TSA-6480(Octopus_AAVS)1-p1

Size: px

Start display at page:

Download "TSA-6480(Octopus_AAVS)1-p1"

秘丰计
4 years ago
Views:

1 312 $ HK$250HK$ JCB 4. 客戶服務熱線

2 Octopus Automatic Add Value Service and Personalised Octopus Application Form / Change of Auto-Reload Amount Form 八達通自動增值服務及個人八達通申請表格 / 更改自動增值金額表格 This form can be used to apply to link one or more Octopus card or product (collectively referred to as Octopus ) to the Octopus Automatic Add Value Service ( AAVS ), to apply for a Personalised Octopus, and / or to change the auto-reload amount. 此表格可為 1 張 / 個或以上之八達通卡或產品 ( 八達通 ) 申請八達通自動增值服務 ( 自動增值服務 ), 及用於申請個人八達通或更改自動增值金額 Please complete in BLOCK LETTERS, put a in the appropriate box, and delete where inappropriate. 請以英文正楷填寫在適當空格內加上, 及刪除不適用處 Submission method 遞交方法 Send by mail to BEA Retail Lending Operations Department (address: 40/F, BEA Tower, Millennium City 5, 418 Kwun Tong Road, Kowloon, Hong Kong) or Submit at any BEA branch AAVS processing will be completed within 15 working days upon receipt of all required information. A notification letter will be sent to the credit cardholder upon completion. 郵寄至東亞銀行零售信貸營運部 ( 地址 : 香港九龍觀塘道 418 號創紀之城五期東亞銀行中心 40 樓 ) 或遞交至東亞銀行任何分行自動增值服務申請手續將於收妥所需資料後 15 個工作天內完成, 其後本行會以專函通知信用卡持卡人 Section A Credit Cardholder Information 甲部信用卡持卡人資料 Mr. 先生 Mrs. 太太 Ms. 女士 Miss 小姐 Name in English as printed on HKID Card / Passport 香港身份證 / 護照上之英文姓名 HKID Card / Passport No. 香港身份證 / 護照號碼 Date of Birth 出生日期 D M Y Contact Number 聯絡電話 BEA Credit Card No. 東亞銀行信用卡號碼 Please select one 請選擇其中一項 : I would like to apply for the AAVS /change the auto-reload amount for my Octopus. 本人欲以現有之八達通申請自動增值服務 / 更改自動增值定額 Octopus number 八達通號碼 : ( ) I would like to apply for a Personalised Octopus^ and the AAVS. 本人欲申請個人八達通 ^ 及自動增值服務 I would like to apply for the AAVS for the applicant(s) in Section B only. 本人只希望為乙部其他申請人申請自動增值服務 Section B Other Applicants 乙部其他申請人 1 st Applicant 申請人 (1) Mr. 先生 Mrs. 太太 Ms. 女士 Miss 小姐 Name in English as printed on HKID Card / Passport 香港身份證 / 護照上之英文姓名 HKID Card / Passport No. 香港身份證 / 護照號碼 Date of Birth 出生日期 D M Y Contact Number 聯絡電話 Please select one 請選擇其中一項 : I would like to apply for the AAVS /change the auto-reload amount for my Octopus. 本人欲以現有之八達通申請自動增值服務 / 更改自動增值定額 Octopus number 八達通號碼 : ( ) I would like to apply for a Personalised Octpus^ and the AAVS. 本人欲申請個人八達通 ^ 及自動增值服務 2 nd Applicant 申請人 (2) Mr. 先生 Mrs. 太太 Ms. 女士 Miss 小姐 Name in English as printed on HKID Card / Passport 香港身份證 / 護照上之英文姓名 HKID Card / Passport No. 香港身份證 / 護照號碼 Date of Birth 出生日期 D M Y Contact Number 聯絡電話 Please select one 請選擇其中一項 : I would like to apply for the AAVS /change the auto-reload amount for my Octopus. 本人欲以現有之八達通申請自動增值服務 / 更改自動增值定額 Octopus number 八達通號碼 : ( ) I would like to apply for a Personalised Octpus^ and the AAVS. 本人欲申請個人八達通 ^ 及自動增值服務 To apply for a third additional applicant, please make a copy of this form and submit it together with this completed form. (It is not necessary to fill in Section A again.) 如欲為第 3 位親友申請此服務, 請自行影印申請表, 填妥後連同此申請表一併交回 ( 甲部資料無須重複填寫 ) * If no box is checked, the auto-reload amount will be set to HK$250 by default. 若不填寫此欄, 每次自動增值定額將被預設為 HK$250 ^ When applying for a Personalised Octopus, please select a BEA branch for collection on page 2. 如申請個人八達通, 請於第 2 頁選擇領取個人八達通之東亞銀行分行 1

3 Collection Point 領取地點 For Personalised Octopus only 只適用於個人八達通 Please select a branch for collection. BEA will notify the credit cardholder by mail when the Personalised Octopus is ready. All Personalised Octopus applied for will be collected by the relevant credit cardholder. For updated branch addresses, contact numbers, and opening hours, please visit 請選擇一間分行為領取地點東亞銀行將以專函通知信用卡持卡人領取各有關個人八達通最新之分行地址聯絡電話及營業時間請瀏覽 Hong Kong Island Branches 香港分行 Kowloon Branches 九龍分行 (014) Main 總行 Central and Western District 中西區 (016) 88 Des Voeux Road West 德輔道西88號 (136) Admiralty 金鐘 (068) Bonham Road 般含道 (084) Caine Road 堅道 (149) Kennedy Town 堅尼地城 (087) Queen's Road Central 皇后大道中 (077) Shek Tong Tsui 石塘咀 (040) Sheung Wan 上環 (147) Shun Tak Centre 信德中心 (076) The University of Hong Kong 香港大學 Wanchai District 灣仔區 (038) 399 Hennessy Road 軒尼詩道399號 (129) BEA Harbour View Centre 東亞銀行港灣中心 (018) Causeway Bay 銅鑼灣 (034) Happy Valley 跑馬地 (092) Queen's Road East 皇后大道東 (021) Wanchai 灣仔 Southern District 南區 (019) Aberdeen 香港仔 Eastern District 東區 (044) Chai Wan 柴灣 (088) King's Road 英皇道 (033) North Point 北角 (030) Quarry Bay 鰂魚涌 (026) Shaukiwan 筲箕灣 (079) Siu Sai Wan 小西灣 (055) Taikoo Shing 太古城 Yau Tsim Mong District 油尖旺區 (053) East Tsim Sha Tsui 尖東 (039) isquare 國際廣場 (143) Kowloon Station Elements 九龍站圓方 (015) Mongkok 旺角 (128) Mongkok North 旺角北 (130) Olympian City 奧海城 (133) Prince Edward 太子 (023) Tsim Sha Tsui 尖沙咀 (113) Yaumatei 油麻地 Kowloon City District 九龍城區 (100) Festival Walk 又一城 (104) Hong Kong Baptist University 香港浸會大學 (112) Kowloon City 九龍城 (035) Ma Tau Wei Road 馬頭圍道 (054) Pau Chung Street 炮仗街 (132) The Hong Kong Polytechnic University 香港理工大學 (091) Waterloo Road 窩打老道 (093) Whampoa Garden 黃埔花園 Wong Tai Sin District 黃大仙區 (066) Chuk Yuen 竹園 (064) Lok Fu 樂富 (025) San Po Kong 新蒲崗 (046) Tsz Wan Shan 慈雲山 (062) Wong Tai Sin 黃大仙 Kwun Tong District 觀塘區 (085) Hoi Yuen Road 開源道 (031) Kwun Tong 觀塘 (086) Laguna City 麗港城 (137) Millennium City 5 創紀之城五期 (099) Telford Plaza 德福廣場 Shamshuipo District 深水埗區 (027) Castle Peak Road 青山道 (146) Cheung Sha Wan Plaza 長沙灣廣場 (043) Cheung Sha Wan Road 長沙灣道 (073) Mei Foo Sun Chuen 美孚新邨 (047) Tai Hang Tung 大坑東 Outlying Islands Branches 離島分行 (094) Tung Chung 東涌 (117) Silvermine Bay 梅窩 (115) Tai O 大澳 (111) Cheung Chau 長洲 New Territories Branches 新界分行 Kwai Tsing District 葵青區 (032) Ha Kwai Chung 下葵涌 (071) Maritime Square 青衣城 (029) Sheung Kwai Chung 上葵涌 Tsuen Wan District 荃灣區 (036) Tsuen Wan 荃灣 (148) Tsuen Wan Fou Wah Centre 荃灣富華中心 Tuen Mun District 屯門區 (082) Lingnan University 嶺南大學 (069) Tuen Mun 屯門 (049) Tuen Mun Town Plaza 屯門市廣場 Yuen Long District 元朗區 (102) Tin Shui Wai 天水圍 (042) Yuen Long 元朗 Sai Kung District 西貢區 (081) East Point City 東港城 (105) Metro City Plaza 新都城中心 (135) Park Central 將軍澳中心 (142) Sai Kung 西貢 (144) The Hong Kong University of Science and Technology 香港科技大學 (141) Tiu Keng Leng 調景嶺 Shatin District 沙田區 (083) Ma On