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PERSONAL ACCOUNT OPENING FORM - JOINT APPLICANT

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PERSONAL ACCOUNT OPENING FORM - JOINT APPLICANT

A. PERSONAL DETAILS

4. Country of birth ____________________________________ Date of birth: (dd/mm/yy) ____/____/_____

5. Current residential address________________________________ ______________________________________________________________________

________________________________________________________________________________________________________________________________

6. Time at address (years/months) __________/__________

7. Previous address (if less than 3 years at current address)

Address 1 _____________________________________________________________________________________________________________________ ___ Address 2 _____________________________________________________________________________________________________________________ ___ Address 3 _____________________________________________________________________________________________________________________ ___

8. Home address Same as current residential address (Otherwise, kindly fill in below)

__________________________________________________________________________________________________________________________________

9. Correspondence address Same as current residential address (Otherwise, kindly fill in below)

__________________________________________________________________________________________________________________________________

10. Contact Details Home Country Code # Mobile Country Code #

Office Country Code # Email

11. Employment status:

Student Employed Full Time Employed Part Time Not in Employment Self-Employed Retired

12. Occupation

Nature of occupation 1 Director/Senior management 12 Lecturer/Teacher

2 Middle management/Administrative/Executive 4 Technical/Skilled manual

1 Professional (e.g doctor, lawyer, architect...) 9 Housewife

3 Secretarial/Clerical 10 Retired

14 Civil servant 7 Student

11 Self-employed/Businessman Others ____________________________________

Job title _____________________________________________________________________________________________________________________ _________

Name and address of present employer __________________________________________________________________________________________ ___________

__________________________________________________________________________________________________________________________________ Nature of business ____________________________________________________________________________________________________________________

If retired: Name of previous employer ________________________________________________________________________________________ _____

Time at last employment ______________________________________

13. Personal monthly gross income (Rs) 1 <10,000 2 10,000-29,999 3 30,000-49,999 4 50,000-100,000 5 >100,000

14. Please specify the countries in which you pay tax ?

Country 1 ________________________________ Country 2 ________________________________ Country 3 _________________________ _______

15. Educational level: 2 Primary 3 Secondary 4 Undergraduate 5 Post graduate

16. Residence status: 1 Rented 3 Mortgaged 4 Fully owned 5 Living with relatives 6 Company residence

17. Please list all the countries where you hold HSBC accounts.

Country 1 ________________________________ Country 2 ________________________________ Country 3 _________________________ _______

18. Main bank HSBC Other (Please specify below in terms of more important to less important)

Other bank(s) used: 1. __________________________ 2. __________________________ 3. __________________________

1 Title: Mr Mrs Miss Minor

Family name ___________________________________________________________________________________________________________________ First name(s) ___________________________________________________________________________________________________________________ Maiden/ Former name __________________________________________________________________________________________________________

2. Marital status 1 Single 2 Married Others ____________________________________

If married, spouse full name: _____________________________________________________________________________________________________

3. Multiple Nationality Yes No

Nationality

1. I.D/ Passport no. Issue date: __/__/_____ Expiry Date: __/__/____

2. I.D/ Passport no. Issue date: __/__/_____ Expiry Date: __/__/____

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For non-national residents only

1.

Are you a permanent resident of Mauritius? Y

es N o (Pl eas e sp ec ify c ou ntry of pe rm an ent res id en ce ) __ __ __________________________________________ ____________________________________________________________________________ 2. If yo u a re n ot a p erm an en t re si de nt , p le as e st at e th e pu rp os e of y

our stay in Mauritiu

s Y es / N o ( Pleas e tick ) En ti ty N at ure o f A cti vit y St art D ate (dd/mm/yy) En d Dat e (dd/mm/yy) Bu sines s Ye s N o ____/____/_____ ____/____/_____ W or k Ye s N o ____/____/_____ ____/____/_____ Ed ucatio n Ye s N o ____/____/_____ ____/____/_____ Ot hers ( Pl ea se S pecify ) Ye s N o ____/____/_____ ____/____/_____

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Purpose of account

* * 1- Electronic

Transfer 2 - Bank cheque 3 - Cash deposit 4 - Direct debit 5 - Standing order 6 - I

nternet banking * 1 - W eekly 2 - Monthly 3 - Fortnightly 4 - Every 6 months 5 - Once a year

6 - Other (please specify)

Expected flow of funds

Types of A ccounts Opened (as per ab ov e) Sou rce of Funds Expec ted Amount (MUR) * Fr equency (Choose f rom bel ow) ** Means of T rans fer (Choose f rom bel ow) Name of O rigina tor/ Compa ny Relationship with O rigina tor Country of O rigin

