Sme Account Opening Form

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SME Account Opening Form/Ñôn Môœ Taøi Khoaœn Doanh Nghieäp Please complete in BLOCK LETTERS and () or (x) where applicable / Ñeà  nghò nghò vieát CHÖÕ  IN IN HOA vaø ñaùnh daáuu     (  () hoaëcc   (x) (x) vaøo oâ phuø hôïp p..   Branch] Standard Chartered Bank (Vietnam) Limited New Amendment

 

Chi nhaùnnh] h] Ngaân haøng ng TNHH MTV Standard Chartered (Vieät Nam)

1

APPLICANT'S PARTICULARS /

Môùi 

Söœa ñoåi 

THOÂNG TIN CHI TIEÁT  VEÀ KHAÙ  KHAÙCH HAØNG 

Name (Please insert FULL legal name exactly as it appears in the Constitutional Documents)

Teân (Vui loøng ñieàn teân ñaày ñuœ, chính xaùc nhö trong Giaáy Pheùp Thaønh nh Laäp) p) In English / Teân tieáng Anh  In Vietnamese / Teân tieáng Vieät  Country of Incorporation

Date of Incorporation (DD/MM/YYYY (DD/MM/YYYY))

Nöôùc Thaønh Laäpp  

Ngaøy thaøn nh h laäp (ngaøy/thaùn ng/naê g/naêm)

Registration Number

Tax Code

Giaáy  pheùp kinh doanh soá  Contact Person / Ngöôøi lieân heä

Maõ  soá soá thueá 

/



Registration Address / Ñòa chæ ñaêng kyù Operating Address / Ñòa chæ hoaït ñoäng  Account Mailing Title and Address (if different from above)

Ñòa chæ lieân laïc thö tín (neáu khaùc ñòa chæ treân n)) Telephone / Ñieän thoaïi  i 

Email address / Ñòa chæ Email 

Fax

SWIFT Address / Ñòa chæ SWIFT 

2

BUSINESS ACTIVITIES /

Website

HOAÏT ÑOÄNG KINH DOANH 

Manufacturing

Financial

Export/Import

Services

Trading

Retailing

Saœn xuaát  t  

Taøi chính 

Xuaát nhaäp khaåu 

Dòch vuï

Thöông maïi 

Baùn leœ

Consultant

Wholesaler

Commission Agents

Others (Please specify)

Tö vaán n    

Baùn buoân 

Ñaïi dieän Thöông maïi 

Khaùc (Ñeà  nghò nghò ghi cuï theå ) 

Commodities Handled (Please specify)

Haøng hoùa kinh doanh (Ñeà  nghò nghò ghi cuï  theå theå) Purpose of Account Opening

Muïc ñích Môœ  Taø Taøi Khoaœn  Source of Funds

Other relevant details

Nguoàn Voán 

Caùc chi tieát lieân quan khaùc 

3

LEGAL STATUS /

TÖ CAÙCH CH PHAÙP NHAÂN  N 

Vietnamese limited liability company

Vietnamese share-holding company

Vietnamese partnership

Coân ng g ty Traùcch h nhieäm höõ u haïn Vieät Nam 

Coâng ty Coå phaà n Vieät Nam 

Coâng ty Hôïp doanh Vieät Nam 

Vietnamese sole proprietor

State-owned enterprise (incorporated under Law on State-Owned Enterprises) Enterprises)

Foreign-owned enterprise (incorporated under Law on Investment)

Doanh nghieäp Nhaø nöôùc (Ñöôïc thaønh laä p  p  theo Luaät Doanh Nghieäp)

Doanh nghieäp coù  voá voán  ñaàu  tö nöôùc ngoaøi  i  (Ñöôïc thaønh laäp theo Luaä t Ñaàu  Tö)

Doanh nghieäp tö nhaân Vieät Nam 

Vietnamese insurance company

Coâng ty Baœo hieåm Vieät Nam 

Vietnamese securities company, securities investment company, fund management company, fund

Coân ng g ty chöùng ng khoaùn, n, coân ng g ty ñaàu   tö chöùn ng g khoaùn n,, coân ng g ty quaûn lyù  quyõ quyõ , quyõ  Vieä Vieät Nam  Vietnamese bank or bank’s branch

Branch of foreign bank

Vietnamese non-bank credit institution

Ngaân haøn ng g hoaëc chi nhaùnh nh ngaân haøng Vieät Nam 

Chi nhaùnh nh ngaân haøng nöôùc ngoaøi 

Toå  chöù chöùc tín duïn ng g phi ngaân haøn ng g Vieät Nam 

Co-operative

Business co-operation contract or foreign contractor

Hôïp taùc xaõ 

Hôïp ñoàng hôïp taùc kinh doanh hoaëc nhaø thaàu nöôùc ngoaøi 

Offshore company

Other Project (please specify)

Coâng ty nöôùc ngoaøi 

Döï aùn khaùc (ñeà nghò neâu cuï  theå theå)

Foreign branch in Vietnam

Foreign representative office

Diplomatic Missions or Organisations

Chi nhaùn nh h Cty nöôùc ngoaøi taïi Vieät Nam 

Vaên phoøng ñaïi dieän nöôùc ngoaøi 

Toå chöùc ngoaïi giao 

Vietnamese Professional Social/Charitable Toå   Chöù Chöùc Ngheà Nghieäp, p, ToåOrganisation,   Chöù Chöùc Xaõ Hoä  Hoäii/Töø /Töø  Thieä  Thieän Vieät NamOrganisation (ñeà nghò neâu(please cuï theå ) specify) International Development Organisation (e.g. United Nations, World Bank, ADB)/Foreign Social/Charitable Organisation (please specify

Toå  Chöù Chöùc Phaùt Trieå n Quoá c Teá  (ví (ví duï  Lieâ Lieân Hôïp Quoác,  c, Ngaân Haøng ng Theá Giôù  Giôùi,i, ADB)/Toå  Chöù Chöùc Xaõ  Hoä Hoäii/Töø /Töø  Thieä Thieän Nöôùc Ngoaøi (ñeà  nghò nghò neâu cuï  theå theå )  Others (please specify

Khaùc (ñeà  nghò nghò neâu cuï theå  © Copyright 2008 - 2011 Standard Chartered Bank . All rights reserved.

 AccountOpeningPa  Account OpeningPack_Viet ck_Vietnam_201 nam_2011_v1 1_v1 page page 1 of 9

 

nghò vieát CHÖÕ  IN IN HOA vaø ñaùnh daáuu      (() hoaëc  (x) p   Please complete in BLOCK LETTERS and () or (x) where applicable / Ñeà  nghò (x) vaøo oâ phuø hôïp Name of Proprietor (For Sole Proprietorship only)

Hoï  teâ tenâ chuû  doanh doanh nghieäp tö nhaân (Ñoái  vôùi doanh nghieäp tö nhaân) n) Resident Status

Resident

Non-Resident

Tình Traïng Cö Truù

Laø Ngöôøi Cö Truù

Laø Ngöôøi Khoân ng g Cö Truù BANK USE ONLY

ACCOUNT TYPE

Daønh nh rieânngg cho Ngaân haøng  ng 

CURRENCY

Loaïi Taøi Khoaœn  n 

Loaïi Tieàn  Teä

A. Current Account

Account Number

Product Sub Code

Soá taø  taiø khoaœn  n 

Maõ soá  soá phuï  phuï cuœ  cuœa saœn phaåm  m    

Taøi Khoaœn Vaõng  ng Lai  1. Business $aver

VND

  Taøi Khoaœn Tieá t Keäm Doanh Nghieäp  p 

Others /Khaùc 

2. Business Account

VND

  Taøi Khoaœn Doanh Nghieäpp  

Others /Khaùc 

3. Capital Account

VND

  Taøi Khoaœn Voá nn  

Others /Khaùc 

B. Flexi Deposit

Tieà n Göœi Coù Kyø  Kyø Haï  Haïn  n  C. Others (please specify)

Khaùc (Ñeà nghò  nghò ghi cuï theå  theå )  

VND

USD

EUR

USD

EUR

USD

EUR

USD

EUR

Others /Khaùc  VND

USD

EUR

Others /Khaùc 

Existing Relationship with the Bank

Moái Quan Heä  Hieä Hieän Taïi vôùi Ngaân Haøng  ng  Group Name to which the applicant belongs

Teân Coâng ng ty meï /Taä  /Tapä Ñoaøn cuœa Doanh nghieäp môœ  taø taøi khoaœn  n  BENEFICIAL OWNER INFORMATION ( 25% O OWNERSHIP) WNERSHIP)

4

THOÂN NG G TIN VEÀ CHUŒ S SÔŒ ÔŒ HÖÕU CHÍNH ( 25% Q QUYEÀ UYEÀN SÔŒ SÔŒ HÖÕ  HÖÕU)  U)  Name

Hoï  Teâ Teân 

5

Number of Identification/Passport Identification/Passport (in case of individuals) or Business Registration Certificate or equivalent document (in case of organisations)

Nationality

Quoác tòch 

Soá  CMND/Hoä CMND/Hoä  chieá chieáu  (trong tröôøng ng hôïp  caù nhaân n)) hoaëc Giaáy Chöùng Nhaän Ñaêng  Kyù Kinh Doanh hoaëc giaáy tôø  töông töông ñöông  (trong tröôøng ng hôïp laø toå chöùcc))

CALL-BACK FOR ORIGINAL TRANSACTIONAL INSTRUCTIONS /

GOÏI ÑIEÄN LAÏI ÑEÅ  XAÙ XAÙC NHAÄN LEÄNH GOÁC 

The Bank is authorised to make telephone confirmations from the person(s) listed below on transactional instructions received from the applicant.

Ngaân Haøn ng g ñöôïc pheùp xaùc nhaän qua ñieän thoaïi vôùi (nhöõ n ng) g) ngöôøi ñöôïc neâu teân döôùi ñaây veà  caù cacù chæ thò giao dòch nhaän ñöôïc töø khaù  khaùch ch haøng ng môû  taøi taøi khoaûn. n. Yes, if the transaction value is equal or exceeds   maët  t  Cash Withdrawal /Ruùt tieàn Coù, neáu  giaù trò  trò giao dòch baèn ng g hoaëc vöôït quaù Internal/Outward Transfer /Chuyeå n tieà n noäi boä /ra ngoa ngoaøi  iø   Limit set up by the Bank from time to time

Haïn möùc do Ngaân Haøng ng quy ñònh vaøo töøn ng g thôøi ñieå m  m  Name

Title

Tel

Hoï teân n  

Chöùc vuï

ÑT 

Name

Title

Tel

Hoï teân n  

Chöùc vuï

ÑT 

Name

Title

Tel

Hoï teân n  

Chöùc vuï

ÑT 

ID No.

Soá CMND  ID No.

Soá CMND  ID No.

Soá CMND 

No (the Bank is not required to call back the applicant for any amount) and the applicant will sign the standard No-Call Back indemnity letter provided by the Bank (form AOF01)

Khoâng ng (Ngaân Haøn ng g khoân ng g caàn   goïi ñieän laïi cho Khaùcch h Haøng ng ñoái  vôùi baát  kyø  soá soá  tieà tieà n naøo o)) vaø Khaù  Khaùch ch Haøng ng seõ  kyù kyù maã  maãu  thö boà i hoaøn veà  vieä vieäcc   Khoâng ng Goïi Ñieän Laïi Ñeå  Xaù Xaùc Nhaän do Ngaân Haøn ng g cung caá p (maã u AOF01) © Copyright 2008 - 2011 Standard Chartered Bank . All rights reserved.

AccountOpeningPack_Vietnam_2011_v1 page 2 of 9

 

6

CALL-BACK FOR TRANSACTIONAL INSTRUCTIONS INSTRUCTIONS VIA FAX /

Do you authorize Bank to act on faxed instructions?/ Khaùch ch

GOÏI ÑIEÄN LAÏI ÑEÅ XAÙC NHAÄN LEÄNH FAX 

haøng ng coù uœ  uœy quyeàn  cho Ngaân haøng ng thöïc hieän theo chæ thò ñöôïc göœi baèng ng Fax khoâng?  ng? 

Yes/Coù  No/Khoâng  ng  If yes, the Bank is authorised to make telephone confirmations from the person(s) listed inside Letter of Indemnity on transactional instructions received via fax, for any amount.

Neáu  coù, Ngaân Haøng ng ñöôïc pheùp xaùc nhaän qua ñieän thoaïi vôùi (nhöõng) n  g) ngöôøi ñöôïc neâu teân trong thö cam keát  boà i hoaøn hoaøn veà  caù caùc chæ thò giao dòch nhaän ñöôïc töø leä  leänh nh fax, cho taát  caû (caù  (caùc) c) giaù trò  trò leänh. nh. Letter of Indemnity to be signed (Form AOF2)/ Khaùch ch haøng ng caàn  kí thö cam keá t boà i hoaøn (Ñôn AOF2).

7

STATEMENT FREQUENCY /

SAO KE TAØ  TAØI KHOAŒN  N 

Account Statement is to be sent monthly via email and commencing date to be arranged by the Bank, unless specified below.

Sao Keâ Taø  Taøi Khoaûn ñöôïc göûi haøng ng thaùng ng qua Email vaø ngaø  ngaøy göœi seõ do  do Ngaân Haøng ng quy ñònh, tröø tröôø  tröôøng ng hôïp khaùch ch haøng ng coù yeâ  yeâu caàu  ñaëc bieät döôùi ñaây. y. Other Frequency/Yeâu caà u khaùc  c  Daily/Haøng ng ngaøy  y  Weekly/Haøng ng tuaà n  n  Quarterly/Haøng ng quyù ch haøng ng caà n kí thö cam keá t boà i hoaøn (AOF3). Letter of Indemnity to be signed (AOF3) / Khaùch Note/Ghi chuù:  : If   If “Other Frequency” is to be ticked, additional charge will be levied based on SME banking tariff./ Neáu  Khaùch ch haøng ng choïn “Yeâu caà u khaùc”  c”  phaœi chòu phí phaùt sinh döïa theo bieåu  phí SME.

8

TELEPHONE ENQUIRY /

GIAÛI ÑAÙP QUA ÑIEÄN THOAÏI I 

The Bank is authorised to respond to any enquiry made by any of the following person(s) (the “ Authorised Enquirer(s)”):

Ngaân Haøng ñöôïc uûy quyeàn traû lôøi baá t kyø caâu hoûi naøo do (nhöõng) ngöôø i sau ñaây ñöa ra (sau ñaây goïi laø “(nhöõng) Ngöôøi Yeâu Caàu Thoâng Tin Ñöôïc UÛy Quyeàn) ”:  ”:  Yes/Coù  No/Khoâng  ng  Name of Authorised Enquirer

ID Number/Passport Number

Authorised Telephone Number

Hoï teâ  teân Ngöôøi Yeâu Caà u Thoâng ng Tin Ñöôïc UÛ UyÛ Quyeàn  n   

Soá CMND/Soá  CMND/Soá  Hoä Hoä Chieá  Chieá u  u 

Soá Ñieä  Ñieän Thoaïi Ñöôïc UÛ UyÛ Quyeàn  n   

by telephone about any information relating to the applicant’s Account(s):

qua ñieän thoaïi veà baá  baát kyø thoâ  thoâng tin naøo lieân quan ñeán  (caùc) Taøi Khoaûn cuûa Khaùch haøng môû taø  taøi khoaûn:  Account No.

Account No.

Account No.

Account No.

Account No.

Account No.

Account No.

Account No.

Taøi Khoaûn Soá 

Taøi Khoaûn Soá 

Taøi Khoaûn Soá 

Taøi Khoaûn Soá 

Taøi Khoaûn Soá 

Taøi Khoaûn Soá 

Taøi Khoaûn Soá 

Taøi Khoaûn Soá 

to disclose such information over the telephone to any Authorised Enquirer if he/she quotes the following personal identification code (PIC):

ñeå thoâ  thoâng baùo caùc thoâng ng tin ñoù qua ñieän thoaïi cho baát kyø Ngöôø  Ngöôøi Yeâu Caàu Thoâng Tin Ñöôïc UÛy Quyeàn naøo neáu ngöôøi ñoù neâu roõ maõ  soá soá nhaän daïng caù nhaâ  nhaân sau ñaây (PIC):  (include a minimum of five and a maximum of ten numbers and/or letters)

(toái  thieåu goàm naêm vaø toá i ña goàm   möôøi soá vaø/hoaëc chöõ caùi)

9

DETAILS OF CHEQUES REQUIRED /

Currency/Loaïi

tieà n teä:  : 

VND

CHI TIEÁT VEÀ SEÙC ÑÖÔÏC YEÂU CAÀU 

USD

EUR

Others (please specify)/Khaùc

(ñeà  nghò nghò neâu cuï theå  theå )   ..........................

Please complete Check Book Application and Receipt Form (form AOF4) for Check Book request.

Ñeà nghò ñieàn Ñôn Xin Caáp Soå Seùc vaø Maã  Maãu Bieân Nhaän (maãu  AOF4) ñeå yeâ  yeâu caàu caáp Soå Seùc. c.

10

APPLICANT’’S TAX STATUS / APPLICANT

ÑOÁI TÖÔÏNG CHÒU THUEÁ 

Under thet Vietnamese subject taxn on payable to it.ng. Theo Luaä vaø Quy  Quy Ñònhtax veàlaws Thueáand  cuûaregulations,  cuû Vieät Nam, atoånon-resident   chöù chöùc khoâng ng applicant cö truù phaœ  phaœwould i chòu be thueá   khaá khaáu to tröøwithholding  taïi nguoàn  treâ  taï caùcinterest khoaœi laõ i  ñöôïc höôœ ng. Tax Status/Ñoái  töôïng

chòu thueá 

Resident/Cö

truù

Non-Resident/Khoâng

Cö truù

 

11

DECLARATION /

CAM KEÁT 

We apply to open the above Account(s) with Standard Chartered Bank (Vietnam) Limited (the “Bank”). We represent that the information provided by Us in this form and in any other document(s) provided by Us to the Bank is true, accurate and complete. We acknowledge that the Bank may decline Our application without providing any reason in which event no contractual relationship will arise between the Bank and Us. We further acknowledge that We have received, read and understood the Bank’s prevailing Account Terms, Standard Terms, applicable Country Supplement and the terms contained in this form and We agree to be bound by them in connection with all Accounts opened by Us with the Bank. We further agree to be bound by any additional terms and conditions governing any facilities, products and/or services offered by the Bank as we may apply for and/or utilize from time to time.

Chuùng ng toâi xin môû (caùc) Taøi Khoaûn neâu treân ôû  Ngaâ Ngaân Haøng ng TNHH Moät Thaønh nh Vieân Standard Chartered (Vieä t Nam). Chuùng toâi cam keát nhöõng thoâng nng raè tinnnggneâNgaâ u trong y vaø caùcnghò hoà sô maø chuù  nchuù toâincung chong laø ñuù  ñuù g, chính xaùc tröôø vaø ñaà ñuûp. ñoù Chuù gkhoâ toâinthöø nhaä n Haøng nñôn g coùnaøtheå  töø  töø trong choái  ñeà môûkhaù taøi ckhoaû cuûnagchuù g toâi caá maøp khoâ ngNgaâ caànn Haø giaûnng i gthích lyùnng, do, vaø trong  trong ngyhôï seõn  khoâ g coùa baát cöù moái  quan heä mang tính chaát hôïp ñoàng naøo giöõa Ngaân Haøng vaø chuù  chuùng toâii.. Chuùng toâi xaùc nhaän ñaõ nhaän, ñaõ ñoï  ñoïc vaø hieåu caùc Ñieàu  Khoaûn Chung Veà Taøi Khoaûn, Baûn Boå Sung  Sung Theo Quy Ñònh Cuûa Nöôùc Sôû Taïi Lieân Quan (Vieät Nam) vaø caù  caùc ñieàu khoaûn khaùc trong ñôn naøy vaø chuùng toâi ñoàng n  g yù raøng buoäc bôûi nhöõng n  g ñieàu  kieänn,, ñieàu khoaûn ñoù ñoái vôùi taát  caû caùc taøi khoaûn cuûa chuùng toâi ôû Ngaâ n Haøng. ng. Chuùng toâi cuõng n  g ñoàng yù  bò bò raøng buoäc bôûi caùc ñieàu  kieän, ñieà u khoaûn phuï  lieâ lieân quan tôùi caùc saûn phaåm, dòch vuï khaùc cuûa Ngaân haøng ng maø chuùng chuùng toâi ñeà nghò vaø /hoaëc söû  duï duïng vaøo töøng thôøi ñieåm. Tick box if the Bank should NOT act on any Instruction (including contingency) received by Fax.

