CONTROL.

CONTROL.
CONVENIENCE.
CONVENIENCE. Who canWho
apply?
can apply?
SECURITY.
SECURITY.
SAVINGS.
SAVINGS.
A) Standard Fleet
A) Standard
Card Fleet Card
EVERYTHING YOUR EVERYTHING
BUSINESS YOUR
NEEDS, BUSINESS
YOU GET NEEDS,
WITH YOU SHELLGET CARD.
WITH SHELL CARD.
Companies with oneCompanies
or morewith
commercial
one or more
vehicles
commercial
are eligible
vehicles
to apply.
are eligible
Say goodbye to paper
Say goodbye
receipts toand
paper
late expense
receipts and
claims.
lateWith
expense
Shellclaims.
Card, With
you’ll Shell Card, you’ll
always have an up-to-date
always haveand an accurate
up-to-date
picture
andofaccurate
your fuelpicture
costs. ofReducing
your fuel time
costs. Reducing time
B) Subsidised Diesel
B) Subsidised
Fleet / Cash
DieselCard
Fleet / Cash Card
and resources spentandonresources
unnecessaryspentadministration.
on unnecessary administration.
Individuals or companies
Individuals
with
orone
companies
or morewith
commercial
one or more
vehicles
commercial
may apply,vehicle
With over 50 yearsWith
of fuel
over
card
50 expertise
years of fuel
across
cardthe
expertise
largest network
across theof largest
stationsnetwork
in the of stations in the
so long as they have
so long
the as
Skim
theyKawalan
have the
Diesel
SkimSubsidi
Kawalan(SKDS)
Dieselletter
Subsidi
from(SKDS)
world, Shell Card world,
can give Shell
youCard
greater
can control,
give youconvenience
greater control,
and security
convenience
– which
and security – which
the Ministry of Domestic
the Ministry
Trade,
of Co-operatives
Domestic Trade,and
Co-operatives
Consumerismand (MDTCC).
Consumeris

CRAFT
CRAFT
YOURYOUR
means you’ll find that
means
it saves
you’llyou
findmoney,
that it saves
too. you money, too.

KEEP YOU IN CONTROL

KEEP YOU
OFINYOUR
CONTROL
FLEET OF YOUR FLEET
How to apply?
How to apply?

FUELCARD
FUELCARDTO TO
Shell Card Online Shell Card Online
With Shell Card Online,
With Shell
you Card
will get
Online,
the fullyou
story
willabout
get the
your
fullfleet
storyallowing
about your
youfleet
to allowing you to
see the bigger see picture
the and
biggermake
picture
moreand informed
make decisions.
more informed decisions. Get To
Get vehicle start enjoying To
vehicle yourstart
Shell
enjoying
Card, your
simply
Shell
fill in
Card,
the application
simply fill inform,
the application
and for
summary andsend it to us with send
the required
it to us with
documents
the required
attached.
documents
We’ll doattached.
the rest.We’ll do the r

THETHE
SIZESIZE
OF OF
consumption reports,
consumption
fuel expenses
reports,
summary,
fuel expenses
fuel purchases
summary, summary
fuel purchases
and more. more.
Our experts have Our
developed
expertsan
have
advanced
developed
control
an advanced
system allowing
controlyousystem
to manage
allowing you to manage
your fleet more easily
your fleet
– whether
more easily
you’re– awhether
nationalyou’re
logistics
a national or an companyREQUIRED
companylogistics or an DOCUMENTS
REQUIRED DOCUMENTS
independent owner.independent owner. A.) Company Application
A.) Company (Sdn.
Application
Bhd. / Berhad)
(Sdn. Bhd. / Berhad)

