HSBC Credit Card AppIication Form Don Dang Ky The Tn Dung Ngan Hang HSBC

Xin vui long dien day du lhong lin va gui don den:
Trung Tam The HSBC
Hop thu 980, Buu dien Trung tam Sai Gon
TP Ho Ch Minh, Viet Nam
Please conplele and relurn your applicalion lorn lo:
HSBC Cards Centre
P.O. Box 980, Saigon CentraI Post Office
Ho Chi Minh City, Vietnam
1. Loai The Tn Dung Dang Ky / Choice of Credit Card
Hoc van / Educalion
/ p a C Crade 15
Tinh lrang hon nhan / arilal Slalus

Ten lruong hoc dau lien (lhong lin dung de xac ninh nguoi Chu The /
2. Thong Tin Ca Nhan / PersonaI Information
Ho va Ten (giong nhu lren CD/Ho chieu / Full ane (as in denlily Card/Passporl, surnane lirsl
Te n in no i lre n lhe (pha i luong lu nhu CD/Ho chie u, kho ng qua 19 ky lu ke ca khoa ng lra ng
So CD (hay Ho chieu neu la khach nuoc ngoai
Ouoc lich / alionalily
ane lo be prinled on card (nusl be in accordance lo denlily Card/Passporl, naxinun 19 lellers including spaces
Ong / r Ba / rs Co / iss
Danh xung / Tille
denlily Card (or Passporl o. lor Foreigner
oi cap / Place ssued
/ h n i s gay Dale ol Birlh
(ngay/lhang/nan
(dd/nn/yyyy
gay cap / Dale ssued
(ngay/lhang/nan
(dd/nn/yyyy
Cap / Crade 69 2 1 0 1 e d a r C / p a C
Trung cap / Vocalional Degree
Doc lhan / Single
Cao Dang/Dai hoc / College/Universily Sau Dai hoc / Posl Craduale
Khac / Olhers
Da lap gia dinh / arried Ly di/Ly Than / Divorced/Separaled
Coa / vidowed
(Xin ghi ro / Please specily
Ouan/Huyen / Dislricl
Ouan/Huyen / Dislricl
Tinh/Thanh pho / Cily/Province
Tinh/Thanh pho / Cily/Province
Dien lhoai lien lac / Currenl Hone Phone o.
Dien lhoai lien lac / Currenl Hone Phone o.
Dien lhoai di dong / obile Phone/Pager o.
lhang
nonlhs
nan
years
Dia chi Enail / Enail Address
Thoi gian o dia chi hien lai / Years and onlhs al Fesidenlial Address
Dia chi noi o dai han (neu khac voi dia chi hien lai
Pernanenl Address (il dillerenl lron above Fesidenlial Address ('''
Ouan/Huyen / Dislricl Tinh/Thanh pho / Cily/Province Dien lhoai lien lac / Currenl Hone Phone o. Dia chi dang ky (neu khac voi dia chi hien lai
Fegislered Address (il dillerenl lron above Fesidenlial Address (''
Dia chi noi o hien lai / Fesidenlial Address ('
The lin dung lin chap / Unsecured Credil Card
The lin dung lhe chap / Secured Credil Card
So huu / Owned
Khac / Olhers
So huu nol phan / Parlially Owned
Thue / Fenled
ua lra gop / orlgage
So con / o. ol Children
So nguo i ba n dang chu ca p la i chinh
o. ol Dependanls
ha bo ne / Parenls house
(Xin ghi ro / Please specily
Loai nha dang o hien lai / Type ol Currenl Fesidence:
3. Nghe Nghiep / Occupation
The lin dung Visa Chuan / Classic Visa Credil Card (Phi lhuong nien / Annual Fee: 300.000 VD , Thu nhap loi lhieu hang lhang / ininun onlhly ncone: 6.000.000 VD
The lin dung Visa Vang /
The lindu ngVisa Ba ch Kin / Plalinun Visa Credil Card (Phi lhuo ng nie n / Annual Fee: 1.200.000 VD, Thu nha p lo i lhie u ha ng lha ng / ininun onlhly ncone: 25.000.000 VD
Cold Visa Credil Card (Phi lhuong nien / Annual Fee: 600.000 VD, Thu nhap loi lhieu hang lhang / ininun onlhly ncone: 12.000.000 VD
h k e h l nol h c a h k y u O o h c p a c e s g n a h n a g , u a c u e y u h n e h l i a o l p a c c o u d g n o h k h c a h k y u O p o h g n o u r l g n o r T n a u h c u e i l u d h c a h k y u O u e n c a
l you are nol ollered lhe requesl card lype, HSBC will issue you anolher card lype il you are qualilied.
So tham chieu ngi gii thieu /
Reference Number
Ban lhoi gian / Parlline Enployed oi lro / Honenaker
Ve huu / Felired
Chu doanh nghiep / Sell Enployed
Khac / Olhers
(Xin ghi ro / Please specily
Ten don vi hien dang cong lac / ane ol Currenl Conpany a so lhue / Tax code
Tinh lrang viec lan / Enploynenl Slalus
Toan lhoi gian / Fullline Enployed
Sinh vien / Sludenl
Ouan/Huyen / Dislricl Tinh/Thanh pho / Cily/Province
Tho i gian la n vie c la i don vi hie n la i / Years and onlhs ol Currenl Conpany
lhang
nonlhs
nan
years
Dia chi lan viec hien lai / Address ol Currenl Conpany
Dien lhoai cong ly / Ollice Tel o. So nay nhanh / Exl
ane ol lhe Firsl School You Allended (nandalory lor securily verilicalion
lhang
nonlhs
nan
years
Thoi gian lan viec lai don vi lruoc day
Years and onlhs ol Previous Conpany
Co The xanh cua y / US Creen card Co / Yes Khong / o
guoi cu lru na co lhoi gian cu lru lai y il nhal 31 ngay lrong nan duong lich hien lai, va 133 ngay lrong 3 nan bao gon nan hien lai va 2 nan lruoc do. / Fesidenl Alien who
has been in lhe US on al leasl 31 days during lhe currenl calendar year, and 133 days during lhe 3 year period lhal includes lhe currenl year and lhe 2 preceding years.

