kp usec HSBC Bank (Singapore) Limited Company Regitraton No 201820624K Account Opening Form Totem itd 15 mms tocomelte you nama ha inforaton awa, Al i are mandatory ‘You wl endo prov flowing document or aout pein: fe er Sngapore Czas or Pamenont Reso of Passport Fr Freon) {in arent on on! Socurents on Lal usons (aha aplcab or acount hier betwen 2a 1 ene fe tol Evryy Globe Accounts anal scours wth characte account le mst be 18 yar ot and shove 1 Feral Stata Suing Acouns sosount has must be 1 yo aldar above 1 Fransurelis wna do ote tea emant open th aoc sl Aco nyt Exerc Gio Staten Sung Acount with Pace guaren apples Preto guoraan lb the an Scoot hacer + Foraleeontsosunt appears AepcanT it be mah acount eet (EME very Globe! Account Ere ba cc roy cal cure: AUD CAD CHE ICN EUR S60 BP AIRD UPYINZD USO ‘Singpore Dollar Dopo count: emer Acoun Stare Song Acoun 1 cues Aeon Foreign Caren Depot count Carer een AUD uso ‘oolcans.2= Sl accu Everday Globe! Account: "Endy lbs Aes Ero acount 1 caren: AUD/CAD CHF CNY EUR 0 GBP JD APY NZD SO) ‘Signpore Dollar Dopo counts: emer Aon Snament Sage Aer caren ect Foreign Currency Dopot Account Corn ecoune 2 AUD uso biases very Gide! Accoune: rn lbs! Accor Ero coe al caren: AUD CAD CHE ICN EUR S60 BP KD UPY NZD SO ‘Singapore Dollar Dopo count: Foreign Currency Depot Aecount aon eco (1 AUD uspFut Name|osnncrapon Tate IDrHMr ase Ram Surname ee (bers est Gv Name LUNIA omer! Other Name ryt ee et Date of tien (poner [=17]= [TET] NC /Panoport N, MBE Nationality {Court Ragen sec Nanay 2 (Ct ap Residency Status Sro:pors Reston fueaton Level Pinay ()SecandaPastSeonday Mort Sexe ¥'Segi Mates Overt ‘soy Oa (T9T Le] 2Te 1215) Nevonaty 1 Cavin Rn NOM (iluietetse TT) CourtryRegion of Birth MOA Comments MOM Nanay Cay Rage Non Rasa setts eléin____ era eg | have on exiting rlaonship wth HEBC Group inthe following county region's) ST SOL STATE MACHA PRADESH Poca Cate 72289_couny/ agen MOM Home Owners Pern 5 LaenMongapse unghie Flyowmed Campa esidance Aa Tie Adroes Sie TTT OT Previous Adres ssi anes an 2 ree) Pet Cote Coury Ragen | Maing Aadrans ste tor rest ts (ST SOLAN, STATE HCL PRADESH Pout Cate 22 __ coun Rajon MOA Permanant Arne ron ett | ‘evecateraectneal —CUnvrsivTenary Postgres es [Employment Stat ‘SaEmployed Sle Popierecnin) —_CEmployd Sit Sa ploy isis Over Homemster ay Conteh CEO, CFO, C00, MD} Cuneloe (Retredisussent, Course Compleson date [TTT TT TT) ‘Employer Basineas Name InunyType Nature of Business Otic Aarons Pratl ode Coury Regn | Length ot Service [T]Yous) CT ]Menrs) eb Te Amul come (8. (ther income 81 ‘Source of Other income Protea pve Buses Nar ore eet tt Time at Pravous Employer / Business| ]vane[_[ Monts) For FM Core holders ew CODTTIT I) en bey doe COOECEE FNtpe Cemaoyren Suet Dependent Vit so ae Fassn italPeace compete flewing able inating whare you re a sent ayer TN fr eah juin nae ou ae tax esient 11 TN le unevalable pose provide the appropriate reason A,B or € wher indented below: (Peasinccate an exlaaton blow why you are nate toca TIN you hve nat thi reson) (Go stect eaten! the authori of ejection of txresidene cated do ntrequee ha TN tobe loa ‘Juriadiotion of Tax Residence 7 Hfno TIN available enter Ressgn A, Bore. =P]e Ps |= re stores in"My Contact Osis ra” son are ter rahe cons where yo rx sn yore hy [A The courteyurncton of your curt residence etre rom the triton) of Tak Reskance, Pasa lace a” agaist ora oth flowing tons |. Lam student study ine redone aates coupon and have ot We hr ng rough wo become tx eset.) 2. Lam working th ein aes courryegin od havent ied tere long enh 1 bea a dent Sam aplat or amber fhe ares espe 1 the resdet ase couinrapon. 4.1have recany moved Singapore cd am not yet ota sont | msi tx reientn the dct acres above.) 5. None ofthe above late rove dtisin he pace bow: The countrfuraicton of your mailing arouse tern rm the uridine) of Tax Residence, - oe Peas place 2” aganst oe of th flowing otns: Tre msling adore ithe sree 1. My se sonar ane 2. Myra .ntywerkoramsloyer A My holy home 5. None ofthe tove-lease prove dts inthe space below fr He . ( se onqapre somPaltme osneectee MeO EM SSS COUP ate of in oommurrrnf TIT TIT T NRC | Pamper No. CET rr Nasonaity 2 aur tegen Reside Stats Singopore Reser {avction Lal Perry Secondo Socndy Maral eae Sire Marg Omer Meo Me No een, a in a CountryMagion of ith iy Oo LITE) comyegenct am Natlonalty (Coury Ragan it) Natonaty 1 (Care! ape Natonaity 3 Cony Regen. | have an eletingrleonahip with HSBC Grup inthe folowing countyaeY region) Forovoea ine, peas cate County! Rapin Code: Contact No. Met Home: See ont: mal Addons. asin Adda 0 boxers 20 ae rt ow coun ions) oextonaiectied —(UaeneTenay Postgraduate wiaowed No ot Chien AE Employer Stati Salrelyet Sle rooetavFedarce) Employed Sul Saroloat @usress Owner Hemenaise ay Conte wth st CEO. CFO, COO, MO} Uramployed Rethed CiSuader, Course Completon Ovte TTT TTT) mplayer! Bunnaes Nemo Pt Cate Coury Rein. Home Owners ting Leonora Sieg wahParrte Flynn 0 Corgay redone Ac Tie Address Since (TTT TTT) Pot Cade Coury Rain. Mating Adee to arse a) Pot Cade Court Rein. Permanent rene Hou orn oa Imetey Type Nar of Basins tice Aarons Polat Couey agen | tenet ot Sees CL ]venst CT Ment ‘Preven Employer Buna Name anrtarornesh ta) “Time at Prevous Employer /Bunnaes | ]veutsT ]Ments} For FN Cad olde tl Cae Coury Rain fw CL ype Employment Newey doe TTT Sse Dependent vise renPesce compete falowing bl eating were you ar tx eset and your TI for cach uristcton nate Mf you ae tae roiont 12 THe unavolable pase provide the appropriate reason A,B or C wher indicated below: Reason A. The utcon wher the Acoant Holder ate op tx oes nats TNs to eidnte {Pac ncaa a explanation blow why you ae unable ota TH you have sled 18 ease) Reason © NOTIN sroauied {Cry elect hi enon he auth of he json fox eine natn ono regret I to ba dose) “Jendetion of Tax Residence 7 ine TIN avalible enter Rassgn A, Bor re tases "My Contact Osa an en” secon ae cle roth rion wher yo rt ier Youre a wy ‘A. The counteraction of your curt restance a diferent rom the drt of Tax Residence, Peas ace apis oe oo folowing opto: 1. 1am student sucking inthe reson asies cutyrepon ad have rota helo enough become a ron 2. Lam working heir aesscuryegion and have noted tae ong enough 1 boca ox redo c {Lama dploat ora member ol heared les pte 1 the resident adres coun. f hove reanty move to Srgapore ad am ot eax st. | am i xan inthe isc acd bore, 18. The counrvureition of your maling adres tere from the ration) of Tax Reskonon, are ase pace 2°" tint on of he atoning cone: ‘Thamating ads ithe aderes 1. My ava sour yer 2. aye S My werkoremploerc) My aie home 5. None ofthe stove pose sows dt the space below iPurpone of Accoust) PPeenatMceneld pean Sor Crna Leon Serena thr, plea spect Regular Cath Trnascione ‘crita—_ee Aeprostatevlaet varsaciars (SSI ‘Nunar ot rwactorfnonty eulr iterator Penis Aeprosste ae opment Siren) Nomber ot oenttranh c ‘Repose recetng payment and hom hich counties) ‘poe rating payers aed wich cures eons) Purpow of Accounts) Paonalouseels Eecos Sa Ceding Laon Serving Cotar please pee Regular Cash Tranaectons ar ‘eprint ki of eestor (Stront Norbert tarsciontnente egret Payer a Namba’ tgamenrsh| 7 Poe testing payments an rom hi coun pons) Papoe ot lig payment ae wich ures open [iter exivege——— [artery Ct Aas [Roe tox SCD Carnet n rae Sion aE we rm [notes rn Geb (Cnc oot SCOUSD ret acount Aten 11860 CUS ue operon cian beck ema cl waco [yp png ee Twas iy BDC) ‘Source of Funds Saving and Wan Accumson il dost moun SS hoc Posed 1 Chogeobo ove ar soma opo Chque No. ussung Bank Creae resis ° — spr EAA nae sam oer want om. (#80¢ Accoun No) Fun waster tom (boi in. {country regen! | Estmata tot nog the ast 12-monthe SF =) Sour engaing nding feng ands reo id pary pose Corts Tolawag Fema name ate oti, Nationality (Cour Region pao st a coun Raion of reine. atonal finde araraement uaonhip to acount hoe ‘Sure of Funds (Sings and Wea Accumton Ft open mount S$. assess tL EE Pence eee Cheque Recoved []Choeta be prod arent sop (heave No ssung Bank Cegue receives by. Bar CAR a Ha 8c accu a ‘eon in ecu gion) Aarons valu of pers Sno) a timate al hodngsn ert 12 nthe | Seen of engsing fncing Tengo unde Po tid party seas cae oon Flame Fre ames bate oi Netnaiy (Coury Region pla Il Couey Reon olden ator of undeg arangement satenst0 acount hole oun ea SoOUSD conta Name epee on De chi ck nora 9 chance i ‘Daly co wthrel simu of $810,900 por day ISA 1 uErs Lin axiom of $825,000 po ey) Cash tha Lit aan SeemyatniOwat Caaf ce =n r sony hnra SANS ov ng ter SocriraaratyeaheStimse eit Potten ay oe HABE © appear? 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Om arc HSRC Vea Pramod SSTOLUD Tovar Fat MUSOU ronan HSRC Rene Masuda Cod Rene mateo IC ‘eeeooecoe Ramer [HSBC Rion Crt Cd Norn! Fr SC Porat ln eca OS WSD a th apf an HSBC Co Car spt her tue terete rte em en SI Ea ‘Braga eisny Senger topes Supper Appar rmst on ax TByear 390.Tot Ann CFS ry ato cm specimen Sra oe «Posting oye - att 3 ror’ comps pasos Ones Noto Aeenmen wih et 1 ons pti OR at sic ‘part Ghar thet Noes ier rt Slater terior tn mete tan Sorta wih you carom feo 1 tarsal pe of Mating Adtens#texired aterm rom Aexgen! Adore ity a ve mre repr You ray tan wth 20 eed aye ram ta dc of pone of sees “seatourea som. pore or ejection anet SEaNauTUME Wises Doers rgstare then freon Baron ngupor) Mo as obta a oe cea topo Nave oappran t Cst cal mmr Sehaaca) Main oscat tee COC) Motors sen nee: ‘Sipser Aono COCEOET TTT ETE aortic tinen Suemeniy Aer Sse cee aay me emenen cn eros ea ten Sante ect vw mer soem rego ane en ces ron ferrocene menvecirmerri 5 ee tromeeosonen oe EEE CEE OEE CAE Pee {Sais Se oe eemmscmrarnan men 1 =Sora ” inde CEPS la fatered by CS (a) Relere oy GBM 6 fated y SN 1) Rov by F8 3) Gomer inde SAP aistew 5 Orr, lease sect ect ponent * To qusty forthe subsequent snus fe war a minimum annua spending a $12.50 must be made on theca secout. olance "pnt tx papas aru! oe, bok cargos and wiposted,careaed oF felunds wonsectons af exudes am he cain To quel (rte subsequent annual ce waive 0 mcimum anual pening of $$2,000 mst be made onthe car acount alence {arsor tx yma annul oo, boa charger nd nposea caneniod rand eaneacton at los am the ccsson