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© © All Rights Reserved
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SAZARICE SDN BHD

1996010013024 (385374-U)

CUSTOMER CREDIT APPLICATION / RECORD FORM

BRANCH

KOTA KINABALU
SANDAKAN
TAWAU
KENINGAU
LABUAN
LAHAD DATU

(Please tick (√) as applicable)

IBUPEJABAT KOTA KINABALU: KENINGAU: WP LABUAN:


Lot 806, Jalan 7, KKIP Timur, Industrial Zone 8 (IZ 8), Lot No. 1-5, Jalan SMK Gunsanad, TL207524098, Lot 12 (B),
Kota Kinabalu Industrial Park (KKIP), Peti Surat No. 2495, 89008 Keningau, Sabah. Jalan Arshat, Rancha-Rancha,
88460 Kota Kinabalu, Sabah. Tel: (6)087-333424, 338741 87008 Wilayah Persekutuan Labuan.
Peti Surat 18556, Pejabat Pos Besar Kota Kinabalu, 88670 Fax: (6)087-333027 Tel/Fax: (6)087-411695
Kota Kinabalu, Sabah.
Tel: (6)088-415625, 415635, 415645 Fax: (6)088-415634
DOCUMENT: RET. PERIOD: DOCUMENT NO: REVISION NO: EFFECTIVE DATE: PAGE:
Credit Control 7 years SSB(FIN)-F01 G 01/11/2023 Page 1 of 8

CUSTOMER CREDIT APPLICATION / RECORD FORM

SALESMAN A/C NO. A/C TYPE **OUTLET TYPE


New A/C

Existing A/C

Name & Address: (Tick)


Sdn Bhd

Partnership

Sole Proprietor

(Use Annexures Where Necessary)


Name & Address of Proprietor

Business Register No : _______________________________


Banker's Name : _______________________________
Address : _______________________________
A/C No. : _______________________________
Paid Up Capital (For Sdn Bhd Only) : _______________________________
Other information : _______________________________

COLLATERAL INFORMATION
Type of Collateral : (Cash / Bank guarantee / stocks / Unit Trust / Corporate Guarantee /
(Strike Out Not applicable)
Others: __________________________________)
Amount of Collateral : RM __________________________

**OUTLET TYPE
A) Rice Wholesaler F) Sundry Shop K) Hospital P) Hypermarket
B) Mini Market G) Biscuit Factory L) Canteen Q) Others
C) Supermarket H) Coffee Shop M) Koperasi (___________________)
D) Restaurant I) Noodle Mfg. N) Petrol Station
E) Hotel J) Club O) Resort

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Credit Control 7 years SSB(FIN)-F01 G 01/11/2023 Page 2 of 8

Name of major suppliers Credit Limit Days

Estimated monthly turnover on SAZARICE SDN BHD products RM ___________________________

Credit Limit Applied for RM ________________________ Credit Terms ________________Days

Applicant(s) Signature :

Name(s) of Applicant :

I/C Number :

Contact Number :

Email Address :

Date :

Company Stamp :

Submitted by Salesman:

Name of Salesman :

Date :

Signature :

Comment by Branch Manager: Document attachments checklist:

(a) Certified True Copy of Identity Card / Passport

(b) Certified True Copy of Valid Trading License for Year ______

(c) Certified True Copy of Valid Rice License for Year _______

(d) Certified True Copy of Valid Sugar License for Year _______
(e) Company Premise Picture
(f) Signature (Name of Owners Stated in The Trading License)

Credit limit & terms recommended by Branch Manager (g) Certified True Copy of Three (3) Months Bank Statement

(h) Bank Statement Header


RM / Days :
(i) Copy of Latest Audited Financial Statement /
Name : Management Account
Signature : (j) Collateral Document (if any)

Date : For Sdn Bhd Company:

Certified True Copy of SSM Profile


Certified True Copy Form 9, Form 13, Form 24 & Form 49

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Credit Control 7 years SSB(FIN)-F01 G 01/11/2023 Page 3 of 8

(HEAD OFFICE USE ONLY)

Comment by Credit Control Unit:

Credit Limit Recommended by Credit Control Unit


RM / DAYS :
Name :
Signature :
Date :

Review / Approved by Finance Head

RM / DAYS :
Name :
Signature :
Date :

Review / Approved by Sales Head

RM / DAYS :
Name :
Signature :
Date :

Review / Approved by Head of Company:

Credit Limit Approved by Head of Company


RM / DAYS :
Name :
Signature :
Date :

3
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Credit Control 7 years SSB(FIN)-F01 G 01/11/2023 Page 4 of 8

(HEAD OFFICE USE ONLY)


(FOR CREDIT LIMIT MORE THAN RM50,000 & EXCEPTIONAL CASE ONLY)

Approval from Finance Division BERNAS:

Credit Limit Approved by Finance Division BERNAS


RM :
Name :
Signature :
Date :

Approval from Managing Director GTM:

Credit Limit Approved by Chairman of Credit Committee


RM :
Name :
Signature :
Date :

Approval from Group Chief Financial Officer:

Credit Limit Approved by Group Chief Financial Officer:


RM :
Name :
Signature :
Date :

4
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Credit Control 7 years SSB(FIN)-F01 G 01/11/2023 Page 5 of 8

GUARANTEE AND INDEMNITY


To: SAZARICE SDN BHD 199601013024 (385374-U)
LOT 806, JALAN 7, KKIP TIMUR, INDUSTRIAL ZONE 8 (IZ 8),
KOTA KINABALU INDUSTRIAL PARK (KKIP),
88460 KOTA KINABALU, SABAH.

IN CONSIDERATION of your having at my/our request granted or agreed to grant and/or continue to grant trading credit facilities in the supply of goods and/or
otherwise granting accommodation and/or forbearing to sue at your absolute discretion of forbearing to immediately exercise rights arisen or which may arise
in relation to the aforesaid credit facilities

to _________________________________________________________ of ______________________________________________ (hereinafter referred


to as “the Customer”).

I/WE, THE UNDERSIGNED GUARANTOR(S) whose names and addresses appear in the Schedule annexed hereto hereby undertake to assume
responsibilities for all outstanding sums incurred by the customer to your prior to the date hereof and jointly and severally guarantee and/or indemnity as
Principal Debtors and not merely as sureties the repayment on demand of all outstanding sums that are due to you by the customer prior to the date hereof
and all outstanding sums that are now due and/or owing and/or that shall be due owing by the Customer to your whether certain or contingent now due and
payable or hereafter owing or incurred by the Customer on any account or in any manner whatsoever without limitation as to amount notwithstanding any
credit limit that may be stated in any Credit Facility Agreement or under any other agreement or arrangement that may be made between you and the Customer
together with all interest, costs and charges (including all legal charges and expenses on solicitor and client basis) which you may incur in enforcing payment
for the outstanding sum due to you from the Customer.

GUARANTOR 1 GUARANTOR 2

Signature : Signature :
Name : Name :
NRIC : NRIC :
Date : Date :
No. Contact : No. Contact :
Address : Address :

WITNESS 1 WITNESS 2

Signature : Signature :
Name : Name :
NRIC : NRIC :
Date : Date :
No. Contact : No. Contact :
Address : Address :

GUARANTOR 3 GUARANTOR 4

Signature : Signature :
Name : Name :
NRIC : NRIC :
Date : Date :
No. Contact : No. Contact :
Address : Address :

WITNESS 3 WITNESS 4

Signature : Signature :
Name : Name :
NRIC : NRIC :
Date : Date :
No. Contact : No. Contact :
Address : Address :

5
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Credit Control 7 years SSB(FIN)-F01 G 01/11/2023 Page 6 of 8

I/WE do hereby accept and abide by the following terms and conditions of this Guarantee and Indemnity and hereby confirmed that the
content thereof is fully understood by me/us.

1. This guarantee and Indemnity shall be a continuing Guarantee and Indemnity for the debts contracted by the Customer with you
in respect of such goods supplied, services rendered, interest or other charges.

