account opening form personal banking all fields ... - hsbc · for my atm/ debit card visa limit...

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Account Opening Form Instructions I would like to open the following accounts This form will take 15 minutes to complete if you have all the information available. All fields are mandatory. You will need to provide the following documents for account opening: NRIC (For Singapore Citizens or Permanent Residents) or Passport (For Foreigners) Proof of Residential Address Please note that: For Everyday Global Account and accounts with chequeing facilities, account holders must be 18 years old and above. For Statement Savings Account, account holders must be 16 years old and above. For Premier Lite Savings Account, the Accountholder (Parent) must be 18 years old and above, and the Beneficiary (Child) must be below 18 years old. For joint account applications, Applicant 1 will be the main account holder. HSBC Bank (Singapore) Limited Company Registration No. 201420624K Singapore Dollar Deposit Accounts: Applicant 1 – Sole accounts Everyday Global Account: Everyday Global Account Enjoy access to all 11 currencies below: AUD CAD CHF CNY EUR SGD GBP HKD JPY NZD USD Everyday Global Account: Everyday Global Account Enjoy access to all 11 currencies below: AUD CAD CHF CNY EUR SGD GBP HKD JPY NZD USD Everyday Global Account: Everyday Global Account Enjoy access to all 11 currencies below: AUD CAD CHF CNY EUR SGD GBP HKD JPY NZD USD Foreign Currency Deposit Account: Current Account: AUD EUR GBP HKD JPY NZD USD Singapore Dollar Deposit Accounts: Applicant 2 – Sole accounts Foreign Currency Deposit Account: Current Account: AUD EUR GBP HKD JPY NZD USD Singapore Dollar Deposit Accounts: Joint account Foreign Currency Deposit Account: Current Account: AUD EUR GBP HKD JPY NZD USD Personal Banking Effective from 28 November 2019 HBSP/ CVM/ WEL/ TB/ AO001 1 Issued by HSBC Bank (Singapore) Limited (Company Registration No. 201420624K). Please initial Principal ________________________ Joint ______________________ Premier Account Statement Savings Account Flexi Account Advance Account Current Account eFlexi Account Premier Lite Savings Account Premier Account Statement Savings Account Flexi Account Advance Account Current Account eFlexi Account Premier Lite Savings Account Premier Account Statement Savings Account Flexi Account Advance Account Current Account eFlexi Account Premier Lite Savings Account

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Page 1: Account Opening Form Personal Banking All fields ... - HSBC · for my ATM/ Debit Card VISA Limit for my Debit Card NETS Limit for my Debit Card Applicant 2 If no daily cash withdrawal/VISA/NETS

Account Opening FormInstructions

I would like to open the following accounts

This form will take 15 minutes to complete if you have all the information available. All fields are mandatory.You will need to provide the following documents for account opening: NRIC (For Singapore Citizens or Permanent Residents) or Passport (For Foreigners) Proof of Residential Address

Please note that: For Everyday Global Account and accounts with chequeing facilities, account holders must be 18 years old and above. For Statement Savings Account, account holders must be 16 years old and above. For Premier Lite Savings Account, the Accountholder (Parent) must be 18 years old and above, and the Beneficiary (Child) must be below 18 years old. For joint account applications, Applicant 1 will be the main account holder.

HSBC Bank (Singapore) LimitedCompany Registration No. 201420624K

Singapore Dollar Deposit Accounts:

Applicant 1 – Sole accounts

Everyday Global Account:Everyday Global Account

Enjoy access to all 11 currencies below:

AUD CAD CHF CNY EUR SGD

GBP HKD JPY NZD USD

Everyday Global Account:Everyday Global Account

Enjoy access to all 11 currencies below:

AUD CAD CHF CNY EUR SGD

GBP HKD JPY NZD USD

Everyday Global Account:Everyday Global Account

Enjoy access to all 11 currencies below:

AUD CAD CHF CNY EUR SGD

GBP HKD JPY NZD USD

Foreign Currency Deposit Account:Current Account: AUD EUR GBP HKD JPY NZD USD

Singapore Dollar Deposit Accounts:

Applicant 2 – Sole accounts

Foreign Currency Deposit Account:Current Account: AUD EUR GBP HKD JPY NZD USD

Singapore Dollar Deposit Accounts:

