PERSONAL FINANCING-i FOR GOVERNMENT SERVANT APPLICATION FORM /

BORANG PERMOHONAN PEMBIAYAAN PERIBADI-i UNTUK SEKTOR AWAM

*Please use a black ball-point pen ONLY / Sila gunakan pen dakwat hitam SAHAJA **Mandatory to fill in / Wajib dilengkapkan.
All documents must be verified by employer / Head of Department / Dokumen-dokumen harus disahkan oleh majikan / Ketua Jabatan
FACILITY DETAILS / BUTIRAN KEMUDAHAN

EMPLOYMENT DETAILS / BUTIRAN PEKERJAAN

Personal Financing Amount Requested

RM
Amaun Pembiayaan Peribadi yang dikehendaki
Payment Period (months)
Tempoh Bayaran (bulan) _________________ Months / Bulan
Purpose of Financing
Tujuan Pembiayaan ____________________________________
PERSONAL DETAILS / BUTIRAN PERIBADI
____________________________________________________________________

MyKad No. / No. MyKad

Old IC / KP Lama

Academic Qualification / Kelayakan Akademik

Primary/Secondary /
Diploma/ Degree /
Rendah/Menengah
Diploma
Ijazah
Race / Bangsa
Malay /
Bumiputera /
Melayu
Bumiputera
Chinese /
Indian /
Others /
Cina
India
Lain-lain

Masters/Phd /
Sarjana/
Doktor Falsafah

SPOUSES DETAILS / MAKLUMAT SUAMI / ISTERI

Name as per MyKad / Nama seperti MyKad
_______________________________________________________
MyKad No. / No. MyKad

SILA ISI DI SEMUA RUANGAN

DENGAN PEN HITAM
Mrs / Puan

Ms / Cik

Others (Please Specify)

Lain-lain (Sila Nyatakan) __________________
Sex / Jantina

Office Tel. No. / No. Tel. Pejabat

Position / Jawatan ___________________________
Years of Service / Tempoh Berkhidmat ___________________________
Annual Income / Pendapatan Tahunan ______________________
Other Income / Pendapatan Lain ___________________________
Status of Employment / Status Pekerjaan_____________________

Name as per MyKad / Nama seperti MyKad

Mr / Encik

Name of Department / Nama Jabatan ______________________

Address / Alamat ________________________________________
______________________________________________________
______________________________________________________
Postcode / Poskod

Male / Lelaki

Female / Perempuan

Name of Company / Department / Nama Syarikat / Jabatan

_____________________________________________________________________

Unit / Unit _____________________________________________ WAJIB DI ISI NO

PASANGAN
Address / Alamat ________________________________________
______________________________________________________
Office Tel. No. / No. Tel. Pejabat
Position / Jawatan _______________________________________

Date of Birth /
dd / hh
mm / bb
yy / tt
Tarikh Lahir
Nationality / Warganegara _______________________________

**PERSONAL SECURITY REFERENCE / RUJUKAN KESELAMATAN PERIBADI

Mothers Maiden Name / Nama Ibu Sebelum Kahwin
______________________________________________________

Marital Status / Taraf Perkahwinan

Married
Single
Divorced
Bujang
Kahwin
Janda/Duda

**PERSONAL REFERENCE / RUJUKAN PERIBADI

Referral Name and Contact No. / Nama Rujukan dan No. Telefon
______________________________________________________
PASANGAN /SAUDARA
______________________________________________________

Widowed
Balu/Duda

No. of Dependents / Bilangan Tanggungan _________________

**Office Tel. No. / No. Tel. Pejabat
**House Tel. No. / No. Tel. Rumah
**Mobile Tel. No. / No. Tel. Bimbit
Email / Emel___________________________________________
**RESIDENCE DETAILS / BUTIRAN KEDIAMAN
Residential Address / Alamat Kediaman ____________________
_____________________________________________________
_____________________________________________________
Postcode / Poskod
Years there / Tempoh Menetap __________________
Residence is / Kediaman
Owned /
Rented /
Family Owned /
Milik Sendiri
Disewa
Milik Keluarga
Mortgaged /
Employer /
Digadai
Majikan
Mailing Address /
Residence /
Office /
Alamat Surat-menyurat
Alamat Kediaman
Pejabat
Permanent Address (If different from residential address) /
Alamat Tetap (Jika berlainan daripada alamat kediaman)
_____________________________________________________
_____________________________________________________
_____________________________________________________
Postcode / Poskod

**EMERGENCY CONTACT PERSON / RUJUKAN SEMASA KECEMASAN

(Family Members Not Living With You)/
( Ahli Keluarga Yang Tidak Tinggal Bersama)
Name / Nama ___________________________________________
Relationship / Hubungan __________________________________
House Tel. No. / No. Tel. Rumah
Mobile Tel. No. / No. Tel. Bimbit
Address / Alamat ________________________________________
______________________________________________________
Postcode / Poskod
REQUIRED DOCUMENTS / DOKUMEN DIPERLUKAN
REQUIRED DOCUMENTS / DOKUMEN DIPERLUKAN
2 copies of MyKad (front and back) /
2 salinan MyKad (depan dan belakang)
1 original + 1 copy of Salary Slip (Latest 3 months) /
1 salinan asal + 1 salinan Slip Gaji (Terkini 3 bulan)
1 original + 1 copy of Employee Confirmation Letter (with
Employers Letterhead) /
1 salinan asal + 1 salinan Surat Pengesahan Jawatan dari Majikan
(dengan Kepala Surat Rasmi Majikan)
1 original Redemption Statement of other banks/FIs (if any)/
1 salinan asal Penyata Penebusan dari Bank-bank lain/ Institusi
Kewangan (jika berkenaan)

DISBURSEMENT / PEMBAYARAN
Please provide the Banks name and sole account number. / Sila nyatakan nama Bank dan nombor akaun tunggal.
Banks Name / Nama Bank
SILA ISI NAMA BANK UNTUK PROSES DISBURSE

