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[]
["BURSA MALAYSIA DEPOSITORY SDN. BHD."]
["Registration No: 198701006854 (165570-W)"]
[null,"BMD/SA-001"]
["CDS USER ID APPLICATION FORM"]
[]
["                       To be completed by applicant. Fill in the user's particulars."]
[]
[null," Applicant's Full Name : ",null,null,null,null,null,null,null,null,"New NRIC  :"]
[]
[]
[null," Organisation Name & Address :",null,null,null,null,null,null,null,null,"Old NRIC    :"]
[]
[null,null,null,null,null,null,null,null,null,null,"User ID (min. 6, max. 8 characters)  :"]
[]
[]
[null,null,"Code",null,null,null,"Branch"]
[null,"AA",null,null,null,null,null,null,null,"Tel No :",null,null,null,null,"   Ext :"]
[]
[]
[null,"e-Mail address :"]
[]
[]
["STATEMENT OF RESPONSIBILITY"]
[]
[null,"My acceptance of the User ID/Password to access to Bursa Malaysia Equity Post Trade (EPTTR) system is my acknowledge"]
[null,"that I will not disclose it to anyone nor use it to perform unauthorised task in relation to the EPTTR system. I shall be liable for "]
[null,"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"]
[null,"event breach of EPTTR system security control."]
[]
[]
[]
[]
[]
[" Applicant's Signature :",null,null,null,null,null,null,null,null,"Date :"]
[]
[]
["                       To be completed by the System Access Authorised Signatory only."]
[]
[" I hereby approve the application of the User ID for the above mentioned.  He/She is to be assigned the relevant functions as "]
[" stated in the attached Task Assignment Sheet so that he/she can perform such duties assigned to him/her only."]
[]
[null,"Name :",null,null,null,null,null,null,null,"Signature :"]
[]
[]
[null,"Designation :",null,null,null,null,null,null,null,"Date :"]
[]
[null,"e-Mail address :"]
[]
[]
["                       To be completed by the EPTTR - System Administrator "]
[]
["I have duly reviewed this application and with the consultation of the System Access Authorised Signatory confirmed that the"]
["application has been completed correctly.  I have therefore, assigned the necessary User ID and Password together with the"]
["required tasks to the above said user."]
[]
[]
[" Approved By (Name)",null,": "]
[]
[" Signature",null,": ",null,null,null,null,null,null,"Date",null,null,": "]
[]
[" Assigned By (Name)",null,":",null,null,null,null,null,null,"Password ",null,null,": "]
[null,null,null," "]
[" Signature",null,": ",null,null,null,null,null,null,"Date",null,null,":"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Revised on 24 November 2022 "]

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["Code"]
["AA"]
["AM"]
["SC"]
["CD"]
["KL"]
["SV"]