THE INTERNATIONAL COMMERCIAL BANK OF CHINA

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1 請依是否尚仍持有本行支票, 擇一填寫表格若仍持有本行支票者步驟一 : 請先確認目前餘額, 並確認再完成關戶前, 是否仍會有交易或餘額異動之可能步驟二 : 請開立一張以本人為受益人之支票, 受益人並於支票後方確實背書 ( 支票內容請務必以英文填寫 ) 注意 :1. 支票右下方需簽署原留簽樣 2. 餘額已最後確認無誤, 且英文大小寫數字需一致 3. 日期需正確填妥 4. 支票左下方請註明 ACCOUNT CLOSED 步驟三 : 填寫匯款表格 -acct close, 並請確實核對收款人之銀行資料及匯款金額 ( 資料內容請務必以英文填寫 ), 同時附上存戶本人之最新護照影本

2 尚持有本行支票者適用之表格 MEGA INTERNATIONAL COMMERCIAL BANK NEW YORK BRANCH APPLICATION FOR TRANSFER OF FUNDS DATE [ 填寫表格日期 ] = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = TRANSFER OF FUNDS REMIT BY : CABLE BENEFICIARY S BANK [ 受益人銀行的英文全名 ] ADDRESS(SWIFT CODE) [ 受益人的銀行 SWIFT CODE - 比如 : ICBCTWTP007] BENEFICIARY (PAY TO) [ 受益人的英文全名 - 您自己 ] ACCT NO.[ 受益人的銀行帳戶號碼 ] ADDRESS [ 受益人的英文住址 ] **PURPOSE: ACCOUNT CLOSE (FOR ACCT. NO. [ 您在 MEGA ICBC 紐約分行的五位數帳戶號碼 ] ) DOLLARS Amount Transferred Commission Correspondent charge $ [ 帳戶餘額 ] Cable Charged/Air Mail Postage US$ 0.00 CHECK ENCLOSED Air Mail Postage CHARGE MY/OUR ACCOUNT NO. TOTAL: $ Originator (APPLICANT): Identification [ 有效護照號碼 ] Last Name First Name M.I. Social Security No. [ 匯款人的英文名字 ] Address Occupation [ 匯款人的英文住址 ] City State Zip Code Date of Birth Telephone Number: Home ( ) [ 匯款人的聯繫電話 ] Business ( ) [ 匯款人的生日 ] Signature of Originator (The originator agrees that this transfer is subject to the conditions set forth on the reverse side) [ 匯款人的簽名 - 需與本銀行記錄裡的有權簽樣一致 ] = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = *** 請附上貴帳戶支票, 憑以辦理帳戶結清及電匯手續 (PLEASE ENCLOSE YOUR CHECK FOR T/T & CLOSE ACCT )

3 步驟四 : 請將匯款申請書正本及支票正本及最新護照影本寄回本行, 本行地址如下 : Mega International Commercial Bank Co., Ltd. New York Br. Business Dept. 65 LIBERTY ST., NEW YORK, NY10005, U.S.A. 本行於收到您提示之相關文件且確認金額與內容無誤後, 方會進行關戶流程 ** 注意 : 1. 因本行只有收到文件正本後才可辦理匯款手續, 為避免填寫不完整或錯誤而延誤匯款, 請您在郵寄正本前先將匯款申請書影本支票影本及護照影本或者傳真至本行, 待本行回覆確認內容無誤後, 再將文件寄出 2. 依美國消費者保護法規定, 本行於款項匯出前, 需將相關費用揭露予消費者, 故本行會再發通知至您原留存於本行之信箱, 請您收到後, 務必回覆, 以免延誤您款項收妥時間!

4 若已無持有本行支票者步驟一 : 請先確認目前餘額, 並確認再完成關戶前, 是否仍會有交易或餘額異動之可能步驟二 : 填寫匯款表格 -acct close- 未附支票, 並請確實核對收款人之銀行資料及匯款金額, 同時附上存戶本人之最新護照影本 ( 資料內容請務必以英文填寫 ) 步驟三 : 請將匯款申請書正本及最新護照影本寄回本行, 本行地址如下 : Mega International Commercial Bank Co., Ltd. New York Br. Business Dept. 65 LIBERTY ST., NEW YORK, NY10005, U.S.A. 本行於收到您相關文件且確認金額與內容無誤後, 方會進行關戶流程 ** 注意 : 1. 因本行只有收到文件正本後才可辦理匯款手續, 為避免填寫不完整或錯誤而延誤匯款, 請您在郵寄正本前先將匯款申請書影本支票影本及護照影本或者傳真至本行, 待本行回覆確認內容無誤後, 再將文件寄出 2. 依美國消費者保護法規定, 本行於款項匯出前, 需將相關費用揭露予消費者, 故本行會再發通知至您原留存於本行之信箱, 請您收到後, 務必回覆, 以免延誤您款項收妥時間!

5 已無持有本行支票者適用之表格 MEGA INTERNATIONAL COMMERCIAL BANK NEW YORK BRANCH APPLICATION FOR TRANSFER OF FUNDS DATE [ 填寫表格日期 ] = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = TRANSFER OF FUNDS REMIT BY : CABLE BENEFICIARY S BANK [ 受益人銀行的英文全名 ] ADDRESS(SWIFT CODE) [ 受益人的銀行 SWIFT CODE - 比如 : ICBCTWTP007] BENEFICIARY (PAY TO) [ 受益人的英文全名 - 您自己 ] ACCT NO.[ 受益人的銀行帳戶號碼 ] ADDRESS [ 受益人的英文住址 ] **PURPOSE: ACCOUNT CLOSE (FOR ACCT. NO. [ 您在 MEGA ICBC 紐約分行的五位數帳戶號碼 ] ) DOLLARS Amount Transferred Commission Correspondent charge $ [ 帳戶餘額 ] Cable Charged/Air Mail Postage US$ 0.00 CHECK ENCLOSED Air Mail Postage CHARGE MY/OUR ACCOUNT NO. TOTAL: $ Originator (APPLICANT): Identification [ 有效護照號碼 ] Last Name First Name M.I. Social Security No. [ 匯款人的英文名字 ] Address Occupation [ 匯款人的英文住址 ] City State Zip Code Date of Birth Telephone Number: Home ( ) [ 匯款人的聯繫電話 ] Business ( ) [ 匯款人的生日 ] Signature of Originator (The originator agrees that this transfer is subject to the conditions set forth on the reverse side) I declare that there is no your bank s check in hand. If there is any check or other payment in circulation, I agree your bank to reject.. Please complete the procedure for balance transfer and closed my account No. 本人聲明已無持有貴行任何支票, 若有任何支票或代收付款項流通在外, 同意貴行採拒付處理請結清帳戶, 並將餘額轉入上述本人帳戶我留存在貴行之簽樣如下 [ 匯款人的簽名 - 需與本銀行記錄裡的有權簽樣一致 ] Authorize signature File: 匯款表格 -acct close 未附支票.doc

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<4D6963726F736F667420576F7264202D2031A1C4313034AAC0ACECB07CBAD3A468A662C2BEC2B2B3B92D303632352D4F4B> 重要日程路 1 目錄 2 報名流程 5. 3 報名應注意事項 4 壹報考資格貳報名 5 更料 6 7 A/C with Bank( 受款行名稱 ) : YUANTA COMMERCIAL BANK CO., LTD. SWIFT CODE : Bank Address( 受款行地址 ) : APBKTWTH 3F, No. 210, Sec.