| Personal Particulars: |
| Name: _________________________ |
Designation: ____________________ |
| Company: _______________________________________________________ |
Address: ________________________________________________________
________________________________________________________ |
| Telephone: _____________________ |
Fax: __________________ |
| [ ] Payment by cheque/bank draft: |
| Payee: Building and Construction Authority |
| Payees address: 5 Maxwell Road #16-00 Tower Block, MND Complex, Singapore 069110. |
| Enclosed cheque/bank draft no.: _____________ |
| Date: __________________________________ |
| Amount(S$): ____________________________ |
| [ ] Payment by Giro/bank transfer: |
| Name of Bank: DBS Bank, Shenton Way Branch |
| Name of A/C: Building and Construction Authority |
| A/C No.: 01-021871-9 |
| Date of credit: __________________________ |
| Amount credited(S$): _____________________ |