WELCOME TO OUR FRIENDLY EZXCESS APPLICATION. THIS APPLICATION ALLOWS YOU TO APPLY BANK ISLAM
PERSONAL FINANCING IMMEDIATELY AT YOUR CONVENIENCE.
REQUIREMENTS
THE FOLLOWING ARE THE APPLICATION REQUIREMENTS:
ONLY APPLICATION WITH A COPY MYKAD AND 1 MONTH LATEST PAY SLIP
WILL BE PROCESSED.
1.0 FINANCING INFORMATION
FACILITY	- - 20240305035009 ASB felda financing GSPARX SOLAR HOME FINANCING-i JASRIZAL BIN JANTAN nraihahm personal personal financing PERSONAL FINANCING-i SILTERRA MALAYSIA SDN BHD solar SYARIKAT TAKAFUL MALAYSIA VEHICLE FINANCING-I
AMOUNT APPLIED	** Numeric Only
TENURE	1 2 3 4 5 6 7 8 9 10  YEAR(S)
2.0 CUSTOMER PARTICULAR
NAME (AS PER MYKAD)	*
MyKAD NUMBER	*
EMPLOYER'S NAME	al-islam specialist hospital BIMB INVESTMENT BIMB SECURITIES SDN BHD celcom axiata berhad Convention and exhibition (putrajaya) sdn bhd DEMC SPECIALIST hospital felcra berhad HONDA MALAYSIA SDN BHD kedah medical centre sdn bhd KOLEJ UNIVERSITI ISLAM ANTARABANGSA SELANGOR lembaga kemajuan tanah persekutuan (FELDA) Lembaga tabung haji Majlis bandaraya alor setar Malaysia Digital Economy Corporation (MDEC) Sdn Bhd MALAYSIAN INSTITUTE OF ACCOUNTANTS mnrb holdings berhad MSM Prai Berhad OPEN university malaysia perbadanan wakaf selangor, mais Plus malaysia berhad PRASARANA MALAYSIA BERHAD Sekolah agama menengah bestari SILTERRA MALAYSIA SDN. BHD. SYARIKAT AIR DARUL AMAN SDN BHD Syarikat Takaful Malaysia AM Berhad SYARIKAT TAKAFUL MALAYSIA KELUARGA BERHAD telekom sales & services sdn bhd THE TUN HUSSEIN ONN NATIONAL EYE HOSPITAL transwater api sdn bhd uem sunrise berhad unitar international university universiti tun hussein onn malaysia (UTHM) VADS BERHAD
STAFF ID NO.	*
EMPLOYMENT STATUS	PERMANENT CONTRACT TEMPORARY
JOINT DATE	*
RETIREMENT OPTION	55 56 57 58 59 60
DESIGNATION	*
BASIC MONTHLY INCOME	*
MONTHLY ALLOWANCE	*
OTHERS INCOME	*
TOTAL MONTHLY INCOME	*
PERMANENT ADDRESS	*
	*
POSTCODE	*
STATE	Please Select JOHOR KEDAH KELANTAN MELAKA NEGERI SEMBILAN PAHANG PERAK PERLIS PULAU PINANG SABAH SARAWAK SELANGOR TERENGGANU WP KUALA LUMPUR WP LABUAN WP PUTRAJAYA
E-MAIL ADDRESS	*
CONTACT NO	MOBILE *
	OFFICE *
	HOUSE *
I HAVE FAMILY MEMBERS WORKING WITH BANK ISLAM	NO YES
GENDER	MALE FEMALE
MARITAL STATUS	SINGLE MARRIED DIVORCED
NO. OF DEPENDANTS INCLUDING SPOUSE	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
DATE OF BIRTH	01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
RACE	MALAY CHINESE INDIAN OTHERS
NATIONALITY	MALAYSIAN NON-MALAYSIAN
RELIGION	MUSLIM BUDDHIST HINDU CHRISTIAN OTHERS
3.0 DETAILS OF SPOUSE
NAME (AS PER MYKAD)	*
MyKAD NUMBER	*
EMPLOYER'S NAME	*
DESIGNATION	*
MONTHLY GROSS INCOME	*
GENDER	MALE FEMALE
CONTACT NO	MOBILE *
	OFFICE *
	HOUSE *
NO. OF FAMILY MEMBERS WORKING WITH BANK ISLAM	NO YES
RACE	MALAY CHINESE INDIAN OTHERS
NATIONALITY	MALAYSIAN NON-MALAYSIAN
RELIGION	MUSLIM BUDDHIST HINDU CHRISTIAN OTHERS
4.0 DETAILS OF FAMILY MEMBERS(OTHER THAN SPOUSE)
EMERGENCY CONTACT NAME	*
RELATIONSHIP WITH APPLICANT	*
GENDER	MALE FEMALE
CONTACT NO	MOBILE *
OFFICE NO	OFFICE *
HOUSE NO	HOUSE *
PERMANENT ADDRESS	*
	*
POSTCODE	*
STATE	Please Select JOHOR KEDAH KELANTAN MELAKA NEGERI SEMBILAN PAHANG PERAK PERLIS PULAU PINANG SABAH SARAWAK SELANGOR TERENGGANU WP KUALA LUMPUR WP LABUAN WP PUTRAJAYA
5.0 PREFERRED LOCATION
LOCATION	Please Select JOHOR KEDAH KELANTAN MELAKA NEGERI SEMBILAN PAHANG PERAK PERLIS PULAU PINANG SABAH SARAWAK SELANGOR TERENGGANU WP KUALA LUMPUR WP LABUAN WP PUTRAJAYA
SUPPORTING DOCUMENTS         (maximum size: 1MB per file)	MyKad:              PaySlip:
PRIVACY STATEMENT IN RELATION TO PERSONAL DATA PROTECTION (“PRIVACY STATEMENT”)