Co / Yes Khong / o

D I N H V I E T A N H

D I N H V I E T A N H
Viet Nam 2 7 0 9 1 9 9 1
2 1 0 1 2 0 1 1
151918319 CA. Thai Binh

P.402 (Tang 5), So 28, Ngo 12, Chinh Kinh

Thanh Xuan Ha Noi 01252328868
To 7, Thi tran Dong Hung Dong Hung Thai Binh 0363851170
To 7, Thi tran Dong Hung Dong Hung Thai Binh 0363851170
01252328868 dinhvietanh.coltech@gmail.com
Truong Tieu hoc Thi tran Dong Hung

Samsung Electronics Vietnam

PVI Tower, Tran Thai Tong Cau Giay Ha Noi
ghe nghiep / Occupalion code
Thu nhap hang lhang / onlhly basic salary (VD
Tien lhuong, phu cap hoac cac khoan lhu nhap hang lhang khac / onlhly bonus/Allowances/Olhers (VD
Tong cong / Tolal (VD
So huu nha nuoc / Slaleowned Cong ly nuoc ngoai/lien doanh / vholly Foreign Owned/JV
Tu nhan / Parlnership/Sole
Co phan / Joinlslock
THH lrong nuoc / Local Liniled Khac / Olhers
(Xin ghi ro / Please specily
Loai hinh doanh nghiep / Conpany lype
Khac / Olhers
An uong / Food & Beverage
ay nac / Texlile/Carnenl
Van lai / Transporlalion
Tai chinh/gan hang / Finance/Banking
ong nghiep / Agribusiness Xay dung / Conslruclion
Vien lhong / Teleconnunicalion
Du lich/ha hang/Khach san / Tourisn/Feslauranl/Holel
Dia oc / Feal Eslale
(Xin ghi ro / Please specily
Llnh vuc hoal dong cua cong ly / nduslry ol currenl conpany
Chuc vu hien nay / Currenl Posilion
han vien / Clerk Chuyen vien / Ollicer
Tong Cian doc/Ouan li cap cao / anaging Direclor/Senior anagenenl Chu doanh nghiep / Business Owner
Cian sal/Truong phong / Supervisor/anager
(Xin ghi ro / Please specily
han Su/Hanh Chinh / HF/Adninislralor arkeling/Ouan He Cong Chung / arkeling/PF
Kinh Doanh / Sales Ky Su / Engineer Ciao Vien / Teacher Khac / Olhers Ke Toan / Accounlanl
Cong ghe Thong Tin / T
Khong lhoi han / ndelinile Co lhoi han / Delinile (lhang / nonlhs
Luong co dinh / Salary only Luong co dinh va hoa hong / Base salary and connission Hoa hong / Connission only
Loai hinh hop dong / Type ol conlracl:
guon goc lhu nhap / Source ol ncone:
1.
2.
ga n ha ng/Co ng ly la i chinh
Bank/Finance Conpany
1.
2.
gan hang / Bank
1.
2.
gan hang / Bank
So lien vay
Loan anounl
Thoi han vay
Loan ilen
So du no hien lai
Oulslanding anounl
Khoan lra gop hang lhang (VD
onlhly Fepaynenl (VD
Khoan vay / Type ol Facilily
Tin chap / Unsecured
Tin chap / Unsecured
The chap / Secured
The chap / Secured
Loai hinh The / Type ol Credil Card
Tin chap / Unsecured
Tin chap / Unsecured
The chap / Secured
The chap / Secured
Loai hinh Thau chi / Type ol Overdrall
Tin chap / Unsecured
Tin chap / Unsecured
The chap / Secured
The chap / Secured
Han nuc lin dung (VD / Credil Linil (VD
Han nuc Thau chi (VD / Overdrall anounl (VD
4. Thong Tin Tai Chnh / My FinanciaI References
Vay ca nhan (tn chap, mua nha, mua xe v.v..) tai Ngan hang khac / Loan (personaI, car, home, etc.) at other Banks:
(Cac) The tn dung o Ngan hang khac / Credit Card(s) at other Bank(s)
Thau chi tai Ngan hang khac / Overdraft at other Banks:
5. Tho ng Tin Lie n La c Cu a Mo t Nguo i Tha n / Ho Ha ng KHO NG O Cu ng Dia Chi Vo i Chu The Chnh / Contact detaiIs of a reIative not Iiving in the same residence with the Primary CardhoIder
(Ye u cau ien ay u tho ng tin ho te n, a ch, so ie n thoa i lie n la c / Please fill in full name, address, contact number)
Ho va le n / Full nane
Ouan he / Felalionship
(Xin ghi ro / Please specily
Dia chi nha / Hone address
Die n lhoa i di do ng / obile phone Die n lhoa i noi la n vie c / Ollice Tel Die n lhoa i nha / Hone phone
Bo / Falher e / olher Anh/Chi/En / Brolher/Sisler Khac / Olher

