Duplicate Examination Result Slip/Performance Analysis Form Please Provide All Details Required Duplicate Result SlipPerformance Analysis Name (According to NRIC) Malaysian NRIC Others (Passport No.) Correspondence Address State Post Code Tel No. (office) Tel No. (mobile) Tel No. (house) Fax No. Contact Person Details Contact Person Name Tel No. Fax No. Examination Details Module Module 6 -Stock Market & Securities LawModule 7 -Financial Statement Analysis & Asset ValuationModule 9 -Funds Management RegulationModule 10 -Asset and Funds ManagementModule 11 -Fundamentals of ComplianceModule 12 -Investment Management & Corporate FinanceModule 14 -DerivativesModule 16 -Rules & Regulations of DerivativesModule 17 -Securities and Derivatives Trading (Rules and Regulations)Module 18 -Securities and Derivatives Trading (Products and Analysis)Module 19 -Advisory Services (Rules and Regulations)Module 19A -Advisory Services (Rules and Regulations) – Part AModule 19B -Advisory Services (Rules and Regulations) – Part B Exam Date Exam Session AMPM Notes to Applicant Request for performance duplicate examination result slips will be charged a fee of RM20 per module. Request for performance analysis can only be made within six(6) months from the date of the examination with a fee of RM75 per module I will personally collect the duplicate result slip/performance analysis at the SIDC. Consented: I authorise,,to collect the duplicate result slip/performance analysis at the SIDC on my behalf. I would like my duplicate result slip/performance analysis to be posted via ordinary mail to the address stated above. (Courier charge: RM10) I hereby declare that I have given my consent to the processing of my personal data in accordance with the Notice under Personal Data Protection Act 2010 and agree to abide by them. Upload payment Proof Please make payment as per below details and upload the payment proof: Account details for payment via telegraphic transfer/EFT, cheque or bank draft should be crossed and made payable to: Name: SECURITIES INDUSTRY DEVELOPMENT CORPORATION Bank: Maybank Berhad, Kuala Lumpur Account no.: 514329 430601 Swift Code: MBBEMKL SSM/ROC: 765264K Please submit the proof of full payment of the examination fees. Download T&C and Health Declaration Form I hereby declare that I have given my consent to the processing of my personal data in accordance with the Notice under the Personal Data Protection Act 2010 and understood the SC Licensing Examination Terms & Conditions 2020 and agree to abide by them.