PDPA Consent & Individual Tax Residency Self-Certification

Complete both declarations in one submission. Two separate completed PDF forms will be emailed.

Member / Account Holder Particulars

Name (as in NRIC) *

NRIC Number *

Date of Birth * (DD/MM/YYYY)

Email Address *

Mobile Number *

Member No. (Optional)

1. Personal Data Protection Statement - Confirmation of Consent

SSBEC collects, uses and discloses personal data for identification, membership/loan/services, verification, communication, payments/debt recovery, customer service and applicable legal/regulatory purposes.
Relevant personal data may be disclosed to third parties engaged by SSBEC for the purpose of providing its products and services.
Consent may be withdrawn; withdrawal may affect the products, services or membership benefits that SSBEC can provide.

I agree to the Personal Data Protection Statement and consent to SSBEC's collection, use and disclosure of my personal data for the products and services offered to me in connection with my SSBEC membership. *

2. Tax Residency - Part 1: Address

Current Residence Address - Line 1 *

Line 2

Country *

Postal / Zip Code *

Mailing Address is the same as Current Residence Address

3. Tax Residency - Part 3: Declaration

I acknowledge that the information may be collected and reported for automatic exchange of financial account information. I certify that I am the Account Holder and undertake to notify SSBEC of changes affecting my tax residency status and provide an updated self-certification within 30 days.

I declare that all statements made in this declaration are, to the best of my knowledge and belief, correct and complete. *