第一篇：開戶申請

開戶申請

豐城市財(cái)政局：

我院由于建設(shè)資金緊張，需申請銀行貸款2000萬元入帳，現(xiàn)申請?jiān)谥袊y行豐城支行開立一般帳戶，望批準(zhǔn)！

豐城市中醫(yī)院

二0一三年元月三十日

第二篇：開戶申請

開 戶 申 請

廬江縣中醫(yī)院：

茲有我公司坐落于安徽省省會—合肥，成立于2000年4月，注冊資本3000萬元。是一家大型股份藥品批發(fā)企業(yè)。經(jīng)營診斷藥品、中成藥、化學(xué)原料藥及制劑、抗生素、生化藥品、生物制品、醫(yī)療器械等以醫(yī)藥批發(fā)為主的經(jīng)營性企業(yè)。

公司于2011年2月遷至合肥包河工業(yè)區(qū)，各類設(shè)施、設(shè)備齊全。建立了面積約1000平米的辦公樓、1000平米生活樓、1000平米停車場、13000平米一流的現(xiàn)代化倉庫，其他配套設(shè)施正在籌建中。經(jīng)營規(guī)模日益擴(kuò)大，經(jīng)營品種5000多個(gè)，銷售網(wǎng)絡(luò)覆蓋全省，其中與80%縣級以上醫(yī)院建立了業(yè)務(wù)關(guān)系（省直系醫(yī)療機(jī)構(gòu)網(wǎng)絡(luò)健全），安徽省基藥配送覆蓋一千多家鄉(xiāng)鎮(zhèn)衛(wèi)生院及社區(qū)衛(wèi)生服務(wù)中心。快速配送OTC市場、單位診所終端300余家。省級配送實(shí)施后，使得合肥同致醫(yī)藥有限公司能更加適應(yīng)安徽省級招標(biāo)配送要求，配送企業(yè)集團(tuán)化、規(guī)模化，全省17多個(gè)地級市中我公司配送達(dá)12個(gè)地市，這將大大增加合肥同致醫(yī)藥有限公司的銷售業(yè)績及利潤收入。并在2010年公司實(shí)現(xiàn)銷售額2.9億元。2011年銷售額達(dá)3億元，2012年1--7月銷售額已達(dá)2.09億元。

長期以來，公司一直堅(jiān)持“質(zhì)量第一，用戶至上”的質(zhì)量方針，守法經(jīng)營，規(guī)范運(yùn)作。并秉承“一流的服務(wù) 一流的品質(zhì)”的企業(yè)理念，以高效、誠信、便捷、低價(jià)的經(jīng)營理念為全省廣大客戶提供優(yōu)質(zhì)的藥品、優(yōu)良的服務(wù)，與廣大客戶一起同心結(jié)緣、致力民健、合作共贏！

為了以后能更好的服務(wù)于貴院，將藥品及時(shí)配送至貴醫(yī)院解決貴院用藥需要，特申請?jiān)谫F院辦理開戶事宜！

合肥同致醫(yī)藥有限公司

二O一三年三月

第三篇：開戶申請

開戶申請書

XXX銀行XX支行: 為方便我公司因結(jié)算業(yè)務(wù)的需要，現(xiàn)需要在貴行開立一般存款賬戶，請予辦理。謝謝!

特此說明。XXXXXXXXX公司年

月

日

第四篇：開戶申請1

開戶申請

致：

自：事：開戶申請

因**省高值耗材集中采購結(jié)果已公示，本公司為中標(biāo)企業(yè)**（醫(yī)療器械有限公司）指定的配送商，本公司將嚴(yán)格遵守國家相關(guān)法律政策及貴院的規(guī)章制度，提供優(yōu)質(zhì)的產(chǎn)品，秉著配合貴院的工作最大程度的為患者提供滿意的服務(wù)，特申請?jiān)谫F院開戶。中標(biāo)產(chǎn)品：##

## 配送企業(yè)名稱：** 地址：** 聯(lián)系人： 電話：

2015-04-15

第五篇：開戶申請

請仔細(xì)閱讀并保留: 重要通知:開戶表格內(nèi)容請用電子打印填 由本人簽寫。手工填寫表格內(nèi)容的方式我行 網(wǎng)站上獲取(2013年12月1日起開戶表榴 行開戶申請!)工作時(shí)間:北京和上海分行周一至周五，上午9;30一11: 30(公共假期除外)廣州分行周一、三、五，上午9:

30一11: 30(公共假期除外)受德國大使館委托，我行協(xié)助中國留學(xué)生在德國開立帶有凍結(jié)條款的自保金賬戶，并開具存款證明供自 費(fèi)赴德留學(xué)生用于申請簽證。

一、申請開戶所需資料:

1.申請開戶者本人需憑入學(xué)通知書、護(hù)照和身份證原件及入學(xué)通知書、護(hù)照和身份證的清晰復(fù)印

件，及電子填寫并打印的開戶表格到我行遞交。(注意:需提供有本人簽字的護(hù)照持有人簽字頁的 復(fù)印件。)

2.未滿18周歲申請開戶者，申請開戶時(shí)需父母雙方陪同前來，需另外電子填寫并打印監(jiān)護(hù)人表格。

同時(shí)需提供父母雙方的身份證或護(hù)照的原件及復(fù)印件。

3.另有二頁表格，需由留學(xué)生本人帶往德國，在當(dāng)?shù)亻_戶銀行填寫，并交給開戶行存檔。

4.我行會把您的開戶申請文件寄往德國，二、手續(xù)費(fèi)(學(xué)生資料錄入本行系統(tǒng)并向?qū)W生提供個(gè)人編號后此項(xiàng)費(fèi)用不予退款)請開戶者將人民幣現(xiàn)金850元(含國際快遞費(fèi)及分行手續(xù)費(fèi))交納至我行以下賬戶: 1.北京分行

開戶者至營業(yè)柜臺，提交開戶材料經(jīng)分行審核通過后，將獲得相對應(yīng)的手續(xù)費(fèi)匯款路徑。2.廣州分行

收款單位:德意志銀行(中國)有限公司廣州分行 賬號:4400***01010 開戶銀行:中國建設(shè)銀行廣州天河城支行

開戶銀行地址:廣州市天河路208號天河城廣場2層201A 3.上海分行

開戶者請將開戶手續(xù)費(fèi)交至營業(yè)柜臺

三、自保金匯款方式及存款證明取得程序: 1.開戶者在我行遞交申請表格并取得個(gè)人編號后，即可由本人或親屬將保證金從任何一家可辦理境外

匯款業(yè)務(wù)的銀行電匯至我行開立在德意志銀行法蘭克福總行的學(xué)生總賬戶中。匯款詳細(xì)路徑如下: 一北京分行開戶者

收款人開戶銀行名稱及地址(57): Deutsche Bank AG，F(xiàn)rankfurt, Germany Frankfurt H.O.，Taunusanlage 12, 60325(SW工FT: DEUTDEFFXXX)收款人名稱(59): Deutsche Bank(China)Student B.J 收款人賬號(59):IBAN: DE64 5007 0010 0951 2724 01

匯款附言(70):開戶人姓名(拼音): 位數(shù)組成)個(gè)人編號(REFERENCE NUMBER): 一廣州分行開戶者

收款人開戶銀行名稱及地址(57)Deutsche Bank AG EFFXXX)Frankfurt H.0

Taunusanlage 12, 60325(SW工FT: DEUTD

y

n

a m

r

e G

馬

卞

r U f 卜入

n

a

r F 收款人名稱(59): Deutsche Bank(China)Student GZ 收款人賬號(59):IBAN: DE95 5007 0010 0951 2344 01

匯款附言(70):開戶人姓名(拼音): 位數(shù)組成)個(gè)人編號(REFERENCE NUMBER):-上海分行開戶者

收款人開戶銀行名稱及地址(57)Frankfurt H.0 Taunusanlage 12, 60325 Frankfurt Germany

(SW工FT: DEUTD Deutsche Bank AG EFFXXX)收款人名稱(59): Deutsche Bank(China)Student SH 收款人賬號(59):IBAN: DE63 5007 0010 0951 2633 01

