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  • 8/13/2019 HangSeng Form

    1/2

    SEC23

    8-R7(YX)1-202/13E

    Part B Instruction

    Securities Account No

    Name

    Hang Seng Bank Securities Account - Holdings Transfer Instruction Requisition Form

    Please complete in BLOCK LETTERS and where appropriate.

    : : Hang Seng Bank Limited (the Bank)

    To

    Page 1/2

    (//)Date(DD/MM/YY)

    Part A Customer Information

    ()/the following Integrated / Prestige Banking Securities Account without change of beneficial ownership.

    Section 1Authorisation by Transferor(s)

    ()()I/We request and authorise you to transfer the holdings specified in Section 2 which are deposited under the above Securities Account to:

    /Integrated / Prestige Banking Securities Account No.

    Name

    (, )the designated securities account of the transferee in Section 3 with change of beneficial ownership. (Note: HKD denominated Notes issued by

    the Bank CANNOT be transferred to a third party, and thus this election is NOT applicable to HKD denominated Notes issued by the

    Bank.)

    (i)

    (ii)

    , may only be effected in an amount equal to the minimum transfer amount or in integral multiples thereof; and

    //

    there may be charges and/or stamp duty involved. Please refer to the Securities Service Charges of the Bank and/or the offering documents of the specificissuers for details.

    ()()In addition, I/we hereby confirm that I/we understand any transfer of beneficial interests in any of the holdings specified in Section 2 below:

    Section 2Holdings to be transferred

    , All holdings, or

    , Partial holdings, including:

    Quantity

    Structured Products issued by Hang Seng Bank

    Code(s)

    __________________________________________________

    __________________________________________________

    ____________________

    ____________________

    Structured Products issued by other issuers __________________________________________________

    __________________________________________________

    ____________________

    ____________________

    Callable Certificates of Deposit __________________________________________________

    __________________________________________________

    ____________________

    ____________________

    Bonds __________________________________________________

    __________________________________________________

    ____________________

    ____________________

    Stocks

    __________________________________________________

    __________________________________________________

    ____________________

    ____________________

    Stock Code(s):

    Quantity

    ___

    ________ ____

    >

    >OAS>IOD

    __

  • 8/13/2019 HangSeng Form

    2/2

    SEC238-R7(YX)2-202/13E

    Part B () Instruction (Cont)

    Page 2/2

    >

    >OAS>IOD

    ; separately borne by each party ; or

    Section 3Other Confirmations and Authorisations

    (A) Confirmation of Transferee(s)

    ()(Applicable only if the transfer of holdings involves change of beneficial ownership)

    Securities Account No .

    Account Name

    //As the transferee(s), I/We hereby confirm that I/we understand the above transfer of holdings to my/our account involves charges and/or stamp duty.

    Please refer to the Securities Services Charges of the Bank for the relevant charges and stamp duty.

    (B) Debit Authorisation

    //

    // ():If the above transfer of holdings involves charges and/or stamp duty, the Transferor(s)/and the Transferee(s) hereby authorize you to debit therelevant charges/and or stamp duty from the designated settlement account of my/our account below and the charges and/or stamp duty will be

    (please choose one):

    ; all borne by the Transferor(s); or

    all borne by the Transferee(s).

    Signature(s) of Transferor(s)

    Please use signature(s)/chop(s) filed with the Bank

    X_______________________________________

    Contact No.___________________________________________________

    Signature(s) of the Transferee(s)

    Please use signature(s)/chop(s) filed with the Bank

    X_______________________________________

    Contact No.___________________________________________________

    For Bank Use

    4. ()

    3.

    (GHSSS6131)

    5. ()

    Yes

    No

    Yes

    No

    Yes

    No

    Yes

    No

    ()Account Type (Please choose the account type if the account of transferor is deceased account)

    Executor / Administrator Account

    Personal Single-Name Account for the Survivor of the Deceased Joint-Name Account

    1.

    (IPS)Yes

    No

    ____

    ____

    2.

    Officers.v.Officers.v.