DOCUMENTS CHECKLIST [please tick () where applicable]

1. Agency Application Form

2. Copy of Corporate Nominee / Individuals / S.P / Partners / Directors Identity Card (IC)
3. 2 sets of Agency Agreement (to be signed by corporate nominee / partners / directors)
4. 2 sets of Guarantee & Indemnity Agreement (to be signed by guarantor/s)
5. Screening Requirement - Consent Letter
6. e-Payment Authorization Instruction (e-PAI) form - only if to apply for ePayment facility
7. GIRO Fund Transfer /Rentas
8. AMLA Attestation

Guarantor (< than 60 years old)

9. Photocopy of IC
10. Salary Slip or Income Tax (J Form / EA Form) or Bank Statement
For Sole Proprietor / Partnership Applicant Only
11. Business Registration Valid Borang D / E / Suruhanjaya Syarikat Malaysia (SSM)
12. Consent Letter from All Partners
For Private Limited Company Applicant Only
13. Memorandum & Articles of Association (Form 9)
14. Form 24 Allotment of Shares
15. From 49 Particulars of Directors / Managers / Secretaries
16. Companys Resolution on Agreement
17. Form 32A Form of Transfer / Debentures (where applicable)
PIAM Registration

18. Postal Order / Money Order / Bankers Cheque of RM 15.00

19. PIAM Application Form

New Registration
20. PCEIA (MII Certificate / Result Slip) / Any qualification stated in App I of the GIARR
21. SPM Certificate (minimum) or equivalent
22. Statutory Declaration - witnessed by Commissioner for Oath
Second Inclusion
23. Copy of release letter from previous principal (if applicable)
24. Letter to include AmGeneral Insurance Berhad as second inclusion (if applicable)
25. PIAM Identification Card (valid) - (if applicable)

(FOR OFFICE USE ONLY)

VERIFY BY : . DATE : ......

REMARKS : ...