OPERATOR APPLICATION FORM

The Manager
Recruiter Name:
Freshtel Internet Sdn Bhd (the “Company”)
(Registration No.: 1154469-D) Application Date:

APPLICATION
□ We wish to apply to be Company’s Operator account (“Operator”) and our details are as in Part A. Upon approval by the Company,
we agree to the Rebate Schedule & Other Terms as stated in Part B and General Terms of Service as provided by the Company.

Is the Operator owned by a Parent Company? ( applicable for chained outlets only )
□ Yes ( provide details of the Operator and Parent Company below )
□ No ( only provide details of Operator below )

□ We wish to update our account information and our details are as in Part A.

Please ensure that your application form and additional documentation as stated in the Documents Submission Checklist are
complete, accurate and up-to-date. All documents submitted are not returnable and must be valid on the date of application and certified
true copies by company secretary (where applicable). The Company may request for additional supporting document (e.g. business /
operating license etc), if necessary.

Operator Application and Activities Timeline

1. Application Approval 1 week
2. Follow up/ Feedback Session Monthly
3. Annual Dinner Annually

Documents Check list Copy

4. SSM documentation 1set
5. IC of PIC (Managing Director/ Appointed Director ) Front and Back
6. Others – Certificates 1 copy

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 PART A – APPLICATION BY OPERATOR
SECTION 1: COMPANY PROFILE
Type of Business □ Sole Proprietor □ Sdn Bhd
□ Partnership Sdn Bhd □ Co-operative
□ Limited Liability Partnership ( LLP ) □ Society / Association / Club
□ Bhd □ Others:
Details of Operator1 Details of Parent Company
(for more than one (1) outlets, please fill in Attachment A) (if applicable)
Co/Business Reg. No
Registered Name
Trading Name2
Registered Address
(full address)

City: City:
Postal Code: Postal Code:
State: State:
Country: Country:
Business Operating
Address²
(full address)

City: City:
Postal Code: Postal Code:
State: State:
Country: Country:
SST ID (if any)
SST Registered
Company Name² (if any)
SST Registered
Business Address²
(if any)

City: City:
Postal Code: Postal Code:
State: State:
Country: Country:

SECTION 2: BUSINESS PROFILE

Type of Business □ Property Management Office □ Property / Real Estate Agency
□ Association □ Others:
□ Joint Management Body (JMB)
Website / URL (if any) No. of Existing Members

1 This single application form shall cover the addition of all outlets listed in Attachment A.
2 if different from company registered name / address.

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Please complete and tick ( ✓ ) where applicable.

SECTION 3: SETTLEMENT BANK DETAILS3

Bank Name Account Number
Account Holder Name Bank Branch

SECTION 4: CONTACT INFORMATION

Name Designation Contact Number Email Address Operator Portal
( please provide group email Access
where applicable ) ( Admin )

PERSON-IN-CHARGE ( Authorised person )

Phone: □
Fax:
FINANCE4
Phone: □
Fax:
OTHERS ( if any )
Phone: □
Fax:

3 Bank account name must be the same as the Operator name or parent company name one account only.
4
Settlement Report will be emailed to Finance by default.

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 PART D – DECLARATION AND CONSENT
Declaration
1. I/We hereby have voluntarily provided my/our personal data to the Company and all personal data and information provided in this application
are true, correct, accurate and complete. I/We hereby agree that the Company reserves the right to reject my / our application at its sole discretion
without any reasons whatsoever. Any documents submitted by me/us to the Company shall belong and remain the property of the Company and
are non-returnable. I / We agree to provide any additional documents requested by the Company for the processing of my/our application.
2. I/We undertake to notify the Company immediately if there is any change to the personal data or information. By providing my/our personal data
to the Company, I/We consent to you collecting, using and disclosing my/our personal data in accordance with the Company’s Privacy Policy which
can be viewed at https://portal.freshtel.my/privacy-policy

