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Salutation     Mr    Ms    Mrs    Mdm    Dr.    Prof. 

Licensee / Authorized Representative Name as per Agreement:
NRIC / Passport:

Box No (please submit separate update request for each box):
Agreement No:
Phone Number:
Residence Address Line 1
Address Line 2
Postal code

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 authorisations. 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 authorisations.

  • SSS@SG reserve the rights to reject this update request if any of the compulsory information provided herein is inconsistent with our existing records.

  • All other terms and conditions governing the license agreement, together with other terms and conditions applicable to the facilities made available to me/us continue in full force and effect.

     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.