E-DeliveryofStatementsAndAdvicesServiceApplicationForm.pdfVIP

To: HSBC Bank (China) Company Limited 致: 汇丰银行（中国）有限公司 ____________________________________ Branch 分行 Date 日期 ____________________ E-Delivery of Statements And Advices Service Application Form 电子邮件账单/通知书服务申请 Note 注意： 1. Please tick where applicable and complete this form in BLOCK LETTERS. 请在适当的地方划钩，并用正楷填写。 2. If there is any problem in filling in the form, please contact the Bank’s Relationship Manager or branch counter staff. 如有任何疑问，请联络银行客户经理或分行柜台员工。 3. Please read through Part E ‘Important Notes’ 请仔细阅读Part E “重要事项” Part A. Customer Information 客户资料 Customer Name 客户名称： Customer Number 客户号码： |____ |____|____ | -|____ |____ |____ |____ |____ |____ | Part B. Service Application/Cancellation 服务申请/取消 1. Apply/Cancel E-Delivery of Statements and Advices Service - 申请/取消电子邮件账单和通知书服务 ?Apply 申请 ?Cancel 取消 If apply, please further indicate if you need Paper Statements and Advices Service 若申请，请注明您是否需要纸质账单和通知书服务 ?Yes 是 ?No 否 Please specify your email addresses (max 10) 请指定电子邮箱 (最多 10 个) 1. |____________________________________________________________________| 2. |_________________________________________ __________________________ | 3. |____________________________________________________________________| 4. |____________________________________________________________________ | 5. |____________________________________________________________________| 6. |____________________________________________________________________ | 7. |____________________________________________________________________| 8. |____________________________________________________________________ | 9. |____________________________________________________________________| 10.