2. This Guarantee and Indemnity shall not be considered as satisfied by any intermediate payment or satisfaction of the whole or any
part of any sums of money owing as aforesaid but shall extend to cover any sum or sums of money which shall for the time being
constitute the balance due from the Customer to you upon any such account as herein before mentioned.

3. My/our liabilities and obligations under this Guarantee and Indemnity shall remain in force notwithstanding any act, omission,
neglect, event or matter whatsoever on you part except the proper and valid payment of all sums due from the Customer and an
absolute discharge or release of me/us signed by you, and without prejudice to its generality, the foregoing shall apply in relation
to anything which would have discharged me/us (wholly or in part) or which have afforded me/us any legal or equitable defense.

4. Demands under this Guarantee and Indemnity may be made by you on me/us from time to time and the liabilities and my/our
obligations under this Guarantee and Indemnity may be enforced irrespective of whether any steps or legal proceedings are being
or have been taken against the Customer.

5. In the event that I/We shall fail to pay any amount when due and payable under this Guarantee and Indemnity, I/We shall pay
interest on that amount from the time of default up to the time of full realization (after as well as before any judgment) at such rate
which you shall have specified from time to the Customer as applicable to the Customer.

6. This Guarantee and Indemnity and your rights under it shall be in addition to and shall not be in any way affected or prejudiced by
your holding or taking other or further Guarantees or securities or by your varying, releasing or omitting or neglecting to enforce
any such securities or by your varying or determining any credit to the Customer or giving time for payment or granting any other
indulgence to or making any other arrangements with or accepting any composition from the Customer or any person or persons,
corporation liable on any bills of exchange, promissory notes or other negotiable instruments or securities held or to be held by
you.

7. You may at any time or times at your absolute discretion and without giving any notice whatsoever to me/us refuse credit or the
supply of any goods and/or services to the Customer.

8. A certificate or written documentation by any of your officers as to the monies and/or liabilities for the time being due or incurred to
you from or by the Customer shall be conclusive evidence in any legal proceedings against me/us, my/our executors and legal
representatives, notwithstanding that the Customer may dispute the amount by virtue of a counterclaim or otherwise arising from
merchantability or fitness or quality of the goods or services rendered.

9. In order to give effect to this Guarantee and Indemnity, I/We declare that you shall be at liberty to act as though I/We am/are the
sole or principal debtor(s) and not merely surety/sureties.

10. This Guarantee and Indemnity shall be both in addition and supplemental to and not in substitution for any other guarantee,
indemnity or security provided for the Customer either given by me/us or by the Customer or any other person or persons to you.

11. I/We hereby undertake and agree to indemnify you from all actions, proceedings, liabilities, claims, damages, interests, costs,
charges and expenses in relation to or arising out of your supply of any goods and/or services to the Customer or the recovery by
you of the monies due to you under this Guarantee and Indemnity.

12. This Guarantee and Indemnity shall not be determined or in any way prejudiced by any change whatsoever in the constitution of
the Customer’s firm or company whether by retirement, expulsion, death or admission of new partners, directors or amalgamation
or the non-registration thereof.

13. In the case where the Customer is a partnership or trusteeship this Guarantee and Indemnity shall remain effective and shall not
be revoked or deemed revoked notwithstanding the death, retirement, change or addition thereto in and about the partnership or
trusteeship and shall in all respects and for all purposes be binding and operative until discharged by performance thereof.

6
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Credit Control 7 years SSB(FIN)-F01 G 01/11/2023 Page 7 of 8

14. No. Assurance, security or payment which may be avoided under any enactment relating to Bankruptcy or under Section 528 and
Section 530 of the Companies Act, 2016 or in statutory modification thereof and no release settlement or discharge which may
have been given or made on the faith of any such assurance, security or payment shall prejudice or effect your right to recover
from me/us to the full extent under this Guarantee and Indemnity.

