Your Personal Details =====�� !"#�� !"#�� !"#�� !"#�� !"#

*Title ��W � Mr �� � Ms=�� � Others, please specify �� �� W========================K

*First Name ��� !"#$W================================K Name in Chinese �� !"================================K

*Last Name ��� !"#$W================================K Former/Other Name �� L�� =========================K

*Gender=��W � Male � � Female �

*ID Type �� !"#W � Passport=�� � Identity Card �� !"� Policeman ID Card �� !"#$ � Retired Officer ID �� ! L��

� Military ID Card=�� !"Others=�� � Re-Entry Permit=�� !"#$%&'(

� Travel Permit to Mainland China for Taiwan Resident=�� !"#$%&'(� Or please specify �� !"

*ID Number�� !"#$%W

*Date Identification Expire(DD/MM/YYYY) �� !"#$��� / � /��W ===================K

*Date of birth(DD/MM/YYYY) �� !�� / � / ��W ===================K

*Nationality ��W ===================K====*Place of birth�� W===================K

*Country of Residence=�� !W ===================K

*Language of Statement �� !W � English==�� � Chinese ��

*Type of Statement �� !W � Composite Statement =�� ! � Regular Statement=�� !"#�� !"#$%&'()*+,-./0 E�� !"#$%&'(

*Correspondence Address �� !W

*Postal Code �� !"================K

*Designation�� �Residential�� !

�Work �� ! � Others ��

For Residential Address �� !"#$%

Ownership Status=�� !"W � Owned outright(fully paid)�� !E�� !"F �Renting�� !

� Mortgaged Property�� !

Contact Details=�� !�� !�� !�� !�� !

Language Preference=�� !"#

Written�� !"#W � English �� Spoken�� !"#W � English ��

� Chinese �� � Chinese ��

Home �� Business��

Phone ��W

Fax ��W

Cell/Mobile�� !W

Email�� !W

Your Address/Contact Details ==========�� !"#�� !"#�� !"#�� !"#�� !"# LLLLL�� !�� !�� !�� !�� !

CUSTOMER INFORMATION / SOLE ACCOUNT OPENING FORM ������������ !�� !�� !�� !�� ! LLLLL ���������������������������������������������

1.Please tick( ) where applicable and completethis form in BLOCK LETTERS.�� !"#$%&'()� ���� !"# K

2.Please ensure to complete all fields marked with an asterisk*,so that we can provide you with suitable products and services.�� !"#$%& G�� !�� !"#$%&'()*+��

NOTE:�� : Customer Number�� !W Bank authorised Signature and

Stamp�� !"#$%&

Date ��W

�����

PFS-

CU

A-0

05_b

(300

311)

�����

Page �� 1/5

�=Premier �=Premier in pipeline �=Advance

Statement Cycle=�� !W � Monthly=�� � Bi-monthly �� � Quarterly=��

� Half-yearly=�� � Yearly=��

We strongly recommend you choosing a statement cycle no longer than 1 month so that the account(s) activities can be better monitored.

�� !"# 1�� !"#$%&'�� !"#$%&'(�� !"#$

HSBC Bank (China) Company Limited Branch�� !�� !�� ! ��

*Residential Address (if different from Correspondence Address):

�� !��� !"#$%�

*Permanent Address (if different from Residential Address):

����������� !�

Your Demographics==========�� !"#�� !"#�� !"#�� !"#�� !"#

Page �� 2/5

Employment=�� !

*Occupation ��W � Professional/Senior Administrative=�� ! L�� !"# � Administrative/Executive�� ! L�� !

� Agricultural �� � Housewife�� ! � Armed Forces ��

� Police�� ! � Student �� � Teacher ��

� Clerical �� � Retired�� !" � Self - employed ��

� Unemployed�� ! � Others(please specify)�� ��

*Employer=�� /��W

1.Company Ownership�� !"# � State Owned Enterprise �� ! � Privately Owned Enterprise �� !

� Joint-stock Company �� !" � Foreign Invested Enterprise �� !"#

�Others (please specify)�� ��

2. Are you the business owner=�� �!"#$%&'( �Yes=�======�No=�

3.Would you be interested in knowing more about the commercial banking services provided by HSBC �� !"#$%&'()*+,-.+/0123

=�Yes=�====�No=�

*Business Sector �� !W � Manufacturing(pls specifyF=�� �� !"#

Ee.g.=�==Textiles=�� Machinery & Equipment�� !"

� Transportation/Warehouse/Postal Service�� !"�� !"#

� Business Service Excl Leasing/Rental�� �!�� !"

� Communications/IT Service/Software�� !"�� !"#$%&

� Restaurants and Hotels�� !"# � Property and Real Estate �� !

� Finance/Insurance/Security�� � Culture/Sports/Recreation�� �� !"#

� Retail/Wholesale�� !"# � Others, please specify�� ��

*Job Title ��W

Income=�� !*Average Monthly Income (in CNY)��� W

�� !"#$�� !"#� <3,000 � 3,000 - <5,000 � 5,000 - <8,000� 8,000 - <10,000 � 10,000 - <20,000 � 20,000 - <30,000� 30,000 - <50,000 � 50,000 - <100,000 � 100,000 - <200,000� >=200,000 � Zero Income =��

Average Monthly Householdincome (in CNY): � <3,000 � 3,000 - <5,000 � 5,000 - <8,000�� !"#$�� !"#� 8,000 - <10,000 � 10,000 - <20,000 � 20,000 - <30,000

� 30,000 - <50,000 � 50,000 - <100,000 � 100,000 - <200,000� >=200,000 � Zero Income =��

Other Information �� !Educational Level �� !W � Limited/None � � Primary �� � Secondary ��

� Tertiary �� L�� � Post Graduate�� !

Marital Status �� !W � Married �� � Single �� � Others ��

No. of Banks used for VIP accounts (if any) �� !"#$%&'()�� !WCar Ownership �� !W � Yes � � No �

Spouse’s Name�� !�� !"#$W

Spouse’s Name - Chinese�� !�� !WSpouse’s Date of Birth(DD/MM/YYYY)�� !"#�� L� L��W

Spouse’s Occupation : � Professional/Senior Administrative �� ! L�� !"# � Administrative/Executive�� ! L�� !

�� !" � Agricultural �� � Housewife�� ! � Armed Forces ��

� Police�� ! � Student �� � Teacher ��

� Clerical �� � Retired�� !" � Unemployed�� !� Self - employed �� � Others(please specify)�� �� W

Number of Children �� !"#W

Former employer (if any): .�� !"�� !"

Terms of office: .�� !"

Job Title: .�� ! :

Your Family Details==========�� !"#�� !"#�� !"#�� !"#�� !"#

Hobbies�� !W Music�� � Classical�� ! � Theatre �� � Opera �� � Pop�� !(Please select threeof them =�� !" Sports�� � Golf �� � Soccer �� � Skiing �� � Tennis ��

�� KF � Motor Racing �� � Water Sports�� ! � Sailing/Yachting ��

Other�� � Antiques �� � Ballet �� � Leisure Travel�� ! � Arts ��

� Books �� � Gardening/Horticulture �� � Wildlife/Nature�� !L��

� Others, please specify�� =�� ======================================K

Your Interest ==========�� !"#�� !"#�� !"#�� !"#�� !"#

Page �� 3/5

Your Choice of Account(s) ==========�� !"#$%�� !"#$%�� !"#$%�� !"#$%�� !"#$%

Please enable the following account services for the integrated account.�� !"#$%&'()*+%&,

� CNY Settlement Account (CNY CA1)#

�� !"#$

� No Cheque/Overdraft is available�� !" L�� !� Only CNY CAI account will be set as primary account for HSBC Debit Card�� !"#$%&'()*+,-./#$

� CNY Current Account (CNY CUI)

�� !"#$%&

*Purpose of Banking Relationship=�� !

*Source of Fund/Wealth=�� !

� Multicurrency Exchange Savings (FCY MSV)

�� !"#$%

� Multicurrency Notes Savings (FCY MS1)

�� !"#$%

� CNY Hong Kong Remittance Account (CNY SV2)

�� !"#$%&'(

*Anticipated Transactional Activities=�� !"#$

New Debit Card Application==========�� !"�� !"�� !"�� !"�� !"