Joint account

Foreign Currency Deposit Account:Current Account: AUD EUR GBP HKD JPY NZD USD

Personal Banking

E�ective from 28 November 2019

HB

SP/ C

VM

/ WEL

/ TB

/ AO

001

1 Issued by HSBC Bank (Singapore) Limited (Company Registration No. 201420624K).

Please initialPrincipal ________________________ Joint ______________________

Premier Account Statement Savings Account

Flexi Account

Advance Account

Current Account eFlexi AccountPremier Lite Savings Account

Premier Account Statement Savings Account

Flexi Account

Advance Account

Current Account eFlexi AccountPremier Lite Savings Account

Premier Account Statement Savings Account

Flexi Account

Advance Account

Current Account eFlexi AccountPremier Lite Savings Account

Page 2: Account Opening Form Personal Banking All fields ... - HSBC · for my ATM/ Debit Card VISA Limit for my Debit Card NETS Limit for my Debit Card Applicant 2 If no daily cash withdrawal/VISA/NETS

HB

SP/ C

VM

/ WEL

/ TB

/ AO

001

2 Issued by HSBC Bank (Singapore) Limited (Company Registration No. 201420624K).

App

lican

t 1

Please initialPrincipal ________________________ Joint ______________________

My Details

Full Name (as in NRIC/Passport) Title: Dr Mr Mrs Ms Mdm Others

Non-Resident, assets/funds held in country(ies)/ region(s)

Last Name / Surname (as in NRIC)

Former / Other Name (documentary proof is required eg.deed poll)

Place of Issue Expiry Date D D M M Y Y Y YNRIC / Passport No.

Date of Birth (DD/MM/YYYY)

First / Given Name

Male FemaleGender

Place of Birth ______________________________________________

Nationality (Country/ Region) (please list all) Nationality 1 (Country/ Region)

Postal Code _______________ Country/ Region

Jurisdiction of Residence for Tax Purposes and related Taxpayer Identification Number or equivalent number (”TIN”)Please complete the following table indicating where you are tax resident and your TIN for each jurisdiction indicated. If you are tax residentin more than three jurisdictions. please use a separate sheet.If a TIN is unavailable please provide the appropriate reason A, B or C where indicated below:Reason A The jurisdiction where the Account Holder is liable to pay tax does not issue TINs to its residentsReason B The Account Holder is otherwise unable to obtain a TIN or equivalent number.

(Please indicate an explanation below why you are unable to obtain a TIN if you have selected this reason)Reason C No TIN is required.

(Only select this reason if the authorities of the jurisdiction of tax residence indicated do not require the TIN to be disclosed)

Jurisdiction of Tax Residence If no TIN available enter Reason A, B or CTIN

1

2

3

Explanation for Reason B

Explanation for Reason B

Explanation for Reason B

My Contact Details and Address

Previous Address (If Residential Address is less than 12 months)

Mailing Address (If di�erent from residential address)

Postal Code _______________ Country/ Region

For overseas lines, please indicate Country/ Region Code:

Postal Code _______________ Country/ Region

At This Address Since

Residential Address (P/O box and C/O address not allowed)

Postal Code _______________ Country/ Region

Permanent Address (If di�erent from residential address)

Home Ownership: Renting Loan/Mortgaged Living with Parents Fully owned Company residence

Residency Status Singapore Resident

Marital Status Single Married Divorced Widowed

I have an existing relationship with HSBC Group in the following country(ies)/ region(s)

Primary Secondary/Post Secondary Vocational/Technical University/Tertiary Post-graduateEducation Level

No. of Dependents

D D M M Y Y Y Y

My Employment Details

O�ce Address

Job Title

Occupation

Length of Service Year(s) Month(s)

Employer / Business Name

Industry Type / Nature of Business

Annual Income (S$)

Employment Status

Self-Employed (Business Owner) Self-Employed (Sole Proprietor/Freelance) Employed Sta�

HomemakerUnemployed Key Controller (such as CEO, CFO, COO, MD)

Student, Course Completion DateRetired D D M M Y Y Y Y

Previous Employer / Business Name (If current employment is less than 2 years)

Time at Previous Employer / Business Month(s) Year(s)

Other Income (S$)

Source of Other Income

For FIN Card holders

FIN

FIN type Employment Student Dependent Visit

FIN Expiry date D D M M Y Y Y Y

Email Address

Contact No. Mobile: (+ )

Home: (+ )

O�ce: (+ )

Postal Code Country/ Region

Nationality 2 (Country/ Region) Nationality 3 (Country/ Region)

E�ective from 28 November 2019

Page 3: Account Opening Form Personal Banking All fields ... - HSBC · for my ATM/ Debit Card VISA Limit for my Debit Card NETS Limit for my Debit Card Applicant 2 If no daily cash withdrawal/VISA/NETS

