PDF《Close Account Request Form》

The Hongkong and Shanghai Banking Corporation Limited Page 页次 1/6 CUA039R38-m (140818) FW Close Account Request Form 结束户口表格Date 日期 day 日/month 月/year 年Note 注意: 1.

Please tick where applicable. 请在适当的地方加上剔号. 2. (Applicable to customer who opts in for eStatement / eAdvice 适用於电子结单/电子通知书的客户 ) Please be reminded to save / print all previously issued eStatement / eAdvice of the to-be-closed account for record purpose, where applicable. The eStatement / eAdvice will not be available via online banking after the account is closed. For Bank Use Only 银行专用 Balance settled by Branch 请在结束户口前列印或储存该户口的电子结单/电子通知书作往后的参考或备用(如适用).户口一经结束,有关的电子结单/电子通知书将无法透过网上银行使用. 3. ?? To facilitate the account closure processing, please complete Section II, III &

IV if there is outstanding balance. ?? 为确保客户能完成注销户口程序,请填妥 II、III 及IV 栏,以便安排处理户口的余额. I. Customer Details 客户资料Account Name(s) 户口名称 Account Number 户口号码 Effective Date 生效日期 Day 日Month 月Year 年II. ?Balance Handling Instructions 结余处理指示For closure of Current / Super Ease / Cash Card / Securities Margin Settlement / Unit Trusts HKD Financing Settlement / Unit Trusts USD Financing Settlement / Foreign Currency Current / Wayfoong Statement Gold / Wayfoong Passbook Gold / HKD/CombiNations Statement Savings / University Student account only 只适用於结束往来/「万用户 口」/Cash Card/证券I展 结算/基金港元融资结算户口/ 基金美元融资结算户口/外币 往来/黄金券/金簿仔/港元/ 「外币通」结单储蓄/「大学 生」理财户口 Closing Balance (Inclusive/net of any credit/debit interest accrued/any other service charges) 结余数额(连同/扣除任何应计存款/信贷利息/任何服务费用) Settle by 按以下指示结清 cash deposit 存入现金 cash withdrawal 支取现金 debiting from the following 支取下述 crediting to the following 存入下述 Savings Account 储蓄户口 Current Account 往来户口 Account Name 户口名称 Signature(s) of the account to be debited (if different from the account to be closed) 支账户口签署(如与结束户口签署不同) X Account Number 户口号码 converting to 转换 Cashier'

s Order 本票 Demand Draft 汇票 In favour of 抬头人为 same as the account name other name: 与户口名称相同 其他名称: Note 注意: 1. For Cashier'

s Order, please also complete the corresponding currency cashier'

s order purchase form (HKD CASHIER'

S ORDER PURCHASE FORM / RENMINBI CASHIER'

S ORDER PURCHASE FORM / USD CASHIER'

S ORDER PURCHASE FORM). 本票:请亦填妥相应货 币的本票购买表格(「港币本票购买表格」/「人民币本票购买表格」/「美元本票购买表格」). 2. For Demand Draft, please also complete the DEMAND DRAFT APPLICATION FORM. 汇票:请亦填妥「即期汇票申请书」. transferring by Telegraphic Transfer/Interbank Fund Transfer 以电汇汇出/跨行转账 Details of Payment 支款详情 Currency to be Remitted 汇款货币类别 Name and Address of Beneficiary Bank 受款银行的名称及地址 >

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ASV-NSC S.V. Page 页次 2/6 Close Account Request Form 结束户口表格 CUA039R38-m (140818) FW II. ?Balance Handling Instructions (Continued) 结余处理指示(续)For closure of ^Renminbi Savings/Current/Renminbi Commercial Current/ Renminbi Trade Settlement Savings Account 只适用於结束^人民币储蓄/ 往来/人民币商业往来户口/ 人民币贸易结算储蓄户口 transferring by Telegraphic Transfer/Interbank Fund Transfer (Continued) 以电汇汇出/跨行转账(续) Details of Payment (Continued) 支款详情(续) Name and Address of Intermediary Bank (Optional, for Telegraphic Transfer only) (If specified, payment will be paid to the Beneficiary Bank through the Intermediary Bank) 中间人银行的名称及地址(非必须填写,只适用於电汇)(如注明,汇款将会经中间人银行转交受款银行) For all Countries Transfers (For Euro payment to EU and EEA, BIC must be provided) 所有国家的转账(所有选取欧盟及欧洲经济区为目的地的欧元汇款,客户必须填写受款银行的 BIC) For Hong Kong Interbank Fund Transfers 适用於香港跨行转账 SWIFT BIC Bank Code: 银行代号: Beneficiary Account No. 受款人户口号码 / IBAN (Please state address of Beneficiary if Beneficiary Bank is not specified 如无指定的受款银行,请在此注明受款人地址 ) (For payments to UAE, Jordan, Pakistan or Qatar in all currencies and to EU and EEA in EURO, IBAN must be provided 所有选取阿联酋/约旦/巴基斯坦/卡 塔尔为目的地的汇款(任何货币)或选取欧盟及欧洲经济区为目的地的欧元汇款,客户必须填写受款人的 IBAN ) Name of Beneficiary 受款人名称 Address of Beneficiary 受款人地址 For UK Transfers 适用於英国汇款 For USA Transfers 适用於美国汇款 Bank Sorting Code 分类代号: Fedwire Routing No. 编号: For RMB Transfers to Mainland China 适用於人民币汇出汇款至中国内地 CNAPS No. 中国现代支付系统编号: Message or Instructions to Beneficiary/Bank (if any) 给受款人/银行的附言或指示(如有) Purpose of Payment (Please note that for overseas payments, there are additional requirements depending on the payment currency and/or the country of remittance. You may refer to the Customer Information Sheet for Outward Payments for details.) 汇款目的(请注意若汇款到海外时,将视乎受款货币及/或受款国家而需 要提供额外的汇款资料.您可以参阅汇出汇款客户参考资料表了解详情.) Other instructions 其他指示 Settle the Credit Balance plus #Credit Interest accrued by 按以下指示结清结余额及应计#存款利息 paying me/us in Hong Kong Dollar cash 以港币现金支付予本人(等) paying me/us in Renminbi 以人民币现金支付予本人(等) crediting to the following 存入下述 Renminbi Savings Account 人民币储蓄户口 Renminbi Current Account 人民币往来户口 Renminbi Commercial Current Account 人民币商业往来户口 Renminbi Trade Settlement Savings Account 人民币贸易结算储蓄户口 Account Name 户口名称 Account Number 户口号码 converting to Hong Kong Dollar and crediting to the following 转兑为港币后存入下述 Savings Account 储蓄户口 Current Account 往来户口 Account Name 户口名称 Account Number 户口号码 Others 其他 Note 注意: 1. ^ If a personal Renminbi Savings Account is closed, the personal Renminbi Current Account in the same name will also be closed. ^ 如需要结束「私人」人民币储蓄户口,其以相同姓名/名字持有的「私人」人民币往来户口将会同时结束. 2. # Applicable to Renminbi Savings account only. #只适用於人民币储蓄户口. Page 页次 3/6 Close Account Request Form 结束户口表格 CUA039R38-m (140818) FW III. ?Other Instructions 其他指示Please tick and complete as appropriate. 请在适当的地方 加上剔号并填写. Yes 有No 无Remarks 备注 Unpresented cheque(s) 尚未兑现的支票 Instructions 指示 Unpresented sales transactions 尚未兑现的销售交易 Instruc........