24

8.300.000
8.300.000
Vu Hai Bich

To 7, Thi tran Dong Hung, Dong Hung, Thai Binh

0979005138 0363851170
6. Dang Ky The Tn Dung Phu / SuppIementary Card
To i do ng y va ye u ca u ga n ha ng ca p The lin du ng Phu (vo i ca c die u khoa n va die u kie n duo c ne u lrong Ba n Cha p lhua n Su du ng The lin du ng cu a ga n ha ng cho nguo i
lre n 13 luo i duo c ne u le n duo i da y. To i do ng y lra phi lhuo ng nie n cho The lin du ng phu (vo i bie u phi 600.000 VD cho The lin du ng Visa Ba ch Kin, 400.000 VD cho The
lin du ng Visa Va ng va 200.000 VD cho The lin du ng Visa Chua n, va no i giao dich lhu c hie n lre n lhe na y se duo c lie l ke va linh chung lre n cu ng Ba ng sao ke giao dich
cu a lo i. Do ng lho i, lhe lin du ng va so P AT cu a Chu The Phu se duo c gu i de n dia chi na lo i da da ng ky vo i ga n ha ng.
hereby requesl and aulhorise lhe Bank lo issue a conbined supplenenlary credil card (subjecl lo lhe lerns and condilions conlained in lhe Banks Credil Card Cardholder
Agreenenl lo lhe person idenlilied below, who is over 13 years ol age. undersland supplenenlary credil card is subjecl lo an annual lee (VD 600,000 lor Plalinun Visa
Credil Card, VD 400,000 lor Cold Visa Credil Card and VD 200,000 lor Classic Visa Credil Card, lhe lransaclions nade on lhis supplenenlary card will be billed on ny
slalenenl, and lhe credil card and AT P lor lhe supplenenlary cardholder will be nailed lo ny correspondence address.
oi cap / Place ssued
(ngay/lhang/nan
(dd/nn/yyyy
gay cap / Dale ssued
eu khong o cung, vui long dinh ken giay lo chung ninh dia chi'. eu dia chi hien lai khac voi dia chi noi o dai han,
vui long dinh ken giay lo chung ninh dia chi noi o dai han. /l nol, please enclose residenlial address prool'. Please also
provide pernanenl address prool il il is dillerenl lron residenlial address.
Dien lhoai van phong / Ollice Tel o. Dien lhoai di dong / obile Phone
ghe nghiep / Occupalion
Dia chi noi o hien lai / Fesidenlial Address Dia chi cong ly / Conpany Address
1.
2.
1.
2.
Ta i khoa n HSBC cu a Chu The Phu se duo c lie n ke l vo i The Phu /
Supplenenlary Cardholders accounl(s wilh HSBC lor connecling lo lhe Supplenenlary card
Thanh loan loi lhieu / ininun Paynenl Thanh loan loan bo / Full Paynenl
Chu ky va ho len cua Chu lai khoan: / Signalure and ane ol lhe Accounl Holder:
Co
Yes
Khong
o
Ong / r Ba / rs Co / iss
Danh xung / Tille
gay sinh / Dale ol Birlh
(ngay/lhang/nan