HB

SP/ C

VM

/ WEL

/ TB

/ AO

001

3 Issued by HSBC Bank (Singapore) Limited (Company Registration No. 201420624K).

App

lican

t 2

Please initialPrincipal ________________________ Joint ______________________

E�ective from 28 November 2019

My Details

Full Name (as in NRIC/Passport) Title: Dr Mr Mrs Ms Mdm Others

Non-Resident, assets/funds held in country(ies)/ region(s)

Last Name / Surname (as in NRIC)

Former / Other Name (documentary proof is required eg.deed poll)

Place of IssueD D M M Y Y Y Y

First / Given Name

Male FemaleGender

Place of Birth ______________________________________________

Postal Code _______________ Country/ Region

Jurisdiction of Residence for Tax Purposes and related Taxpayer Identification Number or equivalent number (”TIN”)Please complete the following table indicating where you are tax resident and your TIN for each jurisdiction indicated. If you are tax residentin more than three jurisdictions. please use a separate sheet.If a TIN is unavailable please provide the appropriate reason A, B or C where indicated below:Reason A The jurisdiction where the Account Holder is liable to pay tax does not issue TINs to its residentsReason B The Account Holder is otherwise unable to obtain a TIN or equivalent number.

(Please indicate an explanation below why you are unable to obtain a TIN if you have selected this reason)Reason C No TIN is required.

(Only select this reason if the authorities of the jurisdiction of tax residence indicated do not require the TIN to be disclosed)

Jurisdiction of Tax Residence If no TIN available enter Reason A, B or CTIN

1

2

3

Explanation for Reason B

Explanation for Reason B

Explanation for Reason B

My Contact Details and Address

Previous Address (If Residential Address is less than 12 months)

Mailing Address (If di�erent from residential address)

Postal Code _______________ Country/ Region

For overseas lines, please indicate Country/ Region Code:

Postal Code _______________ Country/ Region

At This Address Since

Residential Address (P/O box and C/O address not allowed)

Postal Code _______________ Country/ Region

Permanent Address (If di�erent from residential address)

Home Ownership: Renting Loan/Mortgaged Living with Parents Fully owned Company residence

Residency Status Singapore Resident

Marital Status Single Married Divorced Widowed

I have an existing relationship with HSBC Group in the following country(ies)/ region(s)

Primary Secondary/Post Secondary Vocational/Technical University/Tertiary Post-graduateEducation Level

No. of Dependents

D D M M Y Y Y Y

My Employment Details

O�ce Address

Job Title

Occupation

Length of Service Year(s) Month(s)

Employer / Business Name

Industry Type / Nature of Business

Annual Income (S$)

Employment Status

Self-Employed (Business Owner) Self-Employed (Sole Proprietor/Freelance) Employed Sta�

HomemakerUnemployed Key Controller (such as CEO, CFO, COO, MD)

Student, Course Completion DateRetired D D M M Y Y Y Y

Previous Employer / Business Name (If current employment is less than 2 years)

Time at Previous Employer / Business Month(s) Year(s)

Other Income (S$)

Source of Other Income

For FIN Card holders

FIN

FIN type Employment Student Dependent Visit

FIN Expiry date D D M M Y Y Y Y

Email Address

Contact No. Mobile: (+ )

Home: (+ )

O�ce: (+ )

Postal Code Country/ Region

Date of Birth (DD/MM/YYYY)

NRIC / Passport No. Expiry Date

Nationality (Country/ Region) (please list all) Nationality 1 (Country/ Region)

Nationality 2 (Country/ Region) Nationality 3 (Country/ Region)

Page 4: Account Opening Form Personal Banking All fields ... - HSBC · for my ATM/ Debit Card VISA Limit for my Debit Card NETS Limit for my Debit Card Applicant 2 If no daily cash withdrawal/VISA/NETS

My Banking RelationshipA

pplic

ant

1/Jo

int

Acc

ount

App

lican

ts 1

and

2A

pplic

ant

2/Jo

int

Acc

ount

My / Our Account Tools

HB

SP/ C

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/ WEL

/ TB

/ AO

001

4 Issued by HSBC Bank (Singapore) Limited (Company Registration No. 201420624K).

Please initialPrincipal ________________________ Joint ______________________

Regular Cash Transactions Credits DebitsApproximate value of transactions (S$/month)Number of transactions/month

Purpose of transactionsRegular International Payments Credits DebitsApproximate value of payments (S$/month) Number of payments/month

Purpose of receiving payments and from which country(ies)/ region(s)

Purpose of making payments and to which country(ies)/ region(s)

Source of FundsInitial deposit amount S$

Cash, source/fromCheque Received Cheque to be provided after account is openedCheque No. & Issuing Bank

Cheque received by (Sign & A�x name stamp)

Internal transfer from (HSBC Account No.)

