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Date of Birth
Securities Trading Code
1
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ID Type
ID No.
Passport
Operating license number
Global trading code
Other
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ID/Passport
2
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Issuing Date
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Issuing Place
Tax Code
Country of Taxation
Afganistan
Alaska
Albania
Algeria
American Samoa
American Virgin IsI
Andorra
Angola
Anguilla
Antigua Barbuda
Argentina
Armenia
Aruba
Ascension IsI
Australia
Austria
Azerbaijan
Azores IsI
Bahamas
Bahrain
Bangladesh
Barbados
Baleric IsI
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia - Hecegovina
Bostwana
Brazil
Bristish Virgin IsI
Brunei
Bulgaria
Burkinafaso
Burundi
Cambodia
Cameroon
Canada
Canary IsI
Cape Verde
Cayman IsI
Caribbean IsI
Central African Rep
Chad
Chile
China
Christmas IsI
Cocos IsI
Colombia
Comoros
Rep.of the Congo
DPR of the Congo
Cook IsI
Costa Rica
Croatia
Cuba
Cyprus
Czech
Denmark
Diego Garcia
Djibouti
Dominica IsI
Dominican Rep
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Estonia
Eritrea
Ethiopia
Falkland IsI
Faroe IsI
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibratar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Hawaii
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
DPR of Korea
Rep of Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagasca
Madeira
Malawi
Malaysia
Maldives
Mali
Malta
Marshall IsI
Martinique
Mauritania
Mauritius
Mayotte IsI
Mexico
Micronesia
Midway Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue IsI
Norfolk IsI
Norway
Oman
Pakistan
Palau
Palestine
Panama
Mauritius
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Quatar
Reunion
Romania
Russia
Ruwanda
Saipan ( Mariana )
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon IsI
Somalia
South Africa
Spain
Spanish North Africa
Sri Lanka
St Helena
St Kitts and Nevis
St Lucia
St Pierre and Miquelon
St Vicent & Grenadines
Sudan
Surinam
Swaziland
Sweeden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Tokelau
Trinidad & Tobaco
Tunisia
Turkey
Turkmenistan
Turks and Caicos IsI
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Wake IsI
Wallis & Futuna IsI
Western Sahara
Western Samoa
Yemen Republic
Yugoslavia
Zambia
Zimbabue
Jersey
Guernsey
Contact Information
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Phone Number
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Email
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Residential address
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Mailing Address
Mailing Address Abroad Within 6 Months
1
Bank Account Information
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Bank Account Name
*
Bank Account Number
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Bank Name
ABB - Ngân hàng TMCP An Bình
ACB - Ngân hàng TMCP Á Châu
AGR - Ngân hàng Nông nghiệp và Phát triển nông thôn Việt Nam
AVL - Ngân hàng TNHH Một thành viên ANZ Việt Nam
BAB - Ngân hàng TMCP Bắc Á
BAOVB - Ngân hàng TMCP Bảo Việt
BID - Ngân hàng TMCP Đầu tư và Phát triển Việt Nam
BVB - Ngân hàng TMCP Bản Việt
CFC - Công ty tài chính cổ phần Xi Măng
CMWB - Ngân hàng Commomwealth Bank of Australia
COOPB - Ngân hàng Hợp tác xã Việt Nam
CTG - Ngân hàng TMCP Công thương Việt Nam
Citibank - Ngân hàng Citibank N.A. Việt Nam
DAB - Ngân hàng TMCP Đại Á (T. Đồng Nai)
DBH - Deutsche Bank AG
EAB - Ngân hàng TMCP Đông Á
EIB - Ngân hàng TMCP Xuất Nhập Khẩu Việt Nam
FEN - Ngân hàng Far East National Bank - Chi nhánh Hồ Chí Minh
GPB - Ngân hàng TMCP Dầu Khí Toàn Cầu
HDB - Ngân hàng TMCP Phát triển TP. Hồ Chí Minh
HLOB - Ngân hàng TNHH MTV Hong Leong Việt Nam
HSB - Ngân hàng TNHH Một thành viên HSBC (Việt Nam)
IVB - Ngân hàng TNHH Indovina
KLB - Ngân hàng TMCP Kiên Long
LPB - Ngân hàng TMCP Bưu điện Liên Việt
LVB - Ngân hàng liên doanh Lào Việt
MBB - Ngân hàng TMCP Quân Đội
MDB - Ngân hàng TMCP Phát triển Mê Kông
MHB - Ngân hàng TMCP Phát triển Nhà Đồng Bằng Sông Cửu Long
MSB - Ngân hàng TMCP Hàng Hải Việt Nam
NAB - Ngân hàng TMCP Nam Á
NCB - Ngân hàng TMCP Quốc Dân
NHNN - Ngân hàng Nhà Nước Việt Nam
NVB - Ngân hàng TMCP Nam Việt
OCB - Ngân hàng TMCP Phương Đông
OJB - Ngân hàng TMCP Đại Dương
PGD - Ngân hàng TMCP Xăng dầu Petrolimex
PNB - Ngân hàng TMCP Phương Nam
PVF - Tổng Công ty tài chính cổ phần Dầu khí Việt Nam
PVcombank - Ngân hàng TMCP Đại chúng Việt Nam
RBI - Ngân hàng Raiffeisen Bank International AG
SCB - Ngân hàng TNHH Một thành viên Standard Chartered (Việt Nam)
SDF - Công ty tài chính cổ phần Sông Đà
SEAV - Ngân hàng TMCP Đông Nam Á
SGB - Ngân hàng TMCP Sài Gòn
SGCTB - Ngân hàng TMCP Sài Gòn Công Thương
SHB - Ngân hàng TMCP Sài Gòn - Hà Nội
SMBC - Sumitomo Mitsui Banking Corporation
STB - Ngân hàng TMCP Sài Gòn Thương Tín
Shinhan Viet Nam - Ngân hàng TNHH MTV Shinhan Việt Nam
TCB - Ngân hàng TMCP Kỹ Thương
TPB - Ngân hàng TMCP Tiên Phong
UOB - Ngân hàng United Nation Overseas Bank Việt Nam
VAB - Ngân hàng TMCP Việt Á
VCB - Ngân hàng TMCP Ngoại Thương Việt Nam
VIB - Ngân hàng TMCP Quốc Tế Việt Nam
VIDPB - Ngân hàng VID Public Bank
VNB - Ngân hàng TMCP Việt Nam Thương Tín
VNCB - Ngân hàng TM TNHH MTV Xây dựng Việt Nam
VPB - Ngân hàng TMCP Việt Nam Thịnh Vượng
VRB - Ngân hàng Liên doanh Việt Nga
VSD - Trung tâm lưu ký chứng khoán Việt Nam
WEB - Ngân hàng TMCP Phương Tây
WRBHCM - Woori Bank - Chi nhánh Hồ Chí Minh
1234 - Ngân hàng ACB
TIMO - Ngân hàng TMCP Bản Việt
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Bank Branch
