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Client Update Form
DBS Vickers Securities (Singapore) Pte Ltd
12 Marina Boulevard #10-01
Marina Bay Financial Centre Tower 3
Singapore 018982
Tel: (65) 6327 2288
Co. Reg. No. 198600294G
126071GCB0171.indd 1
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9/21/12 11:36 AM
Client Update Form
5
Please accede to my request for a change of dealer/remisier.
To: DBS Vickers Securities (Singapore) Pte Ltd (DBS Vickers)
For clients with existing CDP Securities Account, it is mandatory to complete the Securities Account Information Update (individual/Joint)
form so as to update Name, Address, NRIC/Passport No., Nationality and/or PR Status with The Central Depository (Pte) Limited directly.
Client Name
Change of Dealer/Remisier
From
(
) To
(
)
Reasons (if any)
NRIC / Passport No
6 Termination of Trading Account/Existing Services
DBS Vickers Securities Trading Account No./ TR Code
1
Termination of Trading Account Number(s):
Change of Personal Details
Change of Name
(Please provide a copy* of your new NRIC/Deed Poll)
Trading Account
Margin Trading Account
Online Trading Account
Securities Borrowing & Lending Account
Depository Agent Sub-Account
Nominees Account for Malaysian Shares
Reasons (if any)
Change of NRIC/Passport No.
Previous NRIC/Passport No.
(Please provide a copy* of your new NRIC/Passport)
7
Joint Account Holder (If applicable) NRIC / Passport Number
Termination of Payment Facility/Mandate/LOA
Optimal Cash Account
Residential Address
SGD
Electronic Payment for Shares (EPS)
(If different from Mailing Address or if Mailing Address is P.O. Box)
USD
HKD
GIRO Payment
EURO
THB
Others
Mandate/ Letter of Authorization
Mailing Address
(all statements and correspondence will be sent to this address)
8
Change of Nationality
Change of PR Status S’pore PR
(Please provide a copy* of your new NRIC/Passport)
(Copy* of Entry/Re-entry Permit/Passport or Singapore Blue NRIC required)
Email
Home No.
Office No.
Mobile No.
Yes
2
NRIC/Passport personally at our office)
Please register my new signature as appearing below. My new signature shall be valid and effectual for
all intents and purposes as from the date appearing below for any and all documents and/ or services
executed by me in relation to my Trading Account/ Margin Trading Account/ Online Trading Account/
Securities Borrowing & Lending/ Depository Agent Sub-Account/ Nominees Account for Malaysian
Shares (as I may have with DBS Vickers).
No
*Certified True Copy by a Suitable Certifier (including Notary Public, Advocates and Solicitors, Singapore Embassy, Justice of Peace and bank officer of
DBS Group)
Update of Signature with DBS Vickers (For verification purpose, please submit this form and your original
9
Others
Change of Personal Employment Data
Change of Occupation/Corporate Title
Declaration
Change of Name/Address of Company
I/We hereby declare, represent, warrant and agree that:
1) All information submitted above or otherwise in connection with this application is true and accurate in all
aspects.
2) I/We shall give DBS Vickers notice of any change in the particulars provided above and submit relevant
documentary proof to DBS Vickers for any change of the particulars provided above.
3) For corporate accounts, this application is signed by the Authorised Signatories and the relevant authority has been
provided for the affixing of the Company Stamp.
4) (where there is more than one applicant) we shall be jointly and severally liable and responsible for all payments and
obligations arising from our joint account(s) and facilities with DBS Vickers.
Nature of Business
3
Change of Financial Information
Gross Annual Income
S$50,000 or below
S$50,001 - S$100,000
S$100,001 - S$200,000
S$200,001 - S$300,000
S$300,001 - S$500,000
S$500,001 - S$1,000,000
Above S$1,000,000
4
Name/ Signature of Client
Name/ Signature of Trading Representative
NRIC/Date
TR Code/ Date
Estimated Liquid Assets
Change of Custodian Details
For Office Use
CPF Investment Account No.
Agent Bank
Supplementary Retirement Scheme Account No.
Agent Bank
Signature Verified By
Date received
Reviewed by
Group Marketing/ Sep12/ EH
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UPDATE OF PARTICULARS FORM (INDIVIDUAL / JOINT)
IMPORTANT: PLEASE READ INSTRUCTIONS OVERLEAF.
(Faxed and scanned copies are not acceptable)
Please complete in BLOCK letters and tick  where applicable.
PART I: PARTICULARS
Name (as in CDP records)
NRIC/Passport Number (as in CDP records)
PART II: UPDATE PARTICULARS AND CONTACT DETAILS (Please submit supporting document)
Name (as in NRIC / Passport)
NRIC/Passport Number
Home Telephone
Country of Citizenship
Office Telephone
 Singapore PR
 Non-Singapore PR
Mobile Phone
Email Address
Residential Address (as in NRIC)
Postal code
Mailing Address (if different from Residential Address)
Postal code
Corporate Actions Mailing Address in Singapore (if mailing address is not an address in Singapore)
Postal code
 update all my direct and joint accounts maintained with CDP
 update only these accounts:
1) Account number
_
_
2) Account number
_
_
3) Account number
_
_
PART III: OTHER REQUEST
 Close
Please indicate the direct or joint account(s) maintained with CDP to close:
1) Account number
_
_
2) Account number
_
_
3) Account number
_
_
I/we hereby authorise and consent to the update of the above information to all my CDP accounts and all approved trading accounts linked to my
CDP securities account(s) .
Signature
Signature (Joint-And Account Holder, if applicable)
Date
Note: Joint-AND account requires both account holders to sign.
TO BE COMPLETED BY SGX-ST MEMBER COMPANY OR CDP AUTHORISED REPRESENTATIVE (CDP Authorised Representatives include Notary
Public, Advocates and Solicitors, Commissioner for Oath, Singapore Embassy and Justice of Peace)
I/We confirm that I/we have witnessed and verified the particulars and signature(s) of the above Securities Account applicant(s).
Authorised Signature:
Name:
(Please affix Company Stamp)
Designation:
FOR CDP USE
Received by:
Date:
Input by:
Date:
Date:
Verified by:
Date:
Securities Account Number:
The Central Depository (Pte) Limited Company Reg No.: 198003912M (A wholly-owned subsidiary of Singapore Exchange Limited)
11 North Buona Vista Drive, #06-07 The Metropolis Tower 2, Singapore 138589 main: +65 6535 7511 sgx.com/cdp [email protected]
INSTRUCTIONS
1. Please bring along original supporting documents when you visit CDP or your SGX-ST Member Company
(Broker) to update your particulars. The documents required can be found at SGX website at sgx.com/cdp.
SGX CDP Customer Service is located at 9 North Buona Vista Drive, #01-19/20 The Metropolis, Singapore
138588.
2. The list of SGX-ST Member Company can be found at SGX website at sgx.com.
3. For request sent by mail, all supporting documents must be certified true copy by CDP Authorised
Representative.
4. Please ensure that your signature matches CDP’s record to avoid delay in processing.
5. Please countersign against any amendments.
6. We will inform you once your securities account is updated.
7. Alternatively, if you are a subscriber of CDP Internet service, you may also update your address, contact
numbers and email address by logging into sgx.com/cdp.