Funds transfer from (bank) in (country/ region)

Estimated total holdings in the next 12 months S$Source of ongoing fundingIf ongoing funds are from third party, please complete the followingFull name

Former/Other names Date of birth

Nationality (Country/ Region) please list all

Country/ Region of residence

Rationale of funding arrangement

Relationship to account holder

Purpose of Account(s)

Others, please specify: Salary Crediting Loan Servicing

Savings and Wealth Accumulation Personal/Household Expenses

Regular Cash Transactions Credits DebitsApproximate value of transactions (S$/month)Number of transactions/month

Purpose of transactionsRegular International Payments Credits DebitsApproximate value of payments (S$/month) Number of payments/month

Purpose of receiving payments and from which country(ies)/ region(s)

Purpose of making payments and to which country(ies)/ region(s)

Source of FundsInitial deposit amount S$

Cash, source/fromCheque Received Cheque to be provided after account is openedCheque No. & Issuing Bank

Cheque received by (Sign & A�x name stamp)

Internal transfer from (HSBC Account No.)

Funds transfer from (bank) in (country/ region)

Estimated total holdings in the next 12 months S$Source of ongoing fundingIf ongoing funds are from third party, please complete the followingFull name

Former/Other names Date of birth

Nationality (Country/ Region) please list all

Country/ Region of residence

Rationale of funding arrangement

Relationship to account holder

Purpose of Account(s)

Others, please specify: Salary Crediting Loan Servicing

Savings and Wealth Accumulation Personal/Household Expenses

My Banking Relationship

Applicant 1:If you would like to receive the following, please tick: Cheque Book (SGD/USD current account)

Joint Account:

Name to appear on the cheque book (maximum of 19 characters)

Applicant 1 Applicant 2Cash Withdrawal Limit for my ATM/ Debit Card VISA Limit for my Debit Card

NETS Limit for my Debit Card

Applicant 2

If no daily cash withdrawal/VISA/NETS limit is stated, you agree that the Bank shall assign the default daily cash withdrawal/VISA/NETS limit accordingly.I/We wish to opt out of the Point-of-Sales facility on my/our HSBC Flexi Account/HSBC eFlexi Account/HSBC Premier Account/HSBC Advance/-Statement Savings Account from HSBC.

Link my existing ATM/Debit Card (for existing customers)I/We would like to link my/our* newly opened account(s) to my/ourexisting HSBC ATM/Debit Card servicesApplicant 1: Yes Card No:Applicant 2: Card No:Yes *All newly opened SGD accounts will be linked as secondary accounts. Youcan link a maximum of 3 SGD accounts to 1 SGD Debit Card.

Applicant 1

Daily cash withdrawal/VISA/NETS limit (Maximum of S$10,000 per day):

^ Debit cards will not be issued for SGD Savings accounts for repayment of Debt Relief Scheme.T ATM card is only applicable to o�shore customers, holding onto savings and current accounts of selected currency, not including Everyday Global Account.* If you already have an Everyday Global Account, and are applying for additional SGD Current and Savings account(s), we will link your newly opened account(s) to your existing Everyday Global Debit Card. No additional SGD Debit Cards will be issued.

If you are applying for: You will receive:An Everyday Global Account An Everyday Global Debit CardMore than one SGD Current and Savingsaccounts^ (which include EverydayGlobal Account)

An Everyday Global Debit Card

SGD Current and Savings accounts^ *(whichdo not include Everyday Global Account)

An SGD Debit Card

If you are applying for: You will receive:An Everyday Global Account An Everyday Global Debit CardMore than one SGD Current and Savingsaccounts^ (which include EverydayGlobal Account)

An Everyday Global Debit Card

SGD Current and Savings accounts^ *(whichdo not include Everyday Global Account)

An SGD Debit Card

Name to appear on the card(s)/cheque book (maximum of 19 characters)

Cheque Book (SGD/USD current account) ATM cardT SGD USD

If you would like to also receive the following, please tick:

Name to appear on the card(s)/cheque book (maximum of 19 characters)

Cheque Book (SGD/USD current account) ATM cardT SGD USD

If you would like to also receive the following, please tick:

Applicant 2:

E�ective from 28 November 2019

Page 5: Account Opening Form Personal Banking All fields ... - HSBC · for my ATM/ Debit Card VISA Limit for my Debit Card NETS Limit for my Debit Card Applicant 2 If no daily cash withdrawal/VISA/NETS

I am/was holding a prominent public position*.If yes, please provide details I am a family member or close associate* of someone who is/was (a) holding a prominent public position* and/or (b) an HSBC sta�/director.If yes, please provide details

*Prominent public position means: senior positions in the executive, legislative, administrative, military, judicial branches of a government, government agency, government-owned corporation or member of a ruling royal family or senior o�cial of a major political party. Family member means: parent, spouse, child, sibling, in-laws, and includes any adopted family member. Close associate is a person who is widely and publicly known to maintain close relationship with you and who is able to conduct financial transactions on your behalf.

