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J21361 78252 CB Direct Banking 12/26/06 8:54 PM Page 1

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For ’s Use Only Citibank Account Opening Form Please fill in your personal details in BLOCK LETTERS. Base No:______

INSTRUCTIONS Main Applicant US Tax Declaration And Acceptance Mail your application form and supporting documents back to: By ticking the appropriate box and signing the form, I accept the terms and conditions set out 1 Temasek Avenue, #14-01 Millenia Tower, Singapore 039192 in this form and declare my tax status under US tax law. I understand that a false statement or misrepresentation of tax status by a US person could lead to penalties under US law. Dept: CitiBanking Marketing Attn: Susan Tan Non-US Person I represent and warrant that I am not a US person i.e. a citizen or lawful resident (green 1. Please enclose the following documents: card holder resident in Singapore or resident in other countries with which the US has not (a) For Singaporean/Permanent Resident: • A copy of NRIC (both sides) and • a copy of any ratified a Tax Treaty) of the US for purpose of US federal income tax, and I am not acting of the following: An original copy of your recent bank statement/utility bill/telephone for, or on behalf of, a US person. I acknowledge that a false statement or misrepresentation bill/latest Income Tax Notice of Assessment/Central Provident Fundstatement/computerised of tax status by a US person would lead to penalties under US law. If my tax status changes payslip/a photocopy of your driving licence (both sides). and I become a US citizen or resident of the US, I must notify the Bank within 30 days. (b) Others: • A copy of your passport and employment pass/work permit/dependant pass. For purposes of complying with applicable US Tax Law, I waive any , privacy (c) A crossed check, for the full amount to open the account(s) you have requested, from or data protection rights related to my account. your existing in Singapore, made payable to yourself. Please indicate your Non-US Person with a US address (or green card holder claiming tax treaty benefits) NRIC/Passport Number at the back of the check, and ensure that the signature of the (FormW8BEN attached) main applicant on the application form is the same as that on the check sent in. (d) If your mailing address is different from that in the NRIC/Passport, please attach an US Person (US Tax ID Number ______- _____ -______) (Form W9 attached) original copy of your Income Tax Notice of Assesment. The Bank assumes no liability for any tax withheld on any reportable payments made to a customer under the US Tax Rules. 1. MAIN APPLICANT Personal Information 2. ADDITIONAL INFORMATION/TRANSACTIONAL PROFILE Full Name (as in NRIC/Passport) Mr Ms Mrs Mdm Dr What is your objective in opening an account: Please underline surname Savings/Investment Payroll Account Transactions e.g. ______Type of Funds: NRIC/Passport No.______Cash Check Travelers Check Nationality: Singaporean Singapore PR Others ______TT/Inward Remittance Electronic Transfer from Employer Date of Birth: ______mm/dd/yy Source of Wealth: Marital Status: Single Married Others______Savings Payroll Business Income Educational Level: GCE 'O' GCE 'A'/PRE U Diploma Degree Directorship Inherited Wealth Rental Income Sales of Investment Others ______Transaction Profile (all accounts) Professional Information Type of Funds Number of Expected Amount of Expected Self Employed Name of Company: ______Transactions Per Month Transactions Per Month Nature of Business: ______Deposits Withdrawals Deposits Withdrawals Employed by - Name of Company: ______Occupation: ______Date Employed: ______Cash: ______S$ ______mm/dd/yy Monthly Income (S$): < $2,500 $2,500 - $5,000 $5,001 - $8,000 Checks: ______S$ ______

$8,001 - $10,000 > $10,000 Electronic Transfers (GIRO) : ______S$ ______

Contact Information Funds Transfers: ______S$ ______

Home Address: ______Others: ______S$ ______Postal Code:______Total: ______S$ ______Type of Residence: Owned Mortgaged Parents'/Relative's Rented