This Privacy Statement relates to the personal data Bank Islam Group (referred to as “the Bank”/ “we” which shall include Bank Islam’s holding company(s), subsidiaries, associated companies, affiliates, representatives and branch offices) collects in relation to the products and services we offer (referred to as “facilities”). This Privacy Statement is intended to be addressed to, without limitation, individual customers, individuals in body corporate/business enterprise (e.g directors, shareholders, managers, authorized signatories and persons and company secretary), beneficial owners (e.g. sole proprietor, partners and joint names), guarantors and obligors (referred to as “Identified Individuals”/”you”). This Privacy Statement explains the types of personal data we collect from all Identified Individuals for the facilities you are enjoying, you have requested, you intend to request and further explains how the data is processed, used, protected and stored. Your application and continued usage of our facilities and / or banking services shall be deemed as your consent for the Bank to continue collect, use, process and store your personal data. If you are reading and signing this Privacy Statement on behalf of body corporate/body enterprise and the beneficial owners, you shall undertake to ensure all Identified Individuals understand and agree to the Privacy Statement.
TYPES OF YOUR PERSONAL DATA WE COLLECT
The personal data we collect from you in relation to our facilities that you have requested or requested by others whose obligation is guaranteed by you or whom you represent and are authorized to act on behalf of you or whom you are associated with shall be deemed willfully provided by you. The personal data we collect from you in relation to the facilities includes but not limited to: • full name • identification number • date of birth • gender • race • religion • citizenship / residency • marital status • spouse name • no of dependents • occupation • employer • annual income • financial information • tax details • education • contact details (such as address, phone number, email address) The Bank may also collect your personal data from other sources, including but not limited to regulatory bodies, supervisory authority, credit bureaus, credit reference agencies, financial crime reference agencies, your employer, your guarantors and from other sources which the Bank access to.
FAILURE TO SUPPLY YOUR PERSONAL DATA
The supply of your personal data to the Bank is necessary in connection to the provision of the facilities we offer. Failure to supply such data may result in the Bank being unable to provide you the facilities and /or failure to comply with regulatory requirements.
PURPOSES FOR YOUR PERSONAL DATA COLLECTED
The purposes (“Purpose”) for which your personal data are collected and processed depend on the nature of the relationship which you as a data subject have with the Bank. Broadly, the Purpose may comprise part or all of the followings: i. the processing of the facilities you are currently enjoying and/or the facilities you requested; ii. for prevention and detection of financial crime (including, without limitation, money laundering, and fraud prevention, detection and prosecution); iii. notifying you on the important changes to the features of the facilities; iv. to support the operational activities of the facilities; v. updating and managing the accuracy of the data you have provided the Bank; vi. the enforcement of your obligations to the Bank within the provision of the facilities, including the collection and recovery of amounts outstanding from you or obligated upon you; vii. determining your credit worthiness and maintaining your credit history for present and future references; viii. the amount of indebtedness owed by you/to you and designing improved financial solutions for you; ix. assessment and analysis including credit / lending / insurance risks / behaviour scoring / product analysis and market research; x. as required by any law or regulation; xi. communications and ensuring customer satisfaction, which may include conducting surveys to improve the quality of the facilities, responding to inquiries and complaints and to generally resolve disputes; xii. protecting Bank Islam Group’s interest and other ancillary and/or related purposes.
