Name No IC
Telephone Email
Occupation Marital Status Single Married
Race Malay Chinese Indian Others

I hereby declare that the above information given are true and correct.

Kindly register me (under no obligation) for the following Project / Property :
Empire City @ Damansara Perdana Empire State of Art @ PJ
Residential Superlink House @ Damansara Perdana Others
Residence Loft Retail Shop Detach Office
Service Suite Studio Office Suite Office Building
Note: The acceptance of this registration form does not guarantee or imply that the property indicated will be allocated to the registrant.
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