Name of Company :

______________________________________

Registered/Business * Address :

______________________________________ ______________________________________ ______________________________________ ______________________________________

1    We hereby authorise the personnel of

____________________________________________________

(company name of Marinet account holder), with

Company Registration No.

to submit declarations or transactions electronically through Marinet on our behalf and we shall be responsible and shall settle all dues / charges arising from such declarations or transactions.

2    We shall notify the Authority in writing should we wish to discontinue or make amendments to the above arrangement.

3    The Authority shall have the right to revoke this authorisation without prior notice given to us.

Signed by the abovementioned company :

_____________________

Date :

______________

Name of Person Signing :

__________________________________

Designation :

________________

NRIC or Passport No.:

Company's Stamp : ________________________________________________________

* delete where inapplicable