YOUR
YOUR
FLEET
FLEET
• Form 9 and latest
• Form
Form913 and latest Form 13
• Latest 3 months•bank
Lateststatement
3 months bank statement
ENJOY PEACE OF ENJOY
MINDPEACEWITH OF OURMIND
SECURITY
WITH OUR FEATURES
SECURITY FEATURES
• Latest Audited Report
• Latest Audited Report
No matter how huge
No matter
your fleet
howis,huge
cardyour
security
fleet isis,imperative.
card security
That’s
is imperative.
why we’ve That’s why we’ve
• Original MDTCC • Original
Subsidy MDTCC
approvalSubsidy
letter* approval letter*
made it a key feature
made ofithow
a key
Shell
feature
Cardofworks.
how Shell Card works.
• Bank guarantee***
• Bank guarantee***
SHELL CARD
SHELL
APPLICATION
CARD APPLICATION
FORM FORM Velocity Limit and Purchase
Velocity Limit
Restrictions
and Purchase Restrictions
B.)email
Sole Proprietor
B.) Sole
/ Partnership
Proprietor // Partnership
Individual Application**
/ Individual Applica
Shell Card OnlineShell
allowsCard
youOnline
to put limits
allowsonyoufueltospend.
put limits
Youonwill
fuel
receive
spend.anYou
email
will receive an
alert (once SmartAlert
alertis(once
activated)
SmartAlert
if there
is are
activated)
any of ifyour
there
drivers
are any
exceeding it. You exceeding it. •You
of your drivers Photocopy of NRIC
• Photocopy
/ MYKADof NRIC / MYKAD
can also limit whatcan
kindalso
of items
limit what
(fuel/lubricants)
kind of itemscan(fuel/lubricants)
be bought on can bought on each card. • Borang BE with•bank
eachbecard. Borang
payment
BE with
slips
bank
/ LHDN
payment
receipt
slipsor
/ Business
LHDN receipt or Busin
Registration Certificate,
Registration
Maklumat
Certificate,
Perniagaan
Maklumat
& Pemilik
Perniagaan
& Form&D/E
Pemilik & F
Card Blocking 24/7 Card Blocking 24/7 • Latest 3 months•bank Lateststatement
3 months/bank savings statement
passbook / savings passbook
Call us at any time,
Call
even
us at
in any
the early
time, hours
even in
of the
the early
morning,
hoursand
of the
we morning,
will help you
and we will help • you Original MDTCC • Original
Subsidy MDTCC approvalSubsidy letter* approval letter*
YOUR PARTNER
YOUR
ON PARTNER
THE ROADON THE ROADblock your card immediately.
block your card immediately. • Bank guarantee*** • Bank guarantee***
PIN and Vehicle Number
PIN and Vehicle Number
We ensure that all We
payments
ensureand
that invoices
all payments
are secure,
and invoices
and each
are card
secure,
is protected
and eachbycard is protected by that your application
Please note Please note
is subject
that your
to our
application
credit assessment.
is subject Iftoyou
our do
credit
not assessment.
fulfill our credit
If you
requirements,
do not fulfill our credit
a PIN code. a PIN code. you will be required to furnish
you will
to us
besuch
required
form to
of furnish
collateral
to us
acceptable
such formtoofuscollateral
to secureacceptable
your payment to usobligation
to secure to
yourus.payme
* For subsidy Diesel Fleet/Cash
* For subsidy
Card application
Diesel Fleet/Cash
only. Card application only.
** Individual applicants are
** only
Individual
eligible
applicants
for Subsidised
are only
Card.
eligible for Subsidised Card.
BETTER SAVINGS
BETTER SAVINGS *** If applicable. *** If applicable.

Fueling Your Business

Fueling Your Business
For over 100 years, For over
Shell 100
has years,
been one
Shellofhas
the been
world’s
oneleading
of the providers
world’s leading
of providers of
innovative fuels. Weinnovative
know yourfuels.
vehicles
We know
are an
your
important
vehiclesbusiness
are an important
investment,
business
which investment, whichHow to complete
How to complete
the form?the form?
is why our fuels areisspecially
why our fuels
designed
are specially
to keep your
designed
engines
to keep
in peak
your
condition
engines for
in peak
as condition for as
long as possible. long as possible.
1) All mandatory1)
fields
All mandatory
(marked by*
fields
and(marked
bold text)
by*must
andbebold
filled.
text) must be filled
Shell Fuels Shell Fuels
Shell is in the business
Shell is
of in
making
the business
better fuels
of making
for your
better
vehicle.
fuels Find
for your
out which
vehicle.
of Find out which of
2) Purchase restriction
2) Purchase
in Fleetrestriction
Details section
in Fleet
must
Details
reflect
section
optionsmustfrom
reflect options
Shell’s products suit
Shell’s
yourproducts
needs best
suit from
your Shell
needsFuelSave
best fromDiesel,
Shell Shell
FuelSave
FuelSave
Diesel, Shell FuelSave
Purchase Resctriction
Purchase
MenuResctriction
provided. IfMenu
left blank,
provided.
a default
If left setting;
blank, a default se
Diesel Euro 5, Shell
Diesel
FuelSave
Euro 5,95,
Shell
Shell FuelSave
V-Power95,
97 Shell
and Shell
V-Power
V-Power
97 and
Racing.
Shell V-Power Racing.
W62 (max 2 transactions
W62 (max with
2 transactions
max RM500with daily
max
andRM500
RM10,000
daily and RM10,0
monthly limit) willmonthly
be applied.
limit) will be applied.
GREATER CONVENIENCE
GREATER CONVENIENCE
At Shell, we are flexible
At Shell,with
we each
are flexible
of our customer’s
with each of
needs.
our customer’s
From localneeds.
fleets to
From local fleets to
3) Form must be signed
3) FormONLY
must be a manager
by signed ONLY orby higher
a manager
levelorpersonnel
higher level
national transportnational
companies,
transport
you companies,
will find a you
Shellwill
Station
find athatShell
fits Station
your that fits your
of the company or
of business
the company
ownerororbusiness
partner.owner or partner.
requirements. With
requirements.
over 900 Shell
With
Stations
over 900
nationwide,
Shell Stations
you can
nationwide,
be sure we’ll
you can
be be sure we’ll be
there throughout your
therejourney.
throughout your journey.
Ease and Speed Ease
of Payment
and Speed of Payment
Improve the efficiency
Improve
of your
the efficiency
fleet nowofthat
your
youfleet
havenowthethat
option
you of
have
paying
the option
at of paying at
the pump. It’s quick
the and
pump.
easy
It’s–quick
just drive
and in,
easy
pay– just
at the
drive
pump,
in, pay
andatdrive
the pump,
out. and drive out.
nyCompany
application
application
only - Company
onlyDetails Individual
- Company Details Individual
application
application
only - Individual
onlyDetails
- Individual Details
Optional Optional
information
information
RY INFORMATION
MANDATORY INFORMATION MANDATORY INFORMATION
MANDATORY INFORMATION Name To Appear OnName
The Card
To Appear
(Maximum
On The
24 Card
Characters):
(Maximum 24 Characters):
mandatory*
All fields are mandatory* All fields are mandatory*
All fields are mandatory*
pplied
Type of*:card applied
for Standardfor
Fleet
*: Card Standard Fleet
Subsidised
Card Diesel Fleet Card DieselOnly
Subsidised applicableOnly
Fleet Card to Subsidised
applicable
Diesel
to Subsidised
Card & Cash
Diesel
Card
Card & Cash Card Billing Address (If Different):
Billing Address (If Different):
Subsidised
Subsidised Diesel Cash Card Diesel Cash Card
al Name*:
Company Legal Name*: SKDS No*(only for
SKDS
diesel *(only for card)
Nosubsidised diesel: subsidised card):
City: City:
Full Name (As per Full
NRIC)*:
Name (As per NRIC)*:
y for
SKDS
diesel *(only for card)
Nosubsidised diesel: subsidised card): State: State: Postcode: Postcode:

stration
Company
No(Maximum
Registration *: Date
No(Maximum
16 Characters) 16Of *: Date*:Of Incorporation*: Title (Please Tick)
Incorporation
Characters) * (Please Tick)
Title * Are you an existing Shell
Are you
customer?
an existing
If yes,
Shell
please
customer?
provideIf types
yes, please
of facility.
provide types of facility.
/ / / / Mr Miss Mr
Madam Miss DatukMadamDatin Datuk Datin Account Number: Account Number:
ce Address *:
Correspondence Address*: Correspondence Address*:
Correspondence Address*: Type of Facility: Type of Facility:

APPLY NOW!
APPLY NOW!
Send your application
Send your
formapplication
to: form to:
City*: City*: City*:

SHELL MALAYSIASHELL
TRADING
MALAYSIA SENDIRIAN
TRADINGBERHAD
SENDIRIAN
(006087-M)
BERHAD (6087-M)
State*: Postcode*: Postcode *: *:
State State*: Postcode*: *:
PostcodeSHELL CARD SHELL CARD
P.O.Box 11027P.O.Box 11027
n*: Contact Person*: H/P No (Office/Home):
H/P No (Office/Home):
50732 Kuala Lumpur
50732 Kuala Lumpur

