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New Applicant Account

A. Applicant Information

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*: (8 characters with at least one numeric)
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I.D. Card No. and/or Business Reg. Cert. No. * : ( ) / - - - -
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Government Agent:
Government Agent:   
Hospital:
Hospital:   
School :
School:   

 

B. Applicant Address
(The Particulars will be used as default values in the electronic forms)

(i) General Fields

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Starting Street Number (Numeric / non-Numeric):

Ending Street Number (Numeric / non-Numeric):
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(ii) District Information

        

        
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(iii) Area

        
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(iv) Remarks

        
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* Mandatory Fields

** Fill in English Name and/or Chinese Name

 

 
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