PayHalal Payment Gateway Application s

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

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):
*optional

E. DETAILS ON E-COMMERCE BUSINESS

*optional

F. DETAILS ON COMPANY BANK ACCOUNT

G. DETAILS ON TECHNICAL

*optional

H. DOCUMENT UPLOADS

*Maximum size for each document is 1MB

SSM Certificate:

Halal Certificate/ Halal Supporting Document:

Product Catalog (Download Excel Sample):

Domain Invoice:

*optional

Copy of IC or Passport:

*optional

Latest Bank Statement:

*optional

Letter of Authorization:

To Nominate Person In Charge handling PayHalal Merchant Account
*optional

*Accepts JPG/JPEG and PDF files only