DISCLOSURE OF YOUR PERSONAL DATA
The Bank will not reveal your personal data including your address, telephone number or email address to any external party other than parties listed below (the “Authorized Parties”) other than for the Purpose above, unless the Bank has your permission, or is under either a legal obligation or any other duty to do so: a. any officer, employee, agent or director of Bank Islam Group which includes the holding company(s) of the Bank, its subsidiaries, associated companies, affiliates, representatives and branch offices; b. relevant third parties such as professional advisers, strategic business partners and alliances, service providers, insurers/ Takaful operator or insurance/ Takaful brokers, outsourced agents, merchants, vendors, business partners and business agents who supports the operational activities of the Bank and whom are under legal obligation to the confidentiality of your data; c. any actual or potential participants or assignee, novatee or transferee of the Bank’s rights and/or obligations under any transaction between the Bank and you (or any agents or professional advisers); d. any rating agency or direct/ indirect provider of credit protection to the Bank; e. any party as required by any law or any government, quasi-government, administrative, regulatory/ supervisory body or authority, court or tribunal; f. any credit reference agency that the Bank uses for credit assessment or credit review of you and parties related to the facilities provided by the Bank to you; g. any financial crime references agencies, other financial institution and any of their respective agents; h. any guarantor or collateral provider for your facilities. Your personal data shall be securely protected and stored in Malaysia. Should the operational need arises where your data is to be processed, used, transferred to, or stored at, a location outside of Malaysia, the Bank will take necessary steps to ensure that your personal data is treated securely and in accordance to this Privacy Statement for the said Purpose. The above disclosure is subject at all times to any laws (including regulations, standards, guidelines and/or obligations) applicable to the Bank.
RETENTION OF YOUR PERSONAL DATA
Data provided by you shall be retained as long as the Purpose for which the data was collected continues to exist; data is then destroyed permanently unless it is to be retained to meet any legal and/ or regulatory requirements or to protect the Bank’s legitimate interest.
THIRD PARTY DATA/ INFORMATION
Where you shall be required and have provided the personal data relating to others including that of co-applicant(s), spouse, related parties, contact person and referees for the Purpose, you shall undertake and be deemed that you have obtained their consent or that you are entitled to provide their information to the Bank.
DIRECT MARKETING OPTION
At any time in the future, if you wish to opt out from our cross selling activities and hence wish not to be contacted for direct marketing activities, you are required to inform the Bank via telephone, mail or email at the following address: Pusat Panggilan Bank Islam Aras17, Menara Bank Islam No. 22, Jalan Perak 50450 Kuala Lumpur Telefon / Telephone: +603 2690 0900 emel / email: contactcenter@bankislam.com.my
ACCESS TO YOUR PERSONAL DATA
You have the right to request access to your personal data held by the Bank. The Bank may charge you a nominal fee for such request. You may also update and correct your personal data held by the Bank. For such request, you may visit any of our branches or you may speak to our Contact Centre agents. You may also write to us at the given address.
HOW TO CONTACT US
If you have any questions concerning this Privacy Statement, you may visit any of our branches which location you can obtain from our website or you may call our Contact Centre or write to the Bank, at the given address. You may also contact us to convey your complaints relating to this Privacy Statement or otherwise relating to any misuse or suspected misuse of your personal data.
CHANGES TO THIS PRIVACY STATEMENT
The Bank reserves the rights to amend this Privacy Statement at any time and will place notice of such amendments on the Bank’s website and/ or the Bank’s branches and/ or via such other suitable methods. This Privacy Statement is not intended to, nor does it, create any contractual rights, nor does it create any contractual obligations on the Bank or any other party or on behalf of any party.
I hereby acknowledge that I have read, understood and agree with all the contents in this Privacy Statement.