Others ______Total Number of Expected Deposits and Withdrawals Per Month: (Please tick one) Mailing Address(if different from Home Address): 40 or less 41 to 60 61 to 80 81 or more ______Total Amount of Expected Deposits and Withdrawals Per Month: (Please tick one) ______Postal Code: ______Email Address Preferred: ______S$50,000 or less S$50,001 to S$150,000 S$150,001 to S$250,000 S$250,001 to S$350,000 Additional: ______S$350,001 to S$450,000 S$450,000 or more Contact No.: Home:______Office: ______Fax: ______FOR BANK'S USE ONLY Handphone: ______Pager:______Relationship Title: ______Any Existing Relationship with Citibank? ______No existing relationships with Citibank Main Applicant Customer No.: ______Yes, I have the following accounts with Citibank. Joint Application Customer No.: ______My account number is:______MaxiSave Citiaccess Savings Unit Trusts Time Deposits Bonds Payroll account - Estimated Amount: ______Waiver Period: ______Cash Management Foreign Currency Checking /Facilities Application Mode: Remote / Face-To-Face RCAO Code: ______Account No.: ______Senior Public Office (e.g. Heads of States or of government, senior politicians, senior government, judicial or military officials, and important political party officials): Other AML Risk: No Yes No, I/my immediate family members do not hold, have never held, are not actively seeking CIP-P Documentation Primary ID(s): ______and are not being considered for senior public office. Secondary Documents / NDV Method: ______Yes. I/my immediate family members: Verified & Input By: ______Date: ______currently hold Account Opened By / SDN / PF Checked By: MA Checked By: have held (Period held from ______to ______) are actively seeking are being considered for senior public office (Please elaborate) ______Date: ______Date:______Position:______

Co Reg No: 200309485K

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For Bank’s Use Only Citibank Money Market Account Opening Form Please fill in your personal details in BLOCK LETTERS. Base No:______

