KYC Submissions - AlphaNagara Sdn. Bh.d

AlphaNagara Digital KYC Application

Please complete the form below to start our Digital KYC Application Process. (* signifies a required field)
For companies: We will require identification documents of the company's director(s) (NRIC for Malaysians or Passport for Internationals) for our validation process.
For individuals: We will require personal identification documents(NRIC for Malaysians or Passport for Internationals) for our validation process.
Our team will be notified after your submission and you may expect a reply within 2 business days.

Submission Details

Submitting as*

A Company

An Individual

Customer Details

Full Name*

Email*

Phone Number*

Fax Number

Identification Document Type

Identification Number (NRIC/Passport)*

Passport Place Of Issue*

Passport Date Of Issue*

Passport Date Of Expiry*

Company Details

Company Name*

Company Industry/Sector*

Date Of Incorporation*

Business Registration Number*

State and Country of Incorporation*

Date Of Business Commencement*

Tax Registration Number*

Representative's Details

Association/Relationship with Customer

If Employed, Date Of Employment

Designation

Mailling Address

Address*

Postcode*

City*

State*

Country*

Mailling Email*

Mailling Phone Number*

Mailling Office Phone Number

Mailling Fax Number

Company Registered Address

Address*

Postcode*

City*

State*

Country*

Company Email*

Company Phone Number*

Company Office Phone Number

Company Fax Number

Company Director Details

Director 1 Full Name (with salutation)

Director 1 Identification Number (NRIC/Passport)

Director 2 Full Name (with salutation)

Director 2 Identification Number (NRIC/Passport)

Bank Details

Bank Name*

Bank Account Type*

Files

Form 9 PDF (.pdf)

Form 49 PDF (.pdf)

Declaration By submitting, I/We hereby confirm that all the information furnished above is true and correct to the best of my/our knowledge and related document and I/we undertake to notify you of any changes therein immediately.