Online Account Opening Acknowledgment Form - Citibank · Shop G14-G18, G/F, Chuang's Hunghom Plaza,...

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Online Account Opening Acknowledgment Form Account Information Customer Name (in English)(must be the name printed on the HKID Card) HKID Card No. : Mobile Phone No. : Occupation : Welcome Gift Simply complete and sign this application form and submit to any Citibank branch together with your HKID copy within 30 days to confirm your Citibanking account opening. (Applicable to existing Citibank credit card customers only) Otherwise, your account will be closed without any prior notice. * Source of your initial deposit : Cash Credit card Check Transfer from other financial institution located in HK Travelers checks Transfer from employer Others, please specify : Source of your wealth : Business income Directorship Inherited wealth or gift from family and friends Payroll Savings Power of attorney Rental income Investment income Sale of investment Others, please specify : Purpose of opening new account : Investment Savings Personal use Business transactions Others, please specify: You can have multiple selections on the below 3 questions Promotion Period: From January 1, 2012 to October 31, 2012 Credit Card Spending (Up to HK$600) Credit Card Number: __________________________ Notice: 1. Offer terms and conditions apply, please refer to related promotion materials or branch staff. 2. Welcome gift cannot be changed nor exchanged for cash or other offers once confirmed. Witness by: Please send this form to A&SS via orange pouch (A/C doc) for update JAN2012 www.citibank.com.hk Consent Letter for Offering of Full Banking Services SignatureDateX S.W. Please sign the form at Citibank Branch I/We wish you to contact and provide me/us with full banking services/information that include services/information related to both general banking services/information and investment services/information by telephone, visit in person and/or any means/channel/medium. I/we also acknowledge that you can access and utilize my/our deposit and/or other information at the Bank for introduction of banking, investment, wealth management products and other purposes. Citibank Branch Location Hong Kong Island - Kowloon - New Territories - Shop "O" on G/F and Upper G/F, Macau Square, No. 87 Avenida Doutor Mario Soares, Macau Macau - The above serves as my mandate for account operation for all accounts to be opened with you and you shall not be liable for any transaction conducted in respect of any of the accounts as a result of any of my previous signature(s) invalidated herein, whether or not due to my own fault, or your fault, omission or carelessness. Officer Name For Official Use Only h s a c / k c e h c y b n i - d n u F . B d r a c t i d e r c y b n i - d n u F . A : t s i l k c e h C HKID copy HKID copy Gift Selected Address Proof System printed A/C application Gift Selected 8C Nassau Street, Mei Foo Sun Chuen, Mei Foo, KowloonShop 8, G/F - 3/F, Wai Fung Plaza, 664 Nathan Road, Mongkok, KowloonShop 3, G/F & M/F, Jade Mansion, 40 Waterloo Road, Yau Ma Tei, KowloonShop 5 - 7, G/F, 238 Nathan Road, Jordan, KowloonHankow Centre, 4B Ashley Road, Tsimshatsui, Kowloon26-28 Cameron Road, G/F Cambridge House, Tsim Sha Tsui, Kowloon72 Nathan Road, Tsimshatsui, KowloonShop No. 9, G/F, Juniper Mansion, Site 1, Whampoa Garden, Hunghom, KowloonShop G14-G18, G/F, Chuang's Hunghom Plaza, 83 Wuhu Street, HunghomUnit LG2-57 of Level LG2, Festival Walk, 80 Tat Chee Avenue, Kowloon Tong, KowloonShop 118 & 119, MTR Kowloon Tong StationShop Units P4 & P6, Telford Plaza, KowloonShop 11, G/F, Exchange Tower, No. 33 Wang Chiu Road, Kowloon Bay26 Yue Man Square, Kwun Tong, KowloonUnit 3, G/F & Cockloft, Camel Paint Building, Block 3, 60 Hoi Yuen Road, Kwun Tong, KowloonG/F, 62-64 Hong Ning Road, Kwun Tong, Kowloon Shop 1, G/F Princeton Tower, 88 Des Voeux Road West, Hong KongShop B, G/F, China Insurance Group Building, 141 Des Voeux Road C., Central, Hong KongG/F & 10/F, Wheelock House, 20 Pedder Street, Central, Hong KongShop 311-312 Two Exchange Square, 8 Connaught Place, Central, Hong KongShop 1003-1004, Level 10, One Exchange Square, 8 Connaught Place, Central, Hong KongShop 2003-2006, 2/F, United Center, 95 Queensway, Hong KongG/F, Lai Sing Building, No. 13-19 Sing Woo Road, Happy Valley, Hong KongYue Hing Building, 101-105 Hennessary Road, Wanchai, Hong KongShop A & B, G/F, Hong Chiang Building, No.141-147 Johnston Road, Wan Chai, Hong KongWellable Commercial Building, 513-517 Hennessy Road, Causeway Bay, Hong KongShop 1 & 2, G/F, Henning House, 385-391 Hennessy Road, Causeway Bay, Hong Kong G/F & 1/F, Hong Kong Chinese Bank Causeway Bay Center, 42-44 Yee Wo Street, Causeway Bay, Hong Kong10/F, AIA Plaza, 18 Hysan Avenue, Causeway Bay, Hong KongFortress Tower, 250 King's Road, North Point, Hong KongShop 1, G/F, Two Chinachem Exchange Square, 338 King's RoadShop G13 and P27 Fu Shan Mansion, 25 TaiKoo Shing Road, Taikoo Shing, Hong KongShops G1 & G2, G/F Tai On Building, 57-87 Shau Kei Wan Road, Sai Wan Ho, Hong Kong 126-128 Yuen Long Main Road, Yuen Long, N.T.G/F, 203 Castle Peak Road, Yuen Long, N.T.Shop 1034 - 1035, Level 1 Sheung Shui Center, No. 3 Chi Cheong Road, Sheung Shui, NT.Shop G077 on G/F & UG001-UG002 on UG/F, Tuen Mun Town Plaza, Phase 1, Tuen Mun, N.T.Shop 8, G/F Tuen Mun Centre, 7-35 Yan Ching Street, Tuen Mun, N.T.Shop 4, G/F Mei Tak Building, 27-43 Kwong Fuk Road, Tai Po, N.T.Shop B1, G/F Central Plaza, 51-59 Kwong Fuk Road, Tai Po, N.T.Shop 7, G/F, Shatin Plaza, Shatin, N.T.Shop 2B- 2D, G/F, Lucky Plaza, 1-15 Wang Pok Street, Shatin, N.T.10-12 Chung On Street, Tsuen Wan, N.T.Shop 4-6, G/F Foo Yu Building, 263-267 Castle Peak Road, Tsuen Wan, N.T.Shop 39-42, G/F, Ho Chuck Centre, 2-10 Kwai Yi Road, Kwai Fong, N.T.Shop 309A, 3/F, Maritime Square, 33 Tsing King Road, Tsing Yi, N.T.