Ñaùnnhh daáu  vaøo oâ neá  neáu  Ngaân Haøng ng KHOÂNG NG ÑÖÔÏC haønh nh ñoänngg theo baá t kyø  Chæ Chæ Thò naøo (bao goàm   caû tröôø  tröôønngg hôïp baát  ngôø ) nhaä nhaän ñöôïc baènngg Fax.

Approving Signatory (sign and seal)

Approving Signatory

Ngöôøi toaøn quyeàn  ñieàu  haønnhh taøi khoaûn (kyù teâ  teân vaø ñoù  ñoùng ng daáu)   u) 

Ngöôøi toaøn quyeà n ñieàu  haønnhh taøi khoaûn  n 

Name/Hoï

Name/Hoï

teân  n  Date/Ngaøy  y 

teân  n  Date/Ngaøy y  

For Bank Use Only / Phaà n daøn nhh cho Ngaân Haønng:  g:  Customer Type

ARM Code

Organization Type

Master No

Industry Sector Code

Withholding Tax

Yes

No

(ISIC) Segment

SRL Check

Yes

No

Service Fee Waiver

Yes

No

Fax Instruction

Yes

No

CDD Level

SDD

EDD

Minimum Balance Waiver

Yes

No

Initial Deposit

Yes

No

Verified By Account Opening Staff Signature

Approved By Signing no.

Review Officer Signature

Chöõ  kyù ky cuû  ù cuûa Nhaân Vieân Môû Taø  Taiø Khoaûn  n 

Chöõ  kyù ky cuû  ù cuûa Caùn Boä  Kieå Kieåm   Duyeät  t 

Name/Hoï

Name/Hoï

teân  Position/Chöùc vuï Date/Ngaøy y  

© Copyright 2008 - 2011 Standard Chartered Bank . All rights reserved.

Signing no.

teân  Position/Chöùc vuï Date/Ngaøy  y 

AccountOpeningPack_Vietnam_2011_v1 page 4 of 9

 

To: Standard Chartered Bank (Vietnam) Limited (the “Bank”)

Kính göûi:i: Ngaân Haøng ng TNHH Moät Thaøn nh h Vieân Standard Chartered (Vieät Nam) (“Ngaân Haøng”) ng”) Date/Ngaøy y :  ........../..... ........../........../20........ ...../20........

We, being [director(s)/member(s)/partn [director(s)/member(s)/partner(s) er(s) and the legal representative] of the Client, hereby certify that the resolutions set out below are a true extract of the resolutions of the [general meeting of shareholders/ shareholders/board board of directors/members’ council/partners/management council/partners/management]] of the Client passed with effect from the date shown below /Chuùng ng toâi,i, laø [(caù  [(caùcc)) thaønh nh vieân hoäi ñoà ng ng quaûn trò/(caùc) c) thaønh nh vieân/(caù n/(caùc) c) thaønh nh

vieân hôïp danh vaø ngöôø  ngöôøi ñaïi dieän theo phaùp luaät]  t] 1 cuûa Khaùch ch Haøng, ng, baèng ng vaên baûn naøy xaùc nhaän raèng ng caùc nghò quyeát  ñöôïc neâu döôùi ñaây laø  baû luïcch thöï c caùccthoâ nghò t  cuû a [ñaï i ñoà n  ngaø g coåy ñoâ  ño ng/hoä âng/hoä  ng ngi quaû  ng thaønh nh vieân/caù n/caùc thaønh nh vieân hôïp danh/ban quaûn 2n cuû   trích lyù  ] 2  a Khaù ctrung h Haøn ng g ñöôï ng ng quyeá qua coù  hieä  hieä u löïi choäkeå  töø  tö ng ø ngaø ñöôï c neâiuñoà döôù ñaâyy n.  trò/hoäi ñoàng

( Sign Sign and seal/(Kyù  teâ teân vaø ñoù  ñoùn ng g daáu u)  ) Name/ H Hoï oï  teâ teân n :  Title/ Chöù Chöùc vuï:  : 

( Sign Sign and seal/(Kyù  teâ teân vaø  ñoù ñoùng ng daáu u)  ) Name/ H Hoï oï  teâ teân n :  Title/ Chöù Chöùc vuï:  : 

Sign and seal/(Kyù  teâ ( Sign teân vaø ñoù  ñoùn ng g daáu u)  ) Name/ H Hoï oï  teâ teân n :  Title/ Chöù Chöùc vuï:  : 

Sign and seal/(Kyù  teâ ( Sign teân vaø  ñoù ñoùng ng daáu u)  ) Name/ H Hoï oï  teâ teân n :  Title/ Chöù Chöùc vuï:  : 

Sign and seal/(Kyù  teâ ( Sign teân vaø ñoù  ñoùn ng g daáu u)  ) Name/ H Hoï oï  teâ teân n :  Title/ Chöù Chöùc vuï:  : 

Sign and seal/(Kyù  teâ ( Sign teân vaø  ñoù ñoùng ng daáu u)  ) Name/ H Hoï oï  teâ teân n :  Title/ Chöù Chöùc vuï:  : 

Name of the Company/Institution/ Partnership (the “Client”)

Teân Coâng Ty/Toå Chöùc/ Coân ng g Ty Hôïp Danh (“Khaùch ch Haøng”)  Country of incorporation/ incorporation/establishm establishment ent

Nöôùc thaønh laäp  p  [Business Registration Certificate/ Investment Certificate/ Investment Licence/ Establishment and Operation Licence/ Decision of Establishme Establishment] nt] dated _______________ issued by _________________

[Giaáy Chöùng Nhaän Ñaêng Kyù Kinh  Kinh Doanh/Giaáy Chöù Nhaä n Ñaà u Tö/Giaá y Pheùpt Ñaà u Tö/Giaá Pheù Thaønnhg Laä p vaø Hoaï t Ñoäng/Quyeá Ñònh Thaønh nhy Laä p] p3   caáp ngaøy ____________ caáp bôûi ______________ Date of the resolutions/ Ngaø Ngaøy

thoâng ng qua nghò quyeát 

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AccountOpeningPack_Vietnam_2011_v1 page 5 of 9

 

NGHÒ QUYEÁT  NGHÒ

RESOLUTIONS/ 

It was resolved that / Chuù Chuùnngg

toâi ñoà nngg yù  thoâ thoânngg qua :

1. The Approving Sig Signatories natories listed in Part A of the Schedule to this Mandate Mandate may from time to ttime, ime, on behalf of and in the name na me of the Client / Nhöõ Nhöõ nngg Ngöôøi Toaøn Quyeà n Ñieà u Haønnhh Taøi Khoaûn ñöôïc neâu ôû  Phaà Phaàn  A taïi Phuï  Luï Luïc cuûa Giaáy  UÛy Quyeà n naøy vaøo töønngg thôøi    

ñieå m thay maët cho vaø  nhaâ nhaân danh Khaùcchh Haønngg coù  theå theå: :   (a) Open bank accounts of any type with the Bank / M Môœôœ baá  baát  kyø  loaï loaïi taøi khoaœn naøo taïi Ngaân Haønng  g ;

(b) Sign and deliver any account ope opening, ning, cash management (including electronic electronic client access service services), s), trade, banking a and/or nd/or any other related documentation as required from time to time with the Bank / Kyù Kyù vaø  vaø  giao giao cho Ngaân Haønngg moïi hoà  sô sô lieân quan

ñeá n lieâvieä môœ  taø taøiokhoaœ quaû lyù t  tieà tieà tg(bao dòch vuï  giao giao dòch ñieän töû ), thöông maïii,, ngaân haønngg vaø /hoaëc baá t kyø  giaá giaá y tôø  coù  lieâ n cquan naø khaùnn, c, caà  n nthieá vaø no maë töønng thôøi goà ñieå m mcaû ;   dòch Amend the list of Auth Authorised orised S Signatories ignatories as spec specified ified in Part B of the S Schedule chedule to this Mandate / Söû Söûa ñoå i danh saùcchh nhöõnng   g Chöõ  kyù kyù  Ñöôïc Uyû  Quyeà Quyeà n nhö ñöôïc quy ñònh ôû  Phaà Phaà n B taïi Phuï  Luï Luïc cuûa Giaá y UÛy Quyeàn  naøy  y; 

 

(c)

 

(d) Arrange wit with h the Ba Bank nk for ad advances vances to tthe he Client by way of discount, loan, overdraft or otherwise, and for the granting of credits and the issue of guarantees by the Bank from time to time and to sign on behalf of the Client any form of deposit and withdrawal, memorandum of deposit, letter of trust, mortgage or any other grant of security whatsoever relating to any securities or property or documents of title relating thereto to secure any advances, obligations, undertakings, instructions, guarantees, indemnities and counter-indemnities, and any other documents required by the Bank in connection with such facilities / Thu xeáp   vôùi Ngaân

haønngg veà  caù caùc khoaœn taïm öùnngg qua caùc hình thöùc nhö chieá t khaáuu,   , vay nôï, thaáu  chi hay noùi caùcchh khaùc ñöôïc Ngaân Haønngg caáp  haïn möùc tín duïnngg vaø  phaù phaùt haønnhh baœo laõ nnhh vaøo töønngg thôøi ñieå m m,, vaø  thay thay maët khaùcchh haønngg kyù caù  caùc bieå u maã uu,, chöùnngg töø  gö gö œi tieàn  hoaëc ruùt tieàn, n  , Thoœa Thuaän Ñaët Tieàn  Göœii,, Giaá y UŒy Thaùcc,, Theá  Chaá Chaá p hoaëc phaùt haønnhh baát  kyø  phöông phöông aùn baœo ñaœm naøo lieân qua quann nhö chöùng ng khoaùnn,, baát  ñoänngg saœnn,, hoaëc caùc giaáy  tôø  sôœ sôœ  höõ höõu  lieân quan ñeå  baœ baœo laõ nnhh cho baá t kyø  khoaœ khoaœn vay, nghóa vuï, cam keá tt,, chæ thò, baœo laõ nh, nh, cam keá t boài  thöôønngg cho beân thöù  ba, ba, hoaëc baá t kyø  giaá giaá y tôø  naø naøo Ngaân Haønngg yeâu caà u lieân quan tôùi caùc haïn möùc saœn phaå m;

(e) To the fullest extent permitted by applicable law, sign and deliver an ISDA Master Agreement, with or without a Credit Supp Support ort  Annex, and any other agreements or confirmations in relation to derivatives transactions (including, without limitation foreign exchange and commodity related transactions, swaps and options), securities dealing (including, without limitation, li mitation, repurchase and securities lending transactions), money market transactions and collateral or margin arrangements relating to such transactions between the Bank and the Client / Trong Trong phaïm vi toá i ña maø  phaù phaùp luaät hieän haønnhh cho pheùpp,, kyù vaø  vaø  giao giao nhaän Hôïp Ñoà ng ng

Khung ISDA, coù  hoaë hoaëc khoânngg coù  Phuï Phuï  Luï Luïc Hoã  Trôï Trôï  Tín Tín Duïnng, g, vaø  baá baá t kyø  thoû thoûa thuaän hoaëc xaùc nhaän naøo khaùc lieân quan ñeá n caùc giao dòch phaùi sinh (bao goà m m,, nhöng khoânngg giôùi haïn ôû  caù caùc giao dòch lieân quan ñeán  ngoaïi hoá i vaø  haø haønngg hoùaa,, gia giaoo dòch hoaùn ñoåi  vaø  quyeà quyeàn  choïnn), ), giao dòch chöùnngg khoaùn (bao goàm m,   , nhöng khoânngg giôùi haïn ôû, giao dòch mua laïi vaø  cho cho vay chöùnngg khoaùnn),), giao dòch thò tröôønngg tieàn  teä  vaø vaø  caù caùc hôïp ñoànng   g kyù  quyõ quyõ  hoaë hoaëc bieân ñoä  laõ laõi  (margin arrangements) lieân quan ñeá n caùc giao dòch giöõ a Ngaân Haønngg vaø  Khaù Khaùcchh Haønng; g; vaø;  

(f) Enter into any banking, financial or commercial transaction and/or relat related ed services from time to time offered by the Bank ( “Transactions” Tham gia baát  kyø  giao giao dòch “Transactions” ), whether orally, in writing or through an electronic messaging or dealing system / Tham

ngaân haønng, g, taøi chính hoaëc thöông maïi naøo vaø /hoaëc caùc dòch vuï  coù coù  lieâ lieân quan vaøo töønngg thôøi ñieå m do Ngaân Haønngg cung caáp  ( “Caù “Caùc Giao Dòch”   ), cho duø duø  baè baènngg lôøi noùii,, baènngg vaên baûn hoaëc thoânngg qua moät heä  thoá thoánng   g giao dòch hoaëc thoânngg tin ñieän töû;

 

 

(g) Agree, amend, supplement, rest restate ate or var vary y the term terms s of any agreement or document referred to in the foreg foregoing oing resolutions  / Thoû Thoûa thuaänn,, söûa ñoå ii,, boå  sung, sung, ñieàu  chænh hoaëc thay ñoåi  caùc ñieà u khoaûn cuûa baát  kyø  thoû thoûa thuaän hoaëc taøi lieäu naøo ñöôïc ñeà caä  caäp ñeán  trong caùc nghò quyeá t neâu treânn  ; (h) Appoint a any ny agent or agents to act on the Client’s be behalf half to carry out the purp purposes oses and intent of the foregoing resolutio resolutions; ns; and  / Chæ Chæ ñònh baá t kyø  hoaë hoaëc caùc ñaïi dieän haønnhh ñoänngg thay maët cho Khaùcchh Haønngg ñeå  thöï thöïc hieän caùc muïc ñích vaø yù  yù  ñònh ñònh cuûa caùc nghò quyeá t

neâu treân. n.