匯款附言(70):開戶人姓名(拼音): 數(shù)組成)個(gè)人編號((REFERENCE NUMBER):(9位

*請注意:(1>個(gè)人編號不是賬號。但是在匯款時(shí)，必須在匯款單的匯款附言上寫上本人姓名(拼音)及個(gè)人編

號(REFERENCE NUD}BER)。對在匯款附言中，未注明本人姓名及個(gè)人編號所造成的匯款延誤及其他后

果，我行均不負(fù)責(zé)。

(2)請將款項(xiàng)折換成歐元匯出，具體自保金額請咨詢德國大使館。(一般不少于8} 040歐元，開戶

城市為波恩Bonn則自保金額不得少于9, 640歐元，開戶城市為卡爾斯魯厄Karlsruhe則自保金額不

得少于9, 020歐元，匯款時(shí)請另外多匯200歐元，作為境外匯款手續(xù)費(fèi)及德國開戶分行費(fèi)用。)此

外，請務(wù)必于開戶后2個(gè)月之內(nèi)進(jìn)行匯款，逾期個(gè)人編號將失效，我行將不予受理

(3)請務(wù)必將自保金總金額一次性匯入以上賬戶，切勿分批進(jìn)行匯款。如在有效期內(nèi)無能力匯足

8, 040歐元，請不要往賬戶中先匯少量款項(xiàng).2.我行將在您匯款足額到賬后，開具存款證明(一般為匯款之日起一周左右，遇節(jié)假日順延)，并

依照您開戶時(shí)所留信息，將其以郵寄方式寄出或通知您自取，以供簽證使用。

3.因留學(xué)德國自保金的凍結(jié)條款的制訂與變更，完全由德國當(dāng)?shù)氐耐鈬斯芾砭譀Q定，如與我行現(xiàn)行

凍結(jié)條款有所不同，請另行咨詢德國駐中國大使館/領(lǐng)事處。

四、個(gè)人賬號通知函: 個(gè)人賬號通知函是您個(gè)人賬號開立成功的通知函(個(gè)人賬號與個(gè)人編號不同，請勿混淆!一般從您匯款之日起，一個(gè)月左右可以獲得，我行將依照您開戶時(shí)所留信息，將個(gè)人賬號通知函以

郵寄方式寄出或通知您自取。至此，表示您的留學(xué)自保賬戶正式開立成功。

留學(xué)生憑個(gè)人賬號信到德國換取銀行卡。如您赴德之前未收到，請務(wù)必與我行聯(lián)系。

上述匯款詳細(xì)路徑中提供的賬戶為德意志銀行法蘭克福學(xué)生總賬戶，僅適用于首次保證金匯款。當(dāng)

您得到個(gè)人賬號后，若有匯款可直接匯往您本人的個(gè)人賬號，請不要再往我行法蘭克福學(xué)生總賬號

中匯款，以免造成不必要的退款或延誤。

您的保證金在轉(zhuǎn)入德國分行的個(gè)人賬戶后，才開始計(jì)利息。，︼Q門

如有任何疑問，歡迎通過以下方式聯(lián)系本行: 1.北京分行

垂詢電話:(010)69698181 傳真:(010)69696710 地址:中國北京市朝陽區(qū)建國路81號華貿(mào)中心1號寫字樓26層(100025)2.廣州分行

垂詢電話:自動(020)85104000 傳真:(020)38107487 人工:(020)85104006 地址:廣州市天河路208號粵海天河城大廈22層02-03單元(510620)垂詢電話:自動(021)20802800 人工:0021)20804824 傳真:(021)68591120 地址:上海市浦東新區(qū)世紀(jì)大道8號上海國金中心二期30層(200120)閱讀確認(rèn)回執(zhí)

本人已閱讀德意志銀行《自費(fèi)留學(xué)德國自保金賬戶開立流程》，理解并且將遵循該指引，現(xiàn)申請?jiān)?/p>

貴行新開立一個(gè)留學(xué)德國自保金賬戶。

此外，本人確認(rèn)，在此次申請開立學(xué)生賬戶前，本人未曾持有任何德意志銀行在德國境內(nèi)銀行的銀

行賬戶或銀行卡。簽字: 日期:(此回執(zhí)在開戶申請人確認(rèn)并簽字后，由銀行方歸檔保存。姓名: 出生年月: 德國開戶城市: 聯(lián)系電話(手機(jī)/}庭電話): 通訊地址(郵寄地址): 郵編: 存款證明(請選擇):自取 個(gè)人賬號通知函(請選擇