15. This Guarantee and Indemnity shall continue to bind me/us notwithstanding any change by amalgamation reconstruction of the
respective Guarantors on the Customer and notwithstanding any amalgamation that may be effected by you with any other
company or companies, person or persons notwithstanding any reconstruction by you involving the formation or any transfer of all
of your assets to a new company or notwithstanding the sale of all or any part of any of your respective assets either on a
reconstruction or sale as aforesaid shall or shall not differ in their or its objects character and constitution from you it being the
intent of me/us that this Guarantee and Indemnity shall remain valid and effectual in all respects in favor of, against and with
reference to and that the benefit of this Guarantee and indemnity and rights conferred upon on you hereby may be assigned to and
enforced by any such companies, person, or persons and proceeded on in the same manner to all intents and purposes as if such
company or companies, person or persons had been named herein instead of yourself.

16. A demand in writing hereunder by you or on your behalf shall be deemed to have been sufficiently given if sent by ordinary post to
the last known address(es) or to the address(es) stated hereon of the undersigned and shall be conclusively deemed to have been
received by me/us within forty-eight (48) hours after the time of posting notwithstanding any evidence to the contrary.

17. A failure of any person required to execute this document as co-guarantor shall not be a ground for invalidating this document by
those persons who have already execute the same.

18. This Guarantee and Indemnity shall bind my/our executors, legal representative, personal representative, successors-in-title,
permitted assigns and heirs.

19. I/We hereby agree that you may at your absolute discretion initiate any action or legal proceedings against me/us in respect of all
obligations and liabilities arising out of the terms and conditions set out herein in any court within the Federation of Malaysia as
you deem fit to protect your interest herein.

20. I/We hereby agree that the service of any writ or summons or any legal process on me/us in respect of this Guarantee and Indemnity
may be affected by forwarding the same to me/us by prepaid ordinary post to my/our address(es) mentioned herein or at such
address(es) as may be made known by notice in writing given by me/us to you.

21. I/We hereby acknowledge that I/We hereby execute this Guarantee and Indemnity voluntarily and with full knowledge and
awareness of the term and conditions stated herein and I/We have not executed this Guarantee and Indemnity as a result of any
representation or promise made by or on behalf of you.

Signature : ____________________ ___________________ __________________ _________________

Name : ____________________ ___________________ __________________ _________________

Date :
Company Stamp :

cc. Credit Control Unit, Head Office.

Consent_BPH_V.40_01112020

Date:
7
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Credit Control 7 years SSB(FIN)-F01 G 01/11/2023 Page 8 of 8

To:

SAZARICE SDN BHD 199601013024 (385374-U)


LOT 806, JALAN 7, KKIP TIMUR, INDUSTRIAL ZONE 8 (IZ 8),
KOTA KINABALU INDUSTRIAL PARK (KKIP),
88460 KOTA KINABALU, SABAH.

Dear Sir,

Consent Authorization

Pursuant to the Credit Reporting Agencies (CRA) Act 2010 and Central Bank of Malaysia Act 2009, I/we the undersigned do hereby give
my/our consent to you and CTOS Data Systems Sdn Bhd (“CTOS”), a registered credit reporting agency under the CRA Act to process
my/our company personal data.

By this consent, I/we understand and agree that:

i) You may conduct credit/trade check including CCRIS checks on me/us and when consent has been given individually, on our
directors, shareholders, guarantors, etc. with CTOS at any time for as long as I/we have a trade relationship with you or where any dues
remain unpaid and outstanding with you, for any one or more of the following purposes:
√ Opening of account √ Credit/Account monitoring
√ Debt recovery √ Credit/Account evaluation
√ Credit/Account review
√ Legal documentation consequent to a contract or facility granted by you.

ii) You may disclose any information on my/our conduct of my/our account(s) with you, to any business entity/ies for bona fide
trade checking at any time. I/We am/are also aware and understand that such information will be provided to CTOS, who may in turn
share such information to subscribers of their service.

iii) Where you require any processing of my/our application to be processed by any processing centre located outside Malaysia
(including your Head Office), I/we hereby give consent to CTOS to disclose my/our credit information except CCRIS, to such locations
outside Malaysia.

iv) Apart from the above, I/we the undersigned do give my/our consent to you and the CTOS, to process my/our personal data as
per the PDPA Act.

Signed By Signed By

Name: Name:
IC Number: IC Number:
Designation: Designation:
Mobile number: Mobile number:
Company Stamp: Company Stamp:

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