Elemen Partnership Application Form

This form is for Individual Applicants only. For Corporate Applicant, we will be sending a different set of questionnaire.

This form takes about 10-15 minutes to complete.

The submission of this form does not obligate the applicant to commit.

Complete in full and do not use abbreviations.

Provision of all required information earnestly and truthfully will enable us to correctly assess the suitability of your application.
  • 1) Contact Information

  • This should be the main contact person for this application, and wholly involved in the business.
  • / /
  • This is the number that we will use to contact you in relation to this application
  • This is the email address that we will use to correspond with you in relation to this application
  • 2) Career Background & Work Experience

  • 3) Financial Background and Information

    Please use United States Dollar (USD)
  • Please indicate on a per annum basis
  • Please indicate on a per annum basis
  • (Cash, Stocks, etc.)
  • (Property, Car, etc.)
  • (Mortgages, Loans etc.)
  • 4) Business Information

  • 5) Additional Information

  • 6) Character and/or Business References

    Please provide two referees. Do not include spouse or relatives.

    You understand and agree that any inquiry regarding your character, personal characteristics and financial background maybe conducted as a result of information required by R&B Tea Pte Ltd
  • Please include Country Code (+)
  • Please include Country Code (+)
  • Declaration