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[]
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["BURSA MALAYSIA DEPOSITORY SDN.BHD. (165570W)"]
["Registration No: 198701006854 (165570-W)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"BMD/SA-002"]
["RESET PASSWORD APPLICATION FORM"]
[]
["                       To be completed by applicant. Fill in the user's particulars."]
[]
[" Applicant's Full Name : "]
[]
[" Organisation Name & Address :",null,null,null,null,null,null,null,null," User ID",null,null,null,"."]
[]
[null,null,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 Password to access the Bursa Malaysia Equity Post Trade (EPTTR) system is my acknowledgement"]
[null,"that I will not disclose it to anyone nor use it to perform unauthorised tasks in relation to the EPTTR system. I shall be liable "]
[null,"for any misuse of this User ID."]
[]
[" 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 breach of EPTTR system security controls."]
[]
[]
[" 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 reset password for the above mentioned.  "]
[" the attached Task/Printer Assignment Sheet so that he/she can perform such duties assigned to him/her only."," "]
[]
[" Name ",null,null,null,null,null,null,null,null,"Date"]
[]
[]
[" Signature",null,null,null,null,null,null,null,null,"Designation"]
[]
[null,"e-Mail address :"]
[]
[]
[]
["                       To be completed by the EPTTR - System Administrator."]
[]
[" I have duly reviewed this application and confirmed that the application has been duly authorised."]
[]
[]
[" 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"]
[]
["   Revised on 24 November 2022 "]