XLS《正面》

,,

,"SCLnow?圣释?干细胞生命能源银行" "CUSTOMERINFORMATION/SOLEACCOUNTOPENINGFORM个人客户资料/独立账号开户申请表" "SCLBANK(PekingCHINA)SCL圣释干细胞生命能源银行(中国北京)" "NOTE:","1.

Pleasetick"√"whereapplicableandcompletethisforminBLOCKLETTERS.Date日期:",,

, "注意:","请在适当的方格内划上勾号"√",并用正楷填写" ,"2.Pleaseensuretocompleteallfieldsmarkedwiithanasterisk*,sothatwecanprovideyouwithsuitableproductsandservices.CustomerNumber客户号码:",,

,"BankauthorisedSignatureandStamp银行盖章及授权签字",,

,"请务必填写所有标注*的栏目,以便我们为您提供适合的产品及服务. ,,

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,"Premier",,

"TobePremier",,

"Non-Premier", "YourPersonalDetails您的个人资料" "*Title称谓:",,

"Mr先生",,

"Ms女士",,

,"*Gender(性别):",,

"Male","Female",,

"*FirstName名(英文或拼音)NameinChinese中文姓名:",,

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, "*LastName姓(英文或拼音)Former/OtherName曾用名/别名:",,

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, "*IDType身份证明文件:",,

"Passport护照",,

"IdentityCard居民身份证",,

"PolicemanIDCard武装警察身份证",,

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"MilitaryIDCard军人身份证",,

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"Others其他","Re-EntryPermit港澳居民往来内地通行证" ,,

,"TravelPermittoMainlandChinaforTaiwanResident台湾居民来往大陆通行证" ,,

,"Orpleasespecify或者请说明" "*IDNumber身份证明文件号码:Nationality国籍:",,

, "*DateIdentificationExpire(DD/MM/YYYY)身份证有效期至(日/月/年)PlaceofBirth出生地:",,

, "*DateofBirth(DD/MM/YYYY)出生日期(日/月/年)CountryofResidence居住国家:",,

, "YourAddress/ContactDetails您的地址信息/联络方式" "*CorrespondenceAddress邮寄地址: "*PostalCode邮政编码:Email电子邮件:",,

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"*Phone

电话:",,

, "CustomerSignatureand/orChop客户签名或盖章: Date",,

日期:",,