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Premier Deposit Account Application - HSBC …

HPRE201 MKT (R37) 04/18 PERSONAL DETAILSC ountry of birthNationalityCountry of birthNationalityPremier Deposit Account ApplicationSurnameAPPLICANT 1 SurnameAPPLICANT 2 TAX FILE NUMBER NOTIFICATIONC ollection of Tax File Number(s) is authorised by taxation laws. Quotation is not compulsory and will not affect your Application . However tax may bededucted from any payments to you at the highest marginal rate plus Medicare levy if a TFN is not provided or you do not fall within an applicable 1 Tax file number or reason for exemptionAPPLICANT 2 Tax file number or reason for exemptionNoHome Premier countryAre you an existing HSBC Premier customer?Ye s* Previous address (complete if less than 3 years at your current/permanent residential address cannot be a PO Box)PostcodeYearsMonthsCountryTime at previous addressPostcodePermanent residential address (complete only if different toyour current residential address cannot be a PO Box)CountryAt this address sinceDD MM YYFirst nameTitleMiddle name(s)NoNationality 2Do you have multiple nationalities?

HPRE201MKT (R37) 04/18 PERSONAL DETAILS Country of birth Nationality Country of birth Nationality Premier Deposit Account Application Surname APPLICANT 1

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