Other Information
Annual Income
Bellow 250 million VND
From 250 - 500 million VND
From 500 million - 1 billion VND
Above 1 billion VND
retired
FATCA Status
US Citizen (3)
US Resident (3)
Non-US Resident (4)
Language For Receiving Notifications
Vietnamese
English
Non-Professional Securities Investor
Professional Securities Investor
5
Authorized person
No authorization
Have authorization
Beneficiary Information
Non-Beneficiary
Domestic individual beneficiary
Foreign individual beneficiary
Institution beneficiary
Attached record
*
Identity Card Front Side
Confirmation of Securities Trading Code (for foreign investors only)
*
Identity Card Back Side
II. Notice
(*) Required information
(1) For foreign investors
(2) Passport number is applicable to foreign investors only
(3) A US resident is a US citizen or a US resident alien who has passed the green card test or the substantial presence test, which means to be physically present in the US on at least
31 days during the current year, and
183 days during the 3-year period, including current year and 2 years before that, counting (i) All the days you were present in the current year, and (ii) 1/3 of the days you were present in the first year before the current year, and (iii) 1/5 of the days you were present in the second year before the current year.
(4) A non-US resident alien is an individual who is not a US citizen or US national who has not passed the green card test or the substantial presence test.
(5) Individuals considered as professional individual securities investors (according to Article 11 – Law on Securities) are:
Securities practice certificate holders; or
Individuals holding portfolios of listed securities, securities registered for trading with value of at least VND 2 billion as confirmed by the securities company at the time that individual is identified as a professional securities investor ; or
Individuals having taxable income of at least VND 1 billion in the latest year by the time that individual is determined to be a professional securities investor according to the tax return submitted to the tax authority or withholding tax documents of paying organizations and individuals.
The Investor may refer to the regulations on professional securities investors specified in Article 11 - Law on Securities and its detailed guidance documents
II. Investor Acknowledgements
I hereby acknowledge that I have completely received, read, and fully understand and undertake to comply with the documents provided to investors, and agree with the Prospectus, Charter of the respective fund that I register to engage, this Account Opening Application Form and other information, document published on Viet Capital Asset Management JSC ’s (“VCAM”) website and their updates, amendments from time to time.
I hereby declare that all information given in this Account Opening Application Form and all documents provided attached hereto are true and accurate. I am responsible for all information given in this Account Opening Application Form and all documents provided attached hereto. I hereby agree to forward any changes in my personal information as soon as possible.
If the opening of fund certificate trading account is carried out via eKYC method provided by VCAM, I understand and confirm to agree with this account opening request.
I am responsible for my investment decision and accept all the investment risks. I agree unconditionaly and irrevocably that VCAM and its personnel, Distributor, Registered Distributor and other related service providers shall have no responsibility with respect to my investment in the open-ended fund certificate.
I undertake that the sources investing into open-ended fund certificate are legally, transparently, and fully complied with the requirements of laws to be used for the purpose of investing in the open-ended fund certificate.
I hereby agree that my confirmations, commitments and responsibilities stated herein are applied to this Account Opening Application Form, to my trading orders, and other inquiries related to fund certificates and fund certificate transactions.
I confirm to unconditionally and irrevocably accept works and investment results based on any trading order by my Authorized Person who is eligible to make transactions and sign trading orders according to the registration information in this Account Opening Application Form, including changes to such information notified from time to time. Any dispute arises will be my full responsibility at my own expense
I undertake to indemnify for all damages and losses incurred by VCAM, its personnel, Distributor, Registered Distributor and other relevant service providers where there is any breach of my confirmations and/or commitments in this Account Opening Application Form and/or of VCAM’s documents and regulations relating to the fund certificate from time to time.
I understand and agree that VCAM may submit my information and the information related to this account to the governing authority in Vietnam and/or the IRS upon their request in accordance with FATCA compliance regulations.
I, hereinafter, absolve my rights to prevent VCAM in complying with the law and regulation of the Government.
I completely understand and agree that VCAM would be able to adjust or terminate the account terms and conditions if I (or any of the heirs) refuse to provide the information mention aboved, or withdraw or violate the waiver consent mentioned above.
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