Amendment Form for Services of Internet Banking, Fax Banking, and Automated Message Notification
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1 Amendment Form for Services of Internet Banking, Fax Banking, and Automated Message Notification The Applicant hereby completes and submits this Amendment Form to the Bank, authorizes the Bank to act accordingly, and agrees to comply with and be bound by the terms and conditions contained herein and in the Agreement for Services of Internet Banking, Fax Banking, and Automated Message Notification (the Agreement ) as amended and restated from time to time. The Applicant acknowledges that a copy of the Agreement has been received, read, and accepted as of the submission date of this Amendment Form. Internet Banking Services Unlock & Other Request: Request To: Log-in User ID or Name Remark IKEY 2032 Unlock Forget Password Unlock (Please provide necessary information below) NEW IKEY (etoken 5200) (Path: Customer Service > CA/Token > CA management) CA_ID: Token S/N: Forget Password Apply for additional piece(s) Loss or Malfunction TOKEN Reapply piece(s) Loss or Malfunction Suspend Activate Cancel - Reapply Expiration CA Suspend Activate Cancel - The Applicant understands that the cancellation of CA or TOKEN will not become effective until the Bank completes the cancellation in its system. Reset Log-in Password Log-in User ID (For activation and notification only) Log-in User ID (For activation and notification only) User Cancellation Log-in User ID or Name Log-in User ID or Name User Modification Before Modification After Modification Name Address Add User (Inquiry Only) Inquirer code V1 (For activation and notification) Inquirer code V3 (For activation and notification) Page 1 of 5
2 Add User (Transaction & Inquiry) Maker Code ( For activation and notification) Checker Code ( For activation and notification) M1 As Checker C1 M2 As Checker C2 M3 As Checker C3 Add Authorized Administrator Name & Address: ( For activation and notification ) 1. The Authorized Administrator may set and change the users by himself/herself on the Bank s Internet banking website. ( Authority for Making Transactions is required when this item selected) 2. The Authorized Administrator may (a) set and change the authorizations given to the Makers and Checkers and (b) set and change the Inquirers, Makers and Checkers by himself/herself on the Bank s Internet banking website. Debit Accounts for Internet Banking (Accounts set by the Bank for the discharge of debts owed to the Bank are not eligible to be chosen as Debit Accounts.) Add or Delete Debit Account No. Add or Delete Debit Account No. Credit Accounts for Internet Banking (Designated Beneficiary) Add or Delete Bank Name Bank Code / Swift Code Credit Account No. Beneficiary Name Cancel Credit Accounts for Internet Banking Service I/We hereby apply for cancellation of Credit Accounts for Internet Banking service. I/We understand that the cancellation will not become effective until the Bank completes the setting in its system. *If no enough space, please copy this format and attach it on the application form with seal. If no credit Account is specified, It means no designated beneficiary(ies). *Please type English characters in BLOCK LETTERS. *Designated Beneficiary will not become effective until the Bank completes the setting in its system. *Once the Bank completes the setting, fund transfer made through the Internet Banking will be restricted to designated beneficiary., Bank Name Bank Code/Swift Code Credit Account No. and Beneficiary Name must be consistent to the registered settings. Group of Checkers (Please fill in the User code as specified in the column of Transactions above or the User code as specified in the Application Form. One checker code can be listed in only one group. Group Code Code (1) Code (2) Code (3) Code (4) Code (5) The applicant agrees to Delete all Group of Checkers currently in your records Add Modify Delete G1 Add Modify Delete G2 Add Modify Delete G3 Add Modify Delete G4 Add Modify Delete G5 Page 2 of 5
