(For Individuals)

RES Name

CEA Reg. No:

Date of Form Completion

RES is representing

EA/RES has established a client-agent relationship with the client?

Full Name (as per NRIC/passport)

Type of Identification Document

If not "Others", you can leave the "specify" field blank.

Identity Card No.

Date of Birth

Nationality

Occupation

Residential Address

Address of Property in Transaction

Type of Property

Client acting capacity

I acknowledge that all the information I have provided in this form is true, accurate and complete to the best of my knowledge.
I understand that the estate agent (EA) or real estate salesperson (RES) to whom I am providing the information as set out in this form is required to obtain such information from me and obtain my acknowledgement on the information provided in their conduct of customer due diligence (CDD) measures under the Estate Agents (Prevention of Money Laundering, Proliferation Financing and Terrorism Financing) Regulations 2021. The EA or RES may also request for additional information or documents from me to fulfil their CDD duty.

Name

Date

-

Signature

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