1. ePerolehan Access Medium Application
Ministry Of Finance (MOF) No. : NA
Company Name : WMY TRANSFORMATION CONSULTANCY & RESOURCES
User Name : WAHAB BIN RASIMON
Identification Card Number (IC) : 520320105899
Address Line 1 : NO.7, JALAN UMBUT 24/22,
Address Line 2 : SEKSYEN 24,
City : SHAH ALAM
Postcode : 40300
State : SELANGOR
Telephone : +603-55411336 Fax : +603-55412506
E-mail Address : wahab.wmy@gmail.om
ePerolehan Access Medium Type : ePXS (3 Years Validity)
Delivery Mode : Courier
Smart Card Reader : N/A
Please read the information below before proceeding to the next step. For further inquiry please contact our
Customer Service at 03-79857777 or e-mail to bantuan@commercedc.com.my
a) For MyeP card and ePXS USB Token Application
You must submit a photocopy of your Identification Card (IC) together with this form and payment to:
Commerce Dot Com Sdn. Bhd.
Level 2,
No 2, Wisma Amtek,
15, Jalan Tandang,
46050 Petaling Jaya,
Selangor.
b) For MyKad eP Application
Please go to ePerolehan website at https://SAS.commercedc.com.my/SAS/userlogin.asp to perform on-site
self injection of digital certificate using your smart card reader once your Company's MOF license application
is approved and payment for all fees has been made.
Declaration
I hereby confirm that I have submitted an online request for an ePerolehan Access Medium. I declare that all
the information given is true and accurate and have not withheld any information that would affect the
acceptance of my application. By signing this application form, I also agree to be bound by the Terms and
Conditions as stipulated in ePerolehan Standard Terms of Service, and any amendments made thereto from
time to time.
Signature: Date and Time: