MLTF FORM U1 — Singapore Estate Agency Pte Ltd

FORM U1 – Unrepresented Counterparty

(For Individual)

RES Details

RES Name

Registration No.

Date of Form Completion

UCP is a

Unrepresented Counterparty’s Particulars (For Individuals)

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

Transaction Details

Address of Property in Transaction

Type of Property

UCP acting capacity

Unrepresented Counterparty’s Acknowledgement

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 unrepresented counterparty due diligence (UCPDD) 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 UCPDD duty.

Name

Date

-

Signature

Use mouse or finger. Works on mobile too.