登記卡

拼音:

性別:

郵寄 自取郵寄

(上海分行存款及個(gè)人賬號通知函只能郵寄通知，通知時(shí)何詳見開戶程序說明)填表日期: Copy for the Bank.幾.....二f.口 二r.Branch number Customer number 日LZ.Account holder Ms./Mrs Mr Title First name/s Surname Maiden name Date of birth Place of birth Marital status Single Married assessed jointly Other Nationality US Citizienchip? Profession Email 丫aS No Country of birth USA 丫aS No S t u d e n t Registered address' Address supplement(e.g.c/o)Street House no Postcode Town/city Country.萬Bank account for private assets

or

Business or other investorz Note on statutory VAT:

VAT舊No.For the fees charged for services, the cash account/securities account agreement, plus the account settlement/account statement, together form

the invoice for VAT purposes.If no VAT is shown separately and no express reference is made to VAT being included in the invoiced amount, the services invoiced are bank or financial services exempt from VAT VAT舊No.for Deutsche Bank Privat-and Geschaftskunden AG, 60262 Frankfurt: DE811907980.In accordance with the German Anti-Money Laundering Act(GwG), all customers are obliged to voluntarily and immediately notify the bank of changes which occur during the business relationship to their personal data or beneficial ownership to be determined pursuant to this Act(' 4(6)and ' 6(2)No.1 Anti-Money Laundering Act).Details on trustors and beneficial owners:萬I am acting for my own account..I would like become a customer of Deutsche Bank Privat-and Geschaftskunden AG and acquire products under the customer number indica-ted above.The following agreements shall apply to the business relationship: Inclusion of business conditions:

Current account agreement, accounting period: The business relationship is governed by the bank's General Business

The accounts are kept as ongoing current accounts, unless a deviating Conditions.In addition, special conditions apply for individual busi-

regulation exists.Unless otherwise agreed, the bank issues a periodic ness relationships containing deviations from or supplements to the

account balance statement for current accounts at the end of each bank's General Business Conditions;these consist in particular of con-

quarter.The legal effects of a periodic account balance statement and ditions for joint accounts, for the use of account statement printers，the duties to examine its contents and, where applicable, to raise ob-for cheques, for payment transfers, for direct debits, for permitted

jections are regulated in Section 7 of the General Business Conditions.overdrafts.for Deutsche Bank debit cards.for savinas accounts.for credit cards.for tax-related entries within the scone of the taxation of

}-asn accounr ana securrcies accounr nouncauons: capital aains and special conditions for securities transactions.Conies U

mess ornermse agreea, an accounrs openea unaerrne cusromer mas-of the individual sets of conditions can be obtained from the bank's

rer numper specmea apove are aesignarea ror me accounr sraremenr branches or at www.tmdps.cnpute a probability ra-ting for the purpose of assessing of credit risk(score process.SCHUFA forwards data received to its contracting partners in the European Economic Area and Switzerland to enable them to assess the creditworthiness of natural persons.Contractual partners of SCHUFA consist of companies which bear a risk of financial default in connection with services rendered or goods delivered(especially banks, credit card companies and leasing firms, but also enterprises such as rental firms, trading and telecommunications companies, energy suppliers, insurance firms and collection agencies.SCHUFA will make personal data available only if the potential recipient can prove to their satisfaction in each specific case that it has a legitimate reason to obtain said data, and only after giving due consideration to the interests of all parties concerned.For this reason the scope of data provided can vary depending on the type of contrac-ting partner involved.In addition, SCHUFA may use the data to

sup-verify the identity and age of persons in response to a request made by a contracting partner, such as an Internet-based ser-vice provider.I may request a report from SCHUFA regarding stored data relating to my person.Further information on the SCHUFA re-porting and scoring process can be obtained at www.tmdps.cnprehensive customer advice and support.I can obtain the name of the financial adviser from the notice in the Branch or through periodic notifications in my account statement.In order for me to be comprehensively advised and ported on all banking and financial services, e.g.construc-tion finance, loan or investment products by Deutsche Bank Privat-and Geschaftskunden AG as well as the other partners and the financial adviser responsible in each

re-spective case, I hereby consent to permit Deutsche Bank Privat-and Geschaftskunden AG to forward or provide my personal details to the above for electronic retrieval purposes.Provided they are required for advisory and support purposes, information

as well as for discretionary portfolio management, the follow-

ing details may be forwarded:

