By checking this box and clicking on the "Submit" button, I, for and on behalf of myself and the entity (the “Entity”) named in this form hereby confirm, that I/we have read, understood and agree to all of the following:-

(i) to submit to UOB all the information on this form; and

(ii) that UOB and the third-party solution providers (including any of their respective agents, dealers and sub-contractors) shall each be permitted to collect, use and disclose the given information to such persons as they may so decide for the purposes of:

(a) contacting me/us/the Entity via telephone and/or email regarding the above solutions (including third-party solutions);

(b) providing me/us/the Entity with the above solutions (including third-party solutions); and/or

(c) complying with the requirements of any relevant authorities.