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[]
["BURSA MALAYSIA DEPOSITORY SDN. BHD. "]
["Registration No: 198701006854 (165570-W)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"BMD/SA-018"]
["eRapid USER ID  APPLICATION FORM   "]
[]
["                       To be completed by applicant"]
[]
[null,"Applicant's Full Name",null,"Sample1"]
[null,"Mother's Name",null,"Sample2"]
[null,"Company Name",null,"Sample3"]
[null,"Designation",null,"Sample4"]
[]
[null,"Correspondence Address :",null,null,null,null,null,null,null,null,"New NRIC"]
[null,"Address line 1","sample",null,null,null,null,null,null,null,"010101010101"]
[null,"Address line 2","sample",null,null,null,null,null,null,null,"Old NRIC"]
[null,"Town","sample"]
[null,"Postcode","12345"]
[null,"State","Kedah",null,null,null,null,null,null,null,"Tel No",null,null,"603",null,"20300000"]
[null,"Country","Malaysia"]
[null,null,null,null,null,null,null,null,null,null,null,"eRapid User",null,null,"eRapid Coordinator"]
[null,null,null,null,null,null,null,null,null,null,"(Applicable for Issuing House and Share Registrar only)"]
[null,"User Group","AA",null,0,1,0,1,0,1]
[null,"(i.e. the code representing your company and branch)"]
[]
[null,"Preferred User Name (min. 6, max. 8 characters)",null,null,null,null,null,null,"sample"]
[]
[null,"e-Mail address :","sample@bursamalaysia.com"]
[]
[]
["STATEMENT OF RESPONSIBILITY"]
[]
[null,"My acceptance of the User ID/Password to access to eRapid is my acknowledgement that I will not disclose it to anyone nor use it "]
[null,"to perform unauthorised tasks in relation to the eRapid.  I shall be liable for any misuse of this User ID."]
[null,"Bursa Malaysia Depository Sdn Bhd has the right to suspend the User ID and to disable all functions assigned to me in the event of "]
[null,"breach of eRapid security controls."]
[]
[]
[]
[" Applicant's Signature",null,null,null,null,null,null,null,null,"Date"]
[]
[]
["                       To be completed by the System Access Authorised Signatory for eRapid"]
[]
[" I hereby approve the application for User ID for the above mentioned applicant."]
[]
[" Name",null,null,null,null,null,null,null,null,"  Signature"]
[]
[" Designation",null,null,null,null,null,null,null,null,"  Date"]
[]
[" e-Mail address"]
[]
[]
[]
["                       To be completed by the System Administrator (for office use only)"]
[]
[]
[" Approved By (Name)"]
[]
[" "]
[" Signature",null,null,null,null,null,null,null,null,"  Date"]
[]
[]
[" Assigned By (Name) :",null,null,null,null,null,null,null,null,"  Password"]
[]
[]
[" Signature",null,null,null,null,null,null,null,null,"  Date"]
[]
[null,"#TIM07003#",null,null,null,null,null,null,null,null,null,null,null,null,"Revised on  27 March 2020"]

{"sheet":"Sheet1","index":1,"n_rows":16,"n_cols":3,"rows_kept":16,"cut":false,"hidden":false,"merged":[]}
["Code","State","Country"]
["AA","Johore","Malaysia"]
["AM","Kedah"]
["BE","Kelantan"]
["BT","Labuan"]
["CD","Melaka"]
["FM","Negeri Sembilan"]
["IH","Pahang"]
["IS","Perak"]
["NT","Perlis"]
["PD","Pulau Pinang"]
["SC","Sabah"]
["SR","Sarawak"]
["SV","Selangor"]
["TG","Terengganu"]
["TM","Wilayah Persekutuan"]