Customer Service
Customer
Tel No Service
: 1 300Tel
22No
8181
: 1 300 22 8181
Telephone No (Office/Home): Fax No:
Telephone No (Office/Home): Fax No: Customer Service
Customer
Fax No Service
: 1 300Fax
82 No
8283
: 1 300 82 8283
Designation*:
Customer Service
Customer
Email Service
: [email protected]
Email : [email protected]
Email: Email:
Website: www.shell.com.my/shellcard
Website: www.shell.com.my/shellcard
*: Telephone No*: Fax No*: Fax No*:
Type Of Business: Type Of Business:
For officeFor
useoffice
only use only
Email*:

Shell Card Online Shell

Administrator
Card Online
Particulars*
Administrator Particulars* AM Name: AM Name:
ess*:
Type Of Business*:
Family Name/Surname
Family Name/Surname Proposed CL: Proposed CL:
Preferred Name Preferred Name Industry Code: Industry Code:

ine Shell
Administrator
Card Online
Particulars*
Administrator Particulars* Position Position Business Code: Business Code:

Surname
Family Name/Surname Telephone Number Telephone Number Banding: Banding:

e Preferred Name Facsimile Number Facsimile Number Customer Segment: Customer Segment:

Position Email Address Email Address Credit Check: Y / NCredit Check: Y / N

mber Telephone Number Quota Locking Date:Quota Locking Date:

Monthly invoice will Monthly
be sent electronically.
invoice will be sent electronically.
ber Facsimile Number Please check thePlease
box ifcheck
you requirethea box
paper
if you
invoice
require
andastatement
paper invoice and statement Processed By: Processed By:
Email Address I want to receive a paper
I wantinvoice**
to receive a paper invoice** Remarks: Remarks:

Your PIN will be sentYour

electronically
PIN will beto sent
the e-mail
electronically
addresstoyou
thehave
e-mail
indicated
address above.
you have indicated above.
will Monthly
thePlease
invoice will be sent electronically.
be sent electronically.
box ifcheck
you requirethea box if you
paper require
invoice andastatement
paper invoice and statement Please check thePlease
box ifcheck
you requirethea box
physical
if youPIN
require a physical PIN Retailer’sRetailer’s
name name
I wantinvoice**
eive a paper to receive a paper invoice** I want to receive a physical
I want toPIN**
receive a physical PIN**
Retailer’s Name: Retailer’s Name:
sentYour PIN will be
electronically to sent electronically
the e-mail addresstoyou
thehave
e-mail address above.
indicated you have indicated above. ** Fee could be subsequently
** Fee could
charged
be subsequently
if you opt tocharged
receive ifa you
paper
optinvoice
to receive
or aaphysical
paper invoice
PIN or a physical PIN Stamp:
Station Station Stamp:
thePlease
box ifcheck
you requirethea box if youPIN
physical require a physical PIN

I want toPIN**
eive a physical receive a physical PIN**

** Fee could
subsequently be subsequently
charged if you opt tocharged
receive ifa you optinvoice
paper to receive
or aaphysical
paper invoice
PIN or a physical PIN
Fleet Details
Fleet Details
MANDATORY INFORMATION
MANDATORY INFORMATION
All fields are mandatory*
All fields are mandatory*

If more than 10
If more
vehicles,
than please
10 vehicles,
attachplease
a separate
attachlista with
separate
this application
list with thisform.
application form.

Purchase Purchase Select products

Select & services
products
required
& services
for card
required
access*
for card access*
Check Check
Restriction* Restriction* Odometer Odometer
Driver’s Name/Designation(Optional)
Driver’s Name/Designation(Optiona
Vehicle Vehicle
(Please fill in according
(Please fill in according Check Checkapplicable (Only
(Only to Standard
applicable
Fleet toCard)
Standard Fleet Ca
No. Registration
No. Registration provided inShell Shell Shell Shell Shell Shell Shell Shell
to options providedtoinoptionsShell Shell Shell if truckShell if truck
No.* No.* FuelSave FuelSaveShell Vehicle Shell Vehicle
Vehicle Vehicletonnage tonnage Maximum 22 characters,
Maximum 22 characters,
Purchase RestrictionPurchase RestrictionV-Power
V-Power FuelSave
V-Power V-Power FuelSave
FuelSave FuelSave Select Select if needed if needed including blank spaces.
Menu*. e.g. W62*) e.g. W62*) 97 Racing 95
Menu*.Racing Diesel Lubricants Service
Diesel WashService
Lubricants Wash
> 3 ½ tons* > 3 ½ tons* including blank spaces.
97 95 Diesel Diesel Shop Shop
Euro 5 Euro 5

1 1

2 2

3 3

4 4

5 5

6 6

7 7

8 8

9 9

10 10
sePurchase
restrictionrestriction
menu* menu* Declaration
Declaration
and endorsement
and endorsement

I/We confirm thatI/Weall theconfirm

information
that allprovided
the information
is correctprovided
and authorise
is correct and authorise Shell
Shell
of transactions per/day
No. of transactions per/day No. of transactions per/day
No. of transactions per/day Malaysia Trading Sdn Bhd toTrading
Malaysia verify from
Sdn whatever
Bhd to verify
sources
fromShell
whatever sources
Malaysia Trading
Shell Malaysia Trading
Sdn Bhd may considerSdn appropriate.
Bhd may consider I/Weappropriate.
hereby acknowledge
I/We hereby
that the
acknowledge
Card may that the Card may
Unlimited
0 Unlimited 0 Unlimited
0 Unlimited
only be used subjectonlytobe
theused
Terms
subject
and Conditions
to the Terms of and
the Shell
Conditions
Card Cardholder
of the Shell Card Cardholder
Twice
2 (2) Twice (2) 2 Twice
2 (2) Twice (2) Agreement and agree Agreement
to be bound
and agree
by thetoTerms
be bound
and Conditions
by the Terms listed
andinConditions
the Shell listed in the Shell
Card Cardholder agreement.
Card Cardholder agreement.
Shell Malaysia Trading Sdn Bhd shall
Shell Malaysia reserve
Trading the shall reserve the
Sdn Bhd
Transaction Limits Transaction Limits Transaction Limits Transaction Limits Transaction Limits Transaction Limits Transaction Limits Transaction Limits absolute right to approve
absoluteorright
rejecttothis
approve
application
or reject
as this
it deems
application
fit without
as itassigning
deems fit without assigning
No. of No. of No. of No. of No. of No. of No. of No. of any reason whatsoever.
any reason whatsoever.
ansac- Daily Monthly
transac- Daily Monthly
transac- Daily Monthly
transac- Daily Monthly transac- Daily Monthly
transac- Daily Monthly
transac- Daily Monthly
transac- Daily Monthly
Group
Limit Limit LimitGroup Limittions Group
Limit Limit Limit LimitGroup Group
Limit Limit LimitGroup Limittions Group
Limit Limit Limit Upon
Limit approval of Upon
this application.
approval ofI/Wethis application.
hereby request
I/We hereby
Shell request
Malaysia Trading
Shell Malaysia Trading
tions Code tions tions tions tions tions
er/day (RM) (RM)
per/day (RM)Code (RM)per/day
Code
(RM) (RM)
per/day (RM) (RM)
Code
per/day
Code
(RM) (RM)
per/day (RM)Code (RM)per/day
Code
(RM) (RM)
per/day (RM) (RM) Bhd to set the Sdn
Sdn Purchase
Bhd toRestriction
set the Purchase
on the Driver/Vehicle
Restriction on the
as indicated
Driver/Vehicle
in theas indicated in the
application form. application
We understand
form. that
We the
understand
Purchase that
Restriction
the Purchase
can only
Restriction
be can only be
0 VV01
6 0180 6 V43 180 0 V43
200 0
2000 200 2000WW01 2 WW01
6 2180 6 W37 180 2 W37
125 2
2500 125 2500
monitored electronically.
monitored Weelectronically.
will not holdWe willMalaysia
Shell not holdTrading
Shell Malaysia
Sdn Bhd Trading Sdn Bhd
0 VV02
9 0225 9 V44 225 0 V44
200 0
3000 200 3000WW02 2 WW02
9 2225 9 W38 225 2 W38
150 2
500 150 500
VV03
responsible if theseresponsible
cards are ifused theseat cards
stations
arewhere
used the
at stations
electronic