 

(i) If any agreement, instrument or other document is required to be executed under th the e seal of the Client, th that at the seal be affixed to such agreement, instrument or document in accordance with the Client’s charter and/or applicable law / Neá Neáu  baá t kyø  thoû thoûa

thuaänn,, vaên kieän hoaëc taøi lieäu naøo khaùc caàn  phaûi ñöôïc kyù  keá keát  coù  ñoù ñoùnngg daáu  cuûa Khaùcchh Haønng, g, daáu  ñoù seõ  se õ ñöôï ñöôïc ñoùnngg vaøo thoûa thuaänn,, vaên kieän hoaëc taøi lieäu ñoù  theo theo quy ñònh taïi Ñieà u Leä  Thaø Thaønnhh Laäp cuûa Khaùcchh Haønngg vaø /hoaëc phaùp luaät hieän haønnh  h .

2. The Approving Signatories as listed in Part A of the Schedule to this Mandate may from time to time delegate any of their authority or powers referred to in resolution 1 above to any one or more persons specified as Authorised Signatories as listed in Part B of the Schedule to this Mandate and revoke any such delegation / Nhöõ Nhöõ nngg Ngöôøi Kyù  Teâ Teân Chaáp  Thuaän nhö ñöôïc lieät keâ ôû  ôû  Phaà Phaà n A taïi Phuï 

Luïc cuûa Giaá y UÛy Quyeà n naøy vaøo töønngg thôøi ñieå m coù  theå theå  trao trao quyeàn  haïn hoaëc thaåm   quyeàn  cuûa hoï  ñöôï ñöôïc neâu taïi nghò quyeá t 1 treân ñaây cho baát  kyø  moä moät hoaëc nhieà u ngöôøi ñöôïc quy ñònh laø  Ngöôø Ngöôøi Kyù  Teâ Teân Ñöôïc Uyû  Quyeà Quyeàn  nhö ñöôïc lieät keâ ôû  ôû  Phaà Phaà n B taïi Phuï  Luï Luïc cuûa Giaá y UÛy Quyeà n naøy vaø  ruù ruùt laïi baá t kyø  uûuûy quyeàn  naøo nhö vaäyy  .

3. The Authorised Signat Signatories ories as listed in Part B of the Schedule Schedule to this Mandate may from time time to time, on behalf of and in the name name of the Client / Nhöõ Nhöõ nngg Ngöôøi Kyù  Teâ Teân Ñöôïc Uyû  Quyeà Quyeà n nhö ñöôïc lieät keâ  ôûôû  Phaà Phaà n B taïi Phuï  Luï Luïc cuûa Giaáy  UÛy Quyeà n naøy vaøo töønngg thô thô øi ñieå m m,, thay maët vaø  nhaâ nhaân danh Khaùcchh Haønngg coù  theå theå:    (a) Bind the Client to the Bank’s account ope opening, ning, cash management (including electronic electronic client access services), trade, bank banking ing and/or related documentation as required from time to time / R Raøaønngg buoäc Khaùcchh Haønngg vôùi giaá y tôø lieâ  lieân quan ñeán  vieäc môû taøi khoaûnn,,

quaû lyù  tieà t g(bao  m mcaû caùc dòch vuï  truy truy caäp khaùcchh haønngg ñieän töû ), thöông maïii,, ngaân haønngg vaø /hoaëc giaá y tôø lieâ  lieân quan khaùc caàn  nthieá  ttieàvaø nomaë töønng thôøigoà ñieå ;   caù  

(b) Sign (i) instructions in writing for the payment of money, or the dealing of securities, to or from any account m maintained aintained by the Client with the Bank, (ii) payment instruments in the form of cheques, drafts, money orders, cashier’s order or other similar instrument, (iii) confirmations of Transactions (iv) instructions in writing in respect of the settlement or performance of

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Transactions, including, without limitation, notices exercising any option or other right of election unde underr any Transaction, and (v) requests for the Bank to release account information to the Client’s auditor / Kyù Kyù  (i) (i) caùc chæ thò baènngg vaên baûn ñeå  thanh thanh toaùn tieà nn,, hoaëc

giao dòch chöùnngg khoaùnn,, vaøo hoaëc töø  baá baát  kyø taø  taøi khoaûn naøo cuûa Khaùcchh Haønngg môû taï  taïi Ngaân Haønng, g, (ii) caùc giaáy  tôø  thanh thanh toaùn döôùi hình thöùc seùcc,, hoái  phieá uu,, leännhh chuyeå n tieànn,   , leännhh ruùt tieàn  maët hoaëc chæ thò töông töï  khaù khaùcc,, (iii) caùc xaùc nhaän Giao Dòch vaø  (iv) (iv) caùc chæ thò baènngg vaên baûn lieân quan ñeán  vieäc thanh toaùn hoaëc thöïc hieän Caùc Giao Dòch, bao goà m m,, nhöng khoânngg giôùi haïn ôû, caùc thoânngg baùo thöïc hieän baát  kyø  quyeà quyeàn  choïn naøo hoaëc quyeà n löïa choïn naøo khaùc theo baát  kyø  Giao Giao Dòch naøo vaø  (v) (v) yeâu caà u Ngaân Haønngg cung caáp  thoâng ng tin taøi khoaûn cho kieå m toaùn vieân cuûa Khaùcchh Haønng  g . 4. To the fullest extent permitted by applica applicable ble law, the Approving Signatories as listed in Part A of the Schedule to this Mandate Mandate and the Authorised Signatories as listed in Part B of o f the Schedule to this Mandate may appoint any affiliated company of the Client (or its representative) as the agent of the Client for the purposes of any netting, aggregation or pooling arrangement (whether notional notional or actual) with the Bank to which the Client is a party with the power to instruct the Bank to apply balances on the Client’s accounts and to apportion interest as calculated in accordance with such arrangements between the Client and its affiliates participating therein. These arrangements, together with any associated guarantee by the Client of the obligations of its affiliates participating with the Client in such arrangements, including debit balances on their participating accounts, shall be in the commercial interest and to the benefit of the Client / Trong Trong phaïm vi toá i ña maø  phaù phaùp luaät hieän haønnhh cho pheùpp,, nhöõ nngg Ngöôøi Kyù  Teâ Teân Chaáp  Thuaän nhö ñöôïc

