-------------------------------------- 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. In particular, making phone calls and sending you marketing materials by way of, including, but not limited to, texts, emails and printed matters.