ONE-STOP Referral Centre FINANCIAL & SUPPORT Services

Since 1995

RBS Corporate Member Application

Upline Code (If you have an upline)

REP Code (Optional, if you are REP)

Type of RBS Membership *

Company Name *

Company Registration No. *

Company Address *

Company Contact No. *

Company Email *

Company Income Tax No. *

MSIC Code *

Company Representatives

Full Name as in NRIC *

NRIC / Passport No. *

Date of Birth *

Gender *

Marital Status *

Correspondence Address *

Contact Number *

Email *

Full Name as in NRIC *

NRIC / Passport No. *

Date of Birth *

Gender *

Marital Status *

Correspondence Address *

Contact Number *

Email *

Referral Commission / Payment to

Name of Bank Account Holder *

Bank Account Holder NRIC / Passport *

Name of Bank *

Type of Account *

Bank Account No. *

Bank Branch *

Declaration

By submitting this form, you declare that the details are true and accurate to the best of your knowledge and you agree to abide by the terms and conditions for the membership. You further declare that you are not a bankrupt or had any previous criminal convictions.