3. JOINT APPLICANT 2. I/We confirm that I/we have read the Terms and Conditions of Citibank Global Consumer Banking Singapore, and agree to be bound by the same and by any other terms and conditions of the Bank applicable from Personal Information time to time in respect of any features and services under the account which I/we may request from time Full Name (as in NRIC/Passport) Mr Ms Mrs Mdm Dr to time. Please underline surname 3. I/We agree that the provisions in this Customer Confirmation and Declaration shall be deemed to be fully effective in relation to all and any Account(s) (as hereinafter defined) now existing or hereafter opened by ______me/us with the Bank of any type or category, and whether opened in single or joint name(s) or in trust, and the provision herein shall be deemed to be repeated in any account opening form and/or the terms and NRIC/Passport No. ______conditions governing any Account(s) now existing or hereafter opened by me/us. 4. I/We confirm that at the time of this application, I/we am/are not undischarged bankrupt(s) and that there Nationality : Singaporean Singapore PR Others ______has been no statutory demand(s) served on me/us nor legal proceedings commenced against me/us. 5. "Account(s)" means all and any accounts (whether held singly or jointly with any other persons) as may be Date of Birth: ______mm/dd/yy opened or maintained by me/us with the Bank from time to time (including but not limited to savings, deposits, investment and secured / unsecured lending facilities). Marital Status: Single Married Others ______B. Investments/Foreign Currency Trading Accounts Educational Level: GCE 'O' GCE 'A'/PRE U Diploma Degree 1. I/We now or hereafter apply for an Investment Account / Foreign Currency Trading Account. I/We hereby certify under penalties of perjury that: Others______a. I/we am/are not citizen(s) or resident(s) of the US; b. I/we have not been nor do I/we expect to be present in the US for a period of 31 days or more in the Relationship to main applicant: ______current calendar year and for a period aggregating 183 days or more during the current calendar year and 2 preceding calendar years; and c. the gains from my/our brokerage transactions are not and will not be effectively connected or related Professional Information to any US trade or business I/we am/are engaged in or intend to engage in during any calendar year. 2. If my/our status as an exempt foreign person(s) changes, I/we shall notify the Bank in writing immediately Self Employed Name of Company: ______and in any event within 30 days from the date of change. In the event that I/we shall become a US person, I/we agree that the Bank shall be entitled to do all acts and things it deems necessary to comply with Nature of Business: ______applicable US law, including but not limited to a liquidation of the affected assets. I/We agree to bear all Employed by - Name of Company: ______costs and expenses incurred by the Bank as a result thereof. 3. Law Of Own Country* Occupation: ______Date Employed:______I/We shall be aware of the laws in my/our country with regard to my/our banking with you in Singapore or mm/dd/yy in any other jurisdictions and you shall not be liable for any loss or liability imposed by my/our country on Monthly Income (S$): < $2,500 $2,500 - $5,000 $5,001 - $8,000 me/us as a result of my/our non-compliance with any regulations, laws on legal process of my/our country. *Applicable to individuals who reside outside Singapore. $8,001 - $10,000 > $10,000 C. Bank Secrecy Waiver 1. I/We authorise the transfer and disclosure of any information relating to me/us, to and between the branches, Contact Information subsidiaries, representative offices, affiliates and agents of Citibank and third parties selected by any of them, wherever situated, for confidential use (including for use in connection with the provision of any Products Home Address: ______(as hereinafter defined) and Services (as hereinafter defined) to me/us, and for data processing, statistical ______Postal Code: ______and risk analysis purposes, global services and dealings in securities on the Singapore Exchange Securities Trading Limited and any other relevant authorities and agencies pertaining thereto). The Bank Type of Residence: Owned Mortgaged and any of Citibank, N.A.’s branches, subsidiaries, representative, offices, affiliates, agents or third party selected by any of them or the Bank may transfer and disclose any information as may be required by any Parents'/Relative's Rented Others ______applicable law, court, regulator or legal process. 2. I/We shall be aware of the laws in my/our country with regard to my/our banking with you in Singapore or Mailing Address (if different from Home Address): in any other jurisdictions and you shall not be liable for any loss or liability imposed by my/our country on me/us as a result of my/our non-compliance with any regulations, laws on legal process of my/our country. ______a. the Bank to transfer and disclose to any such bureau; and ______Postal Code: ______b. any such bureau to transfer and disclose to any fellow member or subscriber as may be recognized as such by MAS, any information relating to me/us and/or any of my/our Account(s) with Citibank (and for Email Address Preferred : ______such purposes) as may be permitted under or pursuant to the Banking Act (Chapter 19). 3. For the purpose of complying with applicable US Tax Laws, I/we waive any bank secrecy, privacy or data Additional: ______protection rights related to my/our Account(s). Contact No.: (H)______(Off)______(HP)______4. "Products" means those products listed under the general section in the Terms and Conditions of Citibank Global Consumer Banking Singapore entitled "PRODUCTS" and such other products which the Bank may in Pager: ______Fax: ______its discretion agree to make available to me/us from time to time. 5. "Services" means those services listed under the general section in the Terms and Conditions of Citibank Global Consumer Banking Singapore entitled "SERVICES" and such other services which the Bank may Any Existing Relationship with Citibank? in its discretion agree to make available to me/us from time to time, and the term "Service" shall be construed accordingly. No existing relationships with Citibank D. Facsimile Banking Service Yes, I have the following accounts with Citibank. 1. This service, if requested by me/us, shall enable me to effect the operation of my/our account(s), transactions, My account number is : ______dealings via the facsimile machine and such service shall be governed by the Fascimile Banking Service Terms & Conditions or any other agreement. MaxiSave Citiaccess Savings Unit Trusts Time Deposits Bonds 2. The Bank may rely and act upon my/our instructions given via this service, and such instructions so given Cash Management Foreign Currency Checking Credit Card Loans/Facilities shall be vaild and binding on me/us. 3. I/We shall be in all circumstances accept full responsibility for all transactions and instructions effected Senior Public Office (e.g. Heads of States or of government, senior politicians, senior government, under this service and all the risks associated therewith. 4. The Bank shall be entitled to verify my/our or my/our Authorised Signatory (ies) instructions via the judicial or military officials, and important political party officials): telephone or any other means given via this service. 5. I/We shall fully indemnify the Bank for all losses or proceedings whatsoever arising out of or in connection No, I/My immediate family members do not hold, have never held, are not actively seeking with the provision of this service to me/us, including without limitation any error, fraud, forgery or ambiguity and are not being considered for senior public office. in the instructions given by me/us and/or my/our Authorised Signatory(ies) or any delay or failure in any transmission or communication facilities. Yes. I/My immediate family members: 6. I/We will indemnify the Bank, its employees and nominees or agents promptly on a full indemnity basis against currently hold all acts, omissions, negligence, claims, proceedings, demands, losses (direct or consequential), costs and expenses (including all duties, taxes or other levies and legal fees on a full indemnity basis) and other liabilities have held (Period held from ______to ______) incurred by the Bank as a result of the Bank taking instructions from me/us and/or my/our Authorised are actively seeking Signatory(ies) via this service and acting upon them or any delay failure in any transmission or communication facilities. are being considered for senior public office (Please elaborate) Position:______E. Protective Language and Depository Priorities 1. I/We acknowledge that all obligations hereunder are payable solely at and by the Bank, subject to the laws of Singapore (including any government actions, orders, decrees and regulations). Joint Applicant US Tax Declaration And Acceptance By ticking the appropriate box and signing the form, I accept the terms and conditions set out in this form and declare my tax status under US tax law. I understand that a false statement or misrepresentation of tax status by a US person could lead to penalties under US law. Non-US Person I represent and warrant that I am not a US person i.e. a citizen or lawful resident (green card holder resident in Singapore or resident in other countries with which the US has not ratified a Tax Treaty) of the US for purpose of US federal income tax, and I am not acting for, or on XX behalf of, a US person. I acknowledge that a false statement or misrepresentation of tax ______status by a US person would lead to penalties under US law. If my tax status changes and I Main Applicant Joint Applicant become a US citizen or resident of the US, I must notify the Bank within 30 days. For purposes of complying with applicable US Tax Law, I waive any bank secrecy, privacy or data protection rights related to my account. Non-US Person with a US address (or green card holder claiming tax treaty benefits) (FormW8BEN attached)

