声明中文翻译仅供参考中英文若有不符之处以英文为准.pdf

For office use only ：( 银行专用) Flexible Account No. （账号）_________Customer No. （客户号）_________ TIME DEPOSIT ACCOUNT APPLICATION FORM 个人定期账户申请表 （中文仅供参考，请用英文填写） Please use black ink and BLOCK CAPITALS to fill in your details below. It is important that you complete this application form in full and sign as required to enable us to consider your application. Although, you are our existing customer we require you to provide proof of who you are for the purpose of compliance with Anti-Money Laundering Requirements and the Bank’s own risk management procedures. 请用黑色、大写字母填写以下表 格。完整的信息提供和确认签字是我们考虑账户申请的基础。尽管您的个人账户已开通，您仍遵循照反洗 钱及银行自身风险管理流程的规定提供身份证明。 Are you OK to provide the Bank with your current identification documentation? 您是否可以提供有效身份证明 文件？ □YES 是 □ NO 否 If Yes, please continue to complete your application in English and If No, we are unable to process your request to open a Time Deposit Account with ICBC (London) Plc. 如果是，请继续以英文填写以下申请表格；如果以下表格中的信息提供不完整，我们将无法处理您的定期 账户开立申请。 Disclaimer: The Chinese is for information only and not an official translation and under any dispute the English will prevail. 声明：中文翻译仅供参考，中英文若有不符之处以英文为准。 APPLICANT 申请人 Personal Details 个人资料 Contact Details 联系方式 Title (Mr, Mrs, Miss, Ms) Home Tel. No.家庭座机_______________________ 称谓（先生/夫人/小姐/女士）___________________ Mobile No.手机号码_________________________ Surname 姓____________________________________ Email address 电子邮件地址___________________ First name(s) 名字___________________________ Date of birth (DD/MM/YY) Instructions 指令 出生日期（日/月/年）__________________________ Fixed Deposit Instructions (please tick) 定期存款指 Existing Account (s) with ICBC (London) plc 令（请勾选） Flexible Account No. （账号___________________ Ov