lieät keâ ôû  ôû  Phaà Phaàn  A taïi Phuï  Luï Luïc cuûa Giaá y UÛy Quyeàn  naøy vaø  nhöõ nhöõnng   g Ngöôøi Kyù  Teâ Teân Ñöôïc Uyû  Quyeà Quyeà n nhö ñöôïc lieät keâ  ôû  Phaà Phaà n B taïi Phuï Luïc cuûa Giaá y UÛy Quyeà n naøy coù  theå theå  chæ chæ ñònh baát  kyø  coâ coânngg ty lieân keá t naøo cuûa Khaùcchh Haønngg (hoaëc ñaïi dieän cuûa Khaùcchh Haønng) g) laøm ñaïi dieän cuûa Khaùcchh Haønngg cho muïc ñích cuûa baát  kyø  hôï hôïp ñoà nngg thanh toaùn buø  tröø tröø, keát  hôïp hoaëc hôïp laõi  (pooling) naøo (cho duø laø  laø  danh danh nghóa hoaëc thöïc teá )  vôùi Ngaân Haønngg theo ñoù  Khaù Khaùcchh Haønngg laø  moä moät beân coù  thaå thaåm   quyeà n chæ thò cho Ngaân Haønngg söû  duï duïnngg caùc soá  dö dö treân caùc taøi khoaûn cuûa Khaùcchh Haønngg vaø  chia chia tieà n laõ i ñöôïc tính theo caùc hôïp ñoànng   g ñoù  giöõ giöõ a Khaùcchh Haønngg vaø caù  caùc beân lieân keát  cuûa Khaùch ch Haønngg tham gia Hôïp Ñoà nng. g. Nhöõnng   g hôïp ñoànng   g naøyy,, cuønngg vôùi baá t kyø  baû baûo laõ nnhh lieân quan naøo cuûa Khaùcchh Haønngg cho caùc nghóa vuï cuû  cuûa caùc beân lieân keát  cuûa Khaùcchh Haønngg tham gia cuønngg vôùi Khaùcchh Haønngg trong caùc hôïp ñoà nngg ñoù, keå caû  caû caù  caùc soá  dö dö nôï  treâ treân caùc taøi khoaûn tham gia cuûa hoï, laø  lôï lôïi ích thöông maïi vaø  thuoä thuoäc quyeàn  lôïi cuûa Khaùcchh Haønng  g .

5. Any step already taken by the A Approving pproving Signatories, Authorised Authorised Signatories as contemplat contemplated ed by resolutions 1, 2, 3 and 4 above is ratified by the Client / Baát  kyø  coâ nnggcvieä c naø o ñaõ t   ñöôï ñöôï    ñöôï gñöôï Ngöôø i Kyùcchh  Teâ Teâ Chaá p  Thuaä ng   g Ngöôøi Kyù  Teâ Teân Ñöôïc UÛy Quyeà  n nhö ñöôïc quy ñònh bôûcoâ i caù nghò quyeá 1, 2,c3thöï vaøc  44hieä treânnbôûñaâi nhöõ y ñaõnng c Khaù Haønnng g chaá  p thuaänn,,n  nnhöõ .  n 6. These resolutions will remain in force unless and until the Client delivers to the Bank a ne new w resolution revoking, amending or superseding these resolutions / Nhöõ Nhöõ nngg nghò quyeá t naøy seõ  giöõ giöõ  nguyeâ nguyeân hieäu löïc tröø  khi khi vaø  cho cho ñeá n khi Khaùcchh Haønngg göûi cho Ngaân Haøng ng moät nghò quyeá t môùi ruùt laïii,, söûa ñoåi  hoaëc thay theá  nhöõ nhöõ nngg nghò quyeá t naøyy  .

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  Ï LU C Ï SCHEDULE / P H U  (New Appointment / Deletion / Changes)1  (B o    å N h i   äe m M ô iù  / H u yû B o   /û T h a y Ñ o iå ) 1 

Submission Date: ..........date ..........month ..........year

N g a yø N o pä : ..........n g a yø ..........t h a   ùn g ............n a m ê

Name of the Client

T e nâ K h a   ùc h H a nø g 

Insert FULL legal name exactly as it appears on the Constitutional Constitutional Documents Documents

Ñ i e nà  c h í n h x a   ùc t e   ân h ô pï p h a pù Ñ AY À  Ñ U   Û n h ö n e uâ t r o n g C a cù T a   øi Li e   äu T h a   øn h La pä

Please Tick /V u i l o n ø g ñ a   ùn h d a uá 

Part A - Approving Signatories

P h a n à  A - C a cù C h ö    õ  K y   ù T o a n ø Q u y e n à  Ñ i   àe u    H a n ø h  T a   øi K h o   œa n  Draw a line through any unused space

G a cï h c h e   ùo p h a nà  ñ e   å t r o   án    g k h o nâ g s ö   û d u nï g 

Any one to sign

M o tä n g ö ô   øi k y   ù t e   ân 

(  ) v a   øo mo tä o   â t r o ná  g t h í c h h   ïô p 

Any two to sign

Other (insert details below)

H a i n g ö ô   øi k y   ù t e   ân 

K h a   ùc ( ñ i e nà  c h i t i e   át   b e nâ d ö ô   ù )i   

If you tick "Other", describe the alternative method of operation operation in the Special Instructions area below /Ne   áu     ña nù h da uá  va oø o â "K h a cù " , ñe   à ng nghò hò ne uâ ro õ phöông t h ö   ùc a pù d   ïu n g t h a y t h e   á t r o n g p h a nà  C h æ D a nã  R i e nâ g d ö ô iù ñ a   ây .