US Person (US Tax ID Number ______- _____ -______) (Form W9 attached) The Bank assumes no liability for any tax withheld on any reportable payments made to a customer under the US Tax Rules. ACCOUNT(S) TO BE OPENED: (Please tick )

 Please select one: * Money Market Account with Citicard Visa Point-of-Sale Debit 4. CUSTOMER CONFIRMATION AND DECLARATION payment

Making Global Investment Opportunities Available to You* Please provide me/us with global market information and research, and from time to time, information on specific Initial Deposit Amt - Cash: S$ ______Check/Inward Remittance: S$______banking and investment opportunities which you consider, may be of interest to me/us. I/We understand that the provision of the said information and services (if any) to me/us arise out of your advisory relationship with me/us. * Applicable to individuals who reside outside Singapore. * SGD deposits in the account shall, subject to the provisions of the Deposit Act (“Act“), References such as "I", "we", "our" and "us" in this account opening form shall include, in the case of in-trust- be eligble for deposit insurance coverage under the Deposit Insurance Scheme up to the limits for accounts, myself/ourselves and all of my/our beneficiaries. Reference to “the Bank” in this account opening

specified in the Act. EVA0105 form shall mean Citibank Singapore Limited. By signing the Specimen Signature Card portion of this account opening form below, I/we represent, warrant and undertake to the Bank as follows:\ A. Banking Accounts 1. I/We hereby warrant and confirm that the information provided herein and in this account opening form and in any document furnished by me/us is true, accurate and complete.

Co Reg No: 200309485K

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For Bank’s Use Only Citibank Money Market Account Opening Form Please fill in your personal details in BLOCK LETTERS. Base No:______

SPECIMEN SIGNATURE CARD

Relationship Type: Sole Joint (and/or) For joint applications, either main or joint account holder can sign singly.

Main Applicant Joint Applicant

Name Name

X X Signature Signature

Date Date

FOR BANK'S USE ONLY

Relationship Title: ______

Verified and Input By:______Base No: ______Date: ______

* Please note that processing time of your application will take 3-5 working days.

Co Reg No: 200309485K

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