Legal Company Name

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Legal Company Name

D-U-N-S® Number Request (Hong Kong & Macau)

To obtain a D&B D-U-N-S® Number for your business located in Hong Kong or Macau, you may request by:

1. Submit 2 business name cards – scanned copy accepted (include chief executive and financial in-charge), and

2. Complete the Full D&B D-U-N-S ® Number Request Form (Hong Kong/Macau), and

3. Return the form together with BR copy and/or latest annual return filed on local company registry via email, fax or courier.

D-U-N-S ® Number Request Contact (9 .00 am – 5.30pm, Mon-Fri, H.K. local time) :

Dun & Bradstreet (HK) Ltd. - Market Intelligence Management Unit 1308-1315, 13/F, BEA Tower, Millennium City 5, 418 Kwun Tong Road, Kwun Tong, Kowloon, Hong Kong Tel: (852) 2516-1122

Email: d breg. [email protected]

Following Delivery Schedule & Charges effective Aug 10th, 2012 Service Details: Delivery Schedule: Charges:

7 business days' delivery  D-U-N-S® Number Request - reply via email HKD500 Service

Your D-U-N-S® Number will be informed either via email or fax upon receipt of the completed request form, name cards(if any), latest Annual return filed, Business Registration Copy & payment confirmation.

Businesses reside on countries other than Hong Kong & Macau, please search for your Local D&B Homepage on www.dnb.com for more details.

1 A company of The Dun & Bradstreet Corporation D-U-N-S® Number Request Form Hong Kong/Macau * Mandatory Field *Business Name: Chinese Name (if any): *Hong Kong Registered Address: Room No.: Floor : Building Name: Street No./ Name: District: H.K. / Kln. / N.T. Hong Kong / Macau Telephone No.: 852/853 - 852/853Company - E-mail address:

Fax No.: (Optional) 852/853 - Company Website: (Optional)

*Legal Structure : ( ) Private Limited ( ) Public Limited ( ) Sole Proprietorship ( ) Partnership ( ) Others (Pls. specify) *Registry Details: Date Registered:(dd-mm-yy) - - Business Registration No.: Company Incorporation No.: *C.E.O. Name: . Title: . Email: .

*Finance in-charge Name: . Title: . Email: .

Manager Name: . Title: . Email: .

*Line of Business: ______

( A description of business activities, CANNOT put Trading/Manufacturing ONLY)

*Number of Employees Number of Employees Hong Kong: Worldwide:

*Contact information (D&B will send the requested D-U-N-S® Number details to the following) Contact Name

Telephone Number Fax Number ______Email Address

*Reason for application of D-U-N-S® Number: Apple developers

2 A company of The Dun & Bradstreet Corporation D-U-N-S® Number Request Form Hong Kong/Macau * Mandatory Field * Please provide following documents: □ Executive Name cards □ Latest Business Registration Copy □ Latest Annual Return filed

Service Option:  D&B D-U-N-S® 7 business days' delivery Service HKD500

* D-U-N-S® Request Confirmation

□ I declare that the information in this application form is complete and true.

______Authorized Signature and Company Chop ______Date

*Payment Method –D&B D-U-N-S® 7 business days' delivery Service

□ By Credit Card □ By Bank Transfer Credit Card Type: Visa / Master / AMEX Please deposit cash or check at: - Name on Card: Credit Card Number: ____-____-____-____ Bank Name: The HK & Shanghai Banking Corp Bank Address: 1 Queen’s Road C., Hong Kong Expiry Date: Month Year ____ Swift Code: HSBCHKHHHKH Account No. : 004-111-240487-001 A/C Name: Dun & Bradstreet (HK) Ltd Cardholder Signature: □ By Bank Check (Please make check payable to Dun & Bradstreet (HK) Ltd)

3 A company of The Dun & Bradstreet Corporation

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