aFINity Call for Participation Form

1. Name of corporation/institution/agency *

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Name of responsible person *

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Position

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Corporation's Address

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Phone *

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E-mail *

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Description of corporations

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2. Corporation's network of operators (if applicable)

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Corporation's network of operation - regional (if applicable)

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Partner(s) or Subsidiary (if any)

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Partner(s) network of operations other than Malaysia

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3. Which category does your corporation falls into?

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If other category, please specify:

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4. Which FinTech clusters would you be interested?

5. In what capacity are you responding?

As a representative of a financial sector innovator seeking authorisation

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As a representative of an unregulated innovator, not seeking authorisation (e.g. a technology firm)

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As a representative of an unauthorised financial innovator

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As a representative of a FinTech investor seeking investments

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Others

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If other capacity, please specify:

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6. Is there anything about the regulatory system that poses particular difficulties for innovator businesses?

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7. What practical assistance do you think the accelerator/incubator could usefully provide to small innovator firms?

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8. Do you have any other feedback or suggestions about aFINity@SC?

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I hereby agree to the [Disclaimer](#disclaimer) and [Terms and Conditions of Use](#terms-of-use)

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SUBMIT

Terms and Conditions of Use

The Securities Commission Malaysia takes no responsibility for the information and contents obtained from or through aFINity@SC and makes no representation as to its accuracy, veracity or completeness, and expressly disclaims any liability whatsoever for any loss you may suffer arising from or in reliance upon the whole or any part of the information or contents obtained

Personal Data Protection Notice

1.0 Purpose of Use
Personal data and information that you provide will be used for the following purpose:
research, analysis and statistical purposes;
disclose to other participants within the aFINity@SC network;
disclose to the relevant governmental authorities or third parties where required by law or for legal purposes;
as part of SC’s record; and for any other purpose directly related to any of the above.
Personal data and information referred above may be extended to SC’s vendors, agents and subcontractors for the said purposes.
2.0 Limitation of Use
Personal data and information provided by you will not be processed for any other purpose contrary to what is set out in Paragraph 1.0 above.

The SC will not disclose personal data and information obtained to any other third party apart from those set out in Paragraph 1.0 without your consent.
3.0 Your Rights
You are entitled to request for a copy of any personal data and information provided and may correct any error or inaccuracy and provide further detail where such information is incomplete. You may also be required, from time to time and where applicable, to update the personal data and information provided, to ensure that such information remains correct, complete and accurate.
4.0 Access and Inquiries
Please do not hesitate to contact the SC at the following address or telephone number for any request for access, inquiry or complaint in relation to this notice or your personal data and information:

Securities Commission Malaysia
3, Persiaran Bukit Kiara Bukit Kiara
50490 Kuala Lumpur
Tel: +603-6204 8000
5.0 Consent
By ticking the box below or signing at the space provided below (whichever is applicable), you agree that-
you have read and understood the terms and conditions contained in this Notice; and
you have consented to the provision, processing and disclosure of all personal data and information as set out in the relevant form(s) in relation to aFINity@SC.

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about the SC

The Securities Commission Malaysia (SC) was established on 1 March 1993 under the Securities Commission Act 1993 (SCA). We are a self-funded statutory body entrusted with the responsibility to regulate and develop the Malaysian capital market.

General Line: +603-6204 8000
General Email: [email protected]