香 港 奬 金 請 領 申 請 書 Hong Kong Bonus Payout Application Form
因本人 (會員編號: 護照號碼: ) 無法提供有關香港銀行之帳戶資料,請將本人在 妮芙露香港有限公司 產生之奬金採取下列方式給予本人。 I (Distributor No.: Passport No.: ) do not have a bank account in Hong Kong, please retain the bonus in Nefful Hong Kong ltd.
奬金請領方式,請擇一勾選 Please Tick:
1.
□ 美金電匯 Telegraphic Transfer in USD 美金電匯手續費為HKD250,每筆手續費由會員承擔,並在獎金中抵扣,匯率以銀行當日匯率為準, 請提供銀行英文資料,戶名與護照名字相同,如資料未填完整者,恕不受理。 A transaction fee of HKD250 shall apply to every transfer and will be deducted from the commission. The exchange rate is subjected to the bank’s current rate.
○ 每月匯款 Fixed remittance in ever month
○ 每年的6月及12月匯款 Fixed remittance in June and December every year
○ 每年的12月匯款 Fixed remittance in December every year
※必須提供完整之英文資料 Must provide Bank’s information in ENGLISH※
【每次匯出獎金金額需達HKD1,500或以上 Commission must be over HKD1,500】
帳戶姓名Account Name: ____________________________________________________________
銀行帳號 Account Number: __________________________________________________________
銀行名稱 Bank Name: ______________________________________________________________
分行名稱 Branch Name: _____________________________________________________________
銀行地址Bank Address: _____________________________________________________________
銀行代碼 Swift Code: _______________________________________________________________
本人承諾所提供的上述匯款資料無誤,如因本人所提供之資料有誤,導致匯款作業出現問題,期間銀行作業之所有手續費,本人願意一概承擔,絕無異議。
I declare and confirm that the information provided is correct, as a result I have provided incorrect information, leading to transfer operational problems during the banking operations of all charges, I will bear the cost.
2. □ 港幣現金支票 HKD Cash Cheque
每張港幣現金支票手續費為HKD 10。支票有效期限為六個月,過期或遺失導致重開,需自行承擔所有 銀行費用。
A processing fee of HKD10 shall apply to every cheque. And the cheque will expiry after six months. If cheque is lost or expired, distributor must undertake all costs involved.
○ 單次領取,領取日期 Single Received : ______________________
【需預7天前通知香港財務部 Should inform Nefful Hong Kong ltd. account department 7 days before】
立書人: _____
西 元 ____________年 月____________日
香港奬金請領申請書_2010年6月版