Grand Horology Limited

Individual Customer Onboarding Form

UNIT 1007, 10/F, STAR HOUSE, 3 SALISBURY ROAD, KOWLOON, HONG KONG

Onboarding form to register new customers and obtain required documentation, acknowledgments, and signature

A. Identity Details

1. Name of the Customer

First Name Middle Name Last Name

2. Gender

Male Female Other

3. Date of BirthDate 4. Nationality

5. Status

Hong Kong Resident Chinese Resident Foreign National

6. Proof of Identity Submitted

National Identity Passport Other

1. Address for Correspondence

Street Address Street Address Line 2 City State / Province Postal / Zip Code Country

2. Phone Number

Country Code Phone Number

3. Emailexample@example.com

5. Permanent Address If different from above

Street Address Street Address Line 2 City State / Province Postal / Zip Code Country

Provide details for up to two bank accounts if needed.

Bank account 1

Account name Account Number Bank Name SWIFT CODE Other details if any Remarks

Bank account 2

Account name Account Number Bank Name SWIFT CODE Other details if any Remarks

Please upload related ID's and documents.

I hereby declare that the information provided in this form is accurate and complete.

Name of the Applicant

First Name Middle Name Last Name

Signature of the Applicant*

Signature upload

Upload Signature Drag and drop files here

Date SignedDate Originals verified and Self-Attested Document copies received