ÑAÊNG KYÙ THAY ÑOÅI NGÖÔØI DUØNG

REGISTRATION OF CHANGE OF USER Ngaøy Date: ...................................

A. THOÂNG TIN KHAÙCH HAØNG CUSTOMER INFORMATION

Teân Khaùch haøng

Customer Name
Soá CIF CIF No.
Maõ soá Connect Biz
Connect Biz ID

B. YEÂU CAÀU REQUEST

NHOÙ M THÖÏ C HIEÄ N GIAO DÒCH GROUP OF MAKERS

Nhoù m thöï c hieä n giao dòch goà m Keá toaù n tröôû n g/ Ngöôø i phuï traù c h keá toaù n vaø / hoaë c Ngöôø i ñöôï c uû y quyeà n cuû a Keá toaù n
tröôû n g/ Ngöôø i phuï traù c h keá toaù n ñöôï c Chuû taø i khoaû n chæ ñònh ñeå thöï c hieä n caù c giao dòch treâ n Connect Biz.
Group of makers includes Chief Accountant/ Person in charge of accounting of the company and/ or Persons authorized by Chief
Accountant/ Person in charge of accounting of the company nominated by the Account Holder to conduct all transactions on
Connect Biz.

Ngöôøi thöïc hieän giao dòch 1 Maker 1 Ngöôøi thöïc hieän giao dòch 2 Maker 2

Boå sung Cập nhật Hủy bỏ ✔ Boå sung Cập nhật Hủy bỏ
Add Update Remove Add Update Remove

User ID User ID User ID User ID

Hoï vaø teân Hoï vaø teân

Full name .................................................................................. Full name ..................................................................................

Chöùc vuï Chöùc vuï

Position ..................................................................................... Position .....................................................................................

Soá CMND/ Hoä chieáu ID/Passport No.: ...................................... Soá CMND/ Hoä chieáu ID/Passport No.: ......................................
Ngaøy caáp Nôi caáp Ngaøy caáp Nôi caáp
Issued date ......................... Issued place ................................ Issued date ......................... Issued place ................................

Soá ñieän thoaïi di doäng Soá ñieän thoaïi di doäng

Mobile Phone No.: ................................................................ Mobile Phone No.: ................................................................

Thö ñieän töû nôi laøm vieäc Thö ñieän töû nôi laøm vieäc
Work place email address: Work place email address:
...................................................................................................... ......................................................................................................
Chöõ kyù Signature Chöõ kyù Signature

(Kyù, ghi roõ hoï teân Sign and full name) (Kyù, ghi roõ hoï teân Sign and full name)

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NHOÙ M DUYEÄ T GIAO DÒCH GROUP OF APPROVERS

Nhoù m pheâ duyeä t giao dòch laø nhoù m ñöôï c Chuû taø i khoaû n uû y quyeà n ñeå pheâ duyeä t caù c giao dòch thöï c hieä n treâ n Connect
Biz.
Group of Approvers is the group of persons who are authorized by the Accountholder to validate and approve transactions
conducted on Connect Biz.

Ngöôøi duyeät giao dòch 1 Approver 1 Ngöôøi duyeät giao dòch 2 Approver 2

Boå sung Cập nhật Hủy bỏ Boå sung Cập nhật Hủy bỏ
Add Update Remove Add Update Remove

User ID User ID User ID User ID

Hoï vaø teân Hoï vaø teân

Full name .................................................................................. Full name ..................................................................................

Chöùc vuï Chöùc vuï

Position ..................................................................................... Position .....................................................................................

Soá CMND/ Hoä chieáu ID/Passport No.: ...................................... Soá CMND/ Hoä chieáu ID/Passport No.: ......................................
Ngaøy caáp Nôi caáp Ngaøy caáp Nôi caáp
Issued date ......................... Issued place ................................ Issued date ......................... Issued place ................................

Soá ñieän thoaïi di doäng Soá ñieän thoaïi di doäng

Mobile Phone No.: ................................................................ Mobile Phone No.: ................................................................

Thö ñieän töû nôi laøm vieäc Thö ñieän töû nôi laøm vieäc
Work place email address: Work place email address:
...................................................................................................... ......................................................................................................
Chöõ kyù Signature Chöõ kyù Signature

(Kyù, ghi roõ hoï teân Sign and full name) (Kyù, ghi roõ hoï teân Sign and full name)

C. XAÙC NHAÄN CUÛA KHAÙCH HAØNG CUSTOMER’S CONFIRMATION

Chuùng toâi cam keát raèng taát caû nhöõng thoâng tin vaø taøi lieäu cung caáp cho Ngaân haøng laø ñuùng vaø chính xaùc. Chuùng toâi hoaøn toaøn chòu
traùch nhieäm tröôùc phaùp luaät, vôùi beân thöù ba vaø ñaûm baûo HLBVN voâ can khoûi baát kyø traùch nhieäm naøo trong baát kyø tranh chaáp naøo
phaùt sinh hoaëc lieân quan ñeán tính xaùc thöïc cuûa caùc thoâng tin naøy.
We hereby certify that all information and documents provided to the Bank is true and correct. We shall take all responsibility
before the law and any third party and hold HLBVN harmless from any liability in any dispute arising out of or relating to the
authenticity of such information.

Baûn ñaêng kyù naøy coù hieäu löïc keå töø ngaøy ñöôïc Ngaân haøng pheâ duyeät vaø thay theá cho taát caû nhöõng thoâng baùo hoaëc thoâng tin ñaõ ñaêng
kyù tröôùc ñaây veà noäi dung naøy.
This Registration shall become effective as from the date on which the Bank approves thereof and supersede all prior registered
notice or information thereof.

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Chöõ kyù coù thaåm quyeàn vaø con daáu cuûa Khaùch haøng
Authorized Signature(s) with Customer’s stamp

(Kyù, ghi roõ hoï teân Sign and full name)

Chöùc vuï Position: .......................................................................................

PHAÀN DAØNH CHO NGAÂN HAØNG (thuoäc chi nhaùnh) FOR BANK USE ONLY (to be filled by Branch)

Chi nhaùnh / Phoøng giao dòch Giao dòch vieân Kieåm soaùt vieân Pheâ duyeät
Branch / Transaction Office Attended by Authorized by Approved by

Maõ soá Chi nhaùnh / Phoøng giao dòch

Branch / Transaction Office code

Ngaøy Date Ngaøy Date Ngaøy Date

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