PayHalal Payment Gateway Application Form

Note: Please fill up this service application form IN FULL! Incomplete application will not be processed

A. ACCOUNT INFORMATION

Company Type:

Government

Non-Government

Micro

Subscription Plan:

Platinum Membership

Monthly Transaction above MYR1,000,000

Gold Membership

Monthly transactions up MYR 990,000

Ala Carte Pay Per Use

Monthly starting from from MYR 10,000

Hijrah Micro ePayment

Subsidised for street vendors and food operators minimum daily transactions RM100.00

Platinum Membership - Monthly Transaction above MYR1,000,000

Gold Membership - Monthly transactions up MYR 990,000

Ala Carte Pay Per Use - Monthly starting from from MYR 10,000 to tMYR 990,000

Hijrah Micro ePayment subsidised for street vendors and food operators minimum daily transactions RM100.00

Create your Login

Invalid Email Address

*Password Must be atleast 8 characters
*Password Must contain atleast 1 uppercase & lowercase
*Password Must contain atleast 1 number & special character

B. GENERAL INFORMATION

Select Payment Type:

Online Banking(FPX)

Credit Card(Visa/Master)

E-wallet

Current MDR Rate:

3%-2.7%

2.6%-2.3%

2.2%-1.9%

1.8% and Below

Monthly Sales Volume

C. COMPANY PROFILE

D. CONTACT PERSON

Contact Person 1 (Business Development/Marketing):

Contact Person 2 (Business Development/Marketing):

E. DETAILS ON E-COMMERCE BUSINESS

F. DETAILS ON COMPANY BANK ACCOUNT

G. DETAILS ON TECHNICAL

H. DETAILS ON CUSTOMER SERVICE & EMAIL NOTIFICATION

Customer Service/Support:

Accept our Terms & Conditions

I understand and agree to the Terms and Conditions and the Privacy Policy of PayHalal.

I agree to use PayHalal merchant account to sell ONLY Halal or deemed Halal products or services in accordance to Islamic law. PayHalal will be indemnified against any direct or indirect damage or loss incurred by third party due to or arising out of my breach of this agreement or the violations of any provisions of law in connection with the transactions contemplated under this agreement.

I consent PayHalal to act as a 'wakeel' and authorize them to collect the payment on behalf of me with imposition of fee as per listed.