.Personal information(name, address, date of birth, marital

status, profession and similar data)

.Cash and securities account information(in particular

account/securities

account

overviews/turnover，product

agreements/layouts, e.g.loans, conditions, payment transfer

agreements, telephone/online banking, authorized represen-

tatives or similar)

.Creditworthiness and financial and asset information(in par-

ticular, income, financial circumstances, investment goals，investment experience, advisory requests or similar)

.Agreements(conclusion/layout/conditions)which are forwar-

ded to other companies(e.g.Zurich Deutscher Herold Le-

bensversicherung AG for insurance contracts, GEFA-Leasing

GmbH for leasing agreements)I hereby declare my consent that the information may also be forwarded to future partners within Deutsche Bank Group in Ger-many.I will be informed of this separately in writing and promptly so that I may withdraw my consent before the information is forwarded.To this extent, I also hereby release Deutsche Bank Privat-and Geschaftskunden AG from its obligation to maintain banking secrecy.Signing this declaration is voluntary and may be revoked at any time without affecting the contractual business relationship.Declaration of consent for the forwarding of personal information to public authorities in the home country, foreign resident authorities and representations of Deutsche Bank I declare my consent for Deutsche Bank Privat-and Geschafts-kunden AG to forward any required information in connection with my stipend/visa to the relevant authorities, foreign resi-dent authorities and representations of Deutsche Bank relating to the blocked account hereby applied for via fax and/or email.I hereby release Deutsche Bank Privat-and Geschaftskunden AG from its obligation to maintain banking secrecy to the cessary extent.ne-This declaration is voluntary and may be revoked at any time without affecting the business relationship..Notice regarding data protection law: The bank processes and uses the personal information you provide for the purposes of advertising as well as market and opinion research.You may withdraw your consent to the processing and use of your personal information for these purposes at any time..In the past, you一as a private investor一were able to choose whether your bank withheld and deducted church tax on your capital gains or whether you preferred to do this with your personal income tax return.On 1 January 2015, you will no longer have this choice.In future, banks have a legal obligation to request from the Federal Central Tax Office the data necessary for automatic church tax deduction once a year in the period between 1 September and 31 October(starting in 2014)and to subsequently deduct church tax.valid for all banks taking part in the deduction procedure.The official form n German only)can be downloaded at www.tmdps.cnpensation Scheme of German Banks(Entschadigungseinrichtung deutscher Banl

will notify the customer of the respective deposit protection limit upon request.It can also be found on the Internet at www.tmdps.cnpensation Scheme of German Banks).The claim against the Compensation Scheme is limited to 90% of the value of these securities, but not more than the equivalent of , 20.000.I have been instructed that there is no protection by the Deposit Protection Fund for bearer securities issued by the bank.X Signature of account holder 口

Type of document No./reference Date Issuing authority Confirmation of accuracy of data(always requried)Neutral idenitity verification(always requried)Stamp 1st signature of employee of representation/branch(always required)2nd signature of employee of representation/branch(always required)口.，only one legal representative, guardian。ca re r.。named.。、。.。application, respective evidence。，custody must be enclosed。。co py Send us the complete documentation signed by the customer, certified copy of passport/舊card, certified application to open account and, if available, a copy of the confirmation from the university/language school to the following address: Deutsche Bank Privat-and Geschaftskunden AG Frankfurter Straf3e 1 04024 Leipzig, Germany 口Copy/-ies of passport/identity papers prepared

The documents enclosed correspond to the originals provided to me today.Branch number Customer number 日LZ.Account holder Ms./Mrs Mr Title First name/s

Surname Maiden name Date of birth Place of birth Marital status Single Married assessed jointly Other Nationality US Citizienchip? Profession Email 丫aS No Country of birth USA 丫aS No S t u d e n t Registered address' Address supplement(e.g.c/o)Street House no Postcode Town/city Country.萬Bank account for private assets

or

Business or other investorz Note on statutory VAT:

