| Personal Particulars:
|
| Name: Mr/Ms ___________________________ |
Designation: ____________________ |
| Company: _______________________________________________________
|
Mailing Address: __________________________________________________
__________________________________________________
|
| Email 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 is a cheque/bank draft no.: __________________
|
| Date: ___________________ |
|
| Amount(S$): ______________
|
| [ ] Payment by GIRO/bank transfer:
|
| Name of Bank: DBS Bank, Shenton Way Branch |
| Name of A/C: Building and Construction Authority
|
| A/C No.: 01-021871-9 |
| Date of credit: ___________________ |
|
| Amount credited(S$): _______________ |