MLTF Form A3 — Singapore Estate Agency Pte Ltd

FORM A3 – Particulars of Individual Your Client Is Acting On Behalf Of

(For Individual)

Section 1: Particulars of Individual on whose behalf Client is acting

Is the Client authorised to act on behalf of the Individual?

Yes No

Supporting document: Copy of Letter of Authorisation.

Full Name (as per NRIC/passport)

Supporting document: Copy of original identifying document.

Type of Identification Document

NRIC/Passport No./Other ID

Date of Birth

Nationality

Occupation

Residential Address

Note: To complete and attach Form B for the person above.