编辑: 夸张的诗人 2019-07-16

40 条,持牌人如 无合理辩解而违反此项规定,即属犯罪,一经定罪,可被判罚款 50,000 元;

I undertake that actions shall be taken to ensure that the licensee must notify the Commissioner of Customs and Excise in writing of any change in the particulars that are provided in this application form Part

2 within one month beginning on the date on which the change takes place. I understand that a licensee who without reasonable excuse contravenes this requirement commits an offence and is liable on conviction to a fine of $50,000;

(d) 本人已指示本申请表格第

2 部提述的所有处所的负责人,亦已获得有关处所(如该处所属往宅处所)的所有 占用人的同意,让香港海关的获授权人员进入有关的处所,以审核该处所是否适合用作经营金钱服务;

I have instructed all responsible persons of the premises as mentioned in Part

2 of this application form and have obtained consent of every occupant of the premises (if the premises are domestic premises) to allow the authorized officers of the Customs and Excise Department to enter the said premises to assess whether the premises are suitable to be used for the operation of a money service;

(e) 本人已阅读要求加入新的用以经营金钱服务的处所申请表格

5 的填表须知第 C 部所载的收集个人资料声 明,以及明白当中内容. I have read the Personal Information Collection Statement stated in Part C of the Guidance Notes on Form

5 Application to add New Premises used for the operation of a Money Service and understand the contents stated therein. (*持牌人 / 获持牌人授权的合夥人 / 董事或人士 签 署及公司印章) (*Signature of the licensee / authorized person of the licensed partnership / authorized director or person of the licensed corporation and company chop) (会见时签署及盖章) (to be signed and stamped at the time of interview) (姓名(正楷)) (Name in block letters) (*香港身份证 / 旅游证件号码) (*HKID No. / Travel Doc. No.) (在持牌人业务 / 法团担任的职位) (Position in the Licensee'

s Business / Corporation) (联络电话号码) (Contact Telephone No.) 见证人: Witnessed by: (签署) (Signature) (海关人员的姓名及职位) (Name and Post of C&

ED officer) (日期) (Date) (c) 本人承诺采取措施,以确保如获发牌在有关牌照指明的处所经营?钱服务,须在该指明的处所内的一处显 眼地方,展示该牌照的正本.本人明白根蚧飨辞趵 39A 条,持牌人如无合理辩解而违反此项 规定,即属犯罪,一经定罪,可被判罚款 50,000 元;

I undertake that actions shall be taken to ensure that the licensee who is licensed to operate a money service at a premises specified in the licence must display the original of the licence in a conspicuous place at the specified premises. I understand that a licensee who without reasonable excuse contravenes this requirement commits an offence and is liable on conviction to a fine of $50,000;

香港海关CUSTOMS AND EXCISE DEPARTMENT 表格5要求加入新的用以经营金钱服务的处所申请书 Form

5 Application to add New Premises used for the operation of a Money Service *

5 请删去不适用者*Please delete as appropriate 请在适当方格内加上 ? 号Please ? as appropriate CED

403 (Rev. 03/2018) 备注: 提交此申请表格的人士必须是:― Remarks: The person who submits this application form must be:- (a) 如持牌人属独资经营,该独资经营者;

the sole proprietor, if the licensee is a sole proprietorship;

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