Important Notes:

1.This is a self-certification form provided by an account holder to the Bank for the purpose of automatic exchange of financial account information. The data collected may be transmitted by the Bank to the Inland Revenue Department for transfer to the tax authority of another jurisdiction.

2.An account holder should report all changes in his/ her tax residency status to the Bank.

3.If the account holder is a tax resident of Hong Kong, the TIN is the Hong Kong Identity Card Number. Please input all the letters and numerals of the HKID Number, including the check digit without the bracket. For example, if the HKID Number is A123456(7), please input A1234567.

4.If the account holder is a tax resident of China, the TIN is the Identity Card Number.

5.For other countries/regions acceptable Taxpayer Identification Number (TIN) formats and their alternatives please refer to the OECD Automatic Exchange of Information portal http://www.oecd.org/tax/automatic-exchange/ or contact a professional tax adviser.

WARNING: It is an offence under section 80(2E) of the Inland Revenue Ordinance if any person, in making a self-certification, makes a statement that is misleading, false or incorrect in a material particular AND knows, or is reckless as to whether, the statement is misleading, false or incorrect in a material particular. A person who commits the offence is liable on conviction to a fine at level 3 (i.e. $10,000)