(dd/nn/yyyy
Ho va Ten (giong nhu lren CD/Ho chieu / Full ane (as denlily Card/Passporl, surnane lirsl
Ten in noi lren lhe (phai luong lu nhu CD/Ho chieu, khong qua 19 ky lu ke ca khoang lrang
ane lo be prinled on card (nusl be in accordance lo denlily Card/Passporl, naxinun 19 lellers including spaces
9. Ghi No Tu Dong / Direct Debit Authorisation
8. Su Dung Dich Vu ATM / ATM FaciIity
7. Huong Dan Gui Thu / MaiIing Instruction
Vui long lhanh loan lu dong cac khoan no lren lhe lin dung cua loi/chung loi bang cach ghi no vao lai khoan HSBC cua loi/chung loi lruoc ngay dao han noi lhang. /
Please debil ny/our HSBC accounl on lhe nonlhly due dale in selllenenl ol ny/our credil card accounl(s.
Toi nuon chon li le lhanh loan sau: / y repaynenl anounl is:
So lai khoan HSBC cua loi la: / y HSBC accounl nunber is:
The lin dung HSBC co lhe dung nhu lhe AT. eu Ouy khach co lai khoan vang lai va/hoac lai khoan liel kien khong ky han lai HSBC, Ouy khach co lhe dung The lin dung HSBC
de lruy cap cac lai khoan nay lai bal ky nay AT nao cua HSBC lren loan lhe gioi. / HSBC credil card can be used like your AT card. l you have a Currenl and/or Savings Accounl
wilh HSBC, you can access lhese accounls wilh your HSBC credil card lron any HSBC AT around lhe world.
Toi/Chung loi nuon lhe lin dung cua loi/chung loi duoc lien kel voi nhung lai khoan lien kel duoi day lai he lhong nay AT. / /ve wish lo link lhe accounl(s lisled below wilh
ny/our credil card(s when using lhe AT lacilily.
Tai khoan HSBC cua Chu The Chinh se duoc lien kel voi The Chinh /
Prinary Cardholders accounl(s wilh HSBC lor connecling lo lhe Prinary Card
To i nuo n gu i lhe lin du ng, na so ca nha n (P du ng cho na y AT va so P cu a Dich Vu ga n Ha ng Oua Die n Thoa i de n dia chi noi o hie n la i, Ba ng sao ke giao dich ha ng lha ng va
ca c lhu lu kha c de n:/ Please send ny credil card and lhe card P (use al AT lo ny Currenl Fesidenlial Address, and lhe nonlhly slalenenl and olher correspondences lo ny:
Ouan he voi Chu The Chinh / Felalionship wilh Prinary Cardholder Ouoc lich / alionalily
Hien o cung dia chi voi Chu lhe chinh?
Fesidenlial Address lhe Sane as Thal ol Applicanl?
Dien lhoai nha / Fesidenlial Tel o.
(*) Neu ngi dung the phu a la khach hang cua HSBC, vui long bo qua yeu cau nay / Not applicable to the Banks existing customer.
So CD (hay Ho chieu neu la khach nuoc ngoai
denlily Card (or Passporl o. lor Foreigner

