Broker accreditation form

    • Company Name(if applicable)

    • Company Address

PERSONAL INFORMATION OF REGISTERED OWNER / OFFICIAL REPRESENTATIVE

  • Name*

  • REGISTERED ADDRESS*

  • State/Province*

    City/Municipality*

  • Landline No.*

    Mobile No.*

  • Email*

    Registered Tin*

  • PRC LICENSE NO.*

    HLURB REGISTRATION NO.*

  • AFFILIATED DEVELOPERS (Enumerate affiliated developers separated by comma)

I hereby certify that the information that I have indicated in this Broker Application are true and correct to the best of my knowledge. I am fully aware that any misrepresentation thereof shall be a sufficient cause for the company to terminate my application.

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