自我證明表格 – 控權人
Self-Certification Form – Controlling Person
此自我證明表格中提及之交銀國際控股有限公司包括交銀國際證券有限公司、交銀國際(亞洲)有限公司、交銀國際期貨有限公司、交銀國際資產管理有限公司及交銀國際(上海)股權投資管理有限公司。
深圳留学中介
BOCOM INTERNATIONAL HOLDINGS COMPANY LIMITED mentioned in Self-Certification Form include BOCOM International Securities Limited, BOCOM International (Asia) Limited, BOCOM International Futures Limited, BOCOM International Ast Management Limited and BOCOM International (Shanghai)
玻璃杯的英语
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第一部分 : 控權人的身分識辨資料
Part 1 : Identification of Controlling Person
analysis(1) 控權人的姓名Name of Controlling Person 稱謂 （例如：先生、太太、女士、小姐）
Title (e.g. Mr, Mrs, Ms, Miss)
姓氏* Last Name or Surname * 名字* First or Given Name * 中間名Middle Name(s)
(2) 身份證號碼 Identity Card Number (3) 護照號碼 Passport Number
(4) 現時住址Current Residence Address
第 1 行（例如：室、樓層、大廈、街道、地區）
movies
Line 1 (e.g. Suite, Floor, Building, Street, District) 第 2 行（城市）* Line 2 (City) *
第 3 行（例如：省、州）Line 3 (e.g. Province, State) 國家*Country *
郵政編碼/郵遞區號碼Post Code/ZIP Code
(5) 通訊地址（如通訊地址與現時住址不同，填寫此
欄）
Mailing Address (Complete if different to the current residence address)
第 1 行（例如：室、樓層、大廈、街道、地區）
Line 1 (e.g. Suite, Floor, Building, Street, District) 第 2 行（城市） Line 2 (City)
第 3 行（例如：省、州）Line 3 (e.g. Province, State) 國家Country
郵政編碼/郵遞區號碼Post Code/ZIP Code
第二部分 : 你作為控權人的實體帳戶，填寫你作為控權人的實體帳戶名稱。
Part 2 : The Entity Account Holder(s) of which you are a controlling person. Plea enter the name of the entity account holder of which you are a controlling person.
第三部分 : 居留司法管轄區及稅務編號或具有等同功能的識辨編號（以下簡稱「稅務編號」）*
提供以下資料，列明（a ）控權人的居留司法管轄區，亦即控權人的稅務管轄區（香港包括在內）及（b ）該居留司法管轄區發給控權人的稅務編號。列出所有（不限於 5 個）居留司法管轄區。
如控權人是香港稅務居民，稅務編號是其香港身份證號碼。
如沒有提供稅務編號，必須填寫合適的理由:
理由 A – 控權人的居留司法管轄區並沒有向其居民發出稅務編號。
理由 B – 控權人不能取得稅務編號。如選取這一理由，解釋控權人不能取得稅務編號的原因。
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理由 C – 控權人毋須提供稅務編號。居留司法管轄區的主管機關不需要帳戶持有人披露稅務編號。
restore是什么意思
Part 3 : Jurisdiction of Residence and Taxpayer Identification Number or its Functional Equivalent (“TIN”) *郑州培训
Complete the following table indicating (a) the jurisdiction of residence (including Hong Kong) where the controlling person is a resident for tax purpos and (b) the controlling person ’s TIN for each jurisdiction indicated. Indicate all (not restricted to five) jurisdictions of residence.
If the controlling person is a tax resident of Hong Kong, the TIN is the Hong Kong Identity Card Number.
If a TIN is unavailable, provide the appropriate reason A, B or C:
t fire to the rain歌词Reason A – The jurisdiction where the controlling person is a resident for tax purpos does not issue TINs to its residents.
Reason B – The controlling person is unable to obtain a TIN. Explain why the controlling person is unable to obtain a TIN if you have lected
this reason.
Reason C – TIN is not required. Select this reason only if the authorities of the jurisdiction of residence do not require the T IN to be disclod.
(6) 出生日期*（日/月/年）
Date of Birth * (dd/mm/yyyy)
(7) 出生地點 Place of Birth 鎮/城市Town/City 省/州Province/State 國家Country
第四部分: 控權人類別
Part 4 : Type of Controlling Person
就第2部分所載的每個實體，在適當方格內加上 號，指出控權人就每個實體所屬的控權人類別。Tick the appropriate box to indicate the type of controlling person for each entity stated in Part 2.
董事长英文第五部分: 聲明及簽署
本人知悉及同意，交銀國際可根據《稅務條例》（第112章）有關交換財務帳戶資料的法律條文，（a）收集本表格所載資料並可備存作自動交換財務帳戶資料用途及（b）把該等資料和關於帳戶持有人及任何須申報帳戶的資料向香港特別行政區政府稅務局申報，從而把資料轉交到控權人的居留司法管轄區的稅務當局。本人證明，就與本表格所有相關的實體帳戶持有人所持有的帳戶，本人是控權人授權簽署本表格。本人承諾，如情況有所改變，以致影響本表格第1部所述的個人的稅務居民身分，或引致本表格所載的資料不正確，本人會通知交銀國際，並會在情況發生改變後30 日內，向交銀國際提交一份已適當更新的自我證明表格。
本人聲明就本人所知所信，本表格內所填報的所有資料和聲明均屬真實、正確和完備。
Part 5 : Declarations and Signature
I acknowledge and agree that (a) the information contained in this form is collected and may be kept by BOCOM for the purpo of automatic exchange of financial account information, and (b) such information and information regarding the controlling person and any reportable account(s) may be r
eported by BOCOM to the Inland Revenue Department of the Government of the Hong Kong Special Administrative Region and exchanged with the tax authorities of another jurisdiction or jurisdictions in which the account holder may be resident for tax purpos, pursuant to the legal provisions for exchange of financial account information provided under the Inland Revenue Ordinance (Cap.112). I certify thatI am the controlling person of all the account(s) held by the entity account holder(s) to which this form relates.I undertake to advi BOCOM of any change in circumstances which affects the tax residency status of the individual identified in Part 1 of this form or caus the information contained herein to become incorrect, and to provide BOCOM with a suitably updated lf-certification form within 30 days of such change in circumstances.
I declare that the information given and statements made in this form are, to the best of my knowledge and belief, true,correct and complete.
警告: 根據《稅務條例》第80(2E)條，如任何人在作出自我證明時，在明知一項陳述在要項上屬具誤導性、虛假或不正確，或罔顧一項陳述是否在要項上屬具誤導性、虛假或不正確下，作出該項陳述，即屬犯罪。一經定罪，可處第3級（即$10,000）罰款。
WARNING: It is an offence under ction 80(2E) of the Inland Revenue Ordinance if any person, in making a lf-certification, makes a statement that is misleading, fal or incorrect in a material particular AND knows, or is reckless as to whether, the statement is misleading, fal or incorrect in a material particular. A person who commits the offence is liable on conviction to a fine at level 3 (i.e. $10,000).
