Please complete this section and tick in the "Yes" or "No" respectively for each of the following questions:
Are you a U.S. citizen or resident?
(U.S. Passport/green card holder, U.S. taxpayer, etc.)
|2.||Is U.S. your place of birth?||Yes No|
|3.||Do you hold a current U.S. residence address / mailing address and U.S. post office box?||Yes No|
|4.||Do you have a current U.S. telephone number?||Yes No|
Standing instructions to pay amounts from Phillip Mutual account to an
account maintained in the U.S.?
For Online Transaction
Phillip Mutual Berhad's online facilities are supported by computer-based component systems for opening of account and other
online transactions in relation to unit trusts. As with all facilities and computer systems, you will be exposed to the risks associated
with the systems including the failure of hardware and software.The result of any system failure may cause a delay in processing
You also acknowledge that you are exposed to the inherent risks of conducting internet transactions and that you assume
I/We hereby confirm that all the information given is true and accurate and that I/We have read and understood the Propectus,
Supplementary (if any) and Terms and Conditions and Unit Trust Loan Financing Risk Disclosure applicable to this transactions
and before investing
INDIVIDUAL APPLICANT 'S DETAILS
Mother Maiden Name
|Nature of Business|
|Present Annual Incomee|
|Estimate Net Worth|
|Source of Current Annual Income|
Thank You For Registering!
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