PDF《重新启动不动户表格 （个人/ 联名帐户）》

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2 Kim Eng Securities (Hong Kong) Limited Kim Eng Futures (Hong Kong) Limited 28/F, Lee Garden Three,

1 Sunning Road, Causeway Bay, Hong Kong Tel +852

2268 0800 Fax +852

2537 1548 www.

kimeng.com.hk A member of Maybank Group Please tick the appropriate box(es). 请在适当的空格内加上剔号.

1 Personal Information 个人资料 Identity Card / Passport Number 身份证/护照号码 : Identity Card 身份证 Passport 护照 Date of Birth (dd/mm/yyyy) 出生日期 (日/月/年) : Nationality 国籍 : Marital Status 婚姻状况 : Residential Address 住宅地址 : Correspondence Address 通讯地址 (if it is different from Residential Address 如与住宅地址不同) : Home No. 住宅电话号码 : Mobile No. 流动电话号码 : Email Address 电邮地址 : *Please provide a copy of identity card/passport and residential address (within recent

3 months). 请提供身份证/护照及住宅地址(近3个月内)证明文件副本.

2 Employment Details 就业详情 Occupation 职业 : Name of Employer 雇主名称 : Business / Office Address 营业 / 办公室地址 : Office No. 办公室电话号码 :

3 Financial Position 财政状况 Source of Income 收入来源: Salary 薪金 Commission 佣金 Rent 租金 Dividend / Interest 股息 / 利息 Business Profits 商业利润 Others, please specify 其他,请注明: Name of Account Holder(s) 帐户持有人姓名 Securities / Futures Account No. 证券/期货帐户号码 To 致: Kim Eng Securities (Hong Kong) Limited 金英证(香港)有限公司 Kim Eng Futures (Hong Kong) Limited 金英期货(香港)有限公司 Fax No. 传真号码:+852

25371548 Dormant Account Reactivation Form (Individual / Joint Account) 重新启动不动户表格 (个人/ 联名帐户) For clients with "Dormant Account", it is mandatory to complete and return this form to our company so as to reactivate your account. 若客户欲重新启动「不动帐户」 ,请填妥并交回「重新启动不动户表格」予本公司. Page

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2 Kim Eng Securities (Hong Kong) Limited Kim Eng Futures (Hong Kong) Limited 28/F, Lee Garden Three,

1 Sunning Road, Causeway Bay, Hong Kong Tel +852

2268 0800 Fax +852

2537 1548 www.kimeng.com.hk A member of Maybank Group Gross Annual Income 每年总收入: ≤ HK$200,000 HK$200,001 C HK$499,999 HK$500,000 C HK$999,999 HK$1,000,000 C HK$1,999,999 HK$2,000,000 C HK$4,999,999 ≥ HK$5,000,000 Asset Items 资产项目: Landed Property 地产 Cash/Deposit 现金/存款 Listed Securities 上市证券 Vehicles 汽车 Dividend/Interest 股息/利息 Others (please specify) 其他 (请注明):

4 Bank Details 银行资料 Name of Bank 银行名称 : Bank Account No. 银行帐户号码 / Currency 货币 : *Please provide a copy of Bank Proof (within recent

3 months). 请提供银行帐户证明文件副本(近3个月内).

5 Reactivation of Service 重新启动服务 Securities Trading 证券交易 Online Securities Trading 网上证券交易 Futures Trading 期货交易 Online Futures Trading 网上期货交易 Others, please specify 其他,请注明:

6 AEOI and FATCA - Self-Certification 自动交换财务帐户资料及美国外国帐户税务合规法案 - 自我证明 Please complete and return the "Self-Certification Form - Individual" to our company. 请填妥并交回「自我证明表格C个人」予本公司.

7 Others 其他 Declaration of Client 客户声明 I/We hereby declare that all information stated above is true and accurate in all aspects. 本人/吾等声明上述向 贵公司提供的资料正确无误. Signature of Client 客户签署 Date 日期 For Office Use Only 只供本公司使用 Account Executive 业务经理 S.V. Input By: Checked By: Name 姓名: Name 姓名: Name 姓名: