Form REN-01 Application For REN Registration
Form REN-01 Application For REN Registration
Form REN-01 Application For REN Registration
PASSPORT
SIZE
PHOTO
. Postcode State .
Correspondence Address (if different from the above...
. Postcode State .
H/P No.(1) . H/P No. (2) .. Office..
Email Address ....
Highest Academic Qualification Obtained ..
.
FORM REN 01
PART 3: DECLARATION BY APPLICANT (NEGOTIATOR)
To: The *Principal / Director,
Name of *Agency/Company .
Board Reg. No. E ().. Branch(if applicable) ..
Addresss
.
I, the undersigned, hereby apply for registration as a Negotiator and do declare that;
(a)
(b)
I have attained the age of 18 years and am of sound mind, good character and have not been convicted
of any offence involving fraud, dishonesty or moral turpitude during the TWO years immediately before
the date of this application; and
I am not an undischarged bankrupt;
................................................................
Signature of Negotiator
....
SECTION 1: Signature of Principal / Company Director
Name:
Reg. No.
Date:
Company Stamp:
SIGNATORY INSTRUCTIONS:
Where the Supervising Registrant is the SAME person of the Principal/Company Director, only ONE signatory on SECTION 1 shall suffice.
Where the Supervising Registrant is NOT the Principal/Company Director, both SECTION 1 and SECTION 2 signatories are required.
Documents Checklist:
Application Form
Photograph
Copy of Identity Card
Certificate of Attendance / CPD Hour
Letter of Engagement from current employer
Verified by Date .
Approved by ..Date .
Issued by Date ...
REN Tag No. Card Serial No. ..
REN Tag Delivery Date.
Remarks.
* Delete whichever is not applicable
** Supervising Registrant shall refer to the Registrant whom the Applicant reports to.