| To | : | Branch | |
| From | : | Department | |
| Date | : |
Please kindly arrange to open bank account for the following offshore company:
| Name of the company | : | |
| Address | : | |
| Place of Incorporation | : | |
| Bank Reference | : | |
| Nature of Business | : | |
| Source of Wealth | : | |
| Purpose of Opening the Account(s) | : | |
| Business Relationship of the Customer with the Bank | : | |
| Other Background Information about the Customer, if any | : |
........................................