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Add, Update & Remove

SR04 System Administrator & Authorizer Form


Borang Penyelenggaraan ID Pendtadbir
Please send the completed form to: Email: hlcfcbsr@hlbb.hongleong.com.my or Fax: 03 - 2081 8934
Sila hantar borang yang lengkap kepada:

(A) COMPANY INFORMATION Maklumat Syarikat

Company Name FANTASY FACTORY PRODUCTION SDN BHD


Nama Syarikat

HL ConnectFirst Company ID 7 0 1 0 3 4 3 8
ID Connect First Syarikat

(B) REQUEST OPTION Please Tick [ ] Pilihan Servis Sila tandakan [  ]

Add System Administrator/Authorizer Update System Administrator/Authorizer


//✔ Perlantikan ID Baru Pentadbir Tukar Maklumat ID Pentadbir

System Administrator System Authorizer User ID ID Pengguna


User Name Nama Pengguna
C H I A Y U C H User Name Nama Pengguna

IC/ Passport No. No. Kad Pengenalan/Pasport


7 3 0 1 2 6 1 2 5 1 9 7 Mobile No. Nombor Telefon Bimbit

Mobile No. Nombor Telefon Bimbit


0 1 9 3 2 1 6 6 4 9
Email Address Alamat Email

Email Address Alamat Email


ram@grandtheftrecords.com
Remove System Administrator /Authorizer
Clear Signature Pembatalan ID Pentadbir

User ID ID Pengguna
70103438ADM1
Signature of New User Tandatangan Pengguna Baru
Note: Please enclose photocopy of IC or Passport of the new User Name Nama Pengguna
user on the next page or on a separate A4 sheet. CHEAH WEI CHEN
Sila lampirkan salinan Kad Pengenalan/ Pasport pengguna
yang baru dilantik di muka surat sebelah.

(C) COMPANY AUTHORIZED SIGNATORY(IES) Wakil Sah Syarikat

I/We confirm that I/We am/are duly authorized by the Company to sign this form for and on its behalf
Saya/Kami mengesahkan bahawa saya/kami adalah wakil sah syarikat untuk menandatangan borang ini untuk dan bagi pihak syarikat
Clear Signature Clear Signature

Signature Signature
Name: IVAN GERARD KHOO BOON HOE Name:
IC No. 740630-14-5321 Date:
SR
Clear Signature
IC No. Date:
Clear Signature

Signature Signature
Name: Name:
IC No. Date: IC No. Date:
For Bank Use (Untuk Kegunaan Bank)
Attended By: Verified By: Remarks:

HLB ConnectFirst User Maintenance Form – Version 1.1 Page 1 of 2


Add, Update & Remove
SR04 System Administrator & Authorizer Form
Borang Penyelenggaraan ID Pendtadbir
Please send the completed form to: Email: hlcfcbsr@hlbb.hongleong.com.my or Fax: 03 - 2081 8934
Sila hantar borang yang lengkap kepada:

Company Name FANTASY FACTORY PRODUCTION SDN BHD


Nama Syarikat

HL ConnectFirst Company ID 7 0 1 0 3 4 3 8
ID ConnectFirst Syarikat

Apply To New System Administrator/Authorizer Appointment

Please attach the photocopy NRIC/Passport of the new


User
Sila lampirkan salinan Kad Pengenalan/ Pasport pengguna

Attach IC
FRONT
depan

Note: You may also submit the photocopy NRIC/Passport of the new user on separate A4 sheet

Please attach the photocopy NRIC/Passport of the new


User
Sila lampirkan salinan Kad Pengenalan/ Pasport pengguna

Attach IC

BACK
Belakang

(D) SUBMIT FORM Menyerah Borang


Please ensure that Section (C) has been digitally signed before you click on the submit button (or) kindly print out this form and revert the signed copy to Bank for
processing
Sila pastikan Seksyen (C) telah ditandatangani secara digital sebelum anda mengklik pada butang ‘Submit’ (atau) sila cetak borang ini dan kembalikan salinan
yang telah ditandatangani kepada Bank untuk diproses

Submit Form

Please click on the ‘submit’ button to direct email the filled form to hlcfcbsr@hlbb.hongleong.com.my
Sila tekan pada butang ‘Submit’ untuk menghantar langsung borang yang telah diisi kepada hlcfcbsr@hlbb.hongleong.com.my

HLB ConnectFirst System User Form – Version 1.1 Page 2 of 2

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