Prominent Public Position* Declaration

For Applicant 1 : I am/was holding a prominent public position*.If yes, please provide details I am a family member or close associate* of someone who is/was (a) holding a prominent public position* and/or (b) an HSBC sta�/director.If yes, please provide details

For Applicant 2 :

HSBC Premier Lite Savings Account (Optional) (only applicable to Premier Customers)

Please complete the following section if you would like to open a Premier Lite Savings Account for your child/children (aged 18 and below).Child 1 Child 2Full name (as in NRIC/Passport)

Male Female Date of Birth (DD/MM/YYYY)

Last Name/Surname

First/Given Name

NRIC/Passport No.

Passport Expiry Date (DD/MM/YYYY)

Nationality (Country/ Region) please list all

I do not wish to apply for an HSBC Credit Card.All applicants must be at least 21 years of age with a minimum annual income of S$30,000 p.a. (S$120,000 p.a. for HSBC Visa Infinite Credit Card) for Singaporeans or permanent residents (PR). A minimum annual income of S$40,000 p.a. (S$120,000 p.a. for HSBC Visa Infinite Credit Card) for foreigners residing in Singapore applies.

HSBC Credit Cards

Annual fee(Inclusive of GST)

Annual fee(Inclusive of GST)

I do not wish to apply for an HSBC Credit Card.

Main and Supplementary Applicants must be the same as Applicants 1 and 2 whose details have been provided in this Account Opening form. Otherwise, the HSBC Credit Card application form must be completed. Please allow two weeks for processing.Application not accompanied with required documents or with incomplete information will result in a delay.

* For HSBC Premier Banking customers, the annual fee remains at S$488.^ For HSBC Advance Banking customers, the annual fee will be waived perpetually.

HSBC Premier MasterCard Credit Card(in US Dollars)HSBC Premier MasterCard Credit Card(in Singapore Dollars)

HSBC Advance Visa Platinum Credit Card S$192.60^ One-Year Fee Waiver

HSBC Revolution Credit Card S$160.50 Two-Year Fee Waiver

HSBC Visa Infinite Credit Card

Waived!

Waived!

S$650* No Fee Waiver

HSBC Visa Platinum Credit Card S$192.60 Two-Year Fee Waiver (Only applicable for HSBC Premier customers)

(Only applicable for HSBC Premier customers)

Full name (as in NRIC/Passport)

Male Female Date of Birth (DD/MM/YYYY)

Last Name/Surname

First/Given Name

Passport Place of Issue Passport Place of Issue

NRIC/Passport No.

Passport Expiry Date (DD/MM/YYYY)

Nationality (Country/ Region) please list all

HB

SP/ C

VM

/ WEL

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001

5 Issued by HSBC Bank (Singapore) Limited (Company Registration No. 201420624K).

Please initialPrincipal ________________________ Joint ______________________

App

lican

ts 1

and

2

My/Our Account Services

Phone Banking and Internet BankingIn order to serve you better, you will be o�ered Phone Banking and Internet Banking services and be issued a security token upon account opening.

To opt out of Phone Banking service or request for a new Phone Banking PIN, please contact our Phone Banking hotline 1800-HSBC NOW (4722 669) in Singapore or (65) 6-HSBC NOW (4722 669) from overseas.

For New Internet Banking Applicants:I/We would like to opt out of Internet Banking service Applicant 1 Applicant 2

I/We would like to reactivate my/our existing Phone Banking account Applicant 1 Applicant 2

For Existing Phone Banking Users:

For Existing Internet Banking Users:I/We would like to request for a replacement of my/our security token

Applicant 1 Applicant 2

Receive your bank and loan accounts (where applicable) statements directly via emailFor your convenience, a password-protected PDF copy of your bank and loan accounts (where applicable) statements will be sent to your email address provided in this form*.E-mail statement opt out. Please send paper statements to my preferred mailing address. Applicant 1 Applicant 2 *If the e-mail statements are undelivered, a mobile message will be sent to inform you of the non delivery and to update your email address in bank's record.