Account No. / No. Akaun

I declare, confirm and undertake that the details of the account stated above are correct and valid and that it is an individually-held
account which is active and non-dormant (i.e. not inactive for more than 6 months). I acknowledge that there could be delays in the
processing of my application or that the Personal Financing-i for Government Servant amount may not be credited into my account if
the details given are not correct. Any charges imposed or levied on the account shall be my sole and absolute responsibility and
liability. /
Saya mengakui, mengesahkan dan mengakujanji bahawa butiran akaun yang dicatatkan di atas adalah pegangan individu yang aktif dan tidak
dorman (iaitu bukan tidak aktif selama 6 bulan). Saya akui bahawa mungkin berlaku kelewatan di dalam pemprosesan permohonan saya atau
jumlah Pembiayaan Peribadi-i untuk Sektor Awam mungkin tidak dapat dikreditkan ke dalam akaun saya sekiranya butiran yang diberikan
tidak betul. Sebarang bayaran yang dikenakan atau dilevikan ke atas akaun tersebut adalah tanggungjawab dan liabiliti saya sepenuhnya.
FINANCING TRANSACTIONS AND EXPOSURE WITH CONNECTED PARTIES /
TRANSAKSI PEMBIAYAAN DAN PENDEDAHAN DENGAN PIHAK BERKAITAN
Do you have any immediate family or close relatives (including parent, brother/sister and their spouses, dependents of the spouse and
own/step/adopted children and spouse of the child/children) that are employees of RHB Banking Group? /
Adakah anda mempunyai ahli keluarga atau saudara terdekat (termasuk ibu bapa, abang / kakak / adik dan pasangan mereka dan tanggungan
kepada pasangan, anak sendiri/ tiri / angkat dan pasangan tanggungan) yang merupakan kakitangan Kumpulan Perbankan RHB?
(

) Yes / Ya

( X

) No / Tidak

DECLARATION / PENGESAHAN
I hereby confirm and declare that all information provided by me is complete, true and correct and that I authorize RHB Islamic Bank
Berhad (the Bank) to verify any information provided and to obtain from any source including Inland Revenue Board as the Bank
considers appropriate any information which the Bank may require. The Bank may, at its sole and absolute discretion, approve or reject
my application. I agree that by signing and / or using the financing facilities, I agree to be bound by and to comply with all the terms and
conditions of the Bank which will be sent to me upon approval of my application and any other terms and conditions imposed by the Bank
from time to time for financing facilities and all amendments thereto and agree that financing facilities may only be used subject to such
terms and conditions. I understand that the financing facilities when issued remain the property of the Bank and must be paid to the Bank
upon request and shall be subject to cancellation with prior notice. I irrevocably and unconditionally agree, authorize and permit the
Bank to disclose or release to Bank Negara Malaysia, Cagamas Berhad, the credit bureau established by Bank Negara Malaysia including
but not limited to the Central Credit Reference Information System (CCRIS) and such other authorities pursuant to any applicable law,
regulations or directive (whether having the force of law or otherwise) or any party as the Bank shall deem fit, any information with
respect to me for any purpose including but not limited to the purpose of assessing my credit worthiness. I hereby confirm that no further
permission or consent from me is necessary or required in relation to all of the above disclosures. I hereby declare that I have not
breached or contravened the provisions of Section 57 of the Islamic Financial Services Act 2013 read together with Bank Negara Malaysia
(BNM) Guidelines on Credit Transactions and Exposures with Connected Parties for Islamic Banks and/or of any replacement
standards/guidelines/specifications/ circulars issued by BNM from time to time in connection herewith. I further declare and confirm to
the Bank that my spouse, parents, child/children are not in the employment of or directly related to any of the directors, officers or
employees of the Bank. I shall not dispute the contents of the faxed copy received by RHB Islamic Bank Berhad which shall be deemed
as the original application and I shall produce the original application to the Bank upon request. I agree to abide by the laws of
Malaysia related to Anti-Money Laundering and Counter Financing of Terrorism. I have been briefed on the description and benefits
pursuant to the Product Disclosure Sheet that has been given to me on the RHB Islamic Personal Financing-i for Government Servant
herein. /

Saya dengan ini mengesahkan dan mengaku bahawa kesemua maklumat yang diberikan oleh saya adalah lengkap, benar dan tepat dan saya
memberi kebenaran kepada RHB Islamic Bank Berhad (Bank) untuk mengesah sebarang maklumat yang diberikan dan mendapat daripada
mana-mana sumber termasuk Lembaga Hasil Dalam Negeri sebarang maklumat yang dianggap perlu atau diperlukan oleh Bank. Bank berhak
atas budi bicara mutlaknya untuk melulus atau menolak permohonan saya. Saya bersetuju dengan menandatangani dan / atau menggunakan
kemudahan pembiayaan ini, saya bersetuju untuk diikat oleh dan mematuhi dengan kesemua terma-terma dan syarat-syarat perjanjian Bank
yang akan dihantar kepada saya setelah permohonan saya diluluskan dan kesemua terma-terma dan syarat-syarat lain yang dikenakan oleh
Bank dari semasa ke semasa untuk kemudahan pembiayaan dan semua pindaan lain dan bersetuju bahawa kemudahan pembiayaan hanya
boleh digunakan tertakluk kepada apa-apa terma-terma dan syarat-syarat. Saya faham bahawa kemudahan pembiayaan apabila diluluskan
adalah sentiasa hakmilik Bank dan hendaklah dibayar kepada Bank apabila diminta dan boleh dibatalkan oleh Bank dengan notis terdahulu.
Saya dengan perihal tidak boleh dibatalkan dan dengan tiada syarat bersetuju, memberi kebenaran dan membenarkan Bank untuk memberi
kepada Bank Negara Malaysia, Cagamas Berhad dan biro kredit yang ditubuhkan oleh Bank Negara Malaysia termasuk tetapi tidak terhad
kepada Sistem Maklumat Rujukan Kredit Pusat dan lain-lain pihak berkuasa di bawah sebarang undang-undang, peraturan atau perintah
(samada mempunyai kuasa undang-undang atau tidak) atau mana-mana pihak yang ditentukan sesuai dan berkenaan oleh Bank, sebarang
maklumat berkenaan dengan saya untuk apa-apa tujuan termasuk tetapi tidak terhad kepada tujuan menilai kemampuan pembiayaan saya.
Saya dengan ini mengesahkan bahawa tiada lagi kebenaran atau persetujuan dari saya adalah perlu atau dikehendaki berhubung dengan
perkara tersebut di atas. Saya dengan ini mengaku bahawa saya tidak pernah melanggar peruntukan Seksyen 57 Akta Perkhidmatan Kewangan
Islam 2013 dibaca bersama dengan Garis Panduan Bank Negara berkenaan Urus Niaga Kredit dan Pendedahan dengan Pihak Berkaitan bagi
perbankan Islam dan/atau mana-mana garis panduan pengganti/spesifikasi/pekeliling yang dikeluarkan oleh BNM dari semasa ke semasa yang
berkaitan dengannya. Saya juga mengaku dan mengesahkan kepada Bank bahawa pasangan, ibu bapa, anak/anak-anak saya adalah bukan
pekerja atau secara langsung berhubung kait dengan mana-mana pengarah, pegawai atau pekerja Bank. Saya tidak akan mempertikaikan isi
kandungan salinan faks yang diterima oleh RHB Islamic Bank Berhad yang akan dikira sebagai permohonan benar dan saya akan mengeluarkan
permohonan benar kepada Bank apabila diminta. Saya bersetuju mematuhi undang-undang Malaysia yang berkaitan dengan Pencegahan
Pengubahan Wang Haram dan Pembanterasan Pembiayaan Keganasan. Saya telah diberitahu tentang keterangan dan faedah berhubung
dengan Helaian Pendedahan Produk yang telah diberikan kepada saya berkaitan dengan Pembiayaan Peribadi-i untuk Sektor Awam RHB
Islamic yang dipohon di sini.