Specimen Signature

Specimen Signature

C h ö    õ K y   ù M a u ã 

C h ö    õ K y   ù M a u ã 

Name/H    ïo T e nâ  _______________ _______________________________ ______________________ ______

Name/H    ïo T e   ân  _______________ _______________________________ ______________________ ______

Title/C h ö c ù

v   ïu   _____________________________________ ID/S o   á C M N  D   _____________________________________ Contact details/C h i t i e   át   l i e   ân h e :ä

Title/C h ö c ù

Home: ______________ Mobile: _____________ ______________________ _________

Home: ______________ Mobile: ______________ ______________________ ________

Office: ______________ ______________ Fax: ______________ ________________________ __________

Office: ______________ ______________ Fax: ________________ ________________________ ________

Va nê p h o nø g  

Va   ên p h o nø g  

Nh a   ø r i e nâ g 

  ÑTDÑ Fax

 

 

v   ïu   _____________________________________ ID/S o   á C M N  D   _____________________________________ Contact details/C h i t i e tá  l i e n â h e :ä Nh a   ø r i e nâ g 

  ÑTDÑ Fax

 

 

Specimen Signature

Specimen Signature

C h ö    õ K y   ù M a u ã 

C h ö    õ K y   ù M a u ã 

Name/H    ïo T e nâ  _______________ ______________________________ ______________________ _______

Name/H    ïo T e nâ  _______________ ________________________________ ______________________ _____

Title/C h ö c ù

v   ïu   _____________________________________ ID/S o   á C M N  D   _____________________________________

Title/C h ö   ùc v   ïu   _____________________________________

Contact details/C h i t i e tá  l i e n â h e :ä ______________________ Home: ______________ Mobile: _______________ _______

Contact details/C h i t i e tá  l i e n â h e :ä ______________________ Home: ______________ Mobile: ______________ ________

Office: ______________ ______________ Fax: ________________ ________________________ ________

Office: ______________ ______________ Fax: ________________ ________________________ ________

Va nê p h o   øn g  

Va   ên p h o nø g  

Nh a   ø r i e nâ g 

  ÑTDÑ Fax

 

 

Special Instructions / C h æ D a n ã  R i e n â g :

ID/S o   á C M N  D   _____________________________________

Nh a   ø r i e nâ g 

  ÑTDÑ Fax

 

 

 

  Ï LU C Ï SCHEDULE / P H U  (New Appointment / Deletion / Changes)1  (B o    å N h i   äe m M ô iù  / H u yû B o  /û T h a y Ñ o iå ) 1 

Submission Date: ..........date ..........month ..........year

N g a yø N o pä : ..........n g a yø ..........t h a   ùn g ............n a m ê

Name of the Client

T e nâ K h a   ùc h H a nø g 

Insert FULL legal name exactly as it appears on the Constitutional Constitutional Documents Documents

Ñ i e nà  c h í n h x a   ùc t e   ân h ô pï p h a pù Ñ AY À  Ñ U   Û n h ö n e uâ t r o n g C a cù T a   øi Li e   äu T h a   øn h La pä

Please Tick /V u i l o n ø g ñ a   ùn h d a uá 

Part B - Authorised Signatories

P h a nà  B - C a cù C h ö    õ  K y  ù Ñ ö ô cï U    Ûy Q u y   àe n    Draw a line through any unused space

G a cï h c h e   ùo p h a nà  ñ e   å t r o   án    g k h o nâ g s ö   û d u nï g 

Any one to sign

M o tä n g ö ô   øi k y   ù t e   ân 

(  ) v a   øo mo tä o   â t r o ná  g t h í c h h   ïô p 

Any two to sign

Other (insert details below)

H a i n g ö ô   øi k y   ù t e   ân 

K h a cù ( ñ i e nà  c h i t i e tá  b e   ân d ö ô  )iù   

If you tick "Other", describe the alternative method of operation operation in the Special Instructions area below /Ne   áu     ña nù h da uá  va oø oâ "K h a cù " , ñe   à ng nghò hò ne uâ ro õ phöông t h ö cù a pù d   ïu n g t h a y t h e   á t r o n g p h a nà  C h æ D a nã  R i e nâ g d ö ô iù ñ a   ây .

Specimen Signature

Specimen Signature

Name/H    ïo T e nâ  _______________ _______________________________ ______________________ ______

Name/H    ïo T e   ân  _______________ _______________________________ ______________________ ______

Title/C h ö c ù

v   ïu   _____________________________________ ID/S o   á C M N  D   _____________________________________ Contact details/C h i t i e   át   l i e   ân h e :ä

Title/C h ö c ù

Home: ______________ Mobile: _____________ ______________________ _________

Home: ______________ Mobile: ______________ ______________________ ________

Office: ______________ ______________ Fax: ______________ ________________________ __________

Office: ______________ ______________ Fax: ________________ ________________________ ________

Va nê p h o nø g  

Va   ên p h o nø g  

C h ö    õ K y  ù M a uã 

Nh a   ø r i e nâ g 

C h ö    õ K y  ù M a uã 

  ÑTDÑ Fax

 

 

v   ïu   _____________________________________ ID/S o   á C M N  D   _____________________________________ Contact details/C h i t i e tá  l i e n â h e :ä Nh a   ø r i e nâ g 

  ÑTDÑ Fax

 

 

Specimen Signature

Specimen Signature

Name/H    ïo T e nâ  _______________ _______________________________ ______________________ ______

Name/H  ________________________________ ______________________ _____   ïo T e nâ  _______________

Title/C h ö c ù

v   ïu   _____________________________________ ID/S o   á C M N  D   _____________________________________

Title/C h ö   ùc v   ïu   _____________________________________

Contact details/C h i t i e   át   l i e   ân h e :ä ______________________ Home: ______________ Mobile: _____________ _________

Contact details/C h i t i e tá  l i e n â h e :ä Home: ______________ Mobile: ______________________

Office: ______________ ______________ Fax: ______________ ________________________ __________

Office: ______________ ______________ Fax: ________________ ________________________ ________

Va nê p h o nø g  

Va   ên p h o nø g  

C h ö    õ K y  ù M a uã 

Nh a   ø r i e   ân g 

C h ö    õ K y  ù M a uã 

  ÑTDÑ Fax

 

 

ID/S o   á C M N  D   _____________________________________

Nh a   ø r i e nâ g 

  ÑTDÑ Fax

 

 

Special Instructions / C h æ D a n ã  R i e nâ g :

If there is insufficient space, please provide the full list of authorised signatories signatories on a separate schedule on Client letter letterhead. head.

Ne uá  k h o nâ g c o   ù ñ u   û c h o   ã,  ñ e   à n g h ò c u n g c a pá  d a n h s a cù h ñ a yà  ñ u   û n g ö ô iø k y   ù t e   ân ñ ö ô cï u y   û q u y e nà  ô   û mo   ät p h   ïu l u cï r i e   ân g t r e   ân g i a yá  i n t i e   âu ñ e   à t h ö  c u   ûa K h a cù h H a nø g . Name(s) & Signature(s) of person(s) duly authorised to appoint Signatories /( C a   ùc   ) T e   ân & 

( c a   ùc   ) C h ö   õ K y   ù c u aû ( n h ö nõ  g   ) n g ö ô iø ñ ö   ïô c u   ûy q u y e nà    h   ïô p l e   ä ñ e   å ñ e   à c ö   œ c a cù C h ö   õ K y   ù:  Only required if submitted for new appointments,deletions, changes after taking the mandate.

C h æ y e   âu c a   àu    n e uá  n o pä ñ ô n x i n b o   å n h i e   äm mô iù , h u   ûy b o ,û t h a y ñ o   åi   s a u k h i n h a nä u yû q u y e nà  .

Date/N g a y ø:

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