Application Form For Internet Banking (For Corporate) 公司客户网上银行申请表

(Please complete form in English & BLOCK letters. All fields are mandatory unless otherwise stated)

Customer Information （公司信息）

Registered Name in English
（注册公司名，请填写英文）
Company Registration No.
（公司注册号）
Mailing Address & Postal
Code（邮寄地址以及邮编）
Account Name
Primary Account No.
(if different from above) （主账户号）
（账号名称）
□ Acting branch（代理行） □ Securities（证券） □ Finance（财政） □ Business（商业）
Industry Type □ Individual （个体） □ Organ groups（机关团体） □ Industry(工业） □ Insurance（保险）
（行业类别） □ Real estate（房地产） □ Joint venture（合资） □ Other（其他）
□ Interbank（银行同业）
Contact Person Telephone No.
（联系人） （联系电话）
Fax No. Email Address
（传真号码） （邮件地址）
Account Information (for add new company account or subsidiary account)
账户信息（添加本公司或附属公司帐号）
Subsidiary Name (if any)
Account No.（账号） Other bank details(if any)（他行信息）
（如为附属公司，请填写名称）
1
2
3
4
5
6
7
8
9
10
Remarks（备注）:

Do you require transfer and remittance service for internet banking? □ Yes □ No
是否需要开通网银转账及汇款功能？ □ 是 □ 否
Please tick the internet banking function you would like to use.（Function available only after you choose above internet
banking transfer or remittance service.） （请在需要开通的网银功能前打勾，提示：请先开通以上网银转账及汇款功能）
□Remittance（汇款） □ICBC Express（工银速汇） □ Funds pool （资金池）
□Payroll（代发工资） □ICBC Messaging (工银信使)
(For funds pool or payroll function service, please contact your relationship manager in charge.)
（如需资金池或代发工资业务，请与您的客户经理联系。
）
User ID Information （电子密码器使用人信息）
1、□ Operator（操作人） □ Authoriser（授权人） 2、□ Operator（操作人） □ Authoriser（授权人）
□ Operator & Authoriser（操作和授权双重权限） □ Operator & Authoriser（操作和授权双重权限）
Name As In Name As In
NRIC/Passport（姓名） NRIC/Passport（姓名）
Passport/ NRIC No. Passport/ NRIC No.
（护照号或身份证） （护照号或身份证）

Contact No.（电话） Contact No.（电话）

Login ID（登录名） Login ID（登录名）

Wef Oct 2013 1

 Email Address Email Address
（邮件地址） （邮件地址）

□ Operator’s □query（查询） □ Operator’s □query（查询）

Authorization □transfer & remittance（转账及汇款） Authorization □transfer & remittance（转账及汇款）
（操作权限） □ICBC Messaging (工银信使) （操作权限） □ICBC Messaging (工银信使)
amount (equivalent to USD) : amount (equivalent to USD) :
Authorization Limit Authorization Limit
（授权金额限制）
from__________to__________ （授权金额限制）
from___________to____________
(如非美元，授权金额请参照等值美元设置) (如非美元，授权金额请参照等值美元设置)
Authorization □ first level approval（一级） Authorization □ first level approval（一级）
approval（授权等级） □ second level approval（二级） approval（授权等级） □ second level approval（二级）
Remarks（备注）: Remarks（备注）:

3、□ Operator（操作人） □ Authoriser（授权人） 4、□ Operator（操作人） □ Authoriser（授权人）

□ Operator & Authoriser（操作和授权双重权限） □ Operator & Authoriser（操作和授权双重权限）
Name As In Name As In
NRIC/Passport（姓名） NRIC/Passport（姓名）
Passport/ NRIC No. Passport/ NRIC No.
（护照号或身份证） （护照号或身份证）

Login ID（登录名） Login ID（登录名）

Contact No.（电话） Contact No.（电话）

Email Address Email Address
（邮件地址） （邮件地址）
□ Operator’s □query（查询） □ Operator’s □query（查询）
Authorization □transfer & remittance（转账及汇款） Authorization □transfer & remittance（转账及汇款）
（操作权限） □ICBC Messaging (工银信使) （操作权限） □ICBC Messaging (工银信使)
amount (equivalent to USD) : amount (equivalent to USD) :
Authorization Limit Authorization Limit（授
（授权金额限制）
from__________to__________ 权金额限制）
from___________to____________
(如非美元，授权金额请参照等值美元设置) (如非美元，授权金额请参照等值美元设置)
Authorization □ first level approval（一级） Authorization □ first level approval（一级）
approval（授权等级） □ second level approval（二级） approval（授权等级） □ second level approval（二级）
Remarks（备注）: Remarks（备注）:

5、□ Operator（操作人） □ Authoriser（授权人） 6、□ Operator（操作人） □ Authoriser（授权人）

□ Operator & Authoriser（操作和授权双重权限） □ Operator & Authoriser（操作和授权双重权限）
Name As In Name As In
NRIC/Passport（姓名） NRIC/Passport（姓名）
Passport/ NRIC No. Passport/ NRIC No.
（护照号或身份证） （护照号或身份证）

