Customer Name

商業客戶資料 / Corporate Client (CIF) Information □ 開立 / Creation □ 更改 / Change 注意: - 請用正楷填寫並在適當的方格內劃上“”號。 PARA USO DO BANCO FOR BANK USE 如所提供作答的空間不足，請使用附有貴公司機構名稱之信函提供有關資料。 C.I.F.: Note : - Please fill in BLOCK LETTERS and tick where applicable In case the space provided for any answer is not enough, please use paper with your company letterhead to provide the data 日期 Date:___ (日 day) ____ (月 month) ______ (年 year) 1. – 公司名稱: Company Full Name: 2. 註冊號碼: 註冊日期: 註冊地: 國家代碼 Business Registration Nr. : Date of Incorporation: Country of Incorporation: Country Code: _______________________ ____ /____ / ________ ___ ___ ___ 資本: Share capital ____________________________ 3. 營業地址: 郵政編號: Business Address: Postal Code: 省/州: 國家國家代碼 Province / State: Country: Country Code: ___ ___ ___ 電話: 傳真電郵 Telephone Fax: E-mail: 4. 通訊地址: (若有異於營業地址) 郵政編號: Correspondence Address: (if different from “Business Address”) Postal Code: 省/州: 國家國家代碼 Province / State: Country: Country Code: ___ ___ ___ 電話: 傳真電郵 Telephone Fax: E-mail: 5. 行業: Code: Line of Business: Código ___________ 6. 股東 Shareholders 姓名: 持股權國籍常居地址: CIF Name: Share Nationality: Habitual Residential Address: Page 頁 1 of 4 7. 董事會成員及有效簽署人: Directors & Authorized Signatories: 姓名: 職位國籍常居地: CIF Name: /Title Nationality: Habitual Residential Address: 8. 持有其他公司股權 (如有) Shareholdings in other companies – if applicable 公司名稱: Company Full Name: 註冊地址 Registered Address: 註冊日期持股金額持股量 Date of incorporation Share Capital Capital _________________________________________________ ____ / ____ / _________ ___________________ _______ _________________________________________________ 公司名稱: Company Full Name: 註冊地址 Registered Address: 註冊日期持股金額所佔率% Date of incorporation Share Capital Capital _________________________________________________ ____ / ____ / _________ ___________________ _______ _________________________________________________ 9. 擁有之不動產(如有): Real Estate owned by the Company – if applicable 註冊地址: 地點: 市值: 負擔(抵押 / 按揭) Description/Registration details: Location: Value: Pledge / Mortgage: Page 頁 2 of 4 10. 業務摘要: Activity highlights: 本年度 / Current Year 上年度/ Previous Year 前兩年 / Two Years Prior 營業額 Total sales 純利 Net profit: 僱員人數 Nr. of Staff: 諮詢: 與貴公司有業務往來人仕(請選寫客戶或供應商) - (自選) References: Persons or entities with whom the Company has dealings (preferably suppliers or customers) - Optional 姓名: 地址: 聯絡人: 電話號碼 Name Address: Contact Person: Tel. Nr. 與貴公司有業務往來之銀行 Banks and respective Branches with whom you deal with 銀行名稱: 分行聯絡人: 電話號碼 Bank Branch: Contact Person: Tel. Nr. 聲明本人/(等)證實上述資料屬正確及完整，並授權貴行可向任何方面查證。本人/(等)亦同意上述資料有任何變更，會立即通知貴行。本人(等)已清楚閱讀、明白、及同意接受大西洋銀行所提供的所有有關上述戶口的一般條款及條件的約束，並按照條款及條件的要求，給予明確的同意和授權。本人(等)亦收到副本一份以供作實。只適用於人民幣工商儲蓄 / 往來戶口的商戶: - 本人(等)明白工商人民幣儲蓄 / 往來賬戶只能用於進行貿易結算，指定商戶的交易或由有關權力機構允許的其他交易。 DECLARATION I/We confirm that the information given above is accurate and complete, and authorize the bank to confirm this from any source the bank may choose. I/We also undertake to notify the Bank immediately of any changes to the above information. I/We I hereby declare that I/We received a copy of the General Terms & Conditions issued by Banco Nacional Ultramarino, S.A., that I/We have read, understand and accept to be bound by all its clauses, giving explicit consent and authorization when required by its provisions. For Corporate Renminbi Saving/Current Account customers ONLY: - I/We understand the Corporate Renminbi Saving/Current Account can only be used for conducting trade settlement transactions, or engaging in designated business or conducting such other transactions as allowed by the relevant authorities. 日期: 公司授權簽名職位 Date: Company’s authorized signatures: Position _____/ _____/ _________ * FOR BANK USE * CIF#: _____________________ SV Input Checked Branch Code______________ Page 頁 3 of 4 - THIS PAGE IS SOLELY FOR BANK USE - C.I.F.: Branch: _______________________ Staff Nr.: ___________ Country Codes (Items 2 & 3) For the complete list of Country Codes, please refer to the Appendix I, of the MA 57/12. Line of Business (Item 5) For the complete list of Country Codes, please refer to the Appendix I, of the MA 57/12. SUPPORTING DOCUMENTS CHECKLIST Company Supporting documents1: □ “Certidão” (Business Registration Certificate) from the “Conservatória dos Registos Comercial e de Bens Móveis” (registry of Businesses and Moveable Assets) including the most recent articles of association, for companies registered in Macau; □ Most recent M1 or M8 Industrial Tax statements issued by “Direcção dos Serviços de Finanças” (Finance Services Bureau); □ A resolution of the board of directors or general meeting of shareholders, if and as appropriate, to open account(s) and determining the rules of operation of the newly opened account(s); □ Specimen signature (signature card); □ Source of funds (if the account exceed 20.000 MOP) – Form MLD000, dully filled and signed. For companies incorporated abroad and not registered in Macau, equivalent registration documents issued by the relevant government agencies are required, such as the business registration certificate, certificate of good standing, memorandum and articles of association and resolutions amending such, if any, and the statement of the purpose to open an account in Macau. Supporting documents for each shareholder, director/authorized signatory (items 6 & 7)/beneficial owner: INFORMATION REQUIRED SUPPORTING DOCUMENTS (Examples) CHECK - Full Name - “Bilhete de Identidade de Residente de Macau” (BIR), in English “Permanent - Type, Number, Date and Issuing entity of the Resident Identity Card”, for Macau Permanent Residents; identification document - “Bilhete de Identidade de Residente Não-Permanente”, (Non-Permanent Resident Identity Card), issued by the “Direcção dos Serviços de - Date of birth Identificação” (Identification Bureau) of Macau, for Macau Non-Permanent - Place of birth Residents; - Nationality - Other valid original documents of identity issued by a governmental authority (e.g. identity card or passport), for non-residents. - Habitual residential address - Utility (water, electricity, telephone) bill; or - Management fee bill; or - Recent tax receipt; or - Letters issued by government or other public entity, mentioning customer’s address; or - Statement of another financial institution. OBSERVATIONS / NOTES: Date: ____/ ____/ ______ Branch Manager / Operations Manager 1 If original documents cannot be provided, copies of the documents should be properly certified by a suitable person, acceptable to the Bank. The certifier should sign and date the copy document (printing his name clearly in capitals below), stating that it is a true copy of the original. Page 頁 4 of 4 .

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