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Post-Paid X-Fleet CardPrepaid X-Fleet CardPost-Paid X-Fleet Diesel Subsidy CardPrepaid X-Fleet Diesel Subsidy CardDiesel Subsidy Cash Card
Upload Documents: ---For Sdn. Bhd. or Bhd.For Sole Proprietor or Partnership
Existing Corporate Physical eCard
Physical eCard
This card will be issued for the vehicles detailed in Section 6. It can be used together with your X-Fleet card during payment to accumulate reward points (ePoints).
Principal eCard will be issued for the company’s Managing Director/Owner as specified in Section 4b of this form. All ePoints earned by supplementary eCards will be accumulated under the principal eCard holder. Only the principal eCard holder is authorized for points redemption.
Virtual eCard
No physical eCard will be issued.
Reward points (ePoints) are automatically credited for each transaction made with any X-Fleet or X-Fleet Diesel account.
Accrued ePoints can be used to offset amounts on your monthly X-Fleet statement.
Note: Any existing Physical Corporate eCard will be converted to Virtual eCard - our team will be in contact with you for confirmation.
Company Name:
Company Registration No.:
Managing Director / Owner’s Name:
Correspondence Address:
Postcode:
City:
State: ---JohorKedahKelantanMelakaNegeri SembilanPahangPulau PinangPerakPerlisSelangorTerengganuWilayah PersekutuanWP Putrajaya
Billing Address: (to specify only if it’s different from Correspondence Address)
Office Telephone Number:
Facsimile (if any):
Nature of Business:
Date of Incorporation:
Estimated Monthly Petrol Consumption (litre):
Estimated Monthly Diesel Consumption (litre):
Current Fuel / Fleet Card Account (if any): PetronasCaltexShellPetronOthers
Department: ---Account DepartmentCard AdministratorAccount Department & Card Administrator
Salutation: Mr.Mrs.MadamMs.
Name:
Mobile Phone No.:
E-mail Address:
NRIC/Passport No.:
Please attach a copy of Director’s NRIC photocopy (in colour)
Within 24 hours upon approval of your X-Fleet account, activation email with a temporary password for first-time login to the BHPetrol X-Fleet Web Portal/Mobile App will be sent to the registered email address.
Please specify the authorized person to be granted with the first access:
You can set specific spending limits for each card as follows:
Transaction Limit: The maximum limit allowed for each transaction using the card.
Daily Limit: The total maximum allowed for all transactions in a day.
Monthly Limit: The total maximum allowed for all transactions in a single month.
(Transaction Limit < Daily Limit < Monthly Limit)
Note: If you need to provide information for more cards, feel free to make additional copies of this page.
Upon approval, your card(s) will be despatched to the address you have provided for correspondence address. Please expect delivery within 3-5 working days.
I agree to the declaration:
I/We expressly consent to and authorize BHPetrol to disclose and report to Bank Negara Malaysia, if any of my/our cash transactions exceed Ringgit Malaysia Twenty-Five Thousand (RM25,000-00) only, at any time and without liability, any information and particulars (financial or otherwise) relating to my/our affairs and accounts, financing and conduct thereof for such purposes as BHPetrol deems fit or appropriate.
The transaction limits, including daily and monthly restrictions, indicated in this application form are provided as estimates or indicative limits only. BHPetrol reserves the right to adjust, change, alter and/or revise these figures to the nearest Ringgit Malaysia limit based on the data available in BHPetrol’s fleet card system. BHPetrol shall not bear any responsibility for any loss or damage whatsoever incurred due to any discrepancies between the control limit as recorded in BHPetrol’s fleet card system and those specified in this application form.
I/We accept and confirm that Boustead Petroleum Marketing Sdn Bhd (“BHPetrol”) reserves the right to decline my/our application without the obligation to provide any reason(s) hereto. I/We hereby give irrevocable and unconditional consent for BHPetrol to conduct a credit background check in connection with my application. This process is crucial for verifying the financial integrity and integrity of applicants, ensuring legal and financial security for both parties.
Should my/our application be approved by BPetrol, I/We accept and confirm that upon signing the BHPetrol X-Fleet/Cash Card or utilizing the card, I/We shall be bound by the terms and conditions governing the use of the BHPetrol X-Fleet/Cash Card and BHPetrol eCard Loyalty Programme as outlined in the BHPetrol X-Fleet/cash Card Member Agreement which will be provided to me/us alongside with the BHPetrol X-Fleet/Cash Card.
By providing my/our personal information and signing below, I/We explicitly consent to the processing of my/our personal data in accordance with the Boustead Petroleum Marketing Sdn Bhd (“BHPetrol”) Personal Data Protection Notice (“Privacy Notice”) accessible at https://www.bhpetrol.com.my/privacy-policy/. This includes the use my/our personal data for targeted marketing and advertising efforts, aimed at delivering information about relevant benefits, promotions products and services offered by BHPetrol or its strategic partners. I/We understand that this consent includes the right to opt out of receiving such communications at any time, ensuring my/our control over personal data usage.
I/We explicitly authorize BHPetrol to act on my/our behalf in applying for any applicable government diesel subsidies could provide. I/We agree to furnish additional information promptly that may be required to facilitate this process.
I/We hereby declare that all personal and financial information provided to BHPetrol in my/our card application and throughout the membership is accurate, complete and up to-date. I/We commit to promptly notify BHPetrol of any changes to my/our information to ensure continued accuracy and security.
Please download the declaration form and sign with company stamp and upload the file with the button below: