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c. Beneficiary Nomination Form

This Beneficiary Nomination Form is for the employees of AmBank Group (excluding AmMetLife) to nominate their beneficiary(ies) for any payment of monies
under the Group Term Life/ Group Personal Accident Insurance (GTL/GPA).

Applicat ion Procedure : -

i. New joiners are required to submit their completed form to their respective recruiter or HRBP who will further submit the document
to HR Recruitment Support.
ii. Existing staff who wish to update their beneficiary information are required to submit the form to HR Benefits Administration Team
at Level 27, Menara Ambank.
iii. Document submitted should be original and a copy should be kept by the employee for future reference if any update is required.

Kindly complete the form in CAPITAL LETTERS. Please ensure all information given is updated and correct.

NRIC No 950426-13-5084
Name (as per NRIC) KRISTAL CHANG HUI YEE
Emp ID

NOMINEE INFORMATION

Nominee 1 Nominee 2 Nominee 3 Nominee 4 Nominee 5

Name KAREN CHANG SZE YII BRANDON FOO CHEN WANG

NRIC Number 880309-13-5260 940924-13-5395

Relationship SISTER SPOUSE

Contact No. 0168889398 0103831161

% Allocated 70 30

Process/Requirements
1. All employees are required to complete this Beneficiary Nomination Form by inserting, among others, the Name, Current Address, Relationship, NRIC
Number, Contact Number and percentage allocation of monies payable to each beneficiary (“Beneficiary Information”) for the determination of who is to
receive the monies under the GTL/GPA (if any) and how the monies are to be paid to their beneficiary(ies).

2. The Beneficiary Information must indicate the family relationship of the named beneficiary (ies) with the employee and are restricted to Spouse, Child,
Parents and/or Siblings only. The age eligibility for Child and Sibling should be 18 years and above. Underage Child and Sibling would require a trustee or
guardian to manage the monies payable.

3. Please note that completion of this Beneficiary Nomination Form is compulsory. In the event this Beneficiary Nomination Form is not completed by an
employee, any monies payable under the GTL/GPA will be paid to the executor or administrator (who has obtained a Grant of Probate or Letters of
Administration) of the estate of the employee.

4. Upon completing the Beneficiary Information and submitting this Beneficiary Nomination Form to HR-BA, the Beneficiary Information can still be amended by
submitting the latest form to HR-BA, within the lifetime of the employee. The Beneficiary Information contained in the latest Beneficiary Nomination Form
submitted to the HR-BA shall prevail over those submitted earlier.

5. In the event there are two or more named beneficiaries, the percentage allocation of monies to each beneficiary should be completed. The percentage
allocation of monies for each beneficiary does not have to be the same, but they must total up to 100%. If no percentage allocation is assigned to the named
beneficiaries, the monies will be paid in equal shares to the named beneficiaries. If any of the named beneficiaries predecease the employee and there is no
amendment made to the Beneficiary Nomination Form for a new beneficiary to replace the predeceased beneficiary, the percentage of monies payable to
the predeceased beneficiary will be paid in equal shares to the remaining beneficiaries.

6. If there is only one named beneficiary and this named beneficiary is deceased at the time the monies become payable and no other substitute beneficiary is
named during the employee’s lifetime, the monies payable to the deceased beneficiary will be paid to the executor or administrator (who has obtained the
Grant of Probate or Letters of Administration) for the estate of such beneficiary.

7. Beneficiary of Muslim employee when receiving the monies under the Group Term Life/Group Personal Accident Insurance shall distribute the monies in
accordance with Islamic laws.

8. This Beneficiary Information Form must be signed by 2 witnesses. The witnesses should not be the beneficiaries and should be 18 years old and above.

……………………………………… …………………………………… ……………………………………

SIGNATURE OF EMPLOYEE SIGNATURE OF WITNESS SIGNATURE OF WITNESS
NAME: KRISTAL CHANG HUI YEE NAME : NAME :
DATE: 14-Dec-2023 NRIC NO : NRIC NO :
DATE : DATE :

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 Onboarding -
c. Beneficiary Nomination Form (Takaful)
This Nomination Form is for the employees of AmBank Islamic (excluding AmMetLife Takaful) to nominate a person(s) to receive payment of takaful benefits under the Group
Term Takaful/ Group Personal Accident Takaful (GTT/GPA).

Appl icat ion P roce dure: -

i. New joiners are required to submit their completed form to their respective recruiter or HRBP who will further submit the document to HR
Recruitment Support.
ii. Existing staff who wish to update their beneficiary information are required to submit the form to HR Benefits Administration Team at Level 27,
Menara Ambank.
iii. Document submitted should be original and a copy should be kept by the employee for future reference if any update is required.

Kindly complete the form in CAPITAL LETTERS. Please ensure all information given is updated and correct.

