-------------------------------------- Tracking Code: Standard (Asynchronous) "Singapore G - July - Aug 2019" Insert the code below on: https://www.sss-sg.sg The script must be added before the tag --------------------------------

BASIC INFORMATION


LICENSEE

To be filled with details of who will be the main account holder.
Salutation:     Mr     Ms     Mrs     Mdm     Dr.     Prof. 

Name:
NRIC / Passport No:
Email:
Phone Number:

Residence Address Line 1
Address Line 2
Postal code
Country:


AUTHORISED REPRESENTATIVE

To be filled with details of the person who will be also authorised to access the safe deposit box.
Salutation:     Mr     Ms     Mrs     Mdm     Dr.     Prof. 

Name:
NRIC / Passport No:
Email:
Phone Number:

Residence Address Line 1
Address Line 2
Postal code
Country:

TERMS AND CONDITIONS
  • I/We acknowledge and accept the risks involved in the submission of the above form, including delay or failure of delivery, and risk of unauthorised access.

  • I/We hereby unconditionally and irrevocably indemnify SSS@SG against all losses, claims, damages, demands, actions, proceedings, expenses, costs and all other liabilities of whatsoever nature and howsoever incurred or suffered by SSS@SG as a result of SSS@SG acting on these information. SSS@SG shall, under no circumstances, be liable to me/us for any claims, demands, actions, losses, or expenses of any nature whatsoever which I/we may sustain or incur as a result of SSS@SG acting on these information.

     By clicking on 'Submit' you are agreeing to the Terms and Conditions above.

Please note that by submitting this form you hereby agree to Singapore G Pte Ltd using your personal particulars for marketing purposes.