Name of Subsidiary Proprietor: {{name_of_subsidiary_proprietor}}

Blk: {{blk}}

Unit(s): {{units}}

Existing Address: {{existing_address}}

Singapore {{singapore}}

New Address: {{new_address}}

Singapore {{singapore}}

Telephone : (0) {{telephone_o}} (H) {{telephone_h}}(fax) {{telephone_fax}}

Email : {{email}}

Effective Date of Change: {{effective_date_of_change}}

By signing this application form I/we expressively give consent to the management collecting, using & disclosing personal data provided in the form for the purposes of estate management and future communication related to this estate.

Authorized Signature of Subsidiary
Proprietor Date : {{sign_date}}

ManagingAgent Avalon Asset Management Pte Ltd 126 Joo Seng Road, 406-13 Gold Pine Industrial Building, Singapore 368355