X ) Yes / Ya

) No / Tidak

X
TANDATANGAN
PEMOHON
____________________________________________________________________________________________________________

_________________________________________________________

Signature of Applicant / Tandatangan Pemohon

Date / Tarikh

JANGAN ISI TARIKH

FOR BRANCH/SALES USE ONLY / UNTUK KEGUNAAN CAWANGAN/JUALAN SAHAJA

Referred by / Dirujuk oleh

Supported by / Disokong oleh

Name / Nama :
Staff ID / No. Pekerja :
Branch Stamp / Cop Cawangan :

Name / Nama :
Staff ID / No. Pekerja :
Branch Stamp / Cop Cawangan :

Organisation Code /
Kod Organisasi

Program Code /
Kod Program

Branch Code /
Kod Cawangan

Staff ID No. /
No. ID Pekerja

SURAT AKUAN KEBENARAN POTONGAN GAJI PEMBELI/PEMINJAM

1. PERAKUAN PEMBELI / PEMINJAM

Saya dengan ini bersetuju supaya gaji saya dipotong untuk dibayar kepada (nama organisasi)
bagi bayaran seperti ternyata di Bahagian Tiga (3) dalam surat kebenaran ini dan lain-lain bayaran atau perubahan yang diarahkan oleh organisasi dari masa ke semasa.
Potongan ini akan dibuat kepada I Destinasi Sdn. Bhd. (IDSB) yang bertanggungjawab mengendalikan pengutipan potongan gaji.
Persetujuan saya ini juga adalah keizinan saysa yang dikehendaki di bawah undang-undang bertulis mengenai potongan gaji dan/atau buruh terpakai dan keizinan ini
termasuk memberi kuasa kepada majikan saya untuk mengubah dan/atau meminda potongan gaji ini selaras dengan undang-undang bertulis.
Persetujuan ini laku sehingga kebenaran ini saya tarik balik secara bertulis dan pembatalan potongan ini akan dilaksanakan setelah disahkan oleh organisasi bahawa
saya adalah bebas dari sebarang hutang atau tunggakan ansuran pinjaman dan lain-lain bayaran atau perubahan yang diarahkan. Saya maklum bahawa urusan
potongan gaji ini ialah suatu kemudahan membayar dan saya masih bertanggungjawab terhadap bayaran-bayaran yang tidak dijelaskan kepada organisasi tersebut.
Saya juga membenarkan pihak organisasi atau majikan menyemak maklumat potongan gaji dan maklumat lain saya. Sebagai balasan bagi yang tersebut di atas, saya
dengan ini menyelamatkan Kerajaan Malaysia dan IDSB dari kerugian dan saya tidak akan membuat tuntutan terhadap mereka, tidak akan menuntut daripada mereka,
atau tidak akan mendakwa mereka, di atas apa-apa kerugian yang mungkin berlaku selepas apa-apa jumlah telah dipotong dari gaji saya dan dihantar kepada IDSB atas
permintaan saya.
Saya dengan ini mengizinkan IDSB mengenakan caj proses dan penyediaan potongan gaji sebanyak 2% daripada jumlah potongan gaji bulanan saya sehingga tamat
bayaran / penyelesaian pembiayaan sepertimana yang terdapat di dalam perjanjian pembiayaan.
Saya mengakui telah membaca dan memahami implikasi surat kebenaran ini dan semua pekeliling, arahn dan aturan-aturan yang mengawalselia urusan potongan gaji
DIPENUHI OLEH SAKSI

TANDATANGAN
PEMOHON
x

Tandatangan

Tandatangan

Nama Penuh

Nama Penuh

No. Kad Pengenalan / No. Tentera / No. Polis

No. Kad Pengenalan

Tarikh

Tarikh

JANGAN ISI TARIKH

BIARKAN KOSONG

No. Gaji / Pekerja / Personel

Jawatan
Nama / Alamat Majikan

No. Telefon
Nama Bank / No. Akaun

2. PENGESAHAN UNIT GAJI / BAHAGIAN KEWANGAN / BAHAGIAN PENTADBIRAN

Adalah dengan ini disahkan bahawa butir-butir yang ternyata di atas diakui betul dan penama berkenaan berkhidmat
di jabatan / sekolah ini.
Tandatangan
Nama Penuh
Jawatan Pegawai
Tarikh

Cop Rasmi Majikan

COP BULAT MAJIKAN

TANDATANGAN MAJIKAN

3. UNTUK KEGUNAAN ORGANISASI SAHAJA

Kod
Potongan

Tarikh Mula
Tahun
Bulan

Bulan

Tarikh Akhir
Tahun

Amaun
Pokok

Amaun
Faedah

Jumlah Hash (Amaun Pokok + Amaun Faedah)

Disediakan oleh:
Nama

COP ORGANISASI

Tandatangan
Tarikh

I DESTINASI SDN BHD (66784-V) Alamat : 4 & 6 Persiaran 65C Jalan Pahang Barat, Off Jalan Pahang, 53000 Kuala Lumpur. Tel : 03 4023 2266 Faks : 03 4023 3366

AUTHORIZATION OF PAYMENT DEDUCTION FROM PERSONAL FINANCING-i

Date :

JANGAN ISI TARIKH

RHB Islamic Bank

Level 11, Menara Yayasan Tun Razak
200, Jalan Bukit Bintang
55100, Kuala Lumpur
Sir / Madam,
AUTHORIZATION OF PAYMENT DEDUCTION FROM PERSONAL FINANCING-i FACILITY
We refer to the above.

NO IC PEMOHON
NAMA PEMOHON
I, ____________________________________________________
(MyKad:__________________________________________ ) hereby authorize and allow RHB
Islamic Bank (Bank) to make direct deduction/payment from the amount approved by the Bank.
1.0
2.0
3.0
4.0
5.0

Stamp Duty
Takaful Contribution
Redemption Amount 1
Trading Fee
Admin Fee 2 breakdown:
5.1 Gross Admin Fee
5.2 Total GST payable @ 6% on Gross Admin Fee
Total admin fee (inclusive of GST)

RM _____________________
RM _____________________
RM _____________________
RM _____________________
RM _____________________
RM _____________________

RM _____________________
RM _____________________

Total Deduction
Note : If applicable
Note2 : Only for PF-i Civil Sector via Angkasa
1

I also agree that the balance amount of the above financing (after deduction) will be paid by the Bank to me through Bank account or
through any means deemed fit by the Bank.
I also hereby agree that this authorization is an irrevocable approval if the redemption amount has been paid to any third party on my
behalf by the Bank, and I also agree and promise to pay the whole redemption amount to the Bank if I were to withdrawn from the
facility.
The Bank shall credit the net amount of the financing as per above (after taking into consideration the above deduction and any fees
charged by the Bank on me) into my account as per below:
PF-i for Private/Pensioner (for RHBIB/RHB account only)
RHB Bank/
RHB Islamic Bank Berhad
PF-i for Civil Sector
Existing RHB Account

Other Bank (please specify)

ISI MAKLUMAT AKAUN BANK DI SINI

Account No.

I hereby agree that the Bank shall not be liable on any damages, losses, or any costs that should be borne by me. I also will bear all
the losses (on full indemnified basis) on behalf of the Bank on any losses or damages that incurred by the Bank on the Banks action
in order to execute my order and authorization above.

TANDATANGAN PEMOHON
__________________________________________________
APPLICANTS SIGNATURE
NAME

: ______________________________________

CUSTOMERS ACCEPTANCE
TO

RHB ISLAMIC BANK BERHAD

I, the undersigned, hereby confirm that I have read the Terms and Conditions set out in this Letter of Offer and in its
Annexures and have agreed to the same.
I hereby accept the Facility upon the Terms and Conditions mentioned above and in the Annexures hereto and I
shall respond to the Banks SMS within the same working day on the date the first SMS is sent to me.
I hereby declare and confirm to the Bank that I am not related to/a guarantor to any of the directors, controlling
shareholders, officers, members of Shariah Committee of the RHB Banking Group and their respective close relatives
which include spouse and dependents of the spouse, child (including step/adopted child) and spouse of the child, parent
and brother or sister and their spouses.
I shall not dispute the contents of the faxed copy of the application form received by the Bank which shall be deemed
as the original application and I shall produce the original application to the Bank upon request. I agree to abide by the
Anti-Money Laundering and Anti-Terrorism Financing laws of Malaysia. I have been briefed on the description and
benefits pursuant to the Product Disclosure Sheet that has been given to me on the RHB Islamic Personal
Financing-i for Government Servant herein.
It is also hereby agreed that notwithstanding any provision for the payment of the Facility hereinbefore contained, I
may at any time prepay the whole of the Banks Sale Price as the Bank may accept provided that prior written notice of
one (1) month is given in advance to the Bank.
To: RHB Bank Berhad (Co. No.6171-M)
Debiting of Account with RHB Bank Berhad
Subject to Clause 11 of Annexure 1, If I have Current or Savings Account(s) including joint account(s) with any other
person with RHB Bank Berhad, I irrevocably authorise RHB Bank Berhad to debit my account(s) with you and pay such
proceeds to RHB Islamic Bank Berhad (the Bank) for any amount due from me to the Bank hereunder even if
suchdebiting causes an overdrawn position or any existing overdraft limit to be exceeded due to insufficient funds in my
RHB Bank Berhads account(s), and I agree to bear the financial consequences of such overdrawing or excess
according to the Terms and Conditions imposed by you.
X

TANDATANGAN PEMOHON

Name
: .............................................................
NRIC No.
: .............................................................
JANGAN ISI TARIKH
Date
: .............................................................
Phone No.
: ............................................................. (Home)

................................................................ (Mobile)

For Banks Use,

Verified by,
........
Name

: .....................................................

NRIC No.

: .....................................................

Date

: .....................................................

ANNEXURE 2
COMMODITY PURCHASE ORDER
(To be issued by the Customer to the Bank)

DATE

TO

JANGAN ISI TARIKH

RHB ISLAMIC BANK BERHAD
Level 12
Menara Yayasan Tun Razak
200 Jalan Bukit Bintang
55100 Kuala Lumpur, Malaysia
(for the attention of..)

Dear Sirs,
LETTER OF OFFER DATED

JANGAN ISI TARIKH (LETTER OF OFFER) COMMODITY PURCHASE ORDER

I refer to Clause 6 of the Letter of Offer whereby the terms defined in the Letter of Offer have the same meanings when
used herein
I hereby make this order and request you to purchase the Specified Commodity at a purchase price of Ringgit Malaysia
.................................................................
only (RM) which is equivalent to the Facility Amount as approved by your goodself (Facility
Amount).
I acknowledge that your purchase of the Specified Commodity will be upon my request herein contained and I
undertake to purchase the Specified Commodity from you an amount equivalent to the Facility Amount.
This Commodity Purchase Order is irrevocable and the Terms and Conditions of the Letter of Offer are incorporated into
this Commodity Purchase Order.

Yours faithfully,

TANDATANGAN
PEMOHON
X
.
NAME
: ..
NRIC NO. : ..

13

ANNEXURE 3
MURABAHAH SALE ACCEPTANCE LETTER
(To be issued by the Customer to the Bank)

DATE :
TO

JANGAN ISI TARIKH

RHB ISLAMIC BANK BERHAD

Level 12
Menara Yayasan Tun Razak
200 Jalan Bukit Bintang
55100 Kuala Lumpur, Malaysia
(for the attention of..)

Dear Sirs,
LETTER OF OFFER DATED JANGAN ISI TARIKH (LETTER OF OFFER) MURABAHAH SALE ACCEPTANCE
LETTER
Pursuant to my acceptance via the SMS replied or the acceptance made by you on my behalf as agent (wakeel), I
hereby confirmed that I have accepted your offer and purchased the Specified Commodity in accordance with the
Terms and Conditions of the Murabahah Sale Offer Letter dated

The Terms and Conditions of the Letter of Offer are deemed incorporated into this Murabahah Sale Acceptance Letter.

Yours faithfully,
X
TANDATANGAN
PEMOHON
..
NAME.
: .............................................................
NRIC NO. : .............................................................

14

ANNEXURE 4
SELLERS OFFER
(To be issued by the Customer through RHB Islamic Bank Berhad as the agent to sell to Broker B)
DATE

: JANGAN ISI TARIKH

To
Attn
Fax/E-mail
From

:
:
:
:

[Broker B]

SALE OF COMMODITY PURSUANT TO PERSONAL FINANCING-i WITH RHB ISLAMIC BANK BERHAD.
I refer to the above matter and I hereby appoint RHB Islamic Bank Berhad as my sole and exclusive agent to sell to you
the Specified Commodities which terms are as follows:
Terms
Seller

: RHB Islamic Bank Berhad as agent

Purchaser

: Broker B

Sellers Ref

Certificate Number

Commodities

Quantity

Location

Selling Price in RM

Value Date/ Delivery Date

Payment Date

Payment: On the payment date, you shall credit the Selling Price subject to any agreed deduction with RHB
Islamic Bank Berhad stated above into my account pursuant to clause 15.
This Sale Transaction will be concluded upon your acceptance of this offer by acknowledging receipt of this Sellers
Offer and forwarding the Selling Price to RHB Islamic Bank Berhad. Thereafter, the title and ownership of the
Commodities will be transferred to you.

Yours faithfully,

TANDATANGAN
PEMOHON
X
..
NAME
: ..................................................
NRIC NO. : ..................................................

15

NOTIS PRIVASI RHB

Saya faham bahawa RHB Islamic Bank Berhad (680329-V) ("RHB") akan menggunakan, mengumpul, merekod, menyimpan, berkongsi dan/atau
memproses maklumat peribadi saya, termasuk, tanpa had, butir-butir pengenalan saya, maklumat latar belakang, data kewangan dan maklumat lain
yang berkaitan dengan permohonan saya untuk produk dan / atau perkhidmatan yang

a) telah saya berikan di dalam borang ini atau melalui sebarang perhubungan lain dengan Kumpulan Perbankan RHB (termasuk syarikat-syarikat
induk RHB, syarikat-syarikat subsidiari, dan mana-mana syarikat yang berkenaan), termasuk mana-mana syarikat yang terhasil daripada mana-mana
penyusunan semula, penggabungan, jualan atau pengambilalihan atau
b) diperolehi daripada analisis pembayaran saya dan urusniaga/perkhidmatan yang lain dalam Kumpulan Perbankan RHB, atau
c) diperolehi daripada pihak ketiga seperti majikan, pemohon bersama/pemegang-pemegang akaun, penjamin-penjamin, wakil-wakil perundangan,
persatuan-persatuan berkaitan industri/kewangan, biro-biro kredit atau agensi-agensi pelaporan kredit, penjual- penjual, rangkaian-rangkaian sosial
dan agensi-agensi pencegahan penipuan atau organisasi-organisasi lain,
untuk mana-mana dan/atau semua tujuan-tujuan yang berikut ("Tujuan"), jika berkaitan:

(i)

menyediakan produk dan/atau perkhidmatan ini dan memaklumkan saya tentang sebarang perubahan penting atau perkembangan
tentang ciri-ciri produk dan/atau perkhidmatan tersebut;
(ii) mengemaskini dan menguruskan ketepatan rekod Kumpulan Perbankan RHB;
(iii) pencegahan, pengesanan atau pendakwaan jenayah, dan pematuhan obligasi-obligasi perundangan dan peraturan;
(iv) penilaian dan analisis termasuk pemarkahan kredit / pinjaman / risiko insurans / kelakuan, analisis pasaran dan produk dan penyelidikan pasaran;
(v) perhubungan dan memastikan kepuasan pelanggan, yang mungkin termasuk menjalankan kajian-kajian meningkatkan kualiti produk-produk
dan perkhidmatan-perkhidmatan kami, membalas kepada pertanyaan dan aduan serta untuk menyelesaikan percanggahan secara umumnya;
(vi) menentukan jumlah hutang saya dan pemungutan hutang yang saya berhutang kepada RHB;
(vii) mengekalkan sejarah kredit saya untuk rujukan semasa dan akan datang;
(viii) membolehkan pemegang serah hak sebenar atau yang dicadangkan oleh RHB, atau peserta atau sub peserta RHB untuk menilai urus niaga
saya yang bertujuan untuk menjadi subjek penyerahhakan, penyertaan atau sub penyertaan; dan
(ix) melindungi kepentingan Kumpulan Perbankan RHB dan tujuan sampingan atau tujuan lain yang berkenaan.
Saya faham dan mengakui bahawa RHB perlu memproses maklumat peribadi saya untuk Tujuan tersebut, tanpanya RHB tidak akan dapat menyediakan
produk/perkhidmatan yang saya minta daripada RHB dan untuk memaklumkan saya tentang sebarang perubahan penting atau perkembangan tentang
produk/perkhidmatan tersebut. Di mana saya telah memberi RHB maklumat peribadi sensitif (khususnya, maklumat tentang kesihatan fizikal / mental
saya untuk permohonan bagi produk insurans / perkhidmatan), saya dengan ini memberikan RHB persetujuan nyata saya untuk memproses mengikut cara
yang dinyatakan dalam Notis Privasi ini.
Saya faham bahawa RHB mungkin akan mendedahkan maklumat peribadi saya (atau maklumat peribadi sensitif, jika berkenaan) kepada syarikatsyarikat lain di dalam Kumpulan Perbankan RHB, penyedia-penyedia perkhidmatan, peniaga-peniaga dan rakan-rakan kongsi strategik, pembekal-pembekal
termasuk agensi-agensi pemungutan hutang, penasihat-penasihat profesional, persatuan- persatuan berkaitan industri/kewangan, biro-biro kredit atau
agensi-agensi pelaporan kredit dan pencegahan penipuan, agensi-agensi kerajaan, institusi-institusi kewangan yang lain dan mana-mana ejen, pekerja,
dan/atau mana-mana orang mereka, sama ada bertempat di dalam atau di luar Malaysia untuk Tujuan tersebut, jika berkenaan, tertakluk pada setiap
masa kepada mana-mana undang-undang (termasuk peraturan-peraturan, piawaian, garis panduan dan / atau obligasi) yang terpakai kepada RHB.
Saya juga faham bahawa saya boleh meminta untuk membuat pembetulan (jika maklumat peribadi saya adalah tidak tepat, ketinggalan zaman, tidak
lengkap, dan lain-lain), akses kepada (fi yang ditetapkan mungkin dikenakan), atau untuk menghapuskan (jika saya tidak lagi mempunyai apa-apa
produk/perkhidmatan yang sedia ada dengan Kumpulan Perbankan RHB) ke atas maklumat peribadi saya atau mengehadkan pemprosesan itu pada
bila-bila masa selepas ini dengan mengemukakan permintaan tersebut melalui pos, e-mel atau faks kepada alamat berikut:
RHB Banking Group Customer Care Centre,
Level 7 Menara AA, JalanTun Razak, 50400 Kuala Lumpur, Malaysia.
Nombor Faks: 03 9206 8088 / Nombor Telefon: 03 9206 8118 / Emel: customer.service@rhbgroup.com
Saya mengakui bahawa Kumpulan Perbankan RHB boleh mengubahsuai atau mengemas kini Notis Privasi ini dari masa ke semasa, di mana salinannya
boleh didapati di www.rhbgroup.com dan saya boleh menyalurkan sebarang aduan atau pertanyaan yang saya mungkin ada dengan cara yang
ditunjukkan di atas.
PENGIKTIRAFAN DAN KEBENARAN
Dengan memberikan maklumat peribadi saya berserta tandatangan, saya mengizinkan RHB memproses maklumat peribadi saya untuk
pendedahan yang diperlukan dan pemindahan maklumat peribadi saya ke luar negara kepada pihak ketiga yang berkaitan, jika berkenaan.