3. I/We have established and maintain effective safeguards and controls over data security and data privacy to ensure that;
a) personal data and information relating to the accounts and cardholder information are kept in strict confidence and in compliance with the laws
on protection of personal data under the Personal Data Protection Act (“PDPA”).
4. I/We declare and agree that;
a) any data or information (including personal data) relating to or arising from or in connection with my/our application hereunder and also
information pertaining to my/our affairs whether hereunder or otherwise on this application maybe held, used and disclosed by the Company
for the purpose of this application.
5. I/We have established and maintained strict controls on money laundering and will not allow the firm/company or any of its facilities to be used as
channels for money-laundering and shall immediately notify the Company of any lapses or breaches in our controls that potentially breach the
Anti-Money Laundering and Anti-Terrorism Financing Act 2001 (“AMLTFA”).
6. I/We and our employees, servants and agent (where applicable) will comply with the data protection laws under the PDPA and the anti-money
laundering laws under the AMLTFA and my firm/our company will indemnify the Company for any breaches of the PDPA or the AMLTFA by my
firm/our company which renders the Company for any fines, penalties, damages, costs or expenses. I/We acknowledge that the Company’s
reliance on this declaration and warranty in processing and approving my/our application.
7. I/We agree to accept the commercial and other terms that have been offered by the Company as stated in Part B above and the Company
reserves its rights to change the said fee, rate, and service charge by giving prior written notice.
8. I/We have read, understand & agree to be bound to all clauses stated in the subscription Terms of Service as spelled out and published at
www.freshtel.my and all other terms, specific terms and/or policies published on Freshtel’s Platform. I/We acknowledge that the clauses contained
therein may be revised by the Company from time to time and I/We understand and accept that we are automatically bound by any and all additions,
modifications and/or amendments made thereto by the Company on its publication date or effective date. By reason of the same, I/we shall always
keep myself/ourselves updated on any revised clauses by visiting the above URL.

Consent Authorization
Pursuant to the Credit Reporting Agencies (CRA) Act 2010 and Central Bank of Malaysia Act 2009, l/we the undersigned do hereby give my/our
consent to the Company and any Credit Agencies to process my/our company personal data.
By this consent, I/we understand and agree that:
i) The Company may conduct credit/trade checks on me/us and where applicable with any credit agencies at any time for as long as l/we have a trade
relationship with the Company or where any dues remain unpaid and outstanding with the Company, for any one or more of the following purposes:
➢ Credit/Account evaluation
➢ Credit/Account monitoring
➢ Credit/Account review
➢ Debt recovery
➢ Legal documentation consequent to a contract or facility granted by you.
ii) The Company may disclose any information on my/our conduct of my/our account(s) with the Company, to any business entity/ies for bona fide
credit / trade checking at any time. I/We am/are also aware and understand that such information will be provided to any Credit Agencies, who may
in turn share such information to subscribers of their service.
iii) Where the Company require any processing of my/our application to be processed by any processing centre located outside Malaysia (including
your Head Office), l/we hereby give consent to the transfer of my/our personal data outside Malaysia.
iv) Apart from the above, l/we the* undersigned do give my/our consent to the Company and the Credit Agencies, to process my/our personal data as
per the Personal Data Protection Act (“PDPA”).

I/We hereby declare and consent to the above

Name:
NRIC No/Passport:

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 Designation:
(Authorized Signatory5 & Company Stamp) Date:

PART E – FOR BUSINESS REP USE ONLY

I hereby verify and confirm that the above signatory(ies) is/are genuine, all necessary documents/agreements have been collected,
are complete.

Submitted By: Remarks:

( please elaborate if referrer falls within the List
of Prohibited and High-Risk Industries )

Name:
Operator account Code:
Date:

PART F – FOR INTERNAL OFFICE USE ONLY ( REVIEW & APPROVAL )

Referrer Risk Profile Application Status: □ Approve □ Reject □ KIV

(refer attached risk scorecard)

□ Low □ Medium □ High

Remarks: Remarks:

Reviewed By: Approver #1: Approver #2:

Name: Name: Name:

Designation: Designation: Designation:
Date: Date: Date:

ACCOUNT SETUP

Remarks Setup done by: Reviewed By:

5 Please provide a letter of authorisation as proof if it is signed on behalf of the business owner / company.

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 Agent ID: Name: Name:
Code: Designation: Designation:
Date: Date:

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