3 Authority for Making Transactions (Choose either one) The Applicant agrees to Delete all information about Authority for Making Transactions currently in your records and replace the deleted one as follow. The Applicant agrees to Add all information about Authority for Making Transactions as follow. * If All Accounts below is chosen, it shall include the Authorized Debit Accounts for Internet Banking and the accounts of the authorizer(s) pursuant to the Application for Notice of Authorization to Third Party submitted by such authorizer(s). * If the Authorized Amount is not filled in, it will be deemed as having no ceiling amount. If there is no currency designated, HKD shall be applied. * To designate a Maker, please fill in the Maker Code as described in User Application section above. Designated Maker Types of Transactions Authorized Account Currency Authorized Amount Group / Checker Code Sequential Authorization Min ( ) Max ( ) No Designation No Specification All Accounts USD USD Cancel Internet Banking Service I/We hereby apply for cancellation of Internet Banking service. I/We understand that this service will not become effective until the Bank completes the setting in its system. I/We hereby agree Automated Message Notification Services Add Delete ADDRESS / IP ADDRESS / URL Add Delete ADDRESS / IP ADDRESS / URL Send paper-based monthly statements. If this option is not chosen, the Applicant understands and agrees to receive monthly statements in instead of paper-based monthly statement. Note: * The applicant is aware of the risk associated with receipt of notice through (including e-statement). The applicant further aware that notice will be sent through MMAS after encryption by password set by the recipient. Fax Banking Services Authorized Limit for each fax instruction I/We hereby specify the authorized amount limit in USD or equivalent for each individual fax instruction ( Authorized Limit ) below. I/We understand and agree that the Bank will not be obligated to act or execute the fax instruction in which the transaction amount of any individual fax instruction exceeds the Authorized Limit. If there is no Authorized Limit given by us, I/We hereby authorize the Bank to act or execute the fax instruction regardless of the transaction amount of each fax instruction. This authorized limit applies to each individual fax instruction, and shall not be aggregated. _USD (or equivalent) No Authorized Limit required Fax Banking Security Mechanism Apply for new TOKEN : piece(s) Add Delete TOKEN S/N Add Delete TOKEN S/N Reset Pin Code (4 digits) *I/We understand that this service will not become effective until the Bank completes the setting in its system. I/We hereby agree Page 3 of 5
4 Third Party to share TOKEN Delete Third Party Customer Name Third Party Customer Id Fax Banking Contact Method TOKEN : No contact By each instruction USD over (equivalent) Pin Code: By each instruction Contact Persons Add Delete Name Position Tel No Mobile Debit Accounts for Fax Banking Add or Delete Debit Account No. Add or Delete Debit Account No. I/We hereby make the change(s) to the Debit Accounts for fax banking below and authorize the Bank to transfer or deduct the related funds shown in any fax instruction from the Debit Account(s) below without our prior written instruction or confirmation. Fax Number for confirmation of receiving fax instructions Add Add Delete Delete (Please specify only one fax number) (Please specify only one fax number) I/We hereby specify the fax number below to receive confirmations of the Bank s receipt of our fax instructions. The confirmation shall be deemed to have been received by me/us at the time of transmission made by the Bank. If the fax number for confirmation is deleted and no new fax number is added, no confirmation will be provided by the Bank for its receiving of each fax instruction. Cancel Fax Banking Service I/We hereby apply for cancellation of Fax Banking service. I/We understand that this service will not become effective until the Bank completes the setting in its system. Delivery Instruction The Bank will deliver password letters and related equipment (I-Key or Token etc.) via postal service or courier to the following: Address: Addressee: Same as contact address Contact Phone No.: Page 4 of 5
5 Declaration of the Applicant: The Applicant hereby declares that it/he/she has carefully read the Amendment Form, all the terms and conditions hereof, and the Agreement for Services of Internet Banking, Fax Banking, and Automated Message Notification and fully understands the contents hereof and thereof and agrees to comply with and be bound by the same, as may be amended and restated from time to time on the Bank s website. The Applicant understands that the Bank may reserve the right to approve or reject this Amendment Form and acknowledges that this Amendment Form will be executed in one counterpart which will be kept by the Bank. (applicable to an individual) Applicant s Name: Customer ID: Signature(s): Date : (Applicable to a company) Applicant s Name: Customer ID: Name of Authorized Signatory(ies) Title: Date: The Bank will verify the signature with the specimen signature filed with the Bank. * In case of any doubt about the contents of this application, the Bank may seek advice from the contact person below. Contact Person: Phone: For Bank Use only Approved By Verified By Processed By Page 5 of 5
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