary slip / EPF statement / Form BE (with tax payment receipt) / Form EA. / Penyata gaji 6 bulan terkini

c Mr/En c Ms/Cik c Mdm/Pn c Others (Specify) / Lain-Lain (nyatakan)______________________

Full Name (as in I.C./Passport) / Nama Penuh (Seperti dalam K.P./Pasport)

Name to appear on card (Not more than 19 characters) / Nama dicetak di atas kad (tidak melebihi daripada 19 abjad)

(Name should be as close as possible to your full name / Nama hendaklah tidak jauh berbeza daripada nama penuh anda)

New I.C. No / No.K.P. Baru

– –

c Old I.C.No / No. K.P. Lama c MyPolis c MyTentera c Passport/Pasport

Mother’s Maiden Name (Compulsory for security purposes) / Nama Ibu (Wajib untuk tujuan keselamatan)

Date of Birth / Tarikh Lahir

D D – M M – Y Y

Nationality / Kewarganegaraanc Malaysian / Malaysiac Others / Lain-lain

______________________

Race / Bangsac Malay / Melayuc Chinese / Cinac Indian / Indiac Others / Lain-lain

______________________

Marital Status / Taraf Perkahwinanc Married / Berkahwinc Single / Bujangc Widowed / Balu / Dudac Divorced / Bercerai

No. of Dependants/ Bilangan Tanggungan

NOTE: All documents are non-returnable / NOTA: Semua dokumen tidak akan dikembalikan

Malaysian / Warga Malaysia

Identification / Pengenalan

• NRIC (front & back) for BOTH Principal & Supplementary applicants. / K.P. (depan & belakang) untuk KEDUA-DUA pemohon Kad Utama & Tambahan.

Employed / Bekerja • Latest 3 months salary slip / EPF statement / Form BE (with tax payment receipt) / Form EA. /

Penyata Gaji 3 bulan terkini / Penyata akaun KWSP / Borang BE (dengan resit pembayaran cukai) / Borang EA.

Commission-based / Pendapatan Komisen

• Latest 6 months salary slip / EPF statement / Form BE (with tax payment receipt) / Form EA. / Penyata gaji 6 bulan terkini / Penyata akaun KWSP / Borang BE (dengan resit pembayaran cukai) / Borang EA.

Self-Employed / Bekerja Sendiri

• Business registration certificate or Form 9 / 24 / 49 / Sijil pendaftaran perniagaan atau Borang 9 / 24 / 49. • Latest 6 months company’s bank statements / Form B (with tax payment receipt) / 6 bulan penyata bank

syarikat terkini / Borang B (dengan resit pembayaran cukai).

Non-Malaysian (Japanese Only) / Warga Asing (Warga Jepun sahaja)

Identification / Pengenalan

• Passport and visa for BOTH Principal & Supplementary applicants. / Pasport dan visa untuk KEDUA-DUA pemohon Kad Utama & Tambahan.

Employed / Bekerja • Work permit. / Permit kerja. • Latest 1 month salary slip. / Penyata gaji 1 bulan terkini.

Malaysia My 2nd Home Program (MM2H) / Program Malaysia Rumah Kedua Ku (MM2H)

• Malaysia My 2nd Home Program Permit (MM2H). / Permit Program Malaysia Rumah Kedua Ku (MM2H). • Latest 6 months pension slip from Japan / Latest 6 months income proof from Japan. / Pencen 6

bulan terkini dari Jepun / Bukti pendapatan 6 bulan terkini dari Jepun.

I Wish to Apply For / Saya Ingin Memohon

NEW ÆON CARD ÆON CARD

c New ÆON Gold VISAc New ÆON Gold MasterCard

I hereby assign the ÆON MEMBER Points to / Saya bersetuju supaya mata ganjaran ÆON MEMBER dimasukkan ke:

c ÆON Gold VISA c ÆON Gold MasterCardc ÆON Classic VISA c ÆON Classic MasterCard

ÆON BIG CARD ÆON TOUCH ’N GO ZING CARD

c ÆON BiG Gold VISAc ÆON BiG Classic VISA

I hereby assign the ÆON BiG Points to / Saya bersetuju supaya mata ganjaran ÆON BiG MEMBER dimasukkan ke:

I would like to apply ÆON Touch’n Go Zing Card forSaya ingin memohon Kad ÆON Touch ’n Go Zing untuk: ¨ Principal / Kad Utama ¨ Supplementary / Kad Tambahan

Expiry Date / Tarikh Luput

M M Y Y Y Y

Page 2: I Wish to Apply For / Saya Ingin Memohon · 2019-10-05 · • Latest 6 months salary slip / EPF statement / Form BE (with tax payment receipt) / Form EA. / Penyata gaji 6 bulan terkini

5. Your Employment / Business Details Butir-butir Pekerjaan / Perniagaan Anda

Full Name (as in I.C or Passport) / Nama Penuh (Seperti dalam K.P. atau Pasport)

Office Tel No. / No. Tel Pejabat

Handphone No. / No. Tel Bimbit

c Mr/En c Ms/Cik c Mdm/Pn c Others (Specify) / Lain-Lain (nyatakan)__________________

Full Name (as in I.C or Passport) / Nama Penuh (Seperti dalam K.P. atau Pasport)

Home Tel No. / No. Tel Kediaman

Handphone No. / No. Tel Kediaman

Relationship with Principal Card Applicant Hubungan dengan Pemohon Kad Utama

_________________________________________________

Type of Occupation / Jenis Pekerjaanc Employed / Bekerja c Self-employed / Bekerja Sendiri

Name of Company / Nama Syarikat

Office Address / Alamat Pejabat

City / Bandar Postcode / Poskod

State /Negeri

Office Tel No. / No. Tel Pejabat Ext.

Nature of Business / Jenis Pekerjaan

___________________________________

Position / Jawatan

___________________________________

Years of Service/ Tempoh Berkhidmat

RM

MY Y M

Submit Application Form, Supporting Documents & Mail-in to / Hantar Borang Permohonan, Dokumen Sokongan & Mel kepada: ATTENTION / PERHATIAN: Credit Card Sales,

AEON Credit Service (M) Bhd, Level 29, Menara Olympia, No. 8 , Jalan Raja Chulan, 50200 Kuala Lumpur.

First Year FREE /

Percuma untuk

Tahun Pertama

2. Your Residence / Kediaman Anda

3. Your Collection of Card(s) / Pengambilan Kad-Kad Anda

4. Your Billing Preference / Pilihan Utama untuk Penyata Anda

Residential Address / Alamat Kediaman

City / Bandar Postcode / Poskod

State /Negeri

Home Tel No. / No. Tel Kediaman

Handphone No. / No. Tel Bimbit

Permanent Residential Address / Alamat Kediaman Tetap

City / Bandar Postcode / Poskod

State /Negeri

Years of Stay / Tempoh Menetap

Page 3: I Wish to Apply For / Saya Ingin Memohon · 2019-10-05 · • Latest 6 months salary slip / EPF statement / Form BE (with tax payment receipt) / Form EA. / Penyata gaji 6 bulan terkini

9. Credit Facilities from Non-Banks / Kemudahan Kredit dari Institusi Bukan KewanganType of Loan / Jenis Pinjaman

Financial Institution / Institusi Kewangan

Monthly Repayment / Bayaran Bulanan

Type of Loan / Jenis Pinjaman

Financial Institution / Institusi Kewangan

Monthly Repayment / Bayaran Bulanan

1. 3.

2. 4.

8. Your Supplementary Card Applicant Details / Maklumat Pemohon Kad Tambahan Anda

Full Name (as in I.C./Passport) / Nama Penuh (Seperti dalam K.P./Passport)

Name to appear on card (Not more than 19 characters) / Nama dicetak di atas kad (tidak melebihi daripada 19 abjad)

(Name should be as close as possible to your full name / Nama ini hendaklah tidak jauh berbeza daripada nama penuh anda)

New I.C. No / No. K.P.Baru

– –

c Old I.C.No / No. K.P.Lama c MyPolis c MyTentera c Passport/Pasport

Date of Birth / Tarikh Lahir

Mother’s Maiden Name (Compulsory for security purposes) /Nama Ibu (Wajib untuk tujuan keselamatan)

D D – M M – Y Y

Residential Address / Alamat Kediaman

City / Bandar Postcode / Poskod

State / Negeri

Home Tel No. / No Tel Kediaman

Handphone No. / No Tel Bimbit

E-mail Address / Alamat E-mel _______________________

Name of Company / Nama Syarikat

Office Tel No. / No. Tel Pejabat Ext.

Relationship with Principal Card Applicant / Hubungan dengan Pemohon Kad Utama

_________________________________________________

ÆON Card Type / Jenis Kad ÆONPRINCIPAL /

UtamaSupplementary /

Tambahan

Annual Fee / Yuran Tahunan

ÆON Card (VISA / MasterCard) / Kad ÆON (VISA / MasterCard)

Gold / Emas RM95 RM60Classic / Klasik RM30 RM20

ÆON BiG Card (VISA) with AEON BiG Member Card benefits / Kad ÆON BiG (VISA) dengan faedah Kad AEON BiG Member

Gold / Emas RM95* RM60*

Classic / Klasik RM30* RM20*

NEW ÆON Card (VISA / MasterCard) with AEON MEMBER Card benefits / Kad NEW ÆON (VISA / MasterCard) dengan faedah Kad AEON MEMBER

Gold / Emas RM95* RM60*

Classic / Klasik RM30* RM20*

Motorcycle Association Affinity Card (VISA) / Kad Motorcycle Association Affinity (VISA)

Gold / EmasFree for life / Percuma

sepanjang hayat

Free for life / Percuma sepanjang

hayat* Annual Fee for Second Year onwards is waived with a minimum of 12 transactions per year. /

Yuran tahunan kedua dan seterusnya dikecualikan dengan minimum 12 transaksi setahun.Other Fees & Charges / Yuran & Caj - Caj Lain

ÆON Touch ’N Go Zing Card / Kad ÆON Touch ’N Go Zing

An automatic reload amount of RM100 will be directly debited to the ÆON Credit Card with auto-reload fee of RM2 / Tambah nilai automatik sebanyak RM100 akan didebitkan terus ke Kad Kredit ÆON dengan yuran tambah nilai sebanyak RM2.

NEW ÆON Gold / Classic Card / Kad Emas / Klasik NEW ÆON

AEON MEMBER Card membership fee of RM12 yearly or RM24 for three years (payable at ÆON MEMBER Customer Service Counter). Applicant must have valid AEON MEMBER Card membership / Yuran keahlian Kad AEON MEMBER sebanyak RM12 untuk setahun atau RM24 untuk tiga tahun (Bayaran boleh dibuat di Kaunter Perkhidmatan pelanggan Ahli ÆON). Pemohon mesti mempunyai keahlian Kad AEON MEMBER yang sah.

AEON BiG Member Card / Kad AEON BiG Member Waived / Dikecualikan.

All applicable Goods & Services Tax (“GST”) and taxes of a similar nature herein shall be payable by the Cardholder. / Sebarang Cukai Barangan dan Perkhidmatan dan lain-lain cukai yang seumpamanya perlu dibayar oleh Pemegang Kad.

For further detail please log on to www.aeoncredit.com.my / Untuk maklumat lanjut sila layari www.aeoncredit.com.my

Submit Application Form, Supporting Documents & Mail-in to / Hantar Borang Permohonan, Dokumen Sokongan & Mel kepada: ATTENTION / PERHATIAN: Credit Card Sales,

AEON Credit Service (M) Bhd, Level 29, Menara Olympia, No. 8 , Jalan Raja Chulan, 50200 Kuala Lumpur.

First Year FREE /

Percuma untuk

Tahun Pertama

Page 4: I Wish to Apply For / Saya Ingin Memohon · 2019-10-05 · • Latest 6 months salary slip / EPF statement / Form BE (with tax payment receipt) / Form EA. / Penyata gaji 6 bulan terkini

Terms and Conditions for ÆON Touch ’n Go Zing Card / Terma & Syarat untuk Kad ÆON Touch ’n Go Zing

FOR OFFICE USE ONLY / UNTUK KEGUNAAN PEJABAT SAHAJA

Declaration and Agreement / Perisytiharan dan Persetujuan