I wish to apply for the HSBC Debit Card =�� !"#$%&'()*========�=Yes�=========�=No�

Supplementary Account(s) Linked to the Debit Card�� !"#$%&

Second Account �� !WCurrency ��======K=Account Number �� !=�� � � � � � � � � � � �!Account Type �� !=======K

Third Account �� !WCurrency ��======K=Account Number �� !=�� � � � � � � � � � � �!Account Type �� !=======K

ATM Fund Transfer (outside card) Application ==========�� !"�� !"�� !"�� !"�� !"���������� !!!!!�� !"#�� !"#�� !"#�� !"#�� !"#I wish to apply for ATM Fund Transfer (outside card) service �� !"#$%&'(�� !�� !=======�=Yes �========�=No �Daily limit for transfer outside card �� !"#$%&'========== (RMB 0-50,000)ATM fund transfer service is available only on HSBC China ATMs. Please be cautious to transfer to any stranger in case it’s a fraud.�� !"#$%&'()*�� !"#$%�� !"#$%&'()*+

POS Spending Daily Cumulative Limit Setting ==========�� !"#$%&'�� !"#$%&'�� !"#$%&'�� !"#$%&'�� !"#$%&'I wish to set my POS spending daily cumulative limit as=�� !"#$%&'()*+,==� RMB 50,000 =� Others ��================E�RMB 1,000,000FPlease Note: 1. A Daily Cumulative Spending Limit aims to protect you from potential security threats or loss in case of the card lost, stolen or embezzlement. Pleasetake full consideration between your actual spending and potential risk to set an appropriate limit. The higher the limit sets, the more potential loss may occur in caseof the card lost, stolen or embezzlement. 2. A default Daily Cumulative Spending Limit of RMB50,000 will be applied (subject to Bank's adjustment from time to time)if you fail to request for setting it. �� !1��� !"#$%&'()*+,-./01234�� !"#$%&'(�� !"#$%&'()*+,-�� !"#$%#&'�� !"#$%&'()*%&+,-.$'/0123$456789:;<�� !"#$%�� !"#$%&'�� !"#�� !"#$%&'()*+,2��� !"#$%&'()*+,-�� !"#$%&'()*+,-./012�� !"#$%&'()*+,-.�� 5�� !"#�� !"#$%&'()

Daily Transaction Limit Request�� !"#$%

I wish to apply for the Internet Banking Service. �� !"#$%&'()*========�=Yes�=========�=No�

�Internet Banking should be self-registered by customer with Phonebanking Number/PIN or Debit Card Number/Issuing Number/PIN via www.hsbc.com.cn.��� !"#$%&'()*(+,-.&'(/�� !"#$%&'()www.hsbc.com.cn�� !"#$%&'(

Internet Banking Application ==========�� !"#$%�� !"#$%�� !"#$%�� !"#$%�� !"#$%

�For Bank Use Only =�� !"Approved by PFS Manager: ==================================K

I wish to apply for the phonebanking services. �� !"#$%&'()*========�=Yes�=========�=No�

�For Bank Use Only =�� !"====Customer PBN

Ref. No. of Phonebanking Personal Identification Number

Phone Banking Application ==========�� !"#$%�� !"#$%�� !"#$%�� !"#$%�� !"#$%

#All transfers of money should comply with the relevant regulations stipulated by the People’s Bank of China and the State Administration of Foreign Exchange.

�� !"#$%&'()*+,-.)/01234�5678

Foreign exchange (transfer between different currencies) limit per transaction is USD20,000 equivalent.

�� !"#�� !"#$%&'(�� !"# OMIMMM��

aThe maximum daily limit is set by HSBC. Your requested daily limit cannot be greater than the maximum daily limit.

�� !"#$%&'()*+,-./�� !"#$%&'()*+,-./)0

bApplies to transfers to Self-named accounts held with HSBC in Mainland China only.

�� !"#$%&'()*+,-./012#34

cApplies to transfers to third party accounts in Mainland China and overseas, including accounts in your name held with other banks and overseas HSBC branches.

�� !"#$%&'()*+,-"./�� !"#$%&'()*+,-./0*123456

Third party transfer limit will be re-set to 0 if the function is not used in the last 12 months. You will need to re-set your third party transfer limit by visiting one of our branches

if you intend to resume this function.

�� ! NO�� !"#$%&'()*+,-�� !"#$%&'()*+,-./�� !"#$%&'()*+,�� !"#$%& !'(�)*+,-./01

dAdd/Delete Pre-designated Payee, please use “INTERNET BANKING CHANGE REQUEST FORM”.