Login ID（登录名） Login ID（登录名）

Contact No.（电话） Contact No.（电话）

Email Address Email Address
（邮件地址） （邮件地址）
□ Operator’s □query（查询） □ Operator’s □query（查询）
Authorization □transfer & remittance（转账及汇款） Authorization □transfer & remittance（转账及汇款）
（操作权限） □ICBC Messaging (工银信使) （操作权限） □ICBC Messaging (工银信使)
amount (equivalent to USD) : amount (equivalent to USD) :
Authorization Limit Authorization Limit
（授权金额限制）
from__________to__________ （授权金额限制）
from___________to____________
(如非美元，授权金额请参照等值美元设置) (如非美元，授权金额请参照等值美元设置)
Authorization □ first level approval（一级） Authorization □ first level approval（一级）
approval（授权等级） □ second level approval（二级） approval（授权等级） □ second level approval（二级）
Remarks（备注）: Remarks（备注）:

Wef Oct 2013 2

 Declaration and Consent
In consideration of the Bank making available the internet banking service to the Customer, I /We being the duly authorized
officer of the Customer hereby:
1) confirm that we have received, read, understood and agree to be bound by the Account Terms and Conditions and
the Internet Banking Terms and Conditions;
2) represent and warrant that all information provided in the application form is correct and shall immediately inform the
Bank if there is any change in the information;
3) confirm that I/We are duly authorised by the Customer to authorise, permit, consent and give my/our written
permission on behalf of the Customer to the Bank and any of it’s officer to collect, store, use, disclose or divulge any
information with respect to the Customer or any of the Customer’s accounts with the Bank, or my/our financial
conditions, or any services and/or other agreements, business, transactions or dealings between the Bank and the
Customer as the Bank considers appropriate for the purpose of providing or continuing to provide the Customer with
any services or transactions in relation to any of my/our account with the Bank, to and between:
 the holding company or head office, branches, subsidiaries, representative offices, affiliates and associated or
related corporations of the Bank’s holding company or head office wherever located;
 data centres acting for the Bank, agents of the Bank and their respective officers, servants, agents, wherever
situated;
 any person who has agreed to provide or is providing security to the Bank for all or any moneys and/or liabilities
owing or payable by the Customer to the Bank from time to time;
 any other persons (a) to or through whom the Bank assigns or transfers or novates (or may potentially assign or
transfer or novate) all or part of its rights and obligations hereunder; (b) with (or through) whom the Bank enters into
(or may potentially enter into) any participation or sub-participation (e) with whom the Bank outsources the
performance of any operational function of the Bank (including without limitation, a third party service provider
whether within or outside of Singapore to perform any of the outsourced functions);
 any credit bureau or credit reference agency, rating agency, business alliance partner, insurer or insurance broker
of, or direct or indirect provider of credit protection, provided always that the information disclosed is limited to the
extent permitted by the law;
 any government agencies, regulators, securities exchanges, futures exchanges and authorities in Singapore or any
where else located where the Bank is required to make disclosure under applicable laws pursuant to the directives of
such government agencies regulators, securities exchanges, futures exchanges and authorities;
 any merchant or member of card association where disclosure is in connection with the use of a debit card or credit
card or ATM card;
 any financial institution which the Customer has or may have dealings for the purpose of conducting credit checks
(including in the form of bank reference);
 any person who provides introducing services to the Bank;
 any person to whom the Bank is under a duty to disclose;
 any other person to whom the Bank considers such disclosure to be necessary or expedient for the Bank to
observe and perform its obligations hereunder or is necessary in order to provide the Customer with services in
connection with the Account; and
 (where applicable, in respect of any Renminbi account), clearing/ agent bank and any relevant authorities in China
as the Bank deems fit for purposes of the Bank disclosing or reporting all information relating to the Reminbi account
and all Renminbi account related transactions.
4) further consent to the Bank:-
 to disclose and the recipients to receive the information described above where it is necessary to provide customer
with services in connection with the account; and
 contacting Customer using any information Customer has given to the Bank to inform me/us any product that the
Bank or the Bank’s strategic partners may offer.
5) (where applicable, if the Customer applies for or has any Renminbi account) irrevocably undertake, declare,
represent and warrant to the Bank that:
 the Renminbi account is opened in order for the Customer to conduct genuine cross border trade transactions with
designated mainland China enterprises. The transactions by the Customer are for purpose of settling such cross
border trades in Renminbi. The amount in each remittance shall not exceed the actual amount payable by the
Customer under the underlying trade. The Customer hereby irrevocably indemnifies and keep the Bank indemnified,
in this regard, against any losses, damages, expenses and claims the Bank may suffer arising from or in connection
with the provision of any Renminbi settlement service as a result of the Customer’s misrepresentation or the Bank
acting on the Customer’s instructions, including but not limited to any stop payment instructions.
the Customer acknowledge that all transactions are subject to the Bank’s approval and the Bank reserves the right to
amend any applicable terms and conditions in respect of the Renminbi account in order to comply with all applicable
the laws and regulations.

Wef Oct 2013 3

 For and on behalf of the Customer（仅代表公司） For and on behalf of the Customer（仅代表公司）

-------------------------------------------- --------------------------------------------
Signature of Authorised Person（授权签字人签字） Signature of Authorised Person（授权签字人签字）
Name（姓名）: Name（姓名）:
NRIC/ Passport No.（身份证 / 护照号）. NRIC/ Passport No.（身份证 / 护照号）
For bank use only（此部分仅供银行内部使用）
Attended by（经办人） : Approved by（复核人）:
Date（日期）: Date（日期）:

Remarks（备注）:
# Please note that any change to the details stated here can only be made by contacting the Bank directly and not via internet banking service.

Wef Oct 2013 4