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5 Standard Financial Adviser Sdn. Bhd. oo) StandardiA #3iwassnaves GETCOVER APPLICATION FORM Name asin uC. WE no (New ‘czenship ‘aarese iy ‘State ‘Ea Ares ‘Contact (ote) Number: ‘Wate “Fighest Academic Qualification “Professional: * Financial Planning Qualfoation: *Liconceye) Name of Com Designation: Office Address : ‘Company / Business name. ‘Regisvaion No. I Registered / business daress a ‘Futhorised Representative Name ‘Contact ember Mobi getcover Spy Resoena Geter Aocscaton Ferm 431 Teele seer frm nd dar as blow 3 Theta ey Sr or eT CoTPST aay yea roan a, fact terete hae nove Den cones any eal ene n Mal ere oe Tha verbo con frye under secs nein lye a one Thats cay pron ay et or la Bat enc hr poor mba {te pbs ane iano ue etry, compen rare saya oc ay Thats tes Soa cote optraty, or donesseqsties or meray fs peoesserad (or vooetoy oa ey fen ean appease tid cedin Nat er voce 77 amet neater argv ve ad oma any grant en Malay eS Tam ros cron employes, sow ofepressrabve fay oer Fanci Rava Rem cae by Sark Nowra Moy. Sa For ComorateInteducer Aoaieant Op beta oeconperyenperaon, [edo and ase ann an Gone aS canperyrpasion 5) Hes not br cava of any Sie ad ae eo poses now pei WN ay ESTOS ‘orton feu n oles voi faut or er tenet) Tha re peer ilar os of Fd re hones, VERN, RESET, ‘rocco ost trac of ay er reas gigs gue gsi ti sy Cl ‘rocasangn, rr thre ay proceedings tow padi at may at sca men or ‘Hes rt canavere any wri a pls ans be pu art enclose

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