Current A/C Savings A/C Savings Plus A/C (

AV

A only)

Other ______________________

* 1. Salary from Employer 2. Personal Savings 3. Sale of assets/Property 4. Gift 5. Other

s (Specify)

** 1. Cash Deposit 2. Bank Cheque 3. Electronic

Transfer

B. ACCOUNT DE

TAILS

Types of A ccounts Requi red Cu rr ency of A ccount Pu rpose of A ccount Amount Deposi ted *S ou

rce of Initial Deposit

(Choose f rom bel ow) **Means of Tr ans fer (Choose f rom bel ow)

Current A/C Savings A/C Savings Plus A/C (

AV

A only)

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You can choose to receive your account statements online once you register to our Personal Internet Banking facility.

We agree to receive our account statements online Yes No

We may use and share relevant information about you, your transactions and your relationship with us to give you information about products, services and promotions available from HSBC Group which may interest you, whether by post, telephone, electronic and other means . If you do not want us to contact you about such products and services, please tick here

C. APPLICATION FOR ATM CARD (AUTOMATED TELLER MACHINE SERVICES)

D. ONLINE ACCOUNT STATEMENTS

E. MARKETING COMMUNICATIONS

You can access up to 3 accounts with an ATM card.

Please link our ATM card to the account(s) opened as per Section B

ATM Card collection: we prefer to collect the ATM card at ________________________________________________________________________ branch. We, hereby authorise and request The Hongkong and Shanghai Banking Corporation Limited to issue us with an ATM card. We confirm that

the information given above is true and complete and that we have received, read and understood the terms and conditions and hereby agree to be bound by such terms and conditions.

We agree that our account is to be operated by either of us.

X

Signature of joint applicants

S.V

F. CUSTOMER DECLARATION AND SIGNATURE

We have received, read and understood The Hongkong and Shanghai Banking Corporation Limited’s general terms and conditions for account holders and agree to comply with them.

We have received, read and understood The Hongkong and Shanghai Banking Corporation Limited’s general terms and conditions for Opening and operating Term Deposit Account(s) and agree to comply with them.

We hereby confirm that the details given are correct. We have received a copy of the T

Bank’s website.

Please arrange to open an account(s) in our joint names as per Section B.

Declaration:

We, the undersigned, hereby request and authorise you as

follows:-1 To open or continue (as the case may be) any account or accounts in our joint names as ______________________________________________________

of us may direct and to close any account so opened or continued or subsequently opened as _____________________________________________

of us may direct.

2 To place to the credit of any account in our joint names all amounts, including dividends, interest and capital sums arising from securities or proceeds of cheques or bills received or collected by you for the credit of any of us.

3 To honour and comply with all cheques, promissory notes and other orders drawn and all bills accepted on our behalf, whether our current account be in credit or overdrawn, to comply with all directions given for or in connection with any account or accounts or any kind whatsoever on our behalf and to accept and act upon all receipts for monies deposited with or owing by you on any account or accounts in our names provided that such cheques, promissory notes, orders, bills, directions or receipts are signed by________________________________ of us.

4 To make at the request of _________________________________________ of us any advance to us by way of loan or overdraft or discount or in any manner howsoever with or without security.

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5 To deliver on the instructions of __________________________________________ of us any securities, deeds, boxes and parcels and their contents, and property of any description held in our joint names.

6 On the death of either or (as the case may be) any of us, to hold any credit balance on any account or accounts in our joint names, and

any securities, deeds, boxes and parcels and their contents, and property of any description held in our joint names to the order of the

survivor or (if more than one) the survivors of us, without prejudice, however, to any rights you may have in respect thereof arising out r-claim or otherwise whatsoever and also subject to compliance with the law. In the absence of any directions to the contrary, all accounts subsequently opened shall be operated and dealt with upon the terms set out above insofar as the same may be applicable.

W ransfer

any sum(s) standing to the credit of any such accounts or any other sum(s) owing to us from the Bank in or towards satisfaction of our liabilities to the bank on any other account or in any other respect whether such liabilities be actual or contingent, primary or collateral and several or joint and that the Bank’

We agree that any liability whatsoever incurred to you by us in respect of the foregoing shall be joint and several.

Dated this ____________________________ day of ____________________________ (month) ____________________________ (year)

NAMES IN FULL SIGNATURE(S) AND/OR CHOP(S) CUSTOMER NUMBERS (if known)

___________________________________________ _________________________________________ __________________________________________ ___________________________________________ _________________________________________ __________________________________________ ___________________________________________ _________________________________________ __________________________________________ MKT/JOAOF/DEC15 S.V S.V S.V

Customer number Bank authorised

Signature / stamp Account number(s)

Manager

System checked Name search Signature

References

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