where
devices
the electronic
are devices are
0 12 0300 12 V45 300 0 V45
200 0
4000 200 4000WW03 2 WW03
12 2300 12 W39 300 2 W39
150 2
1500 150 1500
V1
inoperable or out-of-order.
inoperable I/We or out-of-order.
also understand
I/We thatalso should
understand
the Purchase
that should the Purchase
0 0 0100 0 V46 100 0 V46
250 0
2500 250 2500W1 2 W1
0 2100 0 W40 100 2 W40
150 2
3000 150 3000
V2
Restriction be breached
Restriction
for be
anybreached
reason whatsoever,
for any reason this shall
whatsoever,
not constitute
this shall not constitute
0 0 0150 0 V47 150 0 V47
250 0
5000 250 5000W2 2 W2
0 2150 0 W41 150 2 W41
175 2
1750 175 1750
0 V3
0 0200 0 V48 200 0 V48
300 0
3000 300 3000W3 2 W3
0 2200 0 W42 200 2 W42
175 2
3500 175
grounds for us not grounds
3500
to pay for forthe
us products/services
not to pay for the purchased.
products/services purchased.
0 V4
0 0250 0 V49 250 0 V49
300 0
6000 300 6000W4 2 W4
0 2250 0 W43 250 2 W43
200 2
2000 200 2000
0 V5
0 0300 0 V50 300 0 V50
350 0
3500 350 3500W5 2 W5
0 2300 0 W44 300 2 W44
200 2
4000 200 By signing this, I/We
4000 By have
signing
readthis,
andI/We
understand
have read Shell
andTerms
understand
& Conditions
Shell Terms
obtained
& Conditions obtained
0 V6
0 0350 0 V51 350 0 V51
350 0
7000 350 7000W6 2 W6
0 2350 0 W45 350 2 W45
250 2
2500 250 from at www.shell.com.my/cardtermsandconditions
2500 Shell’s websitefrom Shell’s website at www.shell.com.my/cardtermsandconditions
0 V7
0 0400 0 V52 400 0 V52
400 0
2000 400 2000W7 2 W7
0 2400 0 W46 400 2 W46
250 2
5000 250 5000
0 V8
0 0425 0 V53 425 0 V53
400 0
4000 400 4000W8 2 W8
0 2450 0 W47 450 2 W47
275 2
2750 275 I/We
2750 also acknowledge
I/We that
alsoShell
acknowledge
will not return
that Shell
any documents
will not return
pertaining
any documents
to this pertaining to this
0 V9
0 0430 0 V54 430 0 V54
400 0
6000 400 6000W9 2 W9
0 2500 0 W48 500 2 W48
300 2
3000 300 application
3000 should the
application
application
should
not the
be successful.
application not be successful.
0 V10
0 0450 0 V55 450 0 V55
400 0
8000 400 8000W10 2 W10
0 2550 0 W49 550 2 W49
300 2
6000 300 6000
0 V11
0 0500 0 V56 500 0 V56
400 0
10000 400 W11
10000 2 W11
0 2600 0 W50 600 2 W50
350 2
3500 350 View
3500 full Terms & Conditions at www.shell.com.my/cardtermsandconditions
View full Terms & Conditions at www.shell.com.my/cardtermsandconditions
0 V12
0 0550 0 V57 550 0 V57
450 0
4500 450 4500W12 2 W12
0 2650 0 W51 650 2 W51
350 2
7000 350 7000
0 V13
0 0600 0 V58 600 0 V58
450 0
9000 450 9000W13 2 W13
0 2700 0 W52 700 2 W52
400 2
2000 400 View
2000 Privacy Notice at www.shell.com.my/cardprivacynotice
View Privacy Notice at www.shell.com.my/cardprivacynotice
0 V14
0 0650 0 V59 650 0 V59
500 0
2500 500 2500W14 2 W14
0 2750 0 W53 750 2 W53
400 2
4000 400 4000
0 V15
0 0700 0 V60 700 0 V60
500 0
5000 500 5000W15 2 W15
0 2800 0 W54 800 2 W54
400 2
6000 400 6000
0 V16
0 0750 0 V61 750 0 V61
500 0
7500 500 7500W16 2 W16
0 2850 0 W55 850 2 W55
400 2
8000 400 8000
0 V17
0 0800 0 V62 800 0 V62
500 0
10000 500 W17
10000 2 W17
0 2900 0 W56 900 2 W56
450 2
4500 450 4500
0 V18
0 0850 0 V63 850 0 V63
500 0
12500 500 W18
12500 2 W18
0 21000 0 W57 10002 W57
