Hang Seng Bank Securities Account - Holdings Transfer Instruction Requisition Form

:
To : Hang Seng Bank Limited (the Bank)

Please complete in BLOCK LETTERS and where appropriate.

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

Part A Customer Information

Securities Account No

Name

Part B Instruction
Section 1
Authorisation 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:
()/
the following Integrated / Prestige Banking Securities Account without change of beneficial ownership.
/
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
________ be transferred to a third party, and thus this election is ____
the Bank CANNOT
NOT applicable to HKD denominated Notes issued by the
Bank.)
()()
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:
(i) ,
may only be effected in an amount equal to the minimum transfer amount or in integral multiples thereof; and
(ii) //
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 specific
issuers for details.

Section 2
Holdings to be transferred
,
All holdings, or
,
Partial holdings, including:

Code(s)

Quantity

Structured Products issued by other issuers

>>OAS>IOD

Callable Certificates of Deposit

Bonds

Stocks

Page 1/2

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Stock Code(s):

Quantity

__________________________________________________

____________________

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SEC238-R7(YX) 1-2 02/13 E

Structured Products issued by Hang Seng Bank __________________________________________________ ____________________

 Part B () Instruction (Cont)

Section 3
Other Confirmations and Authorisations
()
(Applicable only if the transfer of holdings involves change of beneficial ownership)

(A) Confirmation of Transferee(s)

//
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.

Securities Account No .

Account Name
()
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
(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 the
relevant 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):
;
separately borne by each party ; or
;
all borne by the Transferor(s); or

all borne by the Transferee(s).

Signature(s) of the Transferee(s)

Signature(s) of Transferor(s)

Officer

Officer

s.v.

s.v.

X_______________________________________

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

Contact No.___________________________________________________

X_______________________________________

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

Contact No.___________________________________________________

For Bank Use

>>OAS>IOD

1.
(IPS)

Yes

No

2.
(GHSS
S6131)

Yes

No

3.

Yes

No

4. ()

Yes

Yes

No

No

5.
____(
____
)

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SEC238-R7(YX) 2-2 02/13 E