Please check “√” in □. Applicant： Application Date： Account No.：
Purpose of Certificate：
Receiver of Certificate：
Certificate Language Version：
Chinese English Chinese & English
Delivery：
Mail Name of the receiver: Postal code: Address:
Bank Counter Name of the receiver: ID Type: ID No:
Teletransmission
收件人姓名：
邮编：
地址：
领取人姓名：
身份证件名称：
身份证件号码：
Types of Certificate:
Certificate of Account Opening
Certificate of Account Balance (As of ___DD___MM_____YYYY, Actual Amount Estimated Amount)有效期：
数目类型：模糊数目
Certificate of Offshore Banking Settlement Record(From MM DD YYYY to MM DD YYYY)开始日期：
结束日期：
Others（Explanation is required）
Applicant Statement: I/our company has read and understood the Agreement on CMB Offshore Clients Applying for Certificate of Financial Standing and will observe the provisions in it. I/our company guarantees that the Certificate will be used according to the purposes stated in the Application only. All the obligations and responsibilities arising from the usage of the Certificate will be borne by the applicant, with no involvement of the bank.
说明：
Signature/Seal Specimen:
Password for authorizing payment(if applicable):
The Certificate of Offshore Banking Account has been received.
Signature of the receiver: ____DD____MM_____YYYY
Note: Any obliteration would render the application invalid.
（Refer to the reverse side for the Agreement）
Agreement on CMB Offshore Banking Clients Applying for Certificate of Financial Standing
The applicant (hereinafter referred to as Party A) agrees with the Bank(hereinafter referred to as Party B) on Party B providing a certificate of financial standing for Party A with the following provisions:
1.Party A applied to Party B to provide the Certificate of Financial Standing based on the options made by Party A on the Application for Certificate of Offshore Banking Account.
If Party B accepts the application filed by Party A, PartyBisobliged to investigate and verify the Party A’s requests and provide the Certificate of Financial Standing for Party A based on the results of investigation and verification.
2. Party A is obliged to truthfully fill out the application as required by Party B and submit related application materials, bearing legal responsibilities for their authenticity, accuracy and completeness.
Party B bears legal responsibilities for the truthfulness of the contents in the Certificate of Financial Standing, except in case of force majeure that renders the Certificate inconsistent with objective facts.
3. Party A is obliged to pay certificate processing fees as required by Party B, otherwise Party B has the rights to decline Party A’s application for the Certificate of Financial Standing and cancel this agreement.
4. Party B has the rights to terminate the application without returning Party A the processing fees in any case listed as follows:
1) Party B finds inauthenticity, inaccuracy or incompleteness in the materials provided by Party A.
2) Party A requests to terminate the application after Party B has completed the process of investigation, verification and fee deduction.
5. Party B shall return Party A the processing fees if the Certificate of Financial Standing is inconsistent with objective facts, except the situations stipulated in Provision 2 and Provision 4 in this agreement.
6. In case of disputes between Party A and Party B, any party can appeal to the court in Party B’s location if negotiation and conciliation fail to resolve the disputes.
7. This agreement becomes effective after Party B accepts the application.