Shan Plaza 馬鞍山廣場 (057) Shatin Plaza 沙田廣場 (063) Sun Chui Estate 新翠邨 (059) Tai Wai 大圍 (139) The Chinese University of Hong Kong 香港中文大學 Tai Po District 大埔區 (095) The Hong Kong Institute of Education 香港教育學院 (051) Tai Po 大埔 (065) Tai Po Plaza 大埔廣場 (145) Tai Wo 太和 North District 北區 (056) Fanling 粉嶺 (050) Sheung Shui 上水 Declaration 聲明 I/We hereby declare and confirm that all information in respect of me/us provided in this application form is true, accurate and complete to the best of my/our information, knowledge and belief. I/We also confirm that I/we have read and agreed to be bound by the Terms of Application, the AAVS Agreement and the Conditions of Issue (as amended by Octopus Cards Limited from time to time) in the use of the AAVS and the Octopus. I/We acknowledge and agree that upon the approval of the AAVS, my/our personal data provided in this application will be associated with my Octopus. By signing this application form, I/we agree that I/we have read, understood and agreed with the notice relating to the Personal Data (Privacy) Ordinance contained in Clause 33 to 40 of the AAVS Agreement and agree to authorise BEA to pass my/our personal data to Octopus Cards Limited (including but not limited to the information provided in this application form, the information of the AAVS account, my/our latest telephone number(s), and residential address(es)). As the AAVS Account Holder, I also agree to be liable for all fees associated with the application by all the Applicants under this application in respect of the AAVS and/or the Personalised Octopus as set out herein. I authorise BEA to pay Octopus Cards Limited in accordance with such instructions as it may receive from Octopus Cards Limited from time to time. I promise to reimburse BEA subject to and in accordance with the BEA Credit Card Cardholder Agreement. 本人 / 吾等聲明及確認本申請表內提供的一切資料就本人 / 吾等所知所信均屬真實準確及完全本人 / 吾等亦確認會就使用自動增值服務及八達通遵守本申請條款自動增值協議及發卡條款包括由八達通有限公司不時公佈之修訂本人 / 吾等知悉及同意於本申請獲批核後本人 / 吾等之個人資料將連繫至本人 / 吾等持有之八達通本人 / 吾等如簽署本申請表即表示已細閱明白及同意自動增值協議條款第33至40關於個人資料私隱條例的通知以及同意授權東亞銀行向八達通有限公司透露本人 / 吾等之個人資料包括但不只限於本申請表內提供的資料自動增值服務賬戶資料本人 / 吾等最新之電話號碼及地址等作為自動增值服務賬戶持有人本人同意為本申請表內的每項自動增值服務及 / 或個人八達通之申請繳付所有有關費用本人授權東亞銀行依照八達通卡有限公司不時給予東亞銀行之指示而向八達通卡有限公司付款本人承諾遵循東亞銀行信用卡持卡人合約償付東亞銀行 Signature of Credit Cardholder 信用卡持卡人簽署 Signature# of 1st Applicant 申請人 1 簽署# Signature# of 2nd Applicant 申請人 2 簽署# Date 日期 Date 日期 Date 日期 # If the applicant is aged below 18, the applicant s parent or guardian must sign for the applicant. 如申請人未滿18歲須由家長或監護人代為簽署 APP SC A/C No. VF CC230 (01/2014) FOR BANK USE ONLY 銀行專用 DEC DD 2

Microsoft Word - PointSys2017_approved.doc

Microsoft Word - PointSys2017_approved.doc Annex A THE UNIVERSITY OF HONG KONG Hall Admission Exercise - Need Score System Awarded for 2017-2018 Hong Kong Central & Western @ 9am Proposed for 15 13 Central & 15 13 - Western Wanchai Wanchai 25 22