Customer Particulars Form

Customer Particulars Form (For Individual)

RES Information

RES Name:

Registration No.:

Date of Form Completion:

Representing:

Client-agent relationship established?

Customer's Particulars

Full Name: NRIC/Passport/Other ID: Nationality:

Type of Identification Document: Date of Birth: Occupation:

Residential Address:

Transaction Details

Type of Property:

Client is acting:

Address of Property in Transaction:

Client's Acknowledgement

I acknowledge that all the information I have provided in this form is true, accurate, and complete.

Name:

Date:

Signature: