Your Personal Details =====�� !"#�� !"#�� !"#�� !"#�� !"#

*Title ��W � Mr �� � Ms=�� � Others, please specify �� �� W========================K

*First Name ��� !"#$W================================K Name in Chinese �� !"================================K

*Last Name ��� !"#$W================================K Former/Other Name �� L�� =========================K

*Gender=��W � Male � � Female �

*ID Type �� !"#W � Passport=�� � Identity Card �� !"� Policeman ID Card �� !"#$ � Retired Officer ID �� ! L��

� Military ID Card=�� !"Others=�� � Re-Entry Permit=�� !"#$%&'(

� Travel Permit to Mainland China for Taiwan Resident=�� !"#$%&'(� Or please specify �� !"

*ID Number�� !"#$%W

*Date Identification Expire(DD/MM/YYYY) �� !"#$��� / � / ��W ===================K

*Date of birth(DD/MM/YYYY) �� !�� / � / ��W ===================K

*Nationality ��W ===================K====*Place of birth�� W===================K

*Country of Residence=�� !W ===================K

*Language of Statement �� !W � English==�� � Chinese ��

*Type of Statement �� !W � Composite Statement =�� ! � Regular Statement=�� !"#�� !"#$%&'()*+,-./0 E�� !"#$%&'(

Residential Address (if different from Correspondence Address, andplease specify permanent overseas address if any):=�� !�� !"�� !"�� !"#$%&�� !"W

*Correspondence Address �� !W

*Postal Code �� !"================K

*Designation�� �Residential�� !

�Work �� ! � Others �� Postal Code �� !"==================K

For Residential Address �� !"#$%

Ownership Status=�� !"W � Owned outright(fully paid)�� !E�� !"F � Renting�� !

� Mortgaged Property�� !

Contact Details=�� !�� !�� !�� !�� !

Language Preference=�� !"#

Written�� !"#W � English �� Spoken�� !"#W � English ��

� Chinese �� � Chinese ��

Home �� Business��

Phone ��W

Fax ��W

Cell/Mobile�� !W

Email�� !W

Your Address/Contact Details ==========�� !"#�� !"#�� !"#�� !"#�� !"# LLLLL�� !�� !�� !�� !�� !

CUSTOMER INFORMATION / SOLE ACCOUNT OPENING FORM ������������ !�� !�� !�� !�� ! LLLLL ���������������������������������������������

1.Please tick( ) where applicable and completethis form in BLOCK LETTERS.�� !"#$%&'()� ���� !"# K

2.Please ensure to complete all fields marked with an asterik*,so that we can provide you with suitable products and services.�� !"#$%& G�� !�� !"#$%&'()*+��

NOTE:�� : Customer Number�� !W Bank authorised Signature and

Stamp�� !"#$%&

Date ��W

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PFS-

CU

A-0

05_b

(120

808)

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Page�� 1/4 Customer Initial/�� !"

�=Premier �=To be Premier �=Non-Premier

Statement Cycle=�� !W � Monthly=�� � Bi-monthly �� � Quarterly=��

� Half-yearly=�� � Yearly=��

We strongly recommend you choosing a statement cycle no longer than 1 month so that the account(s) activities can be better monitored.

�� !"# 1�� !"#$%&'�� !"#$%&'(�� !"#$

HSBC Bank (China) Company Limited Branch�� !�� !�� ! ��

Your Demographics==========�� !"#�� !"#�� !"#�� !"#�� !"#

Your Family Details==========�� !"#�� !"#�� !"#�� !"#�� !"#

Page �� 2/4 Customer Initial/�� !"

Employment=�� !

*Occupation ��W � Professional/Senior Administrative=�� ! L�� !"# � Administrative/Executive�� ! L�� !

� Agricultural �� � Housewife�� ! � Armed Forces ��

� Police�� ! � Student �� � Teacher ��

� Clerical �� � Retired�� !" � Self - employed ��

� Unemployed�� ! � Others(please specify)�� ��

*Employer=�� / ��W

1.Company Ownership�� !"# � State Owned Enterprise �� ! � Privately Owned Enterprise �� !

� Joint-stock Company �� !" � Foreign Invested Enterprise �� !"#

�Others (please specify)�� ��

2. Are you the business owner=�� �!"#$%&'( �Yes=�======�No=�

3.Will you be interested in knowing more about the commercial banking services provided by HSBC �� !"#$%&'()*+,-.+/0123

=�Yes=�====�No=�

*Business Sector �� !W � Manufacturing(pls specifyF=�� �� !"#

Ee.g.=�==Textiles=�� Machinery & Equipment�� !"

� Transportation/Warehouse/Postal Service�� !"�� !"#

� Business Service Excl Leasing/Rental�� �!�� !"

� Communications/IT Service/Software�� !"�� !"#$%&

� Restaurants and Hotels�� !"# � Property and Real Estate �� !

� Finance/Insurance/Security�� � Culture/Sports/Recreation�� �� !"#

� Retail/Wholesale�� !"# � Others, please specify�� ��

*Job Title ��W

Income=�� !

*Average Monthly Income (in CNY)��� W

�� !"#$�� !"#� <3,000 � 3,000 - <5,000 � 5,000 - <8,000

� 8,000 - <10,000 � 10,000 - <20,000 � 20,000 - <30,000

� 30,000 - <50,000 � 50,000 - <100,000 � 100,000 - <200,000

� >=200,000 � Zero Income =��

Average Monthly Household

income (in CNY): � <3,000 � 3,000 - <5,000 � 5,000 - <8,000

�� !"#$�� !"#� 8,000 - <10,000 � 10,000 - <20,000 � 20,000 - <30,000

� 30,000 - <50,000 � 50,000 - <100,000 � 100,000 - <200,000

� >=200,000 � Zero Income =��

Other Information �� !

Educational Level �� !W � Limited/None � � Primary �� � Secondary ��

� Tertiary �� L�� � Post Graduate�� !

Marital Status �� !W � Married �� � Single �� � Others ��

No. of Banks used for VIP accounts (if any) �� !"#$%&'()�� !W

Car Ownership �� !W � Yes � � No �

Spouse’s Name�� !�� !"#$W

Spouse’s Name - Chinese�� !�� !W

Spouse’s Date of Birth(DD/MM/YYYY)�� !"#�� L� L��W

Spouse’s Occupation : � Professional/Senior Administrative �� ! L�� !"# � Administrative/Executive�� ! L�� !

�� !" � Agricultural �� � Housewife�� ! � Armed Forces ��

� Police�� ! � Student �� � Teacher ��

� Clerical �� � Retired�� !" � Unemployed�� !

� Self - employed �� � Others(please specify)�� �� W

Number of Children �� !"#W

Hobbies�� !W Music�� � Classical�� ! � Theatre �� � Opera �� � Pop�� !

(Please select three

of them =�� !" Sports�� � Golf �� � Soccer �� � Skiing �� � Tennis ��

�� KF � Motor Racing �� � Water Sports�� ! � Sailing/Yachting ��

Other�� � Antiques �� � Ballet �� � Leisure Travel�� ! � Arts ��

� Books �� � Gardening/Horticulture �� � Wildlife/Nature�� !L��

� Others, please specify�� =�� ======================================K

I wish to apply for the phonebanking services. �� !"#$%&'()*========�=Yes�=========�=No�

Daily Transaction Limit Request�� !"#$%

#All transfers of money should comply with the relevant regulations stipulated by the People’s Bank of China and the State Administration of Foreign Exchange. �� !"#$%&'()*+,-.)/01234�5678

Daily foreign exchange (transfers between different currencies) limit is USD 20,000 equivalent.�� !"#�� !"#$%&'(�� !"# OMIMMM��

aThe maximum daily limit is set by HSBC. Your requested daily limit cannot be greater than the maximum daily limit. �� !"#$%&'()*+,-./�� !"#$%&'()*+,-./)0

bApplies to transfers to Self-named accounts held with HSBC in Mainland China only. �� !"#$%&'()*+,-./012���

cApplies to transfers to third party accounts in Mainland China and overseas, including accounts in your name held with other banks and overseas HSBC branches. �� !"#$%&'()*+,-����� !"#$%&'()*+,-./0*123���

Page �� 3/4 Customer Initial/�� !"

Phone Banking Application ==========�� !"#$%�� !"#$%�� !"#$%�� !"#$%�� !"#$%

Internet Banking Transaction Limit Request ==========�� !"#$%&'�� !"#$%&'�� !"#$%&'�� !"#$%&'�� !"#$%&'

#Transferring Money �� !

bTransfers to Self-named Accounts within HSBC Chinab�� !"#$%&'()�*

aMaximum Daily Limit (CNY)a�� !"#$%E�� F

Your Requested Daily Limit (CNY)�� !"#$%&'(E�� F

5,000,000

cTransfers to Non-Registered Accounts (sending money to accounts in MainlandChina or Overseas which you have not pre-registered).

c�� !"#�$�� !"#$%&'()*+,-. /0

50,000

Customer PBN

Ref. No. of Phonebanking Personal Identification Number

�For Bank Use Only =�� !"

Your Choice of Account(s) ==========�� !"#$%�� !"#$%�� !"#$%�� !"#$%�� !"#$%

Please enable the following account services for the integrated account.

�� !"#$%&'()*+%&,

� CNY Settlement Account (CNY CA1)#

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� CNY Current Account (CNY CUI)

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� No Cheque/Overdraft is available�� !" L�� !

*Purpose of Banking Relationship

=�� !

*Source of Fund/Wealth

=�� !

� Multicurrency Exchange Savings (FCY MSV)

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� Multicurrency Notes Savings (FCY MS1)

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� CNY Hong Kong Remittance Account (CNY SV2)

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*Anticipated Transactional Activities

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Your Interest ==========�� !"#�� !"#�� !"#�� !"#�� !"#

Customer Declaration ==========�� !�� !�� !�� !�� !

1. I confirm that the information given above is correct and complete, and authorize the Bank to confirm this from any source the Bank may choose.�� !"#$%&'()*+,-./01�� !"#$%&'()*+

2. I understand and acknowledge that, in terms of CNY settlement account(s), this account opening form is supplemental to the “Personal RMB Settlement AccountApplication Form” that will be or has been separately filled and signed by me in respect of the relevant CNY settlement account(s).�� !"#$%�� !"#$%&'(�� !"#$%&'()*+,-./01234567�� !"#$%&'()*+,�� !

3. I have received, read and understood the General Terms and Conditions (For Personal Sole Account, Joint Account and Business Account Holders) and the other termsand conditions that apply to the account(s) I hereby apply for opening (such as, the Bank’s HSBC Premier General Terms and Conditions and where appropriate,Account of Deposit without Fixed Maturity Date (other than Call Deposit and Contract Savings Deposit) - General Terms and Conditions, Time Deposit-GeneralTerms and Conditions, Call Deposit Account - General Terms and Conditions), and agree to be governed by them. In particular, I understand and agree:�� !"#$�� !"#$%&'(�� !"#�� !"#$ !%&'�� !"#$%&'()*+,-+./�� !"#$%&�� !"#���� !"�� !"#$%&!'�� !"#$!%&' !"#$!()�� !"#$%&'()*�� !"�� !

�� !

(i) Such General Terms and Conditions cover and apply to a wide range of services and accounts provided by the Bank;�� !"#$%%&'( )*+,-./01234567

(ii) I confirm that I have received, read, understood and accepted the Bank’s standard Tariff of Accounts and Services.�� !"#$%&�� �� !"#$%&'()*+,-./

4. I hereby understand and confirm that my signature on this form will be deemed as my specimen signature maintained with the Bank.�� !"��#�$%&'()*+,-��./#01'()2�3

5. I, the account holder, confirm that I am not acting on behalf of any other person as trustee, nominee or agent in respect of the account(s).�� �� !"#$%�� !"#$%&'()*�� !"#$%&'�()*+*�,�� !"# !"$%&'()*+,-

6. I have applied for the banking services below (please tick):�� !"#$%&'(�� !"#

�===Phonebanking Services=====�� !"#

I confirm that I have received, read, understood and accepted the terms and conditions governing the use of the Phonebanking services.�� !"#$%&�� �� !"#$%&'�()*+,-./0.12

I confirm that I have received Phonebanking Personal Identification Number (PIN).�� !"#$%&'()*+,"-./

The Bank may from time to time want to inform you by mail, email, short messaging and other means, of special offers that you may be entitled to and various productsand services made available by the Bank, which we believe may be of interest to you and/or may benefit you financially.�� !"#$%&'()*�� !"�� !"#$%&'()*++,-./0123"#456789/:;<=>?�� !"#$%&��� !"#$%&'()*� L�� !"#$%

By signing this application, you hereby give your consent that the Bank may contact you through each and all of the above channels for the purpose mentioned in thepreceding paragraph.�� !"#$%�� !"#$%&'()*+,-.-/0&)+,12345�-6789:

If you DO NOT wish to receive the above-mentioned information via one or more of the above channels, please tick the appropriate box(es) below:�� ����������������� !"#$%#&'() !*+,�� !"#$%&'(

�==Mail �� �==Email �� ! �==Short message service (SMS) �� !

Please note that your signature below will be deemed as your specimen signature to be used in the operation of your account(s), please therefore properly sign below.�� !"#$%&'()*!"%&+,-.!"/01)2�� !"#$%

For Bank Use Only (please apply User ID plus Initial)

Signature

Scanned dated:

Signature

Scanned by:

Signature

Checked by:

Page �� 4/4

Customer Signature and/or Chop Date

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