合作金庫商業銀行香港分行.docVIP

合作金庫商業銀行香港分行 Taiwan□ Individual Account個人賬戶 □ Joint Account聯名賬戶□ HK Identity Card香港身份證 □ Passport護照：(Issue Country簽發國)_________________ Number號碼：______________________________ Date of Issue簽發日期：_______________________________ Hong Kong Resident香港居民： □ Yes是 □ No否 ； If not please answer the following question 如否請回答下列問題 Having resident accounts at other financial institutions in Hong Kong 是否在香港其他金融機構擁有居民帳戶： □ Yes是 □ No否 Name姓名：□ Mr.先生 □ Ms.小姐 □ Mrs.女士 In English英文:___________________________________________ In Chinese中文: ________________________ Date of Birth出生日期：_______________________(DD/MM/YY) Nationality國籍：______________________ Marital Status婚姻狀況：□ Single未婚 □ Married已婚 Occupation職業 □ Self-Employed自僱 □ Full-Time Employed全職 □ Student學生 □ Housewife家庭主婦 □ Retired退休 □ Others其他 __________________________________________________________ Name of Employment僱主名稱：____________________________________________________________________ Business Type行業類別：__________________________ Job Position職位：_______________________________ Years of Service任期：____________________________ Introducer/Referee (Compulsory) for Applicant of Current Account) 介紹人 Name姓名 Account Number賬戶號碼 Relation with Applicant與申請人關係 _______________________ ______________________ ________________________________ Correspondence Address通訊地址 Please send your entire Bank’s correspondence (including monthly statement etc.) to my: □ Residential Address住宅地址:____________________________________________________________________ □ Correspondence Address通訊地址：____________________________________________________________________ Contact Telephone Number聯絡電話 Residential住宅: 1.___________________________________ 2.____________________________________ Correspondence通訊: 1.___________________________________ 2.____________________________________ Fax No.傳真號碼: 1.___________________________________ 2.____________________________________ Bank Account Types銀行帳戶 Current支票存款： HKD港幣 □ USD美元 □ Statement無摺 □Passbook有摺