客户资料更改表格

客户资料更改表格

客户资料更改表格Change of Client Particulars Form Change of Client Particulars Form

帐户名称 A/C Name: __________________________________________

□ 更改地址 Change of Address Change of Address

生效日期Effective Date:______________________

□ 公司注册地址Registered Office

帐户号码 A/C Number : ________________________________________

种类 Type: □ 居住地址Residential 新地址New Address:

□ 办事处Office □ 通讯地址Correspondence

_______________________________________________________________________________________________________________________________

□ 更改联络资料 Change of Contact InformationChange of Contact Information mation 住宅电话Residential :___________________ 传真Fax: _____________________________

□ 更改结单送递方式 Change of Statement Delivery Method: Change of Statement Delivery Method: □邮寄Postal □电邮Email 生效日期Effective Date:______________________

□ 更改银行帐户资料 Change of Bank Account Change of Bank Account □ 新增New □ 更改Replace

帐户名称A/C Name: ________________________________________

□ 更改其他客户资料 Change of Other Information Change of Other Information

□ 更改签名式样 Change of Specimen Signature 现时签署式样 Current Specimen Signature X

更改确记Amendment Confirmation Amendment Confirmation 客户签署 Client Signature X Name: Date:

核实 Verified by X Name: Division: Date:

审批 Approved by X Name: Division: Date:

生效日期Effective Date:______________________

生效日期Effective Date:______________________

银行及分行名称 Bank & Branch Name: _____________________________________________________________________

帐户号码A/C Number: ________________________________________

生效日期Effective Date:______________________

生效日期Effective Date:______________________

公司电话Office: ________________________

流动电话Mobile :_______________________

电邮Email: ________________________________________________________________________

更新签署式样 Update Specimen Signature X

香港中环德辅道中19号环球大厦24楼2402室

电话: 3762 9778 传真: 3762 9668

中国平安证券(香港)有限公司

Ping An of China Securities (Hong Kong) Co. Ltd.

Unit 2, 24/F, Worldwide House, 19 Des Voeux Road Central, Hong Kong Tel: 3762 9778 Fax: 3762 9668

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