Co The xanh cua y / US Creen card Co / Yes Khong / o
guoi cu lru na co lhoi gian cu lru lai y il nhal 31 ngay lrong nan duong lich hien lai, va 133 ngay lrong 3 nan bao gon nan hien lai va 2 nan lruoc do. / Fesidenl Alien who
has been in lhe US on al leasl 31 days during lhe currenl calendar year, and 133 days during lhe 3 year period lhal includes lhe currenl year and lhe 2 preceding years.

Co / Yes Khong / o

Phal hanh boi gan hang THH nol lhanh vien HSBC (Viel an / ssued by HSBC Bank (Vielnan Lld.
C
C
D
1
5
1
1
_
F
B
/
0
1
Chu Ky Chu The Chinh
Signalure ol Prinary Cardholder
gay / Dale
Chu Ky Chu The Phu
Signalure ol Supplenenlary Cardholder
gay / Dale
Dong y chap lhuan Don dang ky
Approved lor lhis Applicalion
Dong y chap lhuan voi cac dieu kien khac
Approved lor Olher Condilions
Da kien lra BL
BL checked
Da kien lra SCC
SCC checked
Ten nguoi gioi lhieu / ane ol Felerrer
S nhan vien hoac so lhe / Slall D or Card D Chi nhanh / Branch
Loai lhe
Type ol Card
Han nuc lin dung
Credil Linil
gay hel han
Expiry Dale
Chu ky nhan vien HSBC
Signalure ol HSBC slall
Ho len va chuc vu
Full nane and posilion
gay xel don
Approved Dale
Danh Rieng Cho Ngan Hang / Bank Use OnIy
To i/Chu ng lo i xin xa c nha n ra ng ca c chi lie l lho ng lin ne u lre n la chinh xa c va da y du . To i/Chu ng lo i do ng y de ga n ha ng xa c lhu c ca c lho ng lin ne u lre n lu ba l ky nguo n lho ng lin
na o na ga n ha ng nuo n bie l. To i/Chu ng lo i do ng y vie c su du ng lhe se lua n lheo Ba n Cha p lhua n Su du ng The lin du ng da nh cho Chu lhe na Ba n Cha p lhua n Su du ng The lin du ng
se cu ng vo i don na y la o lha nh no l ho p do ng su du ng lhe va ba n sao se duo c gu i de n cho lo i/chu ng lo i sau khi ga n ha ng cha p lhua n don da ng ky . To i/Chu ng lo i hie u ra ng ga n
Ha ng co loa n quye n su a do i ba l ky quy dinh na o cu a Ba n Cha p Thua n na y lu y lu ng lho i die n, na nhu ng su a do i na y se ra ng buo c lo i/chu ng lo i, va ga n Ha ng co lhe lho ng ba o cho
lo i/chu ng lo i ve nhu ng lhay do i na y lheo ca ch na ga n Ha ng co lhe cho la phu ho p. Chu ky duo i da y se la chu ky na u na lo i/chu ng lo i du ng cho la l ca ca c giao dich lie n quan de n
lhe cu a lo i/chu ng lo i.
Toi/Chung loi hieu rang, lheo quy dinh cua HSBC, cac lhong lin na loi/chung loi cung cap lrong don dang ky nay phai la nhung lhong lin noi nhal cho du don dang ky cua loi/chung
loi co duoc chap lhuan hay khong. Trong lruong hop don dang ky duoc chap lhuan, noi lhong lin da ke khai lren day se lhay lhe cac lhong lin na loi/ chung loi da dang ky voi gan
hang lruoc day. Trong qua lrinh xel don, loi/chung loi xin xac nhan va dong y de gan hang duoc lu do cung cap lhong lin cua loi/chung loi cung nhu cua Chu The lin dung Phu cho
bal ky don vi lhanh vien nao cua Tap doan HSBC va/hoac bal ky ca nhan hoac lo chuc na gan hang co lhe xel lhay la can lhiel vi bal ky nuc dich nao bao gon cac co quan co
lhan quyen co lien quan o Viel an hay o nuoc ngoai va bal ky nha cung cap dich vu, ben lhu ba, bal ky doi lac kinh doanh nao na gan hang co quan he giao dich lrong qua lrinh
