公司开户申请表 Registration Form Commercial Customer Company Details(公司信息) Date 日期 Company Registration Name(公司注册名) Registered Office Address(注册地址) Business Address(公司地址) ACN(公司注册号码) ABN(生意注册号码) Nature of Business(主营业务) Contact Details(联系信息) Business Phone Number(联系电话) Company Email Address(电子邮件) Company Website(公司网址) Business Information(业务信息) Purpose of Business Relationship(开户目的/业务合作目的) Business Activities Description(详细业务描述) Primary Source of Company Funds(公司资金来源) UBO Source of Wealth(UBO 财富来源) Enhanced UBO Information(UBO详细信息:持股比例、控制方式、国籍、居住国家) Are you acting on behalf of another entity?(是否代表其他公司或实体开户) Expected Sending & Receiving Countries(预计汇入/汇出国家) Expected Monthly Transaction Volume(预计每月交易金额) Expected Number of Monthly Transactions(预计每月交易笔数) Director/Shareholder (more than 25% share) 法人代表/股东 需要至少两种ID:护照(Passport),驾照(Driver licence),身份证明卡(Photo card),身份证(National identity card)。首选ID需要有地址。 Sample ID / 护照或驾照示例 Sample Address Proof / 地址证明示例 Add Person(添加人员) Person 人员 Remove(删除) Person Type(角色) Select...(请选择) Director(法人代表) Shareholder(股东) Director + Shareholder(法人代表+股东) Full Name(姓名) Date of Birth(出生日期) Residential Address/Postal Address(家庭住址/邮寄地址) Email(电子邮箱) Mobile(手机号) Home Phone(住宅电话) Primary ID Type(首选ID类型) Select...(请选择) Driver licence(驾照) Photo card(身份证明卡) National identity card(身份证) Primary ID File(s)(首选ID文件) Upload Primary ID(上传首选ID) Secondary ID Type(次选ID类型) Select...(请选择) Passport (Signature Page)(护照(签名页)) Driver licence(驾照) Photo card(身份证明卡) National identity card(身份证) Secondary ID File(s)(次选ID文件) Upload Secondary ID(上传次选ID) Declaration(客户声明) Information Accuracy Declaration(信息真实性声明) We declare that all information and documents provided in this application are true, accurate and complete to the best of our knowledge. We understand that OBX Exchange may refuse this application, suspend or terminate our account if any information provided is false, misleading or incomplete. 本公司声明,本申请所提供的所有资料及文件均真实、准确、完整,并据本公司所知不存在任何虚假、误导性陈述或重大遗漏。本公司理解,如所提供的信息存在虚假、误导性陈述或重大遗漏,OBX Exchange 有权拒绝开户申请、暂停或终止本公司账户。 Politically Exposed Person (PEP) Declaration(政治公众人物 - PEP 声明) Are you a Politically Exposed Person (PEP), or an immediate family member or close associate of a PEP? 您是否属于政治公众人物(PEP),或政治公众人物的家庭成员或密切关联人士? Select...(请选择) No / 否 Yes (Please provide details) / 是(请提供详细资料) Please provide PEP details(请提供详细资料) We declare that the Politically Exposed Person (PEP) status of our directors, ultimate beneficial owners (UBOs), authorised representatives and controlling persons has been truthfully disclosed in this application. We undertake to notify OBX Exchange promptly if any such person's PEP status changes during the course of our business relationship. 本公司声明,董事、最终受益人(UBO)、授权代表及实际控制人的政治公众人物(PEP)身份已在本申请中如实披露。如上述任何人士的政治公众人物身份在业务合作期间发生变化,本公司承诺及时通知 OBX Exchange。 Sanctions, AML & Compliance Declaration(制裁、反洗钱及合规声明) We declare that neither the Company, its directors, ultimate beneficial owners (UBOs), authorised representatives nor controlling persons are subject to any applicable sanctions or listed on any sanctions list administered by the United Nations (UN), the Office of Foreign Assets Control (OFAC), the European Union (EU), the United Kingdom Office of Financial Sanctions Implementation (OFSI), Australia, or any other applicable sanctions authority. We declare that all funds used in connection with our business relationship with OBX Exchange are derived from lawful sources and are not related to corruption, fraud, money laundering, terrorist financing, tax evasion or any other criminal activity. We agree to provide any additional information or supporting documentation reasonably requested by OBX Exchange in order to comply with applicable Anti-Money Laundering and Counter-Terrorism Financing (AML/CTF) laws and regulations. 本公司声明,本公司、董事、最终受益人(UBO)、授权代表及实际控制人均未受到联合国(UN)、美国财政部海外资产控制办公室(OFAC)、欧盟(EU)、英国金融制裁执行办公室(OFSI)、澳大利亚或其他适用制裁机构实施的任何制裁,也未被列入任何适用制裁名单。本公司声明,与 OBX Exchange 建立业务关系所使用的资金均来源合法,不涉及任何贪污腐败、欺诈、洗钱、恐怖融资、逃税或其他违法犯罪活动。本公司同意根据适用的反洗钱及反恐融资(AML/CTF)法律法规,在 OBX Exchange 合理要求时提供相关补充资料及证明文件。 Contact & Communication Authorisation(联系方式及通讯授权) By providing our registered phone number and email address, we authorise OBX Exchange to contact us regarding our account and transactions. We acknowledge that any instructions or transaction requests submitted through our registered contact details may be treated as authorised by us, subject to OBX Exchange's security and verification procedures. We undertake to notify OBX Exchange promptly of any changes to our contact details or other information provided in this application. 本公司授权 OBX Exchange 使用本公司提供的电话号码、电子邮箱或双方约定的其他通讯方式与本公司联系,处理与账户及交易相关事宜。本公司确认,通过已登记联系方式发出的交易或指令,在符合 OBX Exchange 安全验证程序的情况下,均视为本公司正式授权发出。如本申请所提供的信息(包括联系方式)发生任何变更,本公司承诺及时通知 OBX Exchange 并更新相关资料。 Ongoing Customer Due Diligence (CDD) Consent(持续客户尽职调查 - CDD 授权) We acknowledge that OBX Exchange is required to conduct ongoing customer due diligence in accordance with applicable AML/CTF laws and regulations. We agree to provide updated identification documents, source of funds, source of wealth, business information or any other information reasonably requested by OBX Exchange from time to time. 本公司知悉,根据适用的反洗钱及反恐融资(AML/CTF)法律法规,OBX Exchange 有义务持续开展客户尽职调查(CDD)。本公司同意根据 OBX Exchange 的合理要求,不时提供更新后的身份证明、资金来源、财富来源、业务资料及其他相关信息,以满足监管要求。 I have read, understood and agree to the above declarations and authorisations. 本人已阅读、理解并同意上述声明及授权内容。 Signatures(签名) Director 1 签名 Clear Signature(清除签名) Director 2 签名(如有) Clear Signature(清除签名) Add/select a second director above to enable this signature pad. Also fill the Remittance form after this submission. 提交后继续填写资金出账表。 Submit Company Form(提交公司开户申请表)