Personal Account Opening Form – Addition Account

Personal Account Opening Form – Addition Account
To: DBS Bank (Hong Kong) Limited (the "Bank", which includes its successors and assigns)
Note: Please complete all sections in BLOCK LETTERS and tick (√) the appropriate box and delete as appropriate and cross out any of the unused spaces.
This application form is available in both English & Chinese versions. By completing this application form you agree to use this English version and
confirm that you understand all of its contents (including Risk Disclosure Statements & Customer Declaration etc) as set out below. 此表格備有中文
及英文版。如你選用此申請表格提交申請,即表示你同意選用(英文版)之申請表格及完全明白表格 內之全部內容(包括風險披露聲明及客戶聲明等)。
 Sole
 Joint
 Trust account for beneficiary below 21 years old
Account Name
In English
In Chinese
Referred Account No.
I/We hereby request the Bank to open account(s) and provide services as indicated below, all information including Signing Arrangement are the same
as my/our Referred Account with the Bank record except as otherwise indicated below:
Purpose of Account (Tick more than one box, if applicable)
Savings
Investment
Transactional
Payroll
Loan Repayments
Others (Please Specify:
)
Source of Fund (Tick more than one box, if applicable)
Salary/Commission
Savings
Sales of Investment
Sale of Real Estate
Others (Please Specify:
Own Business
)
Anticipated Monthly Volume and Types of Activity
Deposits (including inward remittance)
No. of Times
0 – 26
27 – 78
79 – 100
101 – 200
More than 200
Total Amount (HK$)
200,000 or less
200,001 - 500,000
500,001 - 1,000,000
1,000,001 - 2,000,000
2,000,001 or above
Withdrawals (including outward remittance)
No. of Times
0 – 26
27 – 78
79 – 100
101 – 200
More than 200
Total Amount (HK$)
200,000 or less
200,001 - 500,000
500,001 - 1,000,000
1,000,001 - 2,000,000
2,000,001 or above
Requested Account Type
HKD Current Account
HKD Current (001)
Account No.
Save & Cheque (020)
Cheque Book Service :
Account No.
Deliver one cheque book to me/us by ordinary mail.
Account Statement will be sent on a Monthly basis unless specified in writing.
Multi-Currency Savings Account
Multi-Currency Statement Savings
Currency included :
Account No.
HKD
USD
AUD
NZD
CAD
EUR
JPY
CHF
DKK
NOK
SEK
SGD
GBP
RMB Savings Account
RMB Statement Savings
Account No.
Savings Account
HKD Statement Savings
Account No.
HKD New Generation Savings
Account No.
Others
Time Deposit
Account No.
Account Type
Account No.
Account Type
Account No.
Risk Disclosure Statement – RMB Currency Conversion
1. RMB currently may not be freely convertible and is subject to exchange controls and restrictions.
2. There is no guarantee that RMB will not depreciate. If you convert Hong Kong Dollar or any other currency into RMB so as to invest in a RMB
product and subsequently convert the RMB sale proceeds back into Hong Kong Dollar or any other currency, you may suffer a loss if RMB
depreciates against Hong Kong Dollar or other currency.
IMPORTANT NOTE – Deposit Protection Scheme
Deposits in Current Accounts or Savings Accounts, Call Deposits, New Generation Easy Saver Plan and Time Deposits or Certificate of
Deposits with current term equal to or less than 5 years are deposits qualified for protection by the Deposit Protection Scheme in Hong
Kong.
Personal Account Opening Form - Addition
Hong Kong/CBG/BOS/0222(09/15)
1
星展銀行(香港)有限公司
DBS Bank (Hong Kong) Limited
Declarations
•
I/We acknowledge that for the processing of this application, I/we must supply all information marked as mandatory in this application and that failure to do
so may result in this application being rejected. I/We confirm that the information provided in this application is provided voluntarily and is true, correct and
complete. I/We shall keep the Bank informed of any change of facts or circumstances that may render any information, statements, representations
and/or particulars given by me/us hereunder, incorrect or untrue from time to time. I/We understand that my/our non-disclosure of any facts on the change
of circumstances hereunder may amount to making intentional or negligent misrepresentation(s) and/or providing fraudulent information, which may incur
civil and/or criminal liability to me/us. I/We further authorize the Bank to verify any such information from whatever source whenever the Bank deems
necessary.
•
I/We have received from the Bank the latest version of (a) the Bank Accounts and Services Terms and Conditions, (b) the Data Policy Notice, (c) the Bank
Charges Schedule and (d) Tax Requirements Notice, all in my/our preferred language.
I/We have been invited to ask questions and take independent profession advice on such documents if I/we wish. I/We hereby confirm that I/we have
read and fully understood the contents of the abovementioned documents and agree to be bound by them. I/We understand that further copies of these
documents are available on request or can be viewed from the Bank’s website (www.dbs.com.hk).
•
For joint account applications only
We agree that all our obligations and liabilities to the Bank in connection with the account, including any overdraft, shall be joint and several.
•
I/We understand that I am/we are solely responsible for making all necessary declarations to and meeting all other requirements of the
relevant tax authorities and paying all tax due on amounts earned from the Bank.
•
I/We agree that the Data Policy Notice in force from time to time together with any other notices and communications concerning my/our data issued by
the Bank from time to time (“Data Policy”) shall apply to all information related to me/us that I/we have provided to the Bank in this application form or that
the Bank has obtained from any other sources or that arises from my/our relationship with the Bank or any other DBS Group company (“Data”). I/We have
read and understood the Data Policy and I/We agree that the Data Policy shall form part of the Bank Accounts and Services Terms and Conditions. I/We
agree that my/our Data may be used for such purposes and disclosed to such persons (whether in or outside Hong Kong) in accordance with the Data
Policy. I/We agree, in particular, that the Bank may:
(a)
verify, provide and collect information about me/us from other organizations, institutions or other persons;
(b)
transfer the data outside Hong Kong SAR including to Singapore; and
(c)
compare my/our Data with any data the Bank has obtained and use the results for taking of any actions including actions that may be adverse to
my/our interests (including declining this application).
•
Acknowledgement of Use of My/Our Personal Data in Direct Marketing
I/We understand that the Bank intends to use my/our personal data in direct marketing and cannot do so without my/our consent. I/We have previously
selected whether or not to receive direct marketing contact or information and I/we confirm that there is no change to my/our existing choice and all
information provided in this application form shall be used in accordance with such choice. I/We understand that if I/we wish to change my/our existing
choice, I/we may do so at any time and without charge by completing an opt-out form and returning it to the Bank.
Sign
By signing this application form, I/we confirm that I/we have understood the above declarations and the relevant terms and conditions overleaf.
Please confirm that your instructions have been clearly, accurately and completely set out in this application form before signing it.
Signature of Sole/Principal Applicant
Signature of Joint Applicant (if applicable)
Name
Name
(English)
(English)
(Chinese)
(Chinese)
HKID/Passport No.
HKID/Passport No.
Signature of Joint Applicant (if applicable)
Signature of Joint Applicant (if applicable)
Name
Name
(English)
(English)
(Chinese)
(Chinese)
HKID/Passport No.
HKID/Passport No.
Date : _________________________________
For Bank Use Only
Attended By
Initial the action taken:
(Signature, Name & Date)
Checked By
(Signature, Name & Date)
SV
TIN No.
Branch Code
1Bank ID
RM Name
Officer Code
AHV
(Mark name & date if different from
the attending staff.)
Approved By
Verification Call Date/Time/Ext No.
Sign No.
Initial
CL Checked
CDD Completed on
Personal Account Opening Form - Addition
Hong Kong/CBG/BOS/0222(09/15)
(YYYY/MM/DD)
CDD Checklist Attached
2
Yes
No
星展銀行(香港)有限公司
DBS Bank (Hong Kong) Limited