个人「综合户口」申请表（内地澳门进行文件确认、签名见.PDFVIP

個人「綜合戶口」申請表 (內地/澳門進行文件確認、簽名見證及傳遞文件專用) Personal Integrated Account Application Form (For document verification, signature witness and document transfer in the Mainland / Macau only) 致 : 恒生銀行有限公司 To : Hang Seng Bank Limited 註： 開立投資戶口(包括證券/基金)不適用於透過見證開戶安排辦理 Note: Not applicable for opening Investment account (including securities/funds) through Witnessing Arrangement. 請用正楷填寫，並在適當之方格內加上 “√” 號。 日期(日/月/年) Please complete in BLOCK LETTERS and “√” where appropriate. Date(DD/MM/YY) 甲部 Part A ─ 文件傳遞及接收服務請求 Request for Document Delivery and Receipt Service 本人希望向恒生銀行有限公司( 「恒生香港」)申請開立賬戶( 「申請」) 。本人因未能在香港辦理相關手續，為便利之目的，本人授權恒生銀行 (中國)有限公司( 「恒生中國」)/恒生澳門分行( 「恒生澳門」) ，包括恒生中國/恒生澳門職員 ，作為本人之代理人，並請求及授權恒生香港(包 括恒生香港職員)提供相應便利如下(合稱「請求」): I wish to apply to Hang Seng Bank Limited (“Hang Seng Bank Hong Kong”) for account services in Hong Kong (the “Application”). As I would not be able to lodge the Application in Hong Kong in person, I authorise Hang Seng Bank (China) Limited (“Hang Seng Bank China”) (including Hang Seng Bank China staff)Hang Seng Bank Limited Macau Branch (Hang Seng Bank Macau)including Hang Seng Macau staffto act as my agent and I hereby request and authorise Hang Seng Bank Hong Kong (including Hang Seng Bank Hong Kong staff) to (collectively “the Request”): (i) 接收恒生中國/恒生澳門(包括恒生中國/恒生澳門職員)代本人傳送給恒生香港本申請意向書及本人為申請開立賬戶之所需文件及本人之相 關個人資料； receive from Hang Seng Bank China (including Hang Seng Bank China staff)/Hang Seng Bank Macau (including Hang Seng Macau staff) this document and any document and information related to the Application; (ii) 透過任何恒生香港認為適當的途徑將有關本人開立賬戶之相關文件及資料傳送至恒生中國/恒生澳門(包括恒生中國/恒生澳門職員)再轉交 本人； deliver the relevant account opening document and information to Hang Seng Bank China (including Hang Seng Bank China staff)/Hang Seng