Eng | |

Please complete the below fields of the following online application form in English.
Our designated staff member will contact you by phone within 1 business day after receiving the application.
Enquiry Hotline : 2287 6788

Key Facts Statement of

Basic
Information

Personal Loan
Particulars

More About You

Confirmation

Basic Information

Is this loan application referred by any third party?
Verification Code

(Please click the picture if you want to refresh it)

Please fill in more information,

Residential Address (P.O. Box / Overseas address is not accepted)
Loan Disbursement Method:

* Applicant has to submit a full copy of the first page of passbook / bank statement of the account if the fund receiving bank account is not China CITIC Bank International account. The fund receiving bank may levy a charge on fund transfer. Joint Account is not accepted. Please contact the related bank for details.

Applicant must fill in the Autopay Authorisation Form so that the Bank can arrange direct debit for your monthly repayment.


More About You,
Personal Particulars:

Year(s) at Current Address

Owner of Mentioned Property?

Permanent Address - Same as Residential Address?

Permanent Address
Employment:

Years at Current Position

Years at Profession

Are you self employed?

Office Address (Please provide documentary proof)
Please provide documentary proof
FATCA and CRS Self Declaration:

Part 1: Tax Residence for Us Citizenship / Us Residence

I certify that I am a U.S. Citizen /U.S. Resident (e.g. Alien Resgistration Card holder (i.e.Green Card holder ) or meets substantail presence test).
Taxpayer Identification Number (TIN)

Declaration for Part 1 : Tax Residence for US Citizenship / US Residence

The following certification is applicable only if you are a U.S citizen or other U.S. person (i.e. you have ticked “Yes” in the above question:

Under penalty of perjury, I certify that:

  1. The number shown on this certification is my correct taxpayer identification number;
  2. Unless otherwise indicated below, I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding;

    I am subject to backup withholding for whatever reason(s) including that I have been notified by the IRS that I have failed to report all interest and dividends on my tax return.
  3. I am a U.S. citizen or other U.S. person; and
  4. The FATCA code(s) entered on this certification (if any) indicating that I am exempt from FATCA reporting is correct.

    For a U.S. person, you are required to provide the certifications contained herein. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholdings.

Part 2: Tax Residence for the Country(ies) other than US

I certify that I am a tax resident of another country other than US:
Please complete a table in the following section indicating (i) where the Account Holder is a resident for tax purposes and (ii) the Account Holder’s Taxpayer Identification Number or its functional equivalent (“TIN”) for each country/ jurisdiction indicated
Country / Jurisdiction of Tax Residence ^ TIN If no TIN available, enter Reason A or B*
1.
2.
3.
4.
5.
Remarks and Declaration for Part 2: Tax Residence for the Country(ies) other than US

^The information provided here would not supersede all previous ones. All previous tax residence information provided (as the case may be) should remain unchanged.

*If a TIN is unavailable, please provide the appropriate reason A or B as indicated below:

  • Reason A: The country/ jurisdiction where the Account Holder is resident for tax purpose but does not issue TINs to the Account Holder
  • Reason B: No TIN is required (Note: Only select this reason if the authorities of the country/ jurisdiction of tax residence entered above do not require the TIN to be disclosed)

The above certification is specifically required with respect to the collection, retention and use of the above data as necessarily required in section 50C(3) of the Inland Revenue Ordinance for a reportable account and a non-reportable account for the purpose of automatic exchange of financial account information.

I acknowledge and agree that (i) the information contained in this certification is collected and may be kept by the financial institution for the purpose of automatic exchange of financial account information, and (ii) such information and information regarding the account holder and any reportable account(s) may be reported by the financial institution to the Inland Revenue Department of the Government of the Hong Kong Special Administrative Region of the People's Republic of China in which the account(s) is/are maintained and exchanged with tax authorities of another jurisdiction or jurisdictions in which the account holder may be resident for tax purposes pursuant to the competent authority agreements to exchange financial account information.

I also acknowledge that it is an offence under the Inland Revenue Ordinance if any person, in making a self-certification, makes a statement that is misleading, false or incorrect in a material particular knowingly or in a reckless manner. A person who commits the offence is liable on conviction to a fine at level 3 (i.e. HKD10,000).