E�ective from 28 November 2019

Consent to receive marketing and promotional materialsHow would you like to receive marketing and promotional materials from the HSBC group*?

*HSBC Bank (Singapore) Limited, its holding companies, a�liates, subsidiaries and associated entities and their respective agents, authorised service providers and third parties.

Applicant 1 Mobile Message Email Post Call Tick here if you do not wish to receive marketing and promotional materials

Applicant 2 Mobile Message Email Post Call Tick here if you do not wish to receive marketing and promotional materials

Page 6: Account Opening Form Personal Banking All fields ... - HSBC · for my ATM/ Debit Card VISA Limit for my Debit Card NETS Limit for my Debit Card Applicant 2 If no daily cash withdrawal/VISA/NETS

App

lican

ts 1

and

2

Deposit Insurance and Policy Owners’ Protection Schemes Act 2011Deposit Insurance SchemeSingapore dollar deposits of non-bank depositors are insured by the Singapore Deposit Insurance Corporation, for up to S$75,000 in aggregate per depositor per Scheme member by law. Foreign currency deposits, dual currency investments, structured deposits and other investment products are not insured.

By signing hereunder, I consent to HSBC Bank (Singapore) Limited (”HSBC”), its agents and authorised service providers as well as relevant third parties, collecting, using and disclosing the personal data which I may provide to HSBC from time to time in the course of my relationship for the purposes set out in HSBC’s prevailing Data Protection Policy (as may be amended from time to time), which may be found at http://www.hsbc.com.sg/1/2/miscellaneous/privacy-and-security. I understand that the Data Protection Policy forms a part of the terms and conditions governing my relationship with HSBC.

GeneralIn connection with my application to open a deposit account with HSBC (“Account”), I declare that: i) the information given is correct and complete, and I authorise HSBC to confirm this from any source it considers appropriate; ii) I shall inform HSBC within 30 days of any change in circumstances which a�ects my tax residency status identified in this application or causes the information contained herein to become incorrect, and to

provide HSBC with a suitably updated Self-Certification Form within 90 days of such change in circumstances;iii) I acknowledge that the information contained in this application and information regarding me and any reportable Account may be provided to the tax authorities of the jurisdiction in which the Account is

maintained and exchanged with tax authorities of another jurisdiction or jurisdictions in which I may be tax resident pursuant to intergovernmental agreements to exchange financial account information;iv) I shall ensure that all approval(s) (if any) under all laws and regulations of any relevant country / jurisdiction applicable to me has/have been obtained before I open any Account;v) I shall abide by any applicable laws and regulations (including any relating to foreign exchange control) imposed from time to time by my country / jurisdiction of residence;vi) I will not hold HSBC responsible for the rejection of any banking transaction(s) relating to my Account as a result of any foreign exchange control related laws or regulations in any relevant country / jurisdiction;vii) I am not an undischarged bankrupt, and there are no statutory demands served on me for outstanding debts and/or legal proceedings commenced against me at the time of application;viii) I am not transacting on behalf of any other person or entity; ix) I agree to be bound by the terms and conditions governing personal deposit accounts. Where I have applied for a HSBC debit card and/or Phone Banking, I agree to be bound by the applicable terms and conditions; x) I will indemnify HSBC against all losses it may incur due to any of these declarations being or becoming untrue, or my breach of any obligation set out above; andxi) I acknowledge that approval of this application is at HSBC’s discretion.

Wire transfer messages I acknowledge that under the rules introduced by the Monetary Authority of Singapore in relation to the prevention of money laundering and the countering of terrorist financing (the “Rules”), wire transfer messages relating to certain wire transfers initiated by any bank in Singapore on behalf of a customer must include certain prescribed information including, in addition to the customer’s name and account number, their residential address or their unique identification number or their date and place of birth.In connection with the above, I consent to the inclusion of my name, account number and residential address held in HSBC’s records (or any alternative details referred to in the Rules) in any wire transfer message relating to my Account.

Applications for Renminbi Deposit AccountsWhere I have applied for any Renminbi Deposit Account, I agree to be bound by the Renminbi Deposit Account Terms and Conditions.

Applications for HSBC Premier/Advance AccountsWhere I have applied for a HSBC Premier/Advance account, I agree to be bound by the terms and conditions governing the use of such HSBC Premier/Advance account.