NRIC No 950426-13-5084
Name (as per NRIC) KRISTAL CHANG HUI YEE
Emp ID

By virtue of Section 142 of the Islamic Financial Services Act 2013, the employee may:
a) assign the takaful benefits to a nominee or designate the nominee to receive the takaful benefits as a beneficiary under conditional hibah; or
b) designate the nominee to receive the takaful benefits as an executor.

Please tick (√) either one of the nomination type as below.

■ Beneficiary Under Conditional Hibah Executor

Note:
i. Beneficiary under conditional hibah refers to a nomination by the employee for a person(s) to receive the takaful benefits upon his death and such takaful benefits
payable shall not form part of the estate of the deceased employee or subject to his debts.
ii. Executor when receiving the takaful benefits shall distribute the takaful benefits in accordance to the Islamic Law of Inheritance (Faraid) or Distribution Act 1958,
whichever is applicable.

NOMINEE INFORMATION
Nominee 1 Nominee 2 Nominee 3 Nominee 4 Nominee 5

Name KAREN CHANG SZE YII BRANDON FOO CHEN WANG

NRIC Number 880309-13-5260 940924-13-5395

Relationship SISTER SPOUSE

Contact No. 0168889398 0103831161
% Allocated 70 30

Process/ Requirements
1. All employees are required to complete this Nomination Form by inserting, among others, the Name, Current Address, Relationship, NRIC Number, Contact Number and
percentage allocation of takaful benefits payable to each nominee (“Nominee Information”) for the determination of who is to receive the takaful benefits under the
GTT/GPA (if any) and how the Takaful benefits are to be paid to the nomine.

2. The Nominee Information must indicate the family relationship of the named nominee(s) with the employee and are restricted to Spouse, Child, Parents and/or Siblings
only. The age eligibility for Child and Sibling should be 18 years and above. Underage Child and Sibling would require a trustee or guardian to manage the takaful benefits
payable.

3. Please note that completion of this Nomination Form is compulsory. In the event this Nomination Form is not completed by an employee, upon the death of the employee,
takaful benefits payable under the GTT/GPA will be paid to the executor or administrator (who has obtained a Grant of Probate or Letters of Administration) of the estate
of the employee.

4. Upon completing the Nominee Information and submitting this Nomination Form to the BA-HR, the Nominee Information can still be amended by submitting the latest
form to HR-BA, within the lifetime of the employee. The Nominee Information contained in the latest Nomination Form submitted to the HR-BA shall prevail over those
submitted earlier.

5. In the event there are two or more named nominees, the percentage allocation of takaful benefits to each nominee should be completed. The percentage allocation of
takaful benefits for each nominee does not have to be the same, but they must total up to 100%. If no percentage allocation is assigned to the named nominees, the
takaful benefits will be paid in equal shares to the named takaful benefits. If any of the named nominees predecease the employee and there is no amendment made to
the Nomination Form for a new nominee to replace the predeceased nominee, the percentage of takaful benefits payable to the predeceased nominee will be paid to
the estate of the deceased employee.

6. If there is only one named nominee and this named nominee:

a) is deceased during the lifetime of the employee and no other substitute nominee is named during the employee’s lifetime, the nomination is considered as
revoked. The takaful benefits payable will be paid to the executor or administrator (who has obtained the Grant of Probate or Letters of Administration) for the
estate of the deceased employee; and
b) is deceased after the death of the employee but before the takaful benefits have been paid to him as nominee, the takaful benefits will be payable to the estate
of the deceased employee if the nominee is an executor or to the estate of the deceased nominee if the nominee is a beneficiary under conditional hibah.

7. This Nomination Form must be signed by 2 witnesses. The witnesses should not be the nominees and should be 18 years old and above and of sound mind.

……………………………………… …………………………………… ……………………………………

SIGNATURE OF EMPLOYEE SIGNATURE OF WITNESS SIGNATURE OF WITNESS
NAME: KRISTAL CHANG HUI YEE NAME : NAME :
DATE: 14-Dec-2023 NRIC NO : NRIC NO :
DATE : DATE :

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d. Acknowledgement

I hereby acknowledge that I have read and understood the following and agree,
with effect from the date of my employment in the Company and throughout the
AMBANK (M) BERHAD
tenure of my employment with ______________________________, to be bound

ACKNOWLEDGEMENT
by the provisions therein.

1. Code of Conduct
2. Code of Ethics
3. Information Security Policy

I hereby further declare that:

a. I have no personal encumbrances, summons, hearings or any other

adjudications pending upon me; and

b. I do not maintain any trading account with any other Participating

Organization (applicable to AmInvestment Group staff only)

The Company reserves the right to terminate my employment without notice or

compensation should the above is found to be contrary to either the declaration I
have made on my application or in the course of my employment thereafter.

………………………….………..………
Name: KRISTAL CHANG HUI YEE
Staff No:
Company:
Department:
Designation: PERSONAL BANKER
Date: 14-Dec-2023

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