�� L�� !"#$%�� !"#$%&'�()*

dTransfer to Predesignated Payee Accountd�� !"#$%�&

#Transferring Money �� !

bTransfers to Self-named Accounts within HSBC Chinab�� !"#$%&'()�*

aMaximum Daily Limit (CNY)a�� !"#$%E�� F

Your Requested Daily Limit (CNY)�� !"#$%&'(E�� F

5,000,000

cTransfers to Non-Registered Accounts (sending money to accounts in MainlandChina or Overseas which you have not pre-registered).

c�� !"#�$�� !"#$%&'()*+,-. /0

50,000

200,000

*

*

1. Do you have HSBC Premier Account in other country/area? �� !"#$%&' /�� !"#$%&'()*�=Yes � Please specify which country/area it is if Yes. �� !" /��=================K � No �

2. If you plan to go abroad recently for study, working or emigration, and are interested in opening overseas HSBC Premier account (including in Hong Kong orTaiwan), we are glad to introduce our overseas HSBC account opening arrangement services to you. �� !"#$%&'()*�� !"#�� !"�� !"#$%&'(�� !"#$%&'�� !"#$%&'�()*+,-./01234&567

� Yes �=Please specify the country/areas where you wish to open a Premier account. � No�� !"#$%&'()*+,-./012345============================K �

3. I am interested in commercial banking products & services provided by HSBC and agree HSBC contact me to introduce relevant products & services.�� !"#$%&'()*+,-./0+123$%&'45�6789,-./0+:

========================�=Yes � �=No �4. My company is involved in international trade/international business. �� !"#$%&'()*+,-./

========================�=Yes � �=No �

Other Information ==========�� !�� !�� !�� !�� !

Page �� 4/5

Customer Declaration ==========�� !�� !�� !�� !�� !

1 I confirm that the information given above is correct and complete, and authorize the Bank to confirm this from any source the Bank may choose.I understand that the account cannot be put into use until my account opening application and the required information and materials have beenexamined and considered by the Bank as complete and acceptable.�� !"#$%&'()*+,-./01�� !"#$%&'()*+�� !"�� !"#$%&'()"*+',-�� !"#$%&'()*+,�� !"#$

2 I understand and acknowledge that, in terms of CNY settlement account(s), this account opening form is supplemental to the “Personal RMBSettlement Account Application Form” that will be or has been separately filled and signed by me in respect of the relevant CNY settlementaccount(s).�� !"#$%�� !"#$%&'(�� !"#$%&'()*+,-./01234567�� !"#$%&'()��=��� !

3 I have received, read and understood the General Terms and Conditions (For Personal Sole Account, Joint Account and Business AccountHolders), the Personal Account General Terms and Conditions and the other terms and conditions that apply to the account(s) I hereby apply foropening (such as, where appropriate, Account of Deposit without Fixed Maturity Date (other than Call Deposit and Contract Savings Deposit) -General Terms and Conditions, Time Deposit-General Terms and Conditions, Call Deposit Account - General Terms and Conditions), and agreeto be governed by them. In particular, I understand and agree:�� !"#$�� !"#$%&'(�� !"#�� !"#$%&'(�� !"#$%&'()*+,-�./012 �� !�� !�� !�� !"#$%&!'�� !"#$!%&' !"#$!()�� !"#$%&'()*�� ���� !"#$%(i) Such General Terms and Conditions cover and apply to a wide range of services and accounts provided by the Bank;�� !"#$%%&'( )*+,-./01234567

(ii) I confirm that I have received, read, understood and accepted the Bank’s standard Tariff of Accounts and Services.�� !"#$%&�� �� !"#$%&'()*+,-./