Applications for HSBC Credit CardsWhere I have applied for a HSBC Credit Card, I agree to be bound by [the HSBC Credit Card Cardholder's Agreement and Highlights of Charges and Terms and Conditions]. Where I am applying for a Card Balance Transfer, I agree to be bound by the Balance Transfer terms and conditions and authorise you to proceed with the application even if my HSBC Credit Card has not been activated. I am aware that MAS Notice 639 issued pursuant to section 29(1) of the Banking Act (Cap. 19) has imposed on HSBC certain limits on the grant of certain unsecured credit facilities to any person related to HSBC's directors (which includes the spouse, parent and child of a director of HSBC) and to any person of whom the director is a guarantor or surety (”a director group”). I hereby declare that I am not in any way related to any of HSBC's directors and that I do not qualify as a director group. Should I become so related or qualify as a director group subsequent to the date of this application, I shall immediately notify HSBC in writing.Where I have applied for a supplementary credit card(s), I (principal credit card applicant) hereby authorise and request HSBC to issue an additional credit card(s) to the supplementary cardholder(s) who is/are not less than 18 years of age.

Terms and conditionsCopies of all terms and conditions mentioned above are available at any branch of HSBC or at www.hsbc.com.sg.

Declaration

HB

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6 Issued by HSBC Bank (Singapore) Limited (Company Registration No. 201420624K).

Please initialPrincipal ________________________ Joint ______________________

Receive your credit card statements directly via emailFor your convenience, a password-protected PDF copy of your HSBC credit card statement will be sent to your email address provided in this form*.This will also apply to any existing credit cards you have with HSBC. eStatement opt-out: I do not wish to receive my credit card statements via email. Please send my statements to my preferred mailing address.*If the eStatements are undelivered, statements will be sent to your preferred mailing address.

Important Information

Please note that your total credit limit is 100%, regardless of the number of HSBC credit cards you have. Any outstanding amount incurred in the existing HSBC credit card(s) will be reflected within the credit limitof the applicable credit card(s). Should there be insufficient credit limit to be allocated as per your request above, the bank reserves the right to allocate your remaining available credit limit to the new credit card.If no selection is made, we will proceed to allocate 50% of your current credit limit to reflect the prevailing earned income.

For annual income of S$30,000 to less than S$120,000, the maximum credit limit for your HSBC Credit Card will be capped at four times of your monthly income indicated in the income documents or an amount HSBC may in its absolute discretion determine. For annual income of S$120,000 and above, the maximum credit limit for your HSBC Credit Card will be capped at six times of your monthly income indicated in the income documents or an amount HSBC may in its absolute discretion determine. However, this is subject always to your aggregate maximum credit limit with HSBC for all unsecured facilities, regardless of the number of HSBC Credit Card(s) and/or Unsecured Loans Facility you hold or apply for, being no more than four times your monthly income. Should the income documents you submit reflect a lower earned income than what was previously declared, HSBC has the right to adjust the current credit limit to reflect the prevailing earned income.

Credit Limit (Please select from one of the options below)

If no Preferred Credit Limit is stated or if neither option is selected, you agree that the Bank shall assign the Credit Limit. If you have indicated your Preferred Credit Limit, you understandand agree that this is subject to the Bank’s review and approval, and that the Bank may assign a Credit Limit, which may be lower than the amount you have indicated.

Please allocate 100% of my current credit limit to the new HSBC credit card I am applying for in this form. Please cancel my existing HSBC credit card.Please note that we require two weeks to process your request for a new credit card. Please do not use your existing credit card during the application period should you wish to cancel.

My existing credit card number with HSBC

Please submit: For salaried employees – Latest 3 months’ computerised payslips OR latest Notice of Assessment with latest 1 month’s payslip OR last six months’

CPF statement with latest Notice of Assessment OR letter of employment if not more than 3 months with your current job. Alternatively, you may submit your CPF statement electronically via www.hsbc.com.sg/hsbc.ecpf within 3 working days from the mail date of this application form.

For self-employed or commission-based earners – Last two years’ Notice of Assessment Please note that proof of Mailing Address is required if di�erent from Residential Address.If you wish to have a free credit report, you may obtain it within 30 calendar days from the date of approval or rejection of this application via the credit bureau website (www.creditbureau.com.sg). Alternatively, you may bring the approval or rejection letter and your NRIC to the credit bureau’s registered o�ce (Credit Bureau (Singapore) Pte Ltd) to obtain a free credit report.Name to appear on the Credit card(s) (maximum of 19 characters)Main Applicant

Mother’s Maiden Name:

Relationship between Main and Supplementary Applicant:Supplementary Applicant

Bank to assign Credit Limit

(For one card application) Preferred Credit Limit (minimum of S$500) (subject to the Bank's approval)(For two cards application) Preferred Credit Limit for Card (minimum of S$500): (subject to the Bank's approval)

Preferred Credit Limit for Card (minimum of S$500): (subject to the Bank's approval)

E�ective from 28 November 2019

Page 7: Account Opening Form Personal Banking All fields ... - HSBC · for my ATM/ Debit Card VISA Limit for my Debit Card NETS Limit for my Debit Card Applicant 2 If no daily cash withdrawal/VISA/NETS

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7 Issued by HSBC Bank (Singapore) Limited (Company Registration No. 201420624K).