Transcript of Online Account Opening Acknowledgment Form - Citibank · Shop G14-G18, G/F, Chuang's Hunghom Plaza,...

Page 1: Online Account Opening Acknowledgment Form - Citibank · Shop G14-G18, G/F, Chuang's Hunghom Plaza, 83 Wuhu Street, Hunghom.Unit LG2-57 of Level LG2, Festival Walk, 80 Tat Chee

Online Account Opening Acknowledgment Form

Account Information

Customer Name (in English):(must be the name printed on the HKID Card)

HKID Card No. : Mobile Phone No. : Occupation :

Welcome Gift

Simply complete and sign this application form and submit to any Citibank branch together with your HKID copy within 30 days to confirm your Citibanking account opening.(Applicable to existing Citibank credit card customers only) Otherwise, your account will be closed without any prior notice.

*

Source of your initial deposit :

CashCredit card

Check

Transfer from other financial institution located in HK

Travelers checks

Transfer from employer

Others, please specify :

Source of your wealth :

Business income

Directorship

Inherited wealth or gift from family and friends

PayrollSavings

Power of attorney

Rental income

Investment income

Sale of investment

Others, please specify :

Purpose of opening new account :Investment

Savings

Personal use

Business transactions

Others, please specify:

You can have multiple selections on the below 3 questions

Promotion Period: From January 1, 2012 to October 31, 2012

Credit Card Spending (Up to HK$600) Credit Card Number: __________________________

Notice:1. Offer terms and conditions apply, please refer to related promotion materials or branch staff.2. Welcome gift cannot be changed nor exchanged for cash or other offers once confirmed.

Witness by:

Please send this form to A&SS via orange pouch (A/C doc) for update

JAN2012www.citibank.com.hk

Consent Letter for Offering of Full Banking Services

Signature: Date:X

S.W.

Please sign the form at Citibank Branch

I/We wish you to contact and provide me/us with full banking services/information that include services/information related to both general banking services/information and investment services/information by telephone, visit in person and/or any means/channel/medium. I/we also acknowledge that you can access and utilize my/our deposit and/or other information at the Bank for introduction of banking, investment, wealth management products and other purposes.

Citibank Branch Location

Hong Kong Island -

Kowloon -

New Territories -

Shop "O" on G/F and Upper G/F, Macau Square, No. 87 Avenida Doutor Mario Soares, MacauMacau -

The above serves as my mandate for account operation for all accounts to be opened with you and you shall not be liable for any transaction conducted in respect of any of the accounts as a result of any of my previous signature(s) invalidated herein, whether or not due to my own fault, or your fault, omission or carelessness.