hoal dong cua gan hang. goai ra, bo phan quan ly lhong lin cua gan hang duoc phep luu lru va su dung nhung lhong lin nay vao cac nuc dich na ho cho la can lhiel. Toi/Chung
loi xin xac nhan rang bal ky lhe lin dung nao na gan hang cung cap cho loi/chung loi, ke ca The Phu duoc cap duoi lai khoan cua loi/chung loi, se khong duoc su dung nol cach
lruc liep hay gian liep lrong bal ky hanh vi hoac nuc dich nao lrai voi phap lual (ke ca viec danh bac lren nang.
/ve conlirn lhal lhe inlornalion given above is correcl and conplele and aulhorise lhe Bank lo conlirn lhis lron any source lhe Bank nay choose. /ve acknowledge lhal lhe use ol
lhe card(s is subjecl lo Credil Card Cardholder Agreenenl which logelher wilh lhis applicalion conslilules a conlracl lor use ol credil card(s and a copy ol which will be senl lo ne/us on
approval ol lhis applicalion. /ve undersland lhal lhe Bank reserves lhe righl lo anend lhe Cardholder Agreenenl lron line lo line, which will be binding upon ne/us, and nay nolily
ne/us ol any such alleralions in any nanner il lhinks lil. The signalure(s below shall also be ny/our specinen signalures lor all lransaclions relaling lo ny/our card(s.
/ve nole lhal il is a requirenenl by HSBC lhal inlornalion relaling lo lhis applicalion, whelher successlul or olherwise, nusl be updaled lo lhe Bank. n case lhis applicalion
is accepled, all inlornalion declared above will overwrile lhe inlornalion / ve previously regislered wilh lhe Bank. /ve conlirn and agree lhal lhe Bank is al liberly lo disclose
ny/our inlornalion, including lhose ol lhe Supplenenlary Cardholders, oblained during lhe process ol lhis applicalion lron any source whalsoever, lo any ol lhe olher HSBC Croup
nenbers and/or any person or organisalion as lhe Bank nay consider necessary lor whalever purposes including relevanl aulhorilies in Vielnan or abroad and any service
provider, any lhird parly, any business which lhe Bank engages during ils course ol business. Furlher, lhe recipienl ol such inlornalion lron lhe Bank is allowed lo slore and use
such inlornalion lor such purposes as lhey deen necessary. /ve conlirn lhal any credil card issued lo ne/us, including Supplenenlary Cards issued under ny/our accounl, shall
nol be used by ne/us lor or in conneclion wilh any unlawlul aclivily or purpose (including wilhoul linilalion online ganbling, whelher in whole or in parl.
' Dia chi noi o hien lai la dia chi Khach hang hien dang o / Fesidenlial Address relers lo lhe address where lhe cusloner currenlly resides.
'' Dia chi dang ky: doi voi nguoi Viel an la dia chi noi dang ky ho khau, doi voi nguoi nuoc ngoai la dia chi dang ky o nuoc ngoai / Fegislered address relers lo lhe Household
Fegislered Address lor Vielnanese or lhe Overseas Fegislered Address lor Foreigner.
''' Dia chi noi o dai han la dia chi Khach hang du dinh o dai han / Pernanenl Address relers lo lhe address where lhe cusloner inlends lo slay pernanenlly.
12. Xac Nhan / DecIaration
O.S
& S.V
a.
Ban chinh cua bang sao ke lai khoan ngan hang lhe hien nuc luong 3 lhang gan nhal neu nguon goc lhu nhap cua Ouy khach la lu luong co dinh va 6 lhang gan nhal neu nguon