Annual membership fee

Principal Card Annual Fee

Free for lifeFree for life(For HSBC Advance Banking Customers)

S$180 p.a.*S$150 p.a.*S$456.07 p.a. (For HSBC Premier Banking Customers)

S$607.48 p.a.

S$180 p.a.*

Principal Card Annual Fee (Inclusive of GST)

Free for lifeFree for life (For HSBC Advance Banking Customers)

S$192.60 p.a.*S$160.50 p.a.*S$488 p.a.(For HSBC Premier Banking Customers)

S$650 p.a.

S$192.60 p.a.*

Free for lifeFree for life

Free for life

Free for life

Free for lifeFree for life

Free for life

Supplementary Card Annual Fee

Annual membership fee

Visa Platinum Credit CardRevolution Credit Card

Visa Infinite Credit Card

Premier MasterCard® Credit Card

Advance Visa Platinum Credit Card

Source codes in “Why HSBC or How intro to Bank” field: Specify Please tick Specify Please tick1) Customer under BIG4 5) Referred by INSN2) Customer from company 6) Referred by PB

under CEPS 7) Customer under SAP3) Referred by CMB 8) MGM

BIGCEPCMBGB

INSPBSAPMGM

4) Referred by GBM 9) Others, please specifySales Force ID

B B B C S S S S S S S SName

Credit card number

Source of application

Referral ID:

C

CSR/CD NO. (P) CSR/CD NO. (S)

Ve D A VL ML

Approved byRemarks

Serviced by:

Voucher code PLA2/GLS5/GAD5/ADV2/INFO

For Bank use only

Verified by:

Account signature requirement Singly Jointly Others

Date

Signature of Applicant 1

SV

Date

Signature of Applicant 2

SV

Highlights of Charges

Interest-free period 20 days from statement date if bills are paid in full, balances are interest-free only if e�ective interest rate is zero

Interest on purchases(where applicable)

25.9% p.a. (w.e.f. 1 August 2017) compounded daily from date of transaction till due date(if bills are not paid in full by due date)

28% p.a. compounded daily from date of transaction till payment dateInterest on cash advances

3% of the outstanding balance or S$50, whichever is greaterMinimum monthly payment

A monthly late payment fee of S$55 will be charged to your card account if minimum monthly payment is not received by the due date

Late payment charges

S$100 (For full details, please visit www.hsbc.com.sg/cardholdersagreement).

If the bill is not paid in full by due date, payment is first applied to the balance that attracts the highest interest rate and then to the next highest interest bearing balance, and so on.

6% of amount withdrawn, or S$15, whichever is greaterCash advance fee

Up to 2.5% of the transaction amountFees for foreign currency transactions

1% of converted transaction amountDynamic currency conversion fee

Payment hierarchy

Lost/stolen card liability

* To qualify for the subsequent annual fee waiver, a minimum annual spending of S$12,500 must be made on the card account. Balancetransfers, tax payments, annual fees, bank charges and unposted, cancelled or refunded transactions are excluded from the calculation ofthis spend requirement.

There may be circumstances in which you have to pay other fees. For full details, visit www.hsbc.com.sg/highlightsofcharges.

App

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2

Annual membership fee

Principal Card Annual Fee

Free for lifeFree for life(For HSBC Advance Customers)

S$180 p.a.*S$150 p.a.*S$456.07 p.a. (For HSBC Premier Customers)

S$607.48 p.a.

S$180 p.a.*

Principal Card Annual Fee (Inclusive of GST)

Free for lifeFree for life (For HSBC Advance Customers)

S$192.60 p.a.*S$160.50 p.a.*S$488 p.a.(For HSBC Premier Customers)

S$650 p.a.

S$192.60 p.a.*

Free for lifeFree for life

Free for life

Free for life

Free for lifeFree for life

Free for life

Supplementary Card Annual Fee

Annual membership fee

Visa Platinum Credit CardRevolution Credit Card

Visa Infinite Credit Card

Premier MasterCard® Credit Card

Advance Visa Platinum Credit Card

E�ective from 28 November 2019