www.directaccess.com.

my
Tel : 03-6204 7878 MGM 0 1 0 4
Certified to ISO 9001:2008
Cert. No. : AR 1350

AN INVITATION RESERVED FOR GRADUATES & PROFESSIONALS

MY PERSONAL SECURITY CODE

I WISH TO APPLY FOR THE FOLLOWING CARDS Certified to ISO 9001:2008
Cert. No. : AR 1350

Mother’s Maiden Name :

(PLEASE TICK 3) :
u WORLD MasterCard u VISA Infinite
MY EMPLOYMENT DETAILS
u MasterCard Platinum u VISA Platinum Name of Company :

u MasterCard Gold
Nature of Business :
Note : Additional credit cards will share a combined limit.

REQUIREMENTS Address :
Income WORLD & Infinite Card : RM200,000 per annum
Platinum Card : RM80,000 per annum
Gold Card : RM24,000 per annum
Minimum Age Principal : 21 years old Postcode :
Supplementary : 18 years old
u Salaried Employee u Self-Employed Years There :
*Documents required, non-returnable : Position :
3 A photocopy of I/C (both sides, enlarged
3 Business Card
3 Latest Salary Slip / Income Tax Receipt / EA Form Office Tel : -
3 Degree Certificate from recognised university / professional body

MY PERSONAL DETAILS MY FINANCIAL PARTICULARS

u Mr u Miss u Madam u Dr u Others Gross Annual Salary : R M

Full Name as in NRIC : Other Income Per Annum : R M

MY EMERGENCY CONTACT PERSON

(RELATIVE / FRIEND NOT STAYING WITH ME)
Name to appear on Card (Not more than 19 letters) :
Name :

New I/C No. : - -

Old I/C No. :
Relationship :
Date of Birth (DD/MM/YY) : Nationality :
/ / M A L A Y S I A N
Marital Status : u Single u Married u Widowed u Divorced
Home Tel : -
Sex : u Male u Female Number of Dependents :
Office Tel : -
3 University / Professional Institute
u
Mobile Tel : -
Qualifications / Membership No. :
MY BILLING AND CARD COLLECTION INSTRUCTIONS
Mailing / Billing Address : u To Home u To Office
MY HOME ADDRESS Courier instruction for credit card : u To Home u To Office
Residential Address :
OTHER BANKING SERVICES
Yes, I would like to apply for the following services :
u O verdraft Facility (subject to eligibility & minimum income requirement is
RM60,000 p.a.)
Postcode :
u Credit Card PIN (to access ATM and CIMB Clicks online statement)
Residence is :
u Owned - No Loan u Owned - With Loan u Rented MY SPOUSE DETAILS
u Employer’s u Parents’ / Relatives’ Years There : Full Name as in NRIC / Passport :
Home Tel : -
Mobile Tel : -
E-Mail : New I/C No. : - -

Company Name :
Permanent Home Address if Residential Address is Employer’s or Rented :

Office Tel : -

Home Tel : - Mobile Tel : -

 MY SUPPLEMENTARY CARD ‘DECLARATION’ SECTION
u Mr u Miss u Madam u Dr u Others I/We hereby declare and certify that all the information given by me/us in this application
is true, accurate and complete. Notwithstanding the generality of the foregoing, I/we
Full Name as in NRIC / Passport : confirm that CIMB Bank Berhad [13491-P] (“CIMB Bank”) is authorised to verify and/
or make any checks and/or obtain any information and/or confirmation, with or from
any credit reference agencies, and/or from any financial institution, on me/us and/or
any other person, individual and/or entity as CIMB Bank may deem fit, for any purposes
Name to appear on Card (Not more than 19 letters) : which CIMB Bank deems fit. I/We hereby request CIMB Bank to issue, upon approval of
this application, the credit card(s) which I/we have indicated. I/We acknowledge that the
use of the credit card(s) issued to me/us shall be subject to CIMB Bank’s Cardmember
New I/C No. : - - agreement (“Cardmember Agreement”), which will be sent to me with the credit card(s)
upon the approval of this application, and agree to be bound by the terms and conditions
Old I/C No. :
set forth in the Cardmember Agreement upon issuance or use of the credit card(s). I,
Date of Birth (DD/MM/YY) : Nationality : the principal Applicant further agree to accept joint and several liability for all amounts
/ / M A L A Y S I A N incurred arising from the use of the principal and/or supplementary credit card(s) issued
pursuant to this application or at any time thereafter at my and/or the Supplementary
Relationship to Principal : Applicant’s request. I/We further understand that CIMB Bank shall not hold the
Supplementary Applicant jointly and severally liable for the debts or amounts incurred
by the Principal Applicant or other Supplementary Applicant(s). I/We acknowledge that
Mother’s Maiden Name (for verification purposes) : CIMB Bank reserves the sole and absolute right to decline or reject my/our application(s)
without assigning any reasons therefore. I/We also acknowledge that it is a requirement
by Bank Negara Malaysia (“BNM”) that all information relating to this application, whether
Note : T he Supplementary card will share the Principal credit limit unless specified successful or otherwise, must be updated and/or transmitted to the Central Credit
otherwise. Information System (“CCRIS”), a database maintained by BNM. In addition thereto, CIMB
Bank is hereby irrevocably and unconditionally authorised todisclose any information or
DECLARATION (BY INDIVIDUAL BORROWERS) IN CONNECTION
particulars given by me/us herein to any person(s) in or out of Malaysia and for such
WITH BANK NEGARA GUIDELINES ON CREDIT TRANSACTIONS AND
purpose(s) as CIMB Bank deems fit, proper or necessary at any time. I/We understand
EXPOSURES WITH CONNECTED PARTIES
that the credit card(s) when issued shall at all times remain the property of CIMB Bank
Please complete this declaration section if any of the below is applicable to you. and must be duly returned upon request by CIMB Bank. I/We further agree liability to
(No declaration from you denotes that it is not applicable). accept liability for all amount incurred arising from the use of my/our credit card(s) issued
pursuant to this application or at any time thereafter at my/our request.
1. u I am a staff of the CIMB Group¹.
2. u To the best of my knowledge, I have close relative(s)² employed under the
CIMB Group or has acted as my guarantor.
Particulars of my close relative(s) in CIMB Group :

