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Company Name *
ACRA Registration Number *
Postal Code
(6 Digits)*
(Ex: Blk 111)
(Ex: st 44)
(Ex: #01-01)*
(Ex: ABC Ind Bldg)
Country (Ex: Singapore)*
Telephone *
Email *
Contact Person *
Business Type *
Describe Company's Nature of Business *
Brand Name
Brand Name Description
Agent Line (Manufacturer, Sole Agent, etc)
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