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

B. Address Details

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

Bank Account Details

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

C. File Upload

Please upload related ID's and documents.

D. Declaration

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

Declaration* I hereby declare that the information provided is true and complete to the best of my knowledge and authority. I understand that this declaration may be relied upon for onboarding and verification purposes. I agree to notify the company of any changes to the information provided. Other

Originals verified and Self-Attested Document copies received

Disclaimer

Purpose of Documents: All documents and information submitted are used solely for compliance and regulatory verification purposes.

No Liability for Inaccuracies: Grand Horology shall not be liable for any inaccuracies, omissions, or misrepresentations in the information provided by the applicant.

Basis of Due Diligence: Customer Due Diligence (CDD) and Enhanced Due Diligence (EDD) have been performed exclusively on the basis of the information and documents furnished by the applicant.

Grand Horology Limited

Submission received

Thank you. Your onboarding form was submitted successfully.

Reference:

The registration copy is one PDF. Every supporting document is included in that file. The ZIP keeps each original file separate.