The Tariff of Accounts and Services may be amended and/or supplemented by the Bank from time to time, below are some examples of theBank’s current account tariff: �� !"#$% L�� !"#$%&'()�� !"#$%&'()%*+,-.Advance Account - A Monthly Service Fee of CNY 150 (or its equivalent in any other currencies) will be charged every month if the combinedaverage daily balances of all the accounts under the same customer number fall below CNY 100, 000 or equivalent in the previous month.�� !"#$%&'(#)*+,-."#,/0123456789: NMMIMMM�� !"#$�� !"#$%&' NRM�� �� !"#$%&Premier Account - A Monthly Service Fee of CNY 300 (or its equivalent in any other currencies) will be charged every month if the TotalRelationship Balance of all the accounts under the same customer number fall below CNY 500, 000/equivalent in the previous month.�� !"#$%&!'()*+, !*-./012345678500,000�� !"#$�� !"#$%&'300�� !�� !"#$%Please refer to the Bank’s Tariff of Accounts and Services for details, including without limitation, Unclaimed Account Fee, Account Closedwithin 3 months, account closure, etc. �� �� !"#$%&�� !"# I=�� !"# I=�� !"#�� !"#$%&�� !�� !"#I understand and acknowledge that Overseas HSBC Premier Account Opening Service will only be available if and when (i) I maintain myHSBC Premier account with HSBC mainland China being the Home Country bank and (ii) the Total Relationship Balance of all the accountsunder my customer number is maintained on or above the Bank's Premier Minimum Total Relationship Balance requirement (as amended orupdated by the Bank from time to time, which is currently CNY500,000/equivalent) or meet the other qualification requirements set by the Bank(as amended or updated by the Bank from time to time).�� !"#$%&'()* +,-.-/0123456789:;<=>?@6@AB�á��� !"#$%&'()*+,�� !"#$%&'(��EááF�� !"#$%&'&()* +,-./012345367!"#$89:&/01�� �� !"#$%&'()*+,-./012�� !"# RMMIMMM�� !"#$�� !"#$%&' ()*�� !"�� !"#$%&'()*+,

4 I hereby confirm that I have read and clearly understood the risk disclosure statement contained in the Bank’s General Terms and Conditions(For Personal Sole Account, Joint Account and Business Account Holders), and I am willing to bear the risks.�� !"#$%&'()*+,-./012�� !"#�� !"#$ !%&'�� !"#$%&'()* !+

5 ����� I hereby confirm that I have noticed that Clause 2 of the General Terms and Conditions (For Personal Sole Account, Joint Account andBusiness Account Holders) introduces and provides for the scope and circumstances in which the Bank may need to provide customerinformation to other entities and/or persons. I understand that my acceptance of the General Terms and Conditions (For Personal SoleAccount, Joint Account and Business Account Holders) indicates that I have known and agreed that the Bank may use, provide anddisclose customer information in accordance with Clause 2 of the General Terms and Conditions (For Personal Sole Account, JointAccount and Business Account Holders), I understand and know the potential consequence of my giving such agreement.�� !"#$%&'()*+,-.�� !"#$%&'()*+,-.�� !"#$%&'()*+,-.�� !"#$%&'()*+,-.�� !"#$%&'()*+,-.EEEEE�� !"�� !"�� !"�� !"�� !"�� !"#$%&�� !"#$%&�� !"#$%&�� !"#$%&�� !"#$%&FFFFF�� !"#$%&'()*+,-'(./012#�� !"#$%&'()*+,-'(./012#�� !"#$%&'()*+,-'(./012#�� !"#$%&'()*+,-'(./012#�� !"#$%&'()*+,-'(./012#LLLLL�� !"#$%&'()*+,-./�� !"#$%&'()*+,-./�� !"#$%&'()*+,-./�� !"#$%&'()*+,-./�� !"#$%&'()*+,-./�� !��"#$%&'()�� !��"#$%&'()�� !��"#$%&'()�� !��"#$%&'()�� !��"#$%&'()EEEEE�� !"�� !"�� !"�� !"�� !"�� !"#$%&�� !"#$%&�� !"#$%&�� !"#$%&�� !"#$%&FFFFF�� !"#$%&�� !"#$%&�� !"#$%&�� !"#$%&�� !"#$%&�� !"#$%&'()*�� !"#$%&'()*�� !"#$%&'()*�� !"#$%&'()*�� !"#$%&'()*EEEEE�� !"�� !"�� !"�� !"�� !"�� !"#$%&�� !"#$%&�� !"#$%&�� !"#$%&�� !"#$%&FFFFF�� !"#$%&�� !"#$%&�� !"#$%&�� !"#$%&�� !"#$%&�� !"#$%&'�� !"#$%&'�� !"#$%&'�� !"#$%&'�� !"#$%&'�� !"#$���� !"#$���� !"#$���� !"#$���� !"#$���� !"#$%&'()�� !"#$%&'()�� !"#$%&'()�� !"#$%&'()�� !"#$%&'()

6 I hereby understand that I should sign my own name on this form and further confirm my signature on this form will be deemed as my specimensignature maintained with the Bank.�� !��"#$�%&'()��*+,-./012��$�%&'*(34567��89$:;*(3<�=

7 I, the account holder, confirm that I am not acting on behalf of any other person as trustee, nominee or agent in respect of the account(s).�� �� !"#$%�� !"#$%&'()*�� !"#$%&'�()*+*�,�� !"# !"$%&'()�� !

