中國銀行開戶申請(qǐng)表(1)

開 戶 申 請(qǐng) 書 及 客 戶 資 料 備 考（ 私人賬戶）Private Opening Application Form and Information ReferencePlease complete this application form by ticking in () in the appropriate box and using BLOCK CAPITALS. All the fields marked with * are not mandatory. Please ensure the form has been appropriately signed. 請(qǐng)?jiān)谶m用空格內(nèi)打（ ）, 并使用正楷或大寫字母填寫本表。所有帶*的部分為非必填項(xiàng)目, 并請(qǐng)您按照要求簽名。Account Holder Identity Details賬戶持有人身份資料Title稱謂: Mr先生 Mrs夫人 Miss小姐 Mr先生 Mrs夫人 Miss小姐Name in Chinese Name in Chinese 中文姓名 中文姓名Name in English Name in English 英文姓名 英文姓名Birthday Birthday 出生日期 出生日期Natonality & ID No. Natonality & ID No.國籍和證件號(hào)碼 國籍和證件號(hào)碼Present Permanent Residential Address 現(xiàn)永久居住地址Please provide a correspondence address, if it is not the same as your Present Permanent Residential Address. 如果您的聯(lián)系地址不同于現(xiàn)永久居住地址，請(qǐng)?zhí)峁┚唧w細(xì)節(jié)。Correspondence Address聯(lián)系地址Reason for difference with Present Permanent Residential Address銀行賬單Statement 請(qǐng)郵寄我處Send to me/us 暫存貴行Keep in your Bank(Hold-Mail)Contact Details 聯(lián)系方式*Office Tel. No.Home Tel/Fax. No. 單位聯(lián)系電話 家庭電話、傳真 Mobile Email address 移動(dòng)電話 電郵地址Employment Details職業(yè)資料Employed full-time Embassy staff Self-employed Retired Restaurant Owner 全日制雇員 使領(lǐng)館工作人員 自雇 退休 餐飲業(yè)主 Full-time education Other (please specify) 全日制學(xué)生 其他（請(qǐng)具體注明） Occupation Position職業(yè) 職位Name of Employer 工作單位名稱:Address of Employer工作單位地址:Regular Income Level收入狀況Annual Salary income: *All other income年工資收入 所有其他收入 Activity Scale業(yè)務(wù)經(jīng)營狀況Reason for opening account Source of opening deposit 開戶原因 開戶存款來源*Proof of source of income *Evidence of Address 收入證明文件 住址證明文件Declaration and signature聲明與簽字1. What is /are the service(s) you are looking for? Deposit Loan Structured Product Securities Derivatives 您/您們需要銀行提供何種服務(wù)？ 存款 貸款 結(jié)構(gòu)性產(chǎn)品 證券 金融衍生產(chǎn)品2. What is/are your investment objective(s)? Long term長線 Medium Term中線 Capital Growth增值 您/您們的投資目標(biāo)？ Dividend Growth股息收入 Secured擔(dān)保 Dynamic動(dòng)態(tài)其它Or specify:3. How would you qualify your experience of the financial markets? NIL 1 to 5 years 5 to 10 years 10 years 您/您們的金融市場(chǎng)投資經(jīng)驗(yàn)？ 無 1到5年 5到10年 超過10年4. Categorization of customer subscribing investment services as detailed in the G T C： 零售客戶Retail Client 我/我們同意根據(jù)銀行開戶章程中客戶分類標(biāo)準(zhǔn)確定我/我們的賬戶種類為: 專業(yè)客戶Professional Client5. Are you a US tax payer according to the US tax regulations? Yes No 您/您們是否為美國納稅人? 是 否6. Are you or have you or does a close relative(s) exercise a mandate? No If Yes: Public Electoral 您/您們或者您/您們的親屬中有無社會(huì)公眾人物? 不是 如果是：公眾人物 參選人7. Do you want to give a Power of Attorney Application to a designated person to act on behalf of the account? Yes No 您/您們是否需要授權(quán)指定有關(guān)人士以您/您們的賬戶名義辦理銀行交易? 是 否8. You declare that you are the sole economical beneficiary of this account. Yes No 茲聲明您/您們是此賬戶的實(shí)際受益人。 是 否9. You confirm that all the information given on this form is true and complete. Acknowledge to have read and agree with the General Terms and Conditions as well as the risk disclosure provided by the bank. 您/您們確認(rèn)本表格中所提供的信息真實(shí)、完整，已閱讀并接受開戶合約中所有條款，同時(shí)確認(rèn)已經(jīng)完全了解銀行風(fēng)險(xiǎn)披露聲明涉及的所有內(nèi)容。10. Do you want to sign a Facsimile Indemnity Form application to authorize transaction by Fax? Yes No 您/您們是否需要通過傳真辦理有關(guān)銀行業(yè)務(wù)? 是 否 11. Do you need telephone confirmation from bank to verify your FAX instruction? Yes No 您/您們是否需要銀行對(duì)傳真指令進(jìn)行電話回復(fù)確認(rèn) ？ 是 否 12. Iinstructions of signature(s) below will be effective by Any one Both two賬戶印鑒使用說明： 單簽有效 雙簽有效Ssignature of the account holder賬戶持有人預(yù)留簽字樣式Date and name of the first account holder （第一賬戶持有人正楷簽名及日期） Date and name of the second account holder （第