mana-mana

Saya bersetuju dengan pendedahan dan/atau pemindahan maklumat peribadi saya kepada pihak ketiga yang berkaitan akibat daripada apa-apa
penyusunan semula, penjualan atau pengambilalihan mana-mana syarikat dalam Kumpulan Perbankan RHB, dengan syarat bahawa penerima
menggunakan maklumat peribadi saya untuk Tujuan tersebut sahaja.
Saya juga menyatakan dan menjamin bahawa saya telah cukup memperolehi persetujuan individu-individu pihak ketiga (contohnya keluarga, pasangan,
pihak-pihak berkaitan, pemegang kad tambahan dan/atau orang hubungan kecemasan, lain-lain) di mana maklumat peribadi mereka telah saya dedahkan
kepada RHB untuk membenarkan RHB membuat pemprosesan yang sama berhubung dengan Tujuan, jika berkenaan.

KEBENARAN UNTUK PENJUALAN SILANG, PEMASARAN, PROMOSI, DAN LAIN-LAIN

Saya/Kami mengizin dan membenarkan RHB memproses dan mendedahkan apa-apa maklumat yang saya/kami telah berikan kepada RHB untuk tujuan
penjualan silang, pemasaran dan promosi (termasuk untuk menjalankan tawaran dan pertandingan), dan menjalankan kajian (bagi memperbaiki kualiti
produk/perkhidmatan) kepada Kumpulan Perbankan RHB (di mana termasuk syarikat induk, anak-anak syarikat, mana-mana syarikat yang berkaitan
dan/atau mana-mana syarikat/cawangan yang terhasil daripada apa- apa penyusunan semula, penggabungan, jualan atau perolehan, sama ada di
dalam atau di luar Malaysia), rakan-rakan kongsi strategik, penyedia-penyedia perkhidmatan dan agen-agen, pekerjapekerja dan/atau mana-mana orang mereka atau pihak ketiga, jika berkenaan.
X Ya Tidak
*Nota: Klausa ini hanya terpakai kepada individu-individu dan perusahaan kecil dan sederhana (SMEs).

AGENSI PENILAIAN KREDIT (CRA) BORANG PERAKUAN KEBENARAN

NAMA
PEMOHON
NO IC PEMOHON
Saya/Kami,dengan kad
pengenalan bernombor .

dengan ini memberi kuasa

dan memberi kebenaran kepada RHB Bank/RHB Islamic Bank untuk mendapatkan apa-apa maklumat kredit daripada CTOS dan/atau mana-mana
Agensi Pelaporan Kredit berdaftar seperti yang didefinisikan di bawah Akta Agensi Pelaporan Kredit 2010 tanpa sebarang notis lanjut kepada Saya/Kami
bagi tujuan seperti yang berikut (mana-mana yang berkenaan) : Pemprosesan permohonan kredit,

Kajian semula had kredit,

Penyusunan semula
Pertindihan
Naik taraf permohonan

BORANG AKUAN AKTA KEPATUHAN PERCUKAIAN AKAUN ASING

Sila tandakan () untuk yang berkenaan
Saya/Kami telah dimaklumkan dan saya/kami dengan ini mengesahkan bahawa saya/kami memahami keperluan FATCA. Saya/Kami dengan ini
mengisytiharkan bahawa saya/kami

bukan individu Amerika Syarikat dan

tidak mempunyai ciri-ciri indicia
Amerika Syarikat

bukan individu Amerika Syarikat tetapi

mempunyai ciri-ciri indicia Amerika
Syarikat/bukan Entiti Sah Amerika Syarikat
(sediakan borang W-8)

individu Amerika Syarikat/

Entiti Sah Amerika Syarikat (sediakan
borang W-9)

Sekiranya terdapat sebarang kemaskini berkenaan dengan maklumat akaun/status FATCA, saya/kami dengan ini bersetuju untuk memaklumkan pihak RHB
dan memberi bukti dokumen yang diperlukan dalam tempoh 30 hari dari tarikh perubahan tersebut. Saya/Kami mengizinkan dan memberi kebenaran kepada
pihak RHB untuk mengambil sebarang tindakan berikut, jika berkenaan:
1. Mengenakan sebarang penahanan bayaran cukai yang berkenaan ke atas akaun tersebut
2. Melaporkan atau mendedahkan maklumat relevan berhubung dengan akaun tersebut
3. Menamatkan (dengan notis terlebih dahulu) hubungan kontrak di antara saya/kami dengan pihak RHB

Nama: TANDATANGAN PEMOHON

Tandatangan: _______________________
No. KP:

PRODUCT DISCLOSURE SHEET

(Please read and understand this Product Disclosure Sheet together
with the general terms and conditions governing the Personal Financingi for Civil Sector Via AG before you decide to take up this product. Seek
assistance from RHB Islamic Bank Berhad if you need further
clarification on any part of this document or the terms used.
1.