450 2
9000 450 9000
0 V19
0 0900 0 V64 900 0 V64
550 0
8250 550 8250W19 2 W19
0 21200 0 W58 12002 W58
450 2
11250 450 11250
0 V20
0 01000 0 V65 10000 V65
550 0
11000 550 W20
11000 2 W20
0 21300 0 W59 13002 W59
500 2
2500 500 2500
0 V21
0 01200 0 V66 12000 V66
600 0
3000 600 3000W21 2 W21
0 21350 0 W60 13502 W60
500 2
5000 500 5000
0 V22
0 01300 0 V67 13000 V67
600 0
6000 600 6000W22 2 W22
0 21400 0 W61 14002 W61
500 2
7500 500 7500
0 V23
0 01400 0 V68 14000 V68
600 0
9000 600 9000W23 2 W23
0 21500 0 W62 15002 W62
500 2
10000 500 10000
0 V24
0 01500 0 V69 15000 V69
600 0
12000 600 W24
12000 2 W24
0 21700 0 W63 17002 W63
500 2
12500 500 12500
0 V25
0 01800 0 V70 18000 V70
600 0
15000 600 W25
15000 2 W25
0 21800 0 W64 18002 W64
550 2
8250 550 8250
0 V26
0 02000 0 V71 20000 V71
650 0
9750 650 9750W26 2 W26
0 22000 0 W65 20002 W65
550 2
11000 550 11000
0 V27
0 02500 0 V72 25000 V72
700 0
7000 700 7000W27 2 W27
0 22500 0 W66 25002 W66
600 2
6000 600 6000
0 V28
0 03000 0 V73 30000 V73
700 0
10500 700 W28
10500 2 W28
0 23000 0 W67 30002 W67
600 2
9000 600 9000
0 V29
25 0250 25 V74 250 0 V74
700 0
14000 700 W29
14000 2 W29
25 2250 25 W68 250 2 W68
600 2
15000 600 AUTHORISED
15000 SIGNATORY*
AUTHORISED SIGNATORY* COMPANY STAMP* COMPANY STAMP*
0 V30
50 0500 50 V75 500 0 V75
800 0
4000 800 4000W30 2 W30
50 2500 50 W69 500 2 W69
650 2
9750 650 9750
0 V31
50 01000 50 V76 10000 V76
800 0
8000 800 8000W31 2 W31
50 21000 50 W70 10002 W70
700 2
7000 700 7000
0 V32
75 0750 75 V77 750 0 V77
800 0
16000 800 W32
16000 2 W32
75 2750 75 W71 750 2 W71
800 2
8000 800 FULL
8000 NAME*: FULL NAME*:
0 V33
75 01500 75 V78 15000 V78
800 0
20000 800 W33
20000 2 W33
75 21500 75 W72 15002 W72
800 2
20000 800 20000
0 V34
80 0550 80 V79 550 0 V79
1000 0
5000 1000 5000W34 2 W34
100 21000 100W73 10002 W73
1000 2
10000 1000 10000
0 V35
100 0500 100V80 500 0 V80
1000 0
10000 1000 W35
10000 2 W35
100 22000 100W74 20002 W74
1000 2
15000 1000 DESIGNATION*:
15000 DESIGNATION*:
0 V36
100 01000 100V81 10000 V81
1000 0
15000 1000 W36
15000 2 W36
125 21250 125W75 12502 W75
1000 2
20000 1000 20000
0 V37
100 02000 100V82 20000 V82
1000 0
20000 1000 20000 W76 2 W76
1500 2
15000 1500 15000
Default Restriction Code:
DefaultW62
Restriction Code: W62 DATE*: DATE*:
0 V38
125 01250 125V83 12500 V83
1000 0
25000 1000 25000
0 V39
125 02500 125V84 25000 V84
1500 0
15000 1500 15000
0 V40
150 0600 150V85 600 0 V85
2000 0
10000 2000 10000
0 V41
150 01500 150V86 15000 V86
2000 0
20000 2000 *Purchase
20000 restriction
*Purchase
in Fleetrestriction
Details section
in Fleetmust
Details
reflect
section
options must reflect options from All fields
from All fields are mandatory*
are mandatory*
0 V42
150 03000 150V87 30000 V87
2000 0
40000 2000 Purchase Restriction
40000 Purchase
Menu Restriction
provided. IfMenu
left blank,
provided.
a default
If left setting;
blank, a default setting;
V88 0 V88
5000 0
50000 5000 50000
W62 (max 2 transactions
W62 (max with
2 transactions
max RM500with daily
max
andRM500
RM10,000 daily and RM10,000
efault Restriction Code:
DefaultW62
Restriction Code: W62
monthly limit) willmonthly
be applied.
limit) will be applied.

V1_2016 V1_2016