goc lhu nhap cua Ouy khach la lu luong co dinh+hoa hong hoac chi lu hoa hong / Original copy ol bank slalenenl showing lhe lasl 3 nonlhs salary il your source ol incone
is lron salary only and bank slalenenl showing lhe lasl 6 nonlhs salary il your source ol incone is lron base salary + connission or lron connission only.
3. Chng minh thu nhap cua Chu the Chnh liet ke di ay: / Income documents of the primary card applicant:
o i v i Co ng nha n vie n / For Employed Applicant
Ban sao hop dong lao dong hoac ban chinh giay xac nhan chuc vu, lhoi gian cong lac, nuc luong va lhoi han hop dong (neu co / Copy ol labour conlracl or Original copy ol
leller ol enployer showing applicanls inlornalion regarding line ol service, lille, salary and conlracl expiry dale (il applicable
b.
o i v i Chu doanh nghie p / For Business Owner
a. Ban sao giay phep dang ky kinh doanh / Copy ol business license
b. Ba n chinh cu a ba ng sao ke la i khoa n nga n ha ng da ng ky duo i le n doanh nghie p cu a 6 lha ng ga n nha l / Original copy ol lalesl 6 nonlhs bank slalenenl in lhe nane ol business
c. Ban sao bao cao quyel loan lhue cua nan gan nhal / Copy ol lasl year liscal slalenenl audiled by lax deparlnenl
Co / Yes Khong / o
Tu dau na ban biel den The lin dung HSBC? / vhere did you hear aboul HSBC Credil Card?
Chi nhanh HSBC / HSBC Branch
Khac / Olhers
Truyen hinh / TV
Bao / ewspaper
Tap chi / agazine
nlernel
Ban be va nguoi lhan / Friends and lanily
Ouang cao ngoai lroi / Ouldoor signs
(Xin ghi ro / Please specily
Toi dong y nhan lhong lin bang lhu dien lu, lin nhan hoac qua cac kenh khac lien quan den quang cao ve lal ca san phan/dich vu cua HSBC./
would like receive inlornalion or adverlising ol any HSBC producl/service via enail, lexl nessages or olher channels.
10. Nhan Thong Tin / Receive Information
11. Ho So Dnh Kem / Documentation
1. Giay t chng minh ca nhan / Identity Proof:
Doi voi Cong dan Viel an: Ban sao (2 nal CD cua Chu lhe Chinh va Chu lhe Phu (neu co / For Vielnanese: Copy (bolh sides ol idenlily card lor bolh prinary and
supplenenlary card applicanls (il any
Do i vo i guo i nuo c ngoa i: Ba n sao ho chie u va Visa (ba n sao da u nha p ca nh lrong lruo ng ho p kho ng ca n Visa / For Fesidenl Foreigner: Copy ol passporl and Visa (copy ol innigralion
chops il no Visa required
2. Giay t chng minh a ch / Address Proof:
Ba n sao cu a no l lrong nhu ng gia y lo sau da y co lhe duo c du ng de chu ng ninh dia chi noi o hie n la i cu a Chu lhe (va ba n sao dia chi noi o da i ha n ne u kha c vo i dia chi noi o hie n la i:
So ho kha u, KT3, gia y xa c nha n la n lru , gia y CD co n hie u lu c, ba ng la i xe co n gia lri, ho a don die n/nuo c hoa c ba ng sao ke nga n ha ng cu a no l lha ng ga n nha l
One copy ol any ol lollowing docunenl can be used lor address prool in your own nane lor residenlial address (and copy ol lhe pernanenl address il any: Fanily regislralion
book, KT3, lenporary residenlial cerlilicale, valid D, valid driving license, nosl recenl ulilily bills or bank slalenenls

15/11/2013