2.

PERSONAL FINANCING-i FOR CIVIL

SECTOR VIA AG
JANGAN ISI TARIKH
Date: ___________________________________
[To be filled in by Sales/Branch Personnel]

What is this product about?

This is an unsecured Personal Financing-i offered to government
servant. The financing is offered through salary deduction using the
service of an appointed service provider namely I. Destinasi Sdn.
Bhd. (IDSB).
What is the applicable Shariah concept for this product?
The Personal Financing-i adopts the concept of Commodity
Murabahah via Tawarruq arrangement. Commodity Murabahah is
referring to trading of commodities which act as underlying assets of
a transaction. Customer will make payment of the sale price of the
commodity, which is including cost price and profit on deferred basis.
With the concept of Tawarruq, Customers will receive cash in
exchange for the commodities being sold off to third party.

Brokerage fee

RM30.00 per application

Collection fee
Note:Subject to 6%
Goods and Services
Tax (GST) (as
described below)

1.7% of monthly payment (inclusive of

GST)

Varies accordingly to financing

amount, age and tenor.
Note 1: Bank will inform you within at least 21 calendar days prior to
the effective date of implementation should there be any changes in
the fees and charges which are applicable to your financing facility.
Note 2: Stamp duty, brokerage fee and Takaful contribution will be
deducted from the total financing proceeds.
Note 3: 1.7% collection fee already incorporated in the monthly
payment.
Note 4: Please be informed that effective 1 April 2015, our banking
fees and charges will be subject to GST, unless stated otherwise.
With the implementation of GST, the Terms and Conditions
(T&Cs) for our products may be amended from time to time via the
relevant prior notices as prescribed in the T&C and such
amendments shall take effect on 1 April 2015. Kindly note that
currently GST is not applicable for stamp duty, brokerage fee and
Takaful contribution.
Takaful contribution

Transaction Flows:
The Customer and RHB Islamic Bank (RHBIB) enter into an
agreement where the Customer promises to buy a specified
commodity or asset from RHBIB and the Customer then appoints
RHBIB as his agent to sell the said commodity.

5.

What are the documents that I need to submit?

NO

a)
b)

3.

4.

RHBIB will purchase a commodity from Broker A at a purchase

price;
Ownership of the commodity will be transferred to RHBIB;

c)

RHBIB will sell the commodity to a Customer at a mark-up

price (purchase price plus profit margin)

d)

Customer will appoint RHBIB as agent to sell-off the commodity;

e)

RHBIB acting as Customers agent will sell the commodity to

Broker B;

f)

Broker B will purchase the commodity at the purchase price and

credit RHBIB account to reflect the sales transaction;

g)

RHBIB will make the fund available to Customer in the form of

Personal Financing-i (disbursement amount).

Total selling price

RM___________

Profit rate

_______________ % p.a

Tenor

_______________ years

What are my obligations?

Monthly payment*

RM_____________________

2 copies of MyKad (front and back)

5
6

2 copies Letter of Offer (Pre-sign)

1 copy of Product Disclosure Sheet

(Banks copy)

1 original Shariah Compliance Checklist

10

1 original Self-Declaration Form

12
13

14

6.

YES

NO

1 original + 1 copy of Salary Slip (Latest 3

months)
1 original + 1 copy of Surat Akuan
Kebenaran Potongan Gaji
Pembeli/Peminjam (AG- Accountant
General) / Surat Kebenaran Potongan
Gaji (BPA-Biro Perkhidmatan Angkasa)
(whichever applicable)
1 original + 1 copy of Employee
Confirmation Letter (with Employers
Letterhead)
1 original Letter of Authorization of
Payment Deduction from Personal
Financing-i

11

[(P I N) + P] / n
Where;
P: Financing Amount
I: Profit Rate per annum
N: Total Number of monthly payment in Years
n: Total Number of monthly payment in Months
What are the fees and charges that I have to pay?
Types of Fee
Details of Fee
Nominal amount of RM10.00 (per
document)
As per the Stamp Duty Act 1949
Stamp Duty
(Revised 1989)
(subject to change that imposed by
Government)

1 original complete Application Form

Total amount including the

RM _____________________
amount financed
*Monthly payment is derived based on the formula: -

5.

What can I benefit from this product?

Total amount financed
RM___________

DOCUMENTS REQUIRED

1 copy of RHB / RHBIB / any other banks

Account Passbook
1 original Redemption Statement of other
banks/FIs (if any)
1 original Retirement Option Letter (for
applicant aged 48 years old & above if
tenure exceeds mandatory retirement age)
1 original Transfer Letter (for applicant
who will be transferred in less than 6
months from the point of application)

Do I need any Takaful coverage?

Yes. Takaful coverage is compulsory. In circumstances of death and
total permanent disability, the Takaful will pay off all outstanding
amount of your financing with the Bank. This will alleviate the burden
of payment on your survivors or next of kin. You shall take up a
personal Takaful plan from any Takaful operator as approved by the
Bank. Takaful contribution will depend on the tenor and amount of
facility, including your age. The Takaful contribution will be deducted
from the financing proceeds.
Page 1 of 2

7.