VAT舊No.For the fees charged for services, the cash account/securities account agreement, plus the account settlement/account statement, together form the invoice for VAT purposes.If no VAT is shown separately and no express reference is made to VAT being included in the invoiced amount, the services invoiced are bank or financial services exempt from VAT VAT舊No.for Deutsche Bank Privat-and Geschaftskunden AG, 60262 Frankfurt: DE811907980.In accordance with the German Anti-Money Laundering Act(GwG), all customers are obliged to voluntarily and immediately notify the bank of changes which occur during the business relationship to their personal data or beneficial ownership to be determined pursuant to this Act(' 4(6)and ' 6(2)No.1 Anti-Money Laundering Act).Details on trustors and beneficial owners:萬I am acting for my own account..I would like become a customer of Deutsche Bank Privat-and Geschaftskunden AG and acquire products under the customer number indica-ted above.The following agreements shall apply to the business relationship: Inclusion of business conditions:

Current account agreement, accounting period:

The business relationship is governed by the bank's General Business

The accounts are kept as ongoing current accounts, unless a deviating Conditions.In addition, special conditions apply for individual busi-

regulation exists.Unless otherwise agreed, the bank issues a periodic ness relationships containing deviations from or supplements to the

account balance statement for current accounts at the end of each bank's General Business Conditions;these consist in particular of con-

quarter.The legal effects of a periodic account balance statement and ditions for joint accounts, for the use of account statement printers，the duties to examine its contents and, where applicable, to raise ob-for cheques, for payment transfers, for direct debits, for permitted

jections are regulated in Section 7 of the General Business Conditions.overdrafts.for Deutsche Bank debit cards.for savinas accounts.for credit cards.for tax-related entries within the scone of the taxation of

}-asn accounr ana securrcies accounr nouncauons: capital aains and special conditions for securities transactions.Conies U

mess ornermse agreea, an accounrs openea unaerrne cusromer mas-of the individual sets of conditions can be obtained from the bank's

rer numper specmea apove are aesignarea ror me accounr sraremenr branches or at www.tmdps.cnpute a probability ra-ting for the purpose of assessing of credit risk(score process.SCHUFA forwards data received to its contracting partners in the European Economic Area and Switzerland to enable them to assess the creditworthiness of natural persons.Contractual partners of SCHUFA consist of companies which bear a risk of financial default in connection with services rendered or goods delivered(especially banks, credit card companies and leasing firms, but also enterprises such as rental firms, trading and telecommunications companies, energy suppliers, insurance firms and collection agencies.SCHUFA will make personal data available only if the potential recipient can prove to their satisfaction in each specific case that it has a legitimate reason to obtain said data, and only after giving due consideration to the interests of all parties concerned.For this reason the scope of data provided can vary depending on the type of contrac-ting partner involved.In addition, SCHUFA may use the data to verify the identity and age of persons in response to a request made by a contracting partner, such as an Internet-based ser-vice provider.I may request a report from SCHUFA regarding stored data relating to my person.Further information on the SCHUFA re-porting and scoring process can be obtained at www.tmdps.cnprehensive customer advice and support.I can obtain the name of the financial adviser from the notice in the Branch or through periodic notifications in my account statement.In order for me to be comprehensively advised and ported on all banking and financial services, e.g.construc-tion finance, loan or investment products by Deutsche Bank Privat-and Geschaftskunden AG as well as the other partners and the financial adviser responsible in each

re-spective case, I hereby consent to permit Deutsche Bank Privat-and Geschaftskunden AG to forward or provide my personal details to the above for electronic retrieval purposes.Provided they are required for advisory and support purposes, information

as well as for discretionary portfolio management, the follow-

ing details may be forwarded:

.Personal information(name, address, date of birth, marital

status, profession and similar data)

.Cash and securities account information(in particular

account/securities

account

overviews/turnover，product

agreements/layouts, e.g.loans, conditions, payment transfer

agreements, telephone/online banking, authorized represen-

tatives or similar)

.Creditworthiness and financial and asset information(in par-

ticular, income, financial circumstances, investment goals，investment experience, advisory requests or similar)

.Agreements(conclusion/layout/conditions)which are forwar-

ded to other companies(e.g.Zurich Deutscher Herold Le-

bensversicherung AG for insurance contracts, GEFA-Leasing

GmbH for leasing agreements)I hereby declare my consent