Paylink Services Application Checklist
Merchant Registration Information
Registered Company Name*
Company Registration No.*
Web URL
Phone Number*
Company E-mail*
Applicant / Contact Person
Contact Person*
First Name Last Name
Title*

Owner Director Manager / Supervisor
Phone Number*
E-mail*
Documents need to be upload:
Applicant's IC / Passport copy*
Company's Bank Statement (latest 3 months)
for new bank account, just provide one month bank statement
Form 9
Form 24
Form 49
Form 13 (if any)
M&A
Business License (for MLM; Healthcare Product; others that required)
Payment slip for Paylink Gateway Application
check with us for online payment or you can submit the application form first
Merchant Registration Information (with signature and chop)
Others (business related doc)
Documents Checklist (tick the one you uploaded)

Applicant's IC / Passport Bank Statement Form 9 Form 24 Form 49 Form 13 M&A Business License Others Payment Slip Merchant Registration Information (with signature and chop)
Paylink Services / Products Apply (Leave it blank if not sure)

WebPOS EzyPAY WapPOS WebATM Others (Pls email us more details)
Introducer (if any)

(can inform us later before we open the merchant account)
Introducer Name
Introducer Company No / IC number
Introducer Merchant ID
Declaration
This declaration is made together with the date of the application*

I / We hereby wish to apply for Paylink Payment Gateway services. I / We confirm that I / We shall be subject to the terms and condition governing the use of above service and hereby warrant that the above information is complete and accurate. I / We have read, understand and be bound to all clauses stated in the Merchant Agreement as spelled out and published at www.pay-link.net/library/agreement/Paylink-MYR-Merchant-Addendum.pdf and acknowledge that these clauses may be modified by Paylink from time to time. I shall always keep myself updated on any modified clauses by visiting the above URL. I / We fully understand that Paylink Solution reserves the right to decline this application without any reason. The form submition warrants that he / she has the full capacity and authority to sign and submit this application. I / We fully understand that if the applicant's sites found to be selling banned/illegal products or services later are subject to immediate account termination, frozen funds, forfeiture of funds, fines, and/or order cancellations, all without notice.
Date of Application
Please click submit form to submit the documents to Paylink Solutions. Or you can email / courier us the documents as per contacts below:

E 111, Block E, Phileo Damansara 1, No 9, Jalan 16/11, Off Jalan Damansara, 46350 Petaling Jaya, Selangor, Malaysia. Tel : +603 - 7731 9333 Email: sales@pay-link.net Website: www.pay-link.net
Should be Empty:

Paylink Services Application Checklist

Merchant Registration Information

Applicant / Contact Person

Documents need to be upload:

Introducer (if any)

Declaration