The Hongkong and Shanghai Banking Corporation Limited, Singapore Account Opening Application Use BLOCK letters and tick clearly where applicable. It is important that you should complete this application form IN FULL to enable us to open your account(s). Ensure all applicants sign where required. Choose the type of account you would like to open (please tick where appropriate): G HSBC Premier Account G Foreign Currency Statement Savings State currency G SGD PowerVantage G Foreign Currency Current State currency G SGD Statement Savings G Foreign Currency Time Deposit State currency G SGD Current Account G SGD Time Deposit Indicate below whether you are making a sole or joint application and complete appropriate sections as indicated. All customers/account holders must be 21 years old or above unless the account is jointly opened with another account holder who is at least 21 years of age. G Individual Application (Complete Principal Applicant section only) G Joint Application (Complete both Principal and Joint Applicant sections) SECTION 1 PERSONAL INFORMATION PRINCIPAL APPLICANT JOINT APPLICANT Title G Mr G Mrs GMs G Others Title G Mr G Mrs GMs G Others Last Name/ Surname First/ Given Name Last Name/ Surname First/ Given Name GMale G Female GMale G Female of Birth (DD/MM/YY) / / IC/ Passport no.: of Birth (DD/MM/YY) / / IC/ Passport no.: Place of Issue Expiry date (DD/MM/YY ) / / Place of Issue Expiry date (DD/MM/YY) / / Nationality No of dependents Nationality No of dependents Marital Status Marital Status GSingle G Married G Divorced G Widowed GSingle G Married G Divorced G Widowed Singapore residency status Singapore residency status GResident G Non-resident G Resident G Non-resident Education level Education level GPrimary G Secondary/Pre-University G Polytechnic GPrimary G Secondary/Pre-University G Polytechnic G University G Postgraduate G University G Postgraduate Relationship to main applicant Mother s maiden name (for verification purpose) Mother s maiden name (for verification purpose) Present home address in Singapore (as per IC or other ID document) Present home address in Singapore (as per IC or other ID document) Postal Code: Postal Code: Permanent address (as per ID document for foreigners only ) Permanent address (as per ID document for foreigners only ) Postal Code Postal Code Issued by The Hongkong and Shanghai Banking Corporation Limited Page 1 of 5
Mailing address GHome (Singapore) G Office GOthers Mailing address GHome (Singapore) G Office GOthers Telephone (Home) (Office) Telephone (Home) (Office) (Mobile/Pager) (Fax) (Mobile/Pager) (Fax) E-mail address E-mail address Property Ownership Property Ownership G Loan/ Mortgaged property G Living with parents G Loan/ Mortgaged property G Living with parents G Fully-owned G Company residence G Fully-owned G Company residence G Renting: specify rental paid per month SGD G Renting: specify rental paid per month SGD G Others: (please specify)g Others: (please specify) Employer / Business name Office address Postal Code Job title/ Occupation Employer / Business name Office address Postal Code Job title/ Occupation No of years in current job year(s) No of years in current job year(s) Employment status Employment status G Self-employed G Employed G Self-employed G Employed G Sales/ Commission-based G Sales/ Commission-based G On contract: length of remaining contract year(s) G On contract: length of remaining contract year(s) Annual income (SGD) Annual income (SGD) Other income Source Other income Source Please complete the following if current employment is less than one year Name of previous employer Previous job title Please complete the following if current employment is less than one year Name of previous employer Previous job title No of years in previous job year(s) No of years in previous job year(s) Purpose of account Source of funds Total Amount of Transactions (SGD/Month) Credits Debits Total Number of Transactions / Month Credits Debits My Banking Relationship GNo, I am not an existing customer of HSBC GYes, I have been banking with HSBC for year(s). Country and Account no. _ My other credit cards Name of Issuer Credit card no. Limit 1. 2. Issued by The Hongkong and Shanghai Banking Corporation Limited Page 2 of 5
SECTION 2 OPTIONAL SERVICES Cheque book Would you like your name(s) to be printed on the cheque book(s)? G No G Yes, to be personalized as (Maximum of 35 characters per line) HSBC Premier debit card/ SGD debit card/ Foreign Currency ATM card Name to be printed on the HSBC ATM/debit card. Joint Applicant * Note: Debit cards will be issued on our Premier (SGD) and other SGD current, savings and PowerVantage accounts. ATM card can be issued for foreign currency savings and current accounts upon request. For joint accounts requiring all parties to sign, there will be no issuance of the HSBC ATM/ debit card. Which language do you prefer for your ATM/debit card service? Main Applicant G English G Chinese Joint Applicant G English G Chinese Would you like to have an HSBC Premier identification card? (For customers without HSBC Premier debit card or HSBC Premier credit card) G No G Yes, to be personalized as Joint Applicant Phone Banking (Phone Banking will not be available for joint accounts requiring all parties to sign) Would you like to link all your accounts with HSBC through Phone Banking? Main Applicant G Yes G No Joint Applicant G Yes G No Collection of PIN G Hold PIN at HSBC branch / Premier Centre for collection (Please specify: _) G Send PIN by registered post per mailing address HSBC credit card Please choose any one of the following (please tick one only): G HSBC Premier Credit Card HSBC G Visa Gold G MasterCard Gold G Visa Classic G MasterCard Classic Main Applicant G Yes G No Joint Applicant G Yes G No Supplementary Applicant G Yes G No (Please complete the following for supplementary applicant) * Note: Income document(s) required for Singaporeans/Singaporean PRs/employment pass holders only. Secured credit cards will be issued to foreigners. Credit card limit is shared equally unless otherwise specified Name to be printed on the HSBC credit card. Joint Applicant Supplementary Applicant Please debit my HSBC account monthly for settlement of the HSBC credit cards bills G In full G % (minimum 3% or S$50 whichever is higher) Frequent Flyer Programme Please enrol me for HSBC s mileage Programme** GAsia Miles membership no. GSingapore Airlines KrisFlyer membership no. GUnited Airlines Mileage Plus membership no. I have read and agreed to be bound by the terms and conditions of the Mileage Programme **An annual programme fee of S$40 (subject to GST) applies. You can choose to waive the fee with 10,000 Rewards points Issued by The Hongkong and Shanghai Banking Corporation Limited Page 3 of 5
SECTION 3 DECLARATION I/ We confirm that the information given is correct and complete. I/We authorise you to confirm this from whatever source and you have the discretion to request for my/our documents evidencing my/our income. I/We understand that approval of this application to open account(s) is at your sole discretion and you are not obliged to give any reasons for rejecting the same. I/We confirm that I/we am/are not (an) undischarged bankrupt(s) and that there has been no Statutory Demand served and no legal proceedings commenced against me/us at the time of application. I/We hereby authorise you and your officers to disclose any information relating to me/us as may be permitted under the Banking Act Cap 19 to (i) any credit bureau approved or gazetted by the Monetary Authority of Singapore ( MAS ) of which you are a member or subscriber; and/or (ii) any other member or subscriber that has been approved by the MAS; and (iii) any other person to whom disclosure is permitted or required by any statutory provision or law. I/We further consent to such credit bureau disclosing information about me/us to you or its MAS approved members or subscribers, to enable you or such members or subscribers to assess my creditworthiness as a borrower or surety. This consent shall be in addition to and shall not be in any way prejudiced or affected by any other agreement, expressed or implied, between me/us and you. I/We agree to be bound by Terms and Conditions Governing Accounts. Where I/we have applied for HSBC s debit card/atm and/or HSBC s credit card and/or Phone Banking, I/we agree to be bound by the applicable terms and conditions. Copies of all terms and conditions mentioned above are available at any branch of HSBC or website at www.hsbc.com.sg GPlease tick this box if you wish to opt out of the Point-of-Sales facility on your debit card from HSBC. Signature of main applicant Signature of joint applicant Signature of supplementary applicant (For HSBC credit card only) Signature requirement G Single G Joint For Bank Use Source Code Approved by Sales Force ID B B B C S S S S S S account opened Customer No HSBC account no. HSBC credit card no. Credit card limit S$ Remarks A/c nos. of subsequent a/cs Signature verified by Approved by a/c opened Input Page 4 of 5
SECTION 4 REQUIREMENTS HSBC Premier 2. The monthly fee of S$50 will be waived if monthly average credit balance (deposits and investments) is S$150,000 and above. 3. To apply for credit cards and credit facilities, please submit a photocopy of your IC (front and back) with ONE of the following documents: - For salaried employees latest computerized pay slip OR latest Income Tax Notice of Assessments OR the last 6 months CPF statement. - For self-employed and commission-based earners last two years Income Tax Notice of Assessments - For foreigners as above for salaried employees AND a copy of employment pass with at least one year s validity at the time of application AND a copy of your passport. - You may submit your CPF statement electronically via www.hsbc.com.sg - The minimum income requirement for HSBC Premier credit card is S$30,000p.a.If you do not wish to provide income documents or if you do not meet the minimum criteria, you are still eligible to apply for the HSBC Premier Credit Card if you place a minimum of S$10,000 deposit with us, and charge the deposit in our favour as security**. The bank will grant a credit limit of up to 50% of the deposit placed upon approval. (please request the Time Deposit and Security over Deposit application forms from your Relationship Manager). - To expedite the application processing, please attach a copy of your business card with the income document(s). 4. The granting of HSBC Premier credit card shall be at the sole discretion of the bank. **A higher deposit amount may be required for non-sgd currency deposits. To apply, please get a copy of the term deposit placement instruction and security document which are available at any of our HSBC branches. PowerVantage 2. Initial minimum deposit is S$500. 3. Monthly service fee of S$2. 4. The monthly fee of S$6 will be waived if monthly average credit balance is S$5,000 and above. Statement Savings Account 1. All applicants must be individuals aged 12 years old and more. 2. Account for minors aged below 12 will be opened under adult s name as RE: account 3. For local currency: Initial minimum deposit S$500 4. For foreign currency: Initial minimum deposit of USD500 or its equivalent. Current Account 2. For local currency: Initial minimum deposit S$500 3. For foreign currency: Initial minimum deposit of USD500 or its equivalent. Singapore Dollar/ Foreign Currency Time Deposit Account 1. All applicants must be individuals aged 12 years old and more. 2. Account for minors aged below 12 will be opened under adult s name as RE: account 3. For local currency: Initial minimum deposit of S$5,000. 4. For foreign currency: Initial minimum deposit for respective currencies: Page 5 of 5