Officer Name

For Official Use Onlyhsac/kcehc yb ni-dnuF .B drac tiderc yb ni-dnuF .A :tsilkcehC

HKID copy HKID copy Gift Selected Address Proof System printed A/C application Gift Selected

8C Nassau Street, Mei Foo Sun Chuen, Mei Foo, Kowloon.Shop 8, G/F - 3/F, Wai Fung Plaza, 664 Nathan Road, Mongkok, Kowloon.Shop 3, G/F & M/F, Jade Mansion, 40 Waterloo Road, Yau Ma Tei, Kowloon.Shop 5 - 7, G/F, 238 Nathan Road, Jordan, Kowloon.Hankow Centre, 4B Ashley Road, Tsimshatsui, Kowloon.26-28 Cameron Road, G/F Cambridge House, Tsim Sha Tsui, Kowloon.72 Nathan Road, Tsimshatsui, Kowloon.Shop No. 9, G/F, Juniper Mansion, Site 1, Whampoa Garden, Hunghom, Kowloon.Shop G14-G18, G/F, Chuang's Hunghom Plaza, 83 Wuhu Street, Hunghom.Unit LG2-57 of Level LG2, Festival Walk, 80 Tat Chee Avenue, Kowloon Tong, Kowloon.Shop 118 & 119, MTR Kowloon Tong Station.Shop Units P4 & P6, Telford Plaza, Kowloon.Shop 11, G/F, Exchange Tower, No. 33 Wang Chiu Road, Kowloon Bay.26 Yue Man Square, Kwun Tong, Kowloon.Unit 3, G/F & Cockloft, Camel Paint Building, Block 3, 60 Hoi Yuen Road, Kwun Tong, Kowloon.G/F, 62-64 Hong Ning Road, Kwun Tong, Kowloon

Shop 1, G/F Princeton Tower, 88 Des Voeux Road West, Hong Kong.Shop B, G/F, China Insurance Group Building, 141 Des Voeux Road C., Central, Hong Kong.G/F & 10/F, Wheelock House, 20 Pedder Street, Central, Hong Kong.Shop 311-312 Two Exchange Square, 8 Connaught Place, Central, Hong Kong.Shop 1003-1004, Level 10, One Exchange Square, 8 Connaught Place, Central, Hong Kong.Shop 2003-2006, 2/F, United Center, 95 Queensway, Hong Kong.G/F, Lai Sing Building, No. 13-19 Sing Woo Road, Happy Valley, Hong Kong.Yue Hing Building, 101-105 Hennessary Road, Wanchai, Hong Kong.Shop A & B, G/F, Hong Chiang Building, No.141-147 Johnston Road, Wan Chai, Hong Kong.Wellable Commercial Building, 513-517 Hennessy Road, Causeway Bay, Hong Kong.Shop 1 & 2, G/F, Henning House, 385-391 Hennessy Road, Causeway Bay, Hong Kong .G/F & 1/F, Hong Kong Chinese Bank Causeway Bay Center, 42-44 Yee Wo Street, Causeway Bay, Hong Kong.10/F, AIA Plaza, 18 Hysan Avenue, Causeway Bay, Hong Kong.Fortress Tower, 250 King's Road, North Point, Hong Kong.Shop 1, G/F, Two Chinachem Exchange Square, 338 King's Road.Shop G13 and P27 Fu Shan Mansion, 25 TaiKoo Shing Road, Taikoo Shing, Hong Kong.Shops G1 & G2, G/F Tai On Building, 57-87 Shau Kei Wan Road, Sai Wan Ho, Hong Kong

126-128 Yuen Long Main Road, Yuen Long, N.T..G/F, 203 Castle Peak Road, Yuen Long, N.T..Shop 1034 - 1035, Level 1 Sheung Shui Center, No. 3 Chi Cheong Road, Sheung Shui, NT..Shop G077 on G/F & UG001-UG002 on UG/F, Tuen Mun Town Plaza, Phase 1, Tuen Mun, N.T..Shop 8, G/F Tuen Mun Centre, 7-35 Yan Ching Street, Tuen Mun, N.T..Shop 4, G/F Mei Tak Building, 27-43 Kwong Fuk Road, Tai Po, N.T..Shop B1, G/F Central Plaza, 51-59 Kwong Fuk Road, Tai Po, N.T..Shop 7, G/F, Shatin Plaza, Shatin, N.T..Shop 2B- 2D, G/F, Lucky Plaza, 1-15 Wang Pok Street, Shatin, N.T..10-12 Chung On Street, Tsuen Wan, N.T..Shop 4-6, G/F Foo Yu Building, 263-267 Castle Peak Road, Tsuen Wan, N.T..Shop 39-42, G/F, Ho Chuck Centre, 2-10 Kwai Yi Road, Kwai Fong, N.T..Shop 309A, 3/F, Maritime Square, 33 Tsing King Road, Tsing Yi, N.T.