MBB-NCR Machine Deployment Checklist

AActivity Detail0/4▶

Activity *

Location Name *

Date & Time *

Address / Location GPS

Longitude, Latitude

BSST Information0/6▶

Terminal ID *

Type of SST *

NCR Machine Serial No *

Model *

Managed by (CIT) *

Ink Staining Device

YES NO

SCM SN

Combination Lock Type

YES NO NA

Serial No — Top

Serial No — Bottom

COnsite Verification0/16▶

DCassette & Keys Informationoptional▶

Top Panel key — QTY

Mid Key — QTY

Cosmetic Door Key — QTY

Combi Service Key (back panel) — QTY

UPS Key — QTY

EVerification & Signatures0/3▶

NCR Engineer Confirmation & Signatory

NCR Field Engineer Name *

CE Code *

Date *

Signature *

Sign with finger / stylus

Maybank's Representative Confirmation & Signatory

Maybank's Representative Name *

Staff ID *

Date *

Signature *

Sign with finger / stylus

Service Provider (CIT) Representative Confirmation & Signatory

CIT Representative Name *

Staff ID *

Date *

Signature *

Sign with finger / stylus

FSM Signature (Optional)

FSM Name

Staff ID

Date

Signature

Sign with finger / stylus

Remark (if any)

✉Email Recipient (optional)▶

Send completed PDF to

You can enter more than one address, separated by commas. When you tap “Share / Email PDF” below: on most phones it opens your share sheet so you can pick Gmail/Outlook/etc. and attach the PDF yourself; if your phone doesn't support that, it opens your email app directly with all these addresses and the PDF ready to send.

Fields marked * and photo items marked required must be completed before the PDF can be generated.

# Confidential (Consumer Regulated) — Consumer Sensitive (Confidential)

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NCR Engineer Confirmation & Signatory

Maybank's Representative Confirmation & Signatory

Service Provider (CIT) Representative Confirmation & Signatory

FSM Signature (Optional)

⚠️ A few required items are missing