By checking this box and clicking on the "Submit" button, I/we hereby:

i. agree to submit to UOB all the data and information (including any personal data of ourselves and the contact person named above in this form) (collectively "Data") that is set out and contained in this form;

ii. irrevocably and unconditionally authorise and consent to UOB collecting, using and disclosing any of the Data to such persons as UOB may so decide (including but not limited to the contact person named above and the third party solution vendors) for the purposes of UOB and/or the third party solution vendors:
a. contacting me/us and the contact person named above with information via telephone and/or email regarding the above solutions (including third party solutions);
b. providing me/us with the above solutions (including third party solutions); and/or
c. complying with the requirements of any relevant authorities.

iii. represent, warrant and confirm to UOB that we have obtained the authorisation and consent of the above contact person and that such contact person has authorised and consented, to the following: -
a. for us to submit all the Data to UOB;
b. for UOB to collect, use and disclose any of the Data to such persons as UOB may so decide (including but not limited to the contact person named above and the third party solution vendors) for the purposes of UOB and/or the third party solution vendors:

1. contacting me/us and the contact person named above with information via telephone and/or email regarding the above solutions (including third party solutions);
2. providing me/us with the above solutions (including third party solutions); and/or
3. complying with the requirements of any relevant authorities.