What if I fail to fulfill my obligations?

a) You shall pay the Bank, by way of Ta'widh (compensation), a
sum equivalent to one per centum (1%) per annum of the
overdue payment(s) until date of full payment and/or settlement;
OR a sum equivalent to the BNMs Islamic Interbank Money
Market (IIMM) Rate on the balance principal amount outstanding
upon maturity date or the expiry of the Financing.
b) The Bank may set-off any credit balance in any account
maintained with the Bank against any outstanding balance in
this facility account which the Bank will notify you within at least
7 calendar days in advance.
c) Legal action will be taken if you fail to respond to reminder
notices. You will have to bear all costs and responsible to settle
any shortfall after legal action has been taken against you.
d) Legal action against you may affect your credit rating, which
leads to credit being more difficult or expensive for you.

15. Where can I get assistance and redress?

a) If you have difficulties in making payments, you should contact
us the earliest possible to discuss payment alternatives.
b)

Alternatively, you may seek the services of Agensi Kaunseling

dan Pengurusan Kredit (AKPK), an agency established by Bank
Negara Malaysia to provide free services on money
management, credit counseling, financial education and debt
restructuring for individuals.
You can contact AKPK at:
Tingkat 8, Maju Junction Mall, 1001,
Jalan Sultan Ismail, 50250 Kuala Lumpur.
Tel : 1-800-88-2575
Email : enquiry@akpk.org.my

c)

If you wish to complain on the products or services provided by

us, you may contact us at:
RHB Islamic Bank Berhad
Level 11, Menara Yayasan Tun Razak,
200, Jalan Bukit Bintang, 55100 Kuala Lumpur.
Tel: 03 9206 8118 / 082 276 118
Fax: 03 9206 8088 / 082 276 088
Email: customer.service@rhbgroup.com
Web: www.rhb.com.my

d)

If your query or complaint is not satisfactorily resolved by us,

you may contact Bank Negara Malaysia LINK or TELELINK at:
Block D, Bank Negara Malaysia
Jalan Dato Onn, 50480 Kuala Lumpur.
Tel : 1-300-88-5465, Fax : 03-21741515
E-mail :bnmtelelink@bnm.gov.my

8. What if I were to pay more than the required monthly payment

amount?
Any excess payment of the monthly paymentwill be recognised as
advance payment.
9.

What if I fully settle the financing before its maturity?

a) There will be no exit fee charges imposed for early settlement.
b) No lock-in period imposed and no partial principal payment is
allowed.
c) Rebate (Ibra) - The Bank shall grant rebate (Ibra) on any
amount payable by you in respect of any payment due under the
transaction documents and / or security documents in any of the
following situations:
i. any early settlement or early redemption by you including
prepayment;
ii. any settlement of the Facility due to any financing
restructuring exercise by you;
iii. any settlement by you upon occurrence of the Event of
Default; and
iv. any settlement by you in the event of termination or
cancellation of the Facility before the expiry of the Facility
period.
Rebate (Ibra) = *Remaining Unearned Profit Early Settlement
Charges (if any).
*Remaining Unearned Profit is equal to unrealised profit at the time of
full settlement
The calculation of rebate (Ibra) shall be made in accordance with any
rules, regulations and/ or directives (whether or not having the force
of law) required of or imposed upon the Bank from time to time and at
any time by Bank Negara Malaysia or any other authority having
jurisdiction over the Bank.

10. What are the major risks?

Should you encounter any difficulty in meeting your obligations,
please contact us in advance to discuss payment alternatives.
This is to avoid legal action if you are unable to pay your
monthly payment.
For government employees, monthly payment is deducted
directly from the salary account. For those who opted to early
settle the facility, a certain period of processing time is required
to cease the deduction from the salary account. Therefore, you
are advised to properly plan their time to make early settlement
as it may result in over deduction of the salary account even
though the facility has been fully settled.
11. Do I need a guarantor or collateral?
No guarantor or security is required.
13. What do I have to do if there are any changes on my current
employment status e.g transfer or resignation?
If you are going to be transferred or resigning from current
employment, you need to contact:
Customer Care Centre
Email : customer.service@rhbgroup.com or pfi@rhbgroup.com
Web : www.rhb.com.my
14. What do I need to do if there are changes to my contact details?
It is important that you inform the Bank on any changes in your
contact details to ensure that all correspondences reach you in a
timely manner.

16. Where can I get further information?

If you have any enquiries, please contact us at:
RHB Islamic Bank Berhad,
Level 11, Menara Yayasan Tun Razak,
200, Jalan Bukit Bintang, 55100 Kuala Lumpur.
Tel : 03 9206 8118 / 082 276 118
Fax : 03 9206 8088 / 082 276 088
Email : customer.service@rhbgroup.com
Web : www.rhb.com.my
17. Other personal financing package available:
Personal Financing-i for Pensioner
Personal Financing-i for Private Sector
Other Information:
Where the financing tenor extends into retirement, it is important that
Applicant plans ahead to make sure that the Applicant would be able to
continue to meet the obligation to pay the Monthly Payments after
retirement.

IMPORTANT NOTE: LEGAL ACTION

MAY BE TAKEN AGAINST YOU IF
YOU DO NOT KEEP UP WITH
PAYMENTS ON YOUR PERSONAL
FINANCING.

The information provided in this disclosure sheet is valid as at 1 April

2015

I/ We hereby confirm having

explained the Product Disclosure
Sheet (PDS) to Customer.

I/ We hereby confirm having

received and understand the
explanation given.

Staff Name:
Staff ID:
Date:

Name:
NRIC:
Date:JANGAN

X
TANDATANGAN
PEMOHON

ISI TARIKH

Page 2 of 2

Debt Repayment Obligation - Self Declaration Form

Followings are my/our outstanding debts with financial institutions and/or non-financial
institutions in Malaysia.
Bank/Finance
Company/
Others

Type of Facility
[Housing Loan(HL)/
Car Loan (CL)/
Personal Loan (PL)/
others]

Loan
Amount
(RM)

Outstanding
Balance
(RM)

Monthly
Repayment
Amount
(RM)

JANGAN ISI SEBARANG MAKLUMAT DI

SINI
I/We, the undersigned hereby declare that the above information provided by me/us are true and
correct and in the event that the Bank subsequently discovered that any of the information
provided are found to be false, incorrect or incomplete, the Bank shall have the absolute
discretion to cancel or vary the facility approved.

Borrower / Co-Borrower
TANDATANGAN PEMOHON
X

Name:
NRIC/Passport:
Date: JANGAN ISI RUANGAN TARIKH
Witnessed By:

Name:
NRIC/Passport:
Date:

Debt Repayment Obligation Self Declaration Form v1 Jan 2012