中國銀行開戶申請表

1、開戶申 請書及 客戶資 料備考( 私人賬戶)Private Opening Application Form and Information ReferencePlease complete this application form by ticking in (the appropriate b) oinx and using BLOCK CAPITALS. All the fields markedwith * are not mandatory. Please ensure the form has been appropriately signed.請在適用空格內(nèi)打( ), 并使用正

2、楷或大寫字母填寫本表。所有帶*的部分為非必填項目 , 并請您按照要求簽名。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 中文姓名Name in English 英文姓名Birthday 出生日期 Natonality & ID No. 國籍和證件號碼Name in ChinesePresent Permanent Residential Address 現(xiàn)永久居住地址Please provide a correspon

3、dence 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?zhí)峁┚唧w細節(jié)。Correspondence Address 聯(lián)系地址Reason for difference with Present Permanent Residential Address銀行賬單 Statement 請郵寄我處 Send to me/us 暫存貴行 Keep in your Bank(Hold-Mail) Contact Details 聯(lián)系方式Office Te

4、l. No.單位聯(lián)系電話Mobile 移動電話Home Tel/Fax. No. 家庭電話、傳真Email address 電郵地址Employment Details職業(yè)資料Employed full-timeEmbassy 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Address of Employer工作單位地址Regular Income Level 收入狀況Annual Salary income: 年工資收入All other income 所有其他收入Activity Scale 業(yè)務(wù)經(jīng)營狀況

5、Reason for opening account 開戶原因*Proof of source of income 收入證明文件Declaration and signature 聲明與簽字1. What is /are the service(s) you are looking for? 您/您們需要銀行提供何種服務(wù)？2. What is/are your investment objective(s)? 您/您們的投資目標？ 其它 Or specify:Loan 貸款長線Deposit存款Long termDividend Growth 股息收入Structured Product 結(jié)構(gòu)

6、性產(chǎn)品Medium Term 中線 Secured 擔保Securities 證券Derivatives 金融衍生產(chǎn)品 Capital Growth 增值 Dynamic 動態(tài)3. How would you qualify your experience of the financial markets? NIL 1 您 /您們的金融市場投資經(jīng)驗？無 14. Categorization of customer subscribing investment services as detailed in the G T C 我/我們同意根據(jù)銀行開戶章程中客戶分類標準確定我5. Are you

7、 a US tax payer according to the US tax regulations? 您/ 您們是否為美國納稅人 ?/我們的賬戶種類為 :Yes是to 5 years到5年No 否 >10 years 超過 10 年5 to 10 years5 到10年零售客戶 Retail Client 專業(yè)客戶 Professional ClientIf Yes: Public 如果是：公眾人物Electoral 參選人6. Are you or have you or does a close relative(s) exercise a mandate? No 您/您們或者您

8、 / 您們的親屬中有無社會公眾人物 ? 不是7. Do you want to give a Power of Attorney Application to a designated person to act on behalf of the account? Yes 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8. You declare that you are the sole economical beneficiary of this account.Yes 茲聲明 您/您們 是此賬戶的實際受益人。 是NoNo否否9. You confirm th

9、at 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 確認本表格中所提供的信息真實、完整，已閱讀并接受開戶合約中所有條款，同時確認已經(jīng)完全了解銀行風(fēng) 險披露聲明涉及的所有內(nèi)容。10. Do you want to sign a Facsimile Indemnit

10、y Form application to authorize transaction by Fax?您/ 您們是否需要通過傳真辦理有關(guān)銀行業(yè)務(wù) ?11. Do you need telephone confirmation from bank to verify your FAX instruction? 您/ 您們是否需要銀行對傳真指令進行電話回復(fù)確認YesNo是否YesNo是否12. Iinstructions of signature(s) below will be effective byAny 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 （第二賬戶持有人正楷簽名及日期）For Ba