Nationality should be included as one of the Country/Jurisdiction of Tax Residence. If not, please state the reasons:

  • a) The number of days stayed is less than the threshold as per the requirement of the countr(ies) of nationality
  • b) I do not reside or domicile in the country(ies) of nationality
  • c) I have claimed non-resident of the country(ies) of nationality
  • d) Others
Relationship with the relevant person(s) of the Bank :

Is any of the borrower(s) or guarantor(s) a relative(s) (as defined under Section 79(1) of the Banking Ordinance (Cap. 155 of the Laws of Hong Kong)) of any director or employee of China CITIC Bank International Limited (including its subsidiaries and affiliates)?

I confirm that, at present, there is no such relationship with the above person. The borrower(s) / guarantor(s) undertake(s) to notify China CITIC Bank International Limited promptly in writing if the borrower(s) / guarantor(s) become(s) so related in future.

I confirm that, at present, there is no such relationship with the above person. The borrower(s) / guarantor(s) undertake(s) to notify China CITIC Bank International Limited promptly in writing if the borrower(s) / guarantor(s) become(s) so related in future.

Opt-out for Direct Marketing

I do not wish the Bank to use my personal data in direct marketing via the following channel(s)
*(Please check the box(es) below where applicable) :

I / we certify that I / we agree to all the Terms & Conditions, Customer Data Protection Policy and Applicant Declaration.
Please confirm the details,

Basic Information

Product Type
Title
Surname
Given Name
Former Name / Other Name (if any, please provide proof)
HKID No
Mobile No
Email
Loan Amount (HK$)
Tenor
Channel
Branch
Promo Code (if any)

Personal Loan Particulars

Loan Purpose
Others (Please specify):
Expected Loan Drawdown Date (optional)
Date of Birth
Nationality
Do you have multiple nationalities?
1
2
3
4

Residential Address (P.O. Box / Overseas address is not accepted)

Flat / Room
Floor
Block
Building
Street Number and Street Name
District
Region
Country
Monthly Income (HK$)
Business Nature
Monthly Mortgage Installment / Rental Payment (HK$)

Loan Disbursement Method:

Name of Bank (must be a licensed bank in Hong Kong)
Bank No.
Account Holder Name (Account Holder must be the applicant)
Account Number

More About You

Personal Particulars:

Marital Status
No. of Dependents
Educational Level
Home Telephone No. (Optional)
Residential Type
Year(s) at Current Address
Years Months
Owner of Mentioned Property?
Permanent Address - Same as Residential Address?

Permanent Address

Flat / Room
Floor
Block
Building
Street Number and Street Name
District
Region
Country

Employment:

Position
Company Name
Current Position
Years Months
Profession
Years Months
Office Telephone No
Are you self employed?

Office Address (Please provide documentary proof)

Flat / Room
Floor
Block
Building
Street Number and Street Name
District
Region
Country
Preferred Mailing Address

FATCA and CRS Self Declaration:

Part 1: Tax Residence for Us Citizenship / Us Residence
I certify that I am a U.S. Citizen /U.S. Resident (e.g. Alien Resgistration Card holder (i.e.Green Card holder ) or meets substantail presence test).
Taxpayer Identification Number (TIN)
Declaration for Part 1 : Tax Residence for US Citizenship / US Residence
Not subject to backup withholding
Part 2: Tax Residence for the Country(ies) other than US
I certify that I am a tax resident of another country other than US:
Country / Jurisdiction of Tax Residence ^ TIN If no TIN available, enter Reason A or B*
1
2
3
4
5
Remarks and Declaration for Part 2: Tax Residence for the Country(ies) other than US

Nationality should be included as one of the Country/Jurisdiction of Tax Residence. If not, please state the reasons:

a) The number of days stayed is less than the threshold as per the requirement of the countr(ies) of nationality
b) I do not reside or domicile in the country(ies) of nationality
c) I have claimed non-resident of the country(ies) of nationality
d) Others
Please specify:

Relationship with the relevant person(s) of the Bank

Name of the relevant director or employee
Relationship with the relevant person(s) of the Bank
I confirm that, at present, there is no such relationship with the above person. The borrower(s) / guarantor(s) undertake(s) to notify China CITIC Bank International Limited promptly in writing if the borrower(s) / guarantor(s) become(s) so related in future.

Opt-out for Direct Marketing

I do not wish the Bank to use my personal data in direct marketing via the following channel(s)
Please input the One Time Password