个人开户申请表 Personal Account Registration 需要客户提供的个人开户资料 (Required Documents for Individual Account Opening) Personal Details(个人信息) Full Name(姓名) Date of Birth(出生日期) Address(家庭住址) Email(电子邮箱) Mobile(手机号) Home Phone(住宅电话) Occupation(职业) Account Purpose & Source of Funds(开户目的及资金来源) Purpose of Account / Intended Use(开户目的) International Remittance(国际汇款) Business Payment(商业付款) Foreign Exchange (FX)(外汇兑换) Family Support(家庭支持) Investment(投资) Others(其他) Primary Source of Funds(资金来源) Salary(工资) Business Income(经营收入) Investment(投资) Savings(储蓄) Property Sale Proceeds(售房) Inheritance(继承) Others(其他) Source of Wealth(财富来源) Are you acting on behalf of another person?(是否代表他人开户) If yes, please provide details.(如是,请提供相关信息) Tax Residency Country(税务居民国家) Tax Identification Number (TIN)(税号) Expected Transaction Profile(预计交易情况) Estimated Monthly Transaction Volume(月交易量) Average Transaction Amount(平均交易金额) Expected Transaction Frequency(交易频率) Identity Documents(身份证明文件) 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 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(护照) 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) Address Proof File(s)(地址证明文件) 地址证明(三个月内水电网煤气或银行账单等)(Proof of Residential Address (issued within the last 3 months e.g. utility bill, internet bill, gas bill, or bank statement)) Upload Address Proof(上传地址证明) Declarations and Authorisations(声明及授权) Politically Exposed Person (PEP) Declaration(政治公众人物 - PEP 声明) Question / 问题 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) Declaration / 声明 I declare that I have truthfully disclosed my Politically Exposed Person (PEP) status in this application. If I am a Politically Exposed Person (PEP), or an immediate family member or close associate of a PEP, I acknowledge that I must disclose this information to OBX Exchange. I undertake to notify OBX Exchange promptly if my PEP status changes at any time during the course of our business relationship. 本人声明已如实披露本人在本申请中的政治公众人物(PEP)身份情况。如本人属于政治公众人物(PEP),或为政治公众人物的家庭成员或密切关联人士,本人已向 OBX Exchange 如实披露相关信息。在与 OBX Exchange 建立业务关系期间,如本人政治公众人物身份发生任何变化,本人承诺将及时通知 OBX Exchange。 Sanctions, AML & Compliance Declaration(制裁、反洗钱及合规声明) I declare that I am not 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. I declare that all funds used for my transactions are derived from lawful sources and are not related to corruption, fraud, money laundering, terrorist financing, tax evasion, or any other criminal activity. I 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. 本人声明本人(或本公司)并非任何联合国(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制裁名单上的个人、实体或受益人。本人声明本人(或本公司)用于交易的资金均来源合法,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。本人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 my phone number and email address, I authorise OBX Exchange to contact me by phone, email or other agreed communication methods regarding my account and transactions. I acknowledge that any instructions or transaction requests submitted through my registered contact details may be treated as authorised by me, subject to OBX Exchange's security and verification procedures. I agree to notify OBX Exchange promptly of any changes to my contact details or any other information provided in this application. 本人授权 OBX Exchange 使用本人提供的电话号码、电子邮箱或双方约定的其他通讯方式与本人联系,处理与账户及交易相关事宜。本人确认,通过本人已登记的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,均视为本人授权发出。本人承诺,如本申请所提供的信息(包括联系方式)发生任何变更,将及时通知 OBX Exchange 并更新相关资料。 Declaration of Accuracy(信息真实性声明) I declare that all information and documents provided in this application are true, accurate and complete to the best of my knowledge. I understand that OBX Exchange may refuse my application, suspend or terminate my account if any information provided is false, misleading or incomplete. 本人声明,本申请中提供的所有资料及文件均真实、准确、完整,并据本人所知不存在任何虚假或遗漏。本人理解,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、暂停或终止本人账户。 Ongoing Customer Due Diligence (CDD) Consent(持续客户尽职调查 - CDD 授权) I acknowledge that OBX Exchange is required to conduct ongoing customer due diligence in accordance with applicable AML/CTF laws and regulations. I 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. 本人知悉,根据适用的反洗钱及反恐融资(AML/CTF)法律法规,OBX Exchange 有义务对客户持续开展客户尽职调查(CDD)。本人同意根据 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。 Signature 签名 Clear Signature(清除签名) Date 日期 Also fill the Remittance form after this submission. 提交后继续填写资金出账表。 Submit Personal Form(提交个人开户申请表)