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1、CUSTOMERNO.帳號□□□□□-□合作金庫商業(yè)銀行香港分行TaiwanCooperativeBankHongKongBranchCustomerInformation(Individual/JointnameAccount)客戶資料(個人/聯(lián)名賬戶)PleasecompleteinBLOCKLETTERSandputatickintheappropriatebox(es).Forjointnameaccount,pleasefillinseparatesheetsforeachapplicantindividually.請用正楷填寫，並在適當方格內加上剔號ˇ，聯(lián)名帳戶申請人需各自填寫表
2、格一份。□IndividualAccount個人賬戶□JointAccount聯(lián)名賬戶IdentificationDocumentDetails身分證明文件資料Type類別：□HKIdentityCard香港身份證□Passport護照：(IssueCountry簽發(fā)國)_________________Number號碼：______________________________DateofIssue簽發(fā)日期：_______________________________HongKongResident香港居民：□Yes是□No否；Ifnotpleaseanswerthefollowing
3、question如否請回答下列問題HavingresidentaccountsatotherfinancialinstitutionsinHongKong是否在香港其他金融機構擁有居民帳戶：□Yes是□No否Name姓名：□Mr.先生□Ms.小姐□Mrs.女士InEnglish英文:___________________________________________InChinese中文:________________________DateofBirth出生日期：_______________________(DD/MM/YY)Nationality國籍：_______________
4、_______MaritalStatus婚姻狀況：□Single未婚□Married已婚Occupation職業(yè)□Self-Employed自僱□Full-TimeEmployed全職□Student學生□Housewife家庭主婦□Retired退休□Others其他__________________________________________________________NameofEmployment僱主名稱：____________________________________________________________________BusinessType行業(yè)類別：
5、__________________________JobPosition職位：_______________________________YearsofService任期：____________________________Introducer/Referee(Compulsory)forApplicantofCurrentAccount)介紹人Name姓名AccountNumber賬戶號碼RelationwithApplicant與申請人關係_______________________________________________________________________
6、______CorrespondenceAddress通訊地址PleasesendyourentireBank’scorrespondence(includingmonthlystatementetc.)tomy:□ResidentialAddress住宅地址:____________________________________________________________________□CorrespondenceAddress通訊地址：____________________________________________________________________Conta
7、ctTelephoneNumber聯(lián)絡電話Residential住宅:1.___________________________________2.____________________________________Correspondence通訊:1.___________________________________2.____________________________________FaxN
