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Lim & Tan Securities Pte Ltd 16 Collyer Quay #15-00 Income ...

SGX-ST Member, SGX-DT (CNCM)Lim & Tan Securities Pte Ltd16 Collyer Quay #15-00 Income at Raffles singapore 049318 Tel: 65330595 Fax: RCB Reg. No.: 197301030W16 Collyer Quay #15-00 Income at Raffles singapore 049318 Tel: 6533 0595 Fax: 6533 2368 RCB Reg No.: 197301030 WINDIVIDUAL ACCOUNT OPENING FORM FOR Securities TRADING3. ACCOUNT RELATIONSHIP DETAILSAre you related to any employee / Trading Representative of Lim & Tan Securities Pte Ltd?If Yes, please state the name and relationshipYesNoHave you previously opened an account with us?YesNoIf Yes, please state the account no. or name of TRIf Yes, please state the firm(s): (1) (2)Do you have any account(s) with other broking firms?

SGX-ST Member, SGX-DT (CNCM) Lim & Tan Securities Pte Ltd. 16 Collyer Quay #15-00 Income at Raffles Singapore 049318 Tel: 65330595 Fax: 65332368

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Transcription of Lim & Tan Securities Pte Ltd 16 Collyer Quay #15-00 Income ...

1 SGX-ST Member, SGX-DT (CNCM)Lim & Tan Securities Pte Ltd16 Collyer Quay #15-00 Income at Raffles singapore 049318 Tel: 65330595 Fax: RCB Reg. No.: 197301030W16 Collyer Quay #15-00 Income at Raffles singapore 049318 Tel: 6533 0595 Fax: 6533 2368 RCB Reg No.: 197301030 WINDIVIDUAL ACCOUNT OPENING FORM FOR Securities TRADING3. ACCOUNT RELATIONSHIP DETAILSAre you related to any employee / Trading Representative of Lim & Tan Securities Pte Ltd?If Yes, please state the name and relationshipYesNoHave you previously opened an account with us?YesNoIf Yes, please state the account no. or name of TRIf Yes, please state the firm(s): (1) (2)Do you have any account(s) with other broking firms?

2 YesNo20 Cecil Street #09-00 Equity Plaza singapore 049705 Tel: 6533 0595 Fax: 6533 2368 RCB Reg No.: 197301030 WNameAliasOther informationCITIBANKW ebsite: : Helpdesk: 6799 8188 Your Virtual Stockbrokr*AcquiredthroughRoadshowPushca rtVenue:(01/09)WitnessedbyAuthorisedRepr esentative/NotaryPublic(Foreigners)I agree to be bound by all rules, regulations, guidelines, customs, practices, notices, directives, advice or recommendationsoftheSingaporeExchangeSec uritiesTradingLimitedandanyrelevantregul atorybodyasareinforcefromtimetotimewhich govern the purchase and sale of confirm that I have received, read and understood the TermsAnd Conditions for Securities TradingAccounts (Ref.)

3 T&C 01/09)annexedheretoandallotherdocumentsa nnexedheretoandthereto,allofwhich(togeth erwiththis AccountOpeningFormforSecurities Trading) shall be read with, referred to, and construed as part of the agreement between Lim & Tan Securities Pte Ltd( L&T ) and myself in respect of the Securities TradingAccount (the Agreement ).In consideration of L&T accepting my application for, and/or maintaining or providing for me, a Securities Trading Account, Ihereby agree to be bound by the terms of the Agreement, as currently in effect and as amended from time to confirm that:a) I make the application herein for myself, and not for and on behalf of any other person or party;b) the application herein is on the basis that I shall be the legal and the beneficial owner of the account applied BYDATEAPPROVED BYDATEONLINEPROGRAMMEO nline TradingLim & Tan Securities Pte Ltd2.

4 PERSONAL DETAILSR esidential Address(As in NRIC / Passport)Postal DistrictMailing Address(if different from Residential Address)Postal DistrictMr / Mrs / Dr / Mdm /MsName(as in NRIC / Passport)Permanent Resident of singapore (For Foreign Applicant)YesNoE-mail AddressHome Telephone Telephone / Passport of document to be submitted: (i) For Singaporean & PR: NRIC (front (ii) For Malaysian: Identity Card (front (iii) For Foreigner working in singapore : Passport (include page with signature) & work pass; (iv) For Foreigner: Passport (include page with signature).NationalityMother s Maiden Name(for security verification)Relationship with ownerReason for using alternate addressMarital Status:Married Single OthersD D M M Y Y Y YDate of BirthPage 1 of 4TR initialType of Account(s) / Services(s)Broker-AssistedOnline TradingAccount No.))

5 (For Office Use Only)Cash Margin Contract for DifferenceCash Collateralised Trading YesYesYesYesYesYesYesNA1. TYPE OF ACCOUNTP lease indicate if you are applying to invest / trade in Listed Specified Investment Products ( SIPs )YesNoIf you are applying for an online trading account, you will receive your account statements and contract notes electronically via Lim & Tan Securities Online trading POLITICALLY EXPOSED PERSON ( PEP )#(i) Do you hold, or are currently seeking a position or are being considered for a prominentpublic position?If Yes, please provide the details:Current position Held/ Position being considered or sought:YesNo#PEP (As per MAS Notice SFA04-N02):-(a) a natural person who is or has been entrusted with prominent public functions whether in singapore or in a foreign country;(b) immediate family members of such person, or(c) close associates of such person.

6 Prominent Public functions includes the roles held by a head of state, a head of government, government ministers, senior civil or public servants, senior judicial or military officials, senior executives of state owned corporations, senior political party officials, members of the legislature and senior management of international 2 of 4TR initialGLOBAL Securities ACCOUNT (GSA)SUPPLEMENTARY RETIREMENT SCHEME ACCOUNT (Please tick one)OCBCDBSUOBSRS Account INVESTMENT ACCOUNT (Please tick one)OCBCDBSUOBCPF Investment Account NO.:1 6 8 18. CUSTODIAN DETAILS5. EMPLOYMENT DETAILSName of Employer / Last EmployerAddress of EmployerYear(s) of ServicePosition Held / Last HeldSelf-employedEmployedUnemployedRetir edEmployment Status(Please state last employer and Position held)(i) Please tick one only: ELECTRONIC PAYMENT FOR SHARES (EPS) or GIRO APPLICATION (Separate authorization form to be completed and signed)Bank Account SETTLEMENT OF ACCOUNTS(ii) SETTLEMENT VIA TRUST ACCOUNTYesNo [If Yes, please tick SGD only Foreign Ccy only SGD & Foreign Ccy](Not applicable for CPF/SRS & GIRO) (OCBC / DBS / UOB / CITI / MAYBANK) Bank Name6.

7 FINANCIAL DETAILSANNUAL INCOMEUp to $30,000$30,001 to $50,000$50,001 to $100,000$100,001 to $300,000 Above $300,000 Private Property(ies) ownedNET WORTH (Shareholdings, assets, properties etc)Up to $500,000 Above $2M$1M to $2M$500,000 to $1 MLess than $100,000 Source of Funds for this trading account (Please tick as appropriate) Savings Inheritance Salary Rental Income CPF/Pension Business Income Others (Please elaborate): I have been a bankrupt / discharged bankrupt Yes NoI have delinquent record with stockbroking firm(s) Yes No (ii) Does any of your immediate family members hold, or are currently seeking a position or are being considered for a prominent public position?

8 If Yes, please provide Name / NRIC No.: Current position Held/ Position being considered or sought:YesNoI am a tax resident of singapore Other Country (Please indicate) Foreign Tax Identification No. Note: If you are a tax resident, please complete the W-9 Form. Please note that a citizen is considered a tax resident of the even if you are a tax resident of another jurisdiction. I wish to trade in shares Yes No Note: If you wish to trade in shares and you are not a tax resident, please complete the W-8 BEN FOREIGN ACCOUNT TAX COMPLIANCE ACT ( FATCA ) / COMMON REPORTING STANDARD ( CRS )Signature of Trading Representative / DateTO BE COMPLETED BY TRADING REPRESENTATIVE*Acquired through :Relationship with TR:Name of TRTR CodeAcquaintance*Introduced By:Known Applicant for :Recommendation supporting this applicationLess than 6 monthsUp to 2 yearsUp to 5 yearsMore than 5 StationVenue:Proposed Trading Limit for.

9 (a) Broker-Assisted Trading $_____; (b) Online Trading $_____; (c) Margin Trading $_____; (d) CFD Trading $_____; (e) Cash Collateralised Trading $_____.(Relationship)(A/C No)ONLINE PROGRAMMECHECKED BYREVIEWED / APPROVED BYCDP LINKAGE CHECKED BYPV BYDATEMCIS KEYED BYWALK-INMAIL-INROAD-SHOWMOBILE STATIONFOR OFFICE USE - CLIENT SERVICES DEPTYESNOLETTER OF MANDATE YESNOLETTER OF AUTHORISATIONNON TAXABLETAXABLEGST STATUSSUBMIT BY TR FACE TO FACE, WITH TRFACE TO FACE, WITHOUT TRPage 3 of 4 DateWitnessed by Representative / Authorised Officer / Notary PublicDateSignatureDECLARATION BY APPLICANT (i) I agree to be bound by all rules, regulations, customs, practices, notices, directives, advice or recommendations of the singapore Exchange Securities Trading Limited and any relevant regulatory body as are in force from time to time which govern the purchase and sale of Securities .

10 (ii) I confirm that I have received, read and understood all the contents of the Guide And Cautionary Notes In Applying For/Continuing With An Account With Lim & Tan Securities and the Terms And Conditions Governing Securities Trading Accounts (Ref : 07/14) and all other documents annexed hereto all of which together with this Account Opening Form shall be construed as containing the terms agreed between Lim & Tan Securities Pte Ltd and myself. (iii) Tax Compliance Representation and Warranty a. I hereby represent and warrant to Lim & Tan Securities Pte Ltd that I will at all times remain in full compliance with all laws to which I am subject including, without limitation, all tax laws and regulations, exchange control requirements and registration requirements with regards to my funds and assets; and b.


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