StatementAdviceReprintingApplicationForm对账单通知单补打.pdfVIP

To: The Manager 致: 经理 HSBC Bank (China) Company Limited. 汇丰银行（中国）有限公司 ___________________________Office 分行 Date 日期____________________ Statement/Advice Reprinting Application Form 对账单/通知单补打申请表 Note注意: 1. Please tick ( √ ) where applicable and complete this form in BLOCK LETTERS. 请在适当的方格内划上钩号( √) ，并用正楷填写 2. Please cross out those not applicable. 请划去所有不适用的部分 3. Only for paper statement/advice reprinting. 仅适用于补制纸制账单 Customer Name Customer Number 客户名称_________________________________________ 客户号码________________________ Reprinting Reason 申请原因 Not Received Received but lost Accounts Verification Others 未收到 收到但遗失 帐户核对 其它____________ Type 结单类型 Composite Statement 综合结单 Total Copies 份数 [ ] Statement Date 结单日期 _____________________________________________________________ Regular Statement 普通结单 Total Copies 份数[ ] Account Number 账户号码 ___________________ Statement Date 结单日期 __________________ Account Number 账户号码 ___________________ Statement Date 结单日期 __________________ Account Number 账户号码 ___________________ Statement Date 结单日期 __________________ Account Number 账户号码 ___________________ Statement Date 结单日期 __________________ Advice 通知单 Total Copies 份数[ ] Account Number Transaction Date Amount 账户号码 _____________________ 业务发生日期________________ 金额 _________________ Account Number Transaction Date Amount 账户号码 _____________________ 业务发生日期________________ 金额 _________________ Account Number Transaction Date Amou