landregistryirisonlineservices.docVIP

LAND REGISTRY IRIS ONLINE SERVICES APPLICATION FOR SUBSCRIBER ACCOUNT I. Particulars of Applicant Subscribers Name : Business address : Telephone No. : Courier Service Provider/Membership No.: Fax No. : Email address: *Business Registration / Company Registration / Personal ID / Passport No.: Contact Person * (Mr./Miss/Mrs./Ms ) Business Type: 1. Accountant Firm 2. Bank 3. Finance/Investment Co. 4. Newspaper Publisher 5. Real Estate Developer 6.Real Estate Broker Agent 7. Search Co. 8. Solicitors Firm 9. Surveyors Firm/Valuation Consultant 10. Public Utility 11. Quasi Government Organisation 12. Others Bank Account for Auto-Pay : Name of Bank: Account No.: Name of Account Holder : Login Method: Normal Login (without Digital Certificate) Login with Digital Certificate (Hongkong Post CA e-Cert. Subscriber Reference No.: ) Login with Digital Certificate (Digi-Sign CA ID-Cert. Subscriber Reference No.: ) II. Application and Mode of Payment I hereby apply for an IRIS Online Services Subscriber Account. I enclose a *cheque / bank cashier order No. payable to The Government of the Hong Kong Special Administrative Region or The Land Registry for HK$ for the following fees and deposit :- fee for application HK$1,000 # deposit HK$ fee for supplementary Login ID ( x HK$500 each) III. Declaration 1. I have read the attached Terms and Conditions and Personal Information Collection Statement relating to the IRIS Online Services and agree to be bound by them. 2. I confirm that the data given in Section I are correct. 3. I understand that if my application is unsuccessful, all fees and deposit paid under this application will be refunded to me without interest. Subscribers Authorised Signature and Chop: Title of Signatory (e.g. partner, director): Full Name of Signatory: Date : Please return to :