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SDN.. BHD
PUBLIC FINE GOLD INTERNATIONAL SDN BHD..(818840-U)
CUSTOMER REGISTRATION FORM
顾客登记表
Residential Phone 住宅电 Business Phone 公司电话 Mobile Phone 手提电话 Facsimile No. 传真号码
话
Deposit in Bank (please complete the bank details in the next section) 存入银行 (请填写下一个部分之银行资料))
Applicant Declaration
I hereby declare that the information given above is true, accurate and complete. I understand that Public Fine Gold
International Sdn Bhd has the right to reject my application without assigning any reason thereof. In the event of my
application has being approved, I hereby undertake and agree to be bound in all respects by the company’s regulation.
Remarks : ___________________________________________________________________________________
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