|
[接上页] Yes No (b) If the answer to (a) is 'Yes', give the following details in respect of each bank at which you propose to keep an account in connection with the business- 1 2 3 4 Name of bank Address of bank Account number Date on which the account was opened 5. (a) Do you propose to appoint a certified public accountant (practising) as defined in the Professional Accountants Ordinance (Cap 50) to audit the accounts of the business? Yes No (b) If the answer to (a) is 'Yes', state the name and address of the accountant- ___________________________________________________________ ___________________________________________________________ 6. (a) Have you, or any member of your management named in paragraph 4 of the Application for a Licence, ever been convicted, whether in Hong Kong or elsewhere, of an offence other than a traffic offence? Yes No (b) If the answer to (a) is 'Yes', give the following details- 1 2 3 4 Fall name of the defendant in English Full name of the defendant in Chinese characters (if applicable) and code Aliases (if any) Hong Kong Identity Card number The offence Penalty (if any) imposed Date of conviction Place of conviction Name of the court which tried the offence 7. (a) Have you any unsatisfied judgment debt outstanding against you in connection with any business conducted by you in Hong Kong or elsewhere? Yes No (b) If the answer to (a) is 'Yes', please state- (i) the date of the judgment ______________________________________ (ii) the name of the court giving judgment ____________________________ ________________________________________________________ 8. (a) Have you any unsatisfied judgment or court order requiring the payment of damages or a sum of money in relation to any trade or business carried on by you or in which you have been concerned? Yes No (b) If the answer to (a) is 'Yes', please state- (i) the date of the judgment ______________________________________ (ii) the name of the court giving judgment or making the order _____________ ________________________________________________________ 9. (a) Have you ever been adjudicated bankrupt in Hong Kong or elsewhere? Yes No (b) If the answer to (a) is 'Yes', give details of- (i) the date of the adjudication ____________________________________ (ii) the name of the court which made the adjudication of bankruptcy ________ ________________________________________________________ (c) If you have been discharged as a bankrupt, state- (i) the date of discharge ________________________________________ (ii) the conditions of discharge ____________________________________ 10. (a) Has a bankruptcy petition ever, in Hong Kong or elsewhere, been served on you which did not result in your being adjudicated bankrupt? Yes No (b) If the answer to (a) is 'Yes', specify details of the petition, including the date, place and the court in which the petition was presented _______________________________________________________________________________ 11. (a) Have you ever, in Hong Kong or elsewhere, been a party to a scheme of arrangement or entered into any form of composition with your creditors? Yes No (b) If the answer to (a) is 'Yes', give details of the arrangement or composition ____________________________________________________________ ____________________________________________________________ 12. (a) To the best of your knowledge, has any company or other body corporate of which you have been a director, in Hong Kong or elsewhere, been wound up, otherwise than by means of a members' voluntary winding up, during the 5 years preceding this application? Yes No (b) If the answer to (a) is 'Yes', state- (i) the name of the company or body corporate ________________________________________________________ (ii) the mode of winding up ________________________________________________________ (iii) the reasons for winding up _______________________________________________________ _______________________________________________________ 13. (a) To the best of your knowledge, has any firm of which you have been a partner, in Hong Kong or elsewhere, been dissolved, otherwise than voluntarily with the consent of all the partners, during the 5 years preceding this application? Yes No (b) If the answer to (a) is 'Yes', state- (i) the name of the firm ________________________________________ (ii) the mode of dissolution ______________________________________ (iii) the reasons for dissolution ____________________________________ _______________________________________________________ I/We* declare that all the information given by me/us* in this application is true and correct to the best of my/our* knowledge and belief. Signed ___________________________ *(Applicant as an individual) *(Applicant for and on behalf of all partners whose signatures are given in the application form) * Delete as appropriate. Please note: (i) The original and one copy of this statement, duly completed and signed, should be submitted, together with the Application for a Licence, to the Registrar. |