8 � I choose to receive digital welcome pack, and I hereby confirm that I have received the digital welcome pack (containing, among others, thetariff, terms and conditions of which I have confirmed acceptance hereinabove). I understand that the account terms and conditions (whichI have read and accepted when signing this form) can also be accessed at the Bank's website of www.hsbc.com.cn�� !"#$%&'()*+,-�� !"#$%&'()*+,-./0�� !"#$%&' ()*+,-./���� !"�� !��"#$�%&'()*+,-./0123456789:;<=www.hsbc.com.cn��

� I choose, and I hereby confirm having received, paper-based welcome pack. I understand that the account terms and conditions (which Ihave read and accepted when signing this form) can also be accessed at the Bank's website of www.hsbc.com.cn�� !"#$%&'()*+,-./0123�� !��"#$�%&'()*+,-./0123456789:;<� www.hsbc.com.cn��

9 I have applied for the banking services below (please tick): �� !"#$%&'(E�� FW� HSBC Debit Card (includes HSBC Premier Debit Card and HSBC Advance Debit Card) �� !"#$E�� !"#$%&'()�� !"#$%&'()*�F

I confirm that I have received, read, understood and accepted Debit Card Terms and Conditions of the Bank and the service tariff of debit card.�� !"#$%&�� �� !"�� !"E��F�� !"#$%&'()�� !"#$%&'� Phonebanking Services �� !"#I confirm that I have received, read, understood and accepted the terms and conditions governing the use of the Phonebanking services.�� !"#$%&�� �� !"#$%&'�()*+,-./0.12I confirm that I have received Phonebanking Personal Identification Number (PIN)�� !"#$%&'()*+,"-./

10 I confirm that bank staff conduct account opening process for me at the Branch Premise.�� !"#�$%"#&'()��*+,-./0

11 I understand that the Bank may from time to time want to inform me by mail, email, short messaging and other means, of special offers that I maybe entitled to and various products and services made available by the Bank, which the Bank believes may be of interest to me and/or may benefitme financially.�� !"#$%&'()*+,-.�� !"�� !"#$%&'()*+,+,-./01234"#56789:0;�� !"�� !"#$%&�� !"#$%&'()*+, L�� !"#$%&By signing this application, I hereby give my consent that the Bank may contact me through each and all of the above channels for the purposementioned in the preceding paragraph.�� !"#$%�� !"#$%&'()*+,-./.01'*,-.23456��.789:;Note: If you DO NOT wish to receive the above-mentioned information via one or more of the above channels, please tick the appropriatebox(es) below:���� �� �� �� �� �� �� !"#$%#&'() !*+,�� !"#$%&'(�=Mail ��======================�=Email �� !======================�=Short message service (SMS) �� !

12 I confirm and agree that I am responsible for reviewing all account statements and other notifications relating to an account in a timely mannerand as required pursuant to the account terms and conditions and any agreement with the Bank. If I fail to do so, the Bank will not be liable to theaccount holder for any losses incurred after the time that such information should have been discovered, and I waive all claims I may haveagainst the Bank and release the Bank from any claims and liabilities that the Bank would have to the account holder after the time that thestatements or notifications for the account should have been reviewed, whether or not any of the claims or liabilities resulted from the negligenceof the Bank.�� !"#$��%&'()*+,-./012"134(��5,-67.'89:;<=>?%./0@A4(%B/0�� !"#�� !"#$%&'()*+,-(./012345$%./678�� !"#$%&'()*+,-./0E�� !"#$%&'()*+),-. !/$%01&2345678&91:;'(<=>?@F�� !"#$%&'��� !"#$%&'( I�� !"#$%&'()*+,-./01234516789:;6<�� !"#$%&'()�� !"#$%&'Note: please note that your signature below will be deemed as your specimen signature to be used in the operation of your account(s), please thereforeproperly sign below.���� !"#$%&'()*!"%&+,-.!"/01)2�� !"#$%

Customer Signature and/or Chop Date�� !"#$ ��

Page �� 5/5