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PASSWORD REQUEST FORM

PTE LTD 101 Thomson Road, #23-04/05 United Square, Singapore 307591

Tel: (65) 6354 0924 Fax: (65) 6354 0925 Email: info@eamega.com

Owner Name BA Name

BA ID

Address Email

The Manager

Amega Global LLC Singapore Tel: (65) 6354 0924 Fax: (65) 6354 0925 Please send: Login Password

Transaction Password

For this BA to the above mentioned Email account Reasons

Proof of Ownership Please attached a copy of owner’s ID, Driving license or passport as mentioned in your personal profile as a proof of ownership in the space below and fax to: (65) 6354 0925

Please ensure that the particulars match details in your personal profile. SMS notification for authorized mobile users only.

Approved and Attended by:

Date:

Reference No.:

#0605StockistForm03.09


password_request_form_sgp