Name I/C No. Relationship Acted As Guarantor

(Indicate Yes or No) Principal Applicant’s Signature : Supplementary Applicant’s Signature :
Date : Date :

INTRODUCER SECTION A0001

IMPORTANT! Please complete this section to allow your cash rewards to be credited
into your credit card account.
Introducer’s Details
¹ CIMB Group means CIMB Bank Berhad or CIMB Islamic Bank Berhad or CIMB
Investment Bank Berhad or other subsidiaries or companies controlled by the Name :
aforesaid respective banking institutions.
NRIC No. : - -
² Close relative(s) include parents / spouse of staff including the spouse’s dependents
children / spouse of the children / brother and sister / spouse of brother / sister and Card No. : - - -
any other dependents and persons who may influence / be influenced by the staff.

Please fax or scan the completed application form (together with your I/C (front & back), business card and degree certificate) to the following:
Fax: 03-2381 5533 or E-mail: mktgda@cimb.com Note: All documents submitted are non-returnable.
 FEES AND CHARGES
Annual Fee Direct Access FREE FOR LIFE WORLD / Infinite / Platinum / Gold Credit Card For Graduates & Professionals.
Card Type WORLD Infinite Platinum Gold
Principal
Supplementary FREE FOR LIFE
Joining Fee No joining fee.
Finance Charges The charges are :
(a) 1.125% per month or 13.5% per annum if you have promptly settled your minimum payment due for 12
consecutive months.
(b) 1.333% per month or 16% per annum if you have promptly settled your minimum payment due for at least
10 months in a12 month cycle.
(c) 1.458% per month or 17.5% per annum if your payment record is not within either (a) or (b) above.
Finance charge for cash transaction is 1.5% per month or 18% per annum.
Government Service Tax RM50 - each Principal Card.
RM25 - each Supplementary Card.
Cash Advance Fee The cash advance fee is 5% of the amount advanced or a minimum of RM15, whichever is higher.
This is imposed for each cash advance transaction.
Minimum Monthly Repayment 5% of the outstanding balance or a minimum of RM50.
Late Payment Charge 1 % of the total outstanding balance as at statement date or a minimum of RM5, whichever is higher, capped
to a maximum of RM50 and will only be imposed if the minimum payment due is not paid by the third day
after the relevant due date.
Interest-Free Period Full payment on previous statement balance
Enjoy an interest-free period of 20 days for all new retail transactions from statement date.
Partial or minimum payment on previous statement balance
No interest-free period.
A finance charge will be levied on your unpaid outstanding balance and all new transactions from the date the
transactions are posted.
Conversion For Overseas The conversion rate as determined by MasterCard International or VISA International plus an administrative
Transactions cost of 1%.

Frequently asked Questions

Q. How are the rewards given?
A. For every approved new to bank Principal Direct Access FREE FOR LIFE WORLD / Infinite / Platinum / Gold Card application, you will receive RM50 cash.
Q. When can I expect to receive the cash reward?
A. The cash reward will be credited into your Direct Access credit card account, 20 days from the successful referral’s credit card approval date.
Q. If I used another application form instead of the form coded with “MGM 0104”, will I be entitled for the rewards?
A. To be eligible for the rewards, you must use the application form which is coded with “MGM 0104” only.
Q. Can I use photostat copies of the Direct Access credit card application form for potential referrals?
A. Yes, provided the application form is coded with “MGM 0104”.

Terms & Conditions :

1. The Member-Get-Member (MGM) Programme is valid from 1 January to 31 December 2010. This Programme is open to all Principal and Supplementary Direct Access
Cardmembers only.
2. This Programme is not open to all employees of CIMB Bank Berhad (CIMB Bank), including its subsidiaries and related companies.
3. At the time of participating in this Programme, all Direct Access cardmembers’ credit cards must be valid.
4. Every approved new-to-bank Principal Direct Access credit card application is regarded as a “Successful Referral”. All existing Principal and Supplementary Direct Access or
CIMB Bank cardmembers are not regarded as new-to-bank. Each successful WORLD / Infinite / Platinum / Gold referral introduced by the cardmember is worth RM50.
5. The use of photostated copies of the Direct Access credit card application form coded with “MGM 0104” is allowed.
6. Incomplete “Introducer” details in the application form will not be considered for the Programme.
7. Only the use of application forms coded with “MGM 0104” will be applicable for the Programme.
8. Applications approved after 31 December 2010 will not be considered as approvals for this Programme.
9. Rewards made to cardmembers for the Programme, is neither transferable nor exchangeable for any other form of reward. Rewards will be credited into the cardmembers’
Direct Access credit card account 20 days from the successful referral’s credit card approval month.
10. C IMB Bank’s decision on all matters arising from the Programme will be final and binding on all participants of the Programme.
11. C IMB Bank reserves the right to cancel, terminate or suspend the Programme with or without any prior notice.
12. C IMB Bank reserves the right at its absolute discretion to vary, delete or add to any of these Terms and Conditions from time to time without prior notice.
13. B y participating in the Programme, participants agree to be bound by these Terms and Conditions.