Registration Form for Commercial Customer 308 Russell Street, Melbourne VIC 3000 Tel: +61 468 406 618 Email: info@ageforex.com.au Date (日期): Company Details (公司信息) Company Registration Name(公司注册名)* Registered Office Address(注册地址)* Business Operation Address(公司地址)* ACN (公司注册号码)* ABN (生意注册号码)* Type of Industry (主营业务)* Contact Details (联系信息) Business Number (联系电话)* Email (电子邮件)* Company Website (公司网址)* Director 1 Details (法人代表 1) Full Name(姓名)* Date of Birth(生日)* Address / Post address(家庭住址 / 邮寄地址)* Email (电子邮箱)* Mobile(手机号)* Home Phone(住宅电话)* 2 Identification Documents(需提供 2 个身份证件)* Passport with signature / ID Card / Driver License 护照 (需要有签字页) / 身份证 / 驾照 护照照片 * 须是清晰彩色原件电子版本。可以是扫描件或数码拍摄照片,支持Jpg、Png、Jpeg的图片格式。 请上传证件1的照片附件! 手持本人护照自拍照 * 确保护照文字清晰(应为他拍角度,请勿镜面反拍);确保脸部无遮挡,露出肩膀和手臂! 请上传证件1的照片附件! Director 2 Details (法人代表 2) Full Name(姓名)* Date of Birth(生日)* Address / Post address(家庭住址 / 邮寄地址)* Email (电子邮箱)* Mobile(手机号)* Home Phone(住宅电话)* 2 Identification Documents(需提供 2 个身份证件)* Passport with signature / ID Card / Driver License 护照 (需要有签字页) / 身份证 / 驾照 护照照片 * 须是清晰彩色原件电子版本。可以是扫描件或数码拍摄照片,支持Jpg、Png、Jpeg的图片格式。 请上传证件1的照片附件! 手持本人护照自拍照 * 确保护照文字清晰(应为他拍角度,请勿镜面反拍);确保脸部无遮挡,露出肩膀和手臂! 请上传证件1的照片附件! Declaration (客户申报声明) I declare the information that I have provided is TRUE and CORRECT. 我在此声明,所提供的一切信息是真实并且准确的。 I declare I am NOT political exposed person (PEPs), all my funds are not sourced from any kinds of corruption, money laundering and terrorist financing activities. 我在此声明,我本人不是政治人物或政治人物的亲属或密切联系人,我声明我,以及我企业的资金来源不是通过 贪污腐败,洗钱,犯罪,恐怖活动等途径获取。 By providing phone number and email, I authorize AGE Group Pty Ltd to contact me by phone or email. Any transaction or fund transfer conducted over the registered phone or email is legal bound. I understand that I should notify AGE Group Pty Ltd as soon as possible once there are any changes to above information. 我本人授权优选全球汇以电话和电子邮件的方式与我联系,可以通过注册的电话,电子邮件进行交易和转账都将 视为本人的交易。我明白,如果有任何信息更改我需要第一时间通知优选全球汇。 I have read and understand all the terms and conditions which are listed on AGE Group Pty Ltd Website. My information is collected to conduct business with AGE Group Pty Ltd and to comply with Anti-Money Laundering Laws. 我确认我已经阅读,理解并同意 AGE Group 网站上的汇款服务条款,我已了解 AGE Group Pty Ltd 因遵守反洗钱法和打击恐怖主义行为而收集我个人资料的要求。 Director 1 签名:* Date:* Director 2 签名:* Date:* Remittance Account Detail Form 308 Russell Street, Melbourne VIC 3000 Tel: +61 468 406 618 Email: info@ageforex.com.au Date (日期): Payee’s Account Details ( 出账信息) Payee Full Name(收款人姓名)* Date of Birth(生日)* Address / Post address(家庭住址 / 邮寄地址)* Email (电子邮箱)* Mobile(手机号)* Home Phone(住宅电话)* 2 Identification Documents(需提供 2 个身份证件)* Passport with signature / ID Card / Driver License 护照 (需要有签字页) / 身份证 / 驾照 护照照片 * 须是清晰彩色原件电子版本。可以是扫描件或数码拍摄照片,支持Jpg、Png、Jpeg的图片格式。 请上传证件1的照片附件! 手持本人护照自拍照 * 确保护照文字清晰(应为他拍角度,请勿镜面反拍);确保脸部无遮挡,露出肩膀和手臂! 请上传证件1的照片附件! Occupation(职业 / 公司信息)* Relationship with payer(与汇款人关系)* Source of Fund(资金来源)* BSB & Bank Account No (银行账户号)* Bank name & Branch name(收款人银行全名,及分行名称)* Swift Code(银行国际代码)* Bank address (银行地址)* Confirmation ( 客户确认签字) Please understand that we are not responsible for any incorrect and uncompleted information provided, please double check and confirm your information are correct before sign this form. Please note that your signature stands for the acknowledgement and agreement to the term of this transaction. 请注意: 请您签字之前再次确认所填写信息的正确性,我们将不负责由于您所填写的个人信息或账户信息错误所造成的损失, 同时客户需要 支付因此错误造成的各种费用。 如果外币支付时产生多付或者重复付款,收款方必须退还多付的款额。 Signature 签名* Personal Account Registration Form 308 Russell Street, Melbourne VIC 3000 Tel: +61 468 406 618 Email: info@ageforex.com.au Personal Details ( 个人信息) Full Name(姓名)* Date of Birth(生日)* Address / Post address(家庭住址 / 邮寄地址)* Email (电子邮箱)* Mobile(手机号)* Home Phone(住宅电话)* 2 Identification Documents(需提供 2 个身份证件)* Passport with signature / ID Card / Driver License 护照 (需要有签字页) / 身份证 / 驾照 护照照片 * 须是清晰彩色原件电子版本。可以是扫描件或数码拍摄照片,支持Jpg、Png、Jpeg的图片格式。 请上传证件1的照片附件! 手持本人护照自拍照 * 确保护照文字清晰(应为他拍角度,请勿镜面反拍);确保脸部无遮挡,露出肩膀和手臂! 请上传证件1的照片附件! Occupation(职业 / 公司信息)* Employer Name(雇主名称)* Source of Income(收入来源)* Customer Acknowledgement (声明) I declare the information that I have provided is TRUE and CORRECT. 我在此声明,所提供的一切信息是真实并且准确的。 I declare I am NOT political exposed person (PEPs), all my funds are not sourced from any kinds of corruption, money laundering and terrorist financing activities. 我在此声明,我本人不是政治人物或政治人物的亲属或密切联系人,我声明我,以及我的资金来源不是通过贪污腐败,洗钱, 犯罪,恐怖活动等途径获取。 By providing phone number and email, I authorize AGE Group Pty Ltd to contact me by phone or email. Any transaction or fund transfer conducted over the registered phone or email is legal bound. I understand that I should notify AGE Group Pty Ltd as soon as possible once there are any changes to above information. 我本人授权优选全球汇以电话和电子邮件的方式与我联系,可以通过注册的电话,电子邮件进行交易和转账都将视为本人的交 易。我明白,如果有任何信息更改我需要第一时间通知优选全球汇。 I have read and understand all the terms and conditions which are listed on AGE Group Website. My information is collected to conduct business with AGE Group Pty Ltd and to comply with Anti-Money Laundering Laws. 我确认我已经阅读,理解并同意优选全球汇网站上的汇款服务条款,我已了解 AGE Group 因遵守反洗钱法和打击恐 怖主义行为而收集我个人资料的要求。 Signature 签名*
308 Russell Street, Melbourne VIC 3000
Tel: +61 468 406 618 Email: info@ageforex.com.au
Date (日期):
Company Registration Name(公司注册名)*
Registered Office Address(注册地址)*
Business Operation Address(公司地址)*
ACN (公司注册号码)*
ABN (生意注册号码)*
Type of Industry (主营业务)*
Business Number (联系电话)*
Email (电子邮件)*
Company Website (公司网址)*
Full Name(姓名)*
Date of Birth(生日)*
Address / Post address(家庭住址 / 邮寄地址)*
Email (电子邮箱)*
Mobile(手机号)*
Home Phone(住宅电话)*
2 Identification Documents(需提供 2 个身份证件)* Passport with signature / ID Card / Driver License 护照 (需要有签字页) / 身份证 / 驾照
护照照片 *
须是清晰彩色原件电子版本。可以是扫描件或数码拍摄照片,支持Jpg、Png、Jpeg的图片格式。
请上传证件1的照片附件!
手持本人护照自拍照 *
确保护照文字清晰(应为他拍角度,请勿镜面反拍);确保脸部无遮挡,露出肩膀和手臂!
I declare the information that I have provided is TRUE and CORRECT. 我在此声明,所提供的一切信息是真实并且准确的。
I declare I am NOT political exposed person (PEPs), all my funds are not sourced from any kinds of corruption, money laundering and terrorist financing activities. 我在此声明,我本人不是政治人物或政治人物的亲属或密切联系人,我声明我,以及我企业的资金来源不是通过 贪污腐败,洗钱,犯罪,恐怖活动等途径获取。
By providing phone number and email, I authorize AGE Group Pty Ltd to contact me by phone or email. Any transaction or fund transfer conducted over the registered phone or email is legal bound. I understand that I should notify AGE Group Pty Ltd as soon as possible once there are any changes to above information. 我本人授权优选全球汇以电话和电子邮件的方式与我联系,可以通过注册的电话,电子邮件进行交易和转账都将 视为本人的交易。我明白,如果有任何信息更改我需要第一时间通知优选全球汇。
I have read and understand all the terms and conditions which are listed on AGE Group Pty Ltd Website. My information is collected to conduct business with AGE Group Pty Ltd and to comply with Anti-Money Laundering Laws. 我确认我已经阅读,理解并同意 AGE Group 网站上的汇款服务条款,我已了解 AGE Group Pty Ltd 因遵守反洗钱法和打击恐怖主义行为而收集我个人资料的要求。
Payee Full Name(收款人姓名)*
Occupation(职业 / 公司信息)*
Relationship with payer(与汇款人关系)*
Source of Fund(资金来源)*
BSB & Bank Account No (银行账户号)*
Bank name & Branch name(收款人银行全名,及分行名称)*
Swift Code(银行国际代码)*
Bank address (银行地址)*
Please understand that we are not responsible for any incorrect and uncompleted information provided, please double check and confirm your information are correct before sign this form. Please note that your signature stands for the acknowledgement and agreement to the term of this transaction.
请注意: 请您签字之前再次确认所填写信息的正确性,我们将不负责由于您所填写的个人信息或账户信息错误所造成的损失, 同时客户需要 支付因此错误造成的各种费用。 如果外币支付时产生多付或者重复付款,收款方必须退还多付的款额。
Signature 签名*
Employer Name(雇主名称)*
Source of Income(收入来源)*
I declare the information that I have provided is TRUE and CORRECT.
我在此声明,所提供的一切信息是真实并且准确的。
I declare I am NOT political exposed person (PEPs), all my funds are not sourced from any kinds of corruption, money laundering and terrorist financing activities.
我在此声明,我本人不是政治人物或政治人物的亲属或密切联系人,我声明我,以及我的资金来源不是通过贪污腐败,洗钱, 犯罪,恐怖活动等途径获取。
By providing phone number and email, I authorize AGE Group Pty Ltd to contact me by phone or email. Any transaction or fund transfer conducted over the registered phone or email is legal bound. I understand that I should notify AGE Group Pty Ltd as soon as possible once there are any changes to above information.
我本人授权优选全球汇以电话和电子邮件的方式与我联系,可以通过注册的电话,电子邮件进行交易和转账都将视为本人的交 易。我明白,如果有任何信息更改我需要第一时间通知优选全球汇。
I have read and understand all the terms and conditions which are listed on AGE Group Website. My information is collected to conduct business with AGE Group Pty Ltd and to comply with Anti-Money Laundering Laws.
我确认我已经阅读,理解并同意优选全球汇网站上的汇款服务条款,我已了解 AGE Group 因遵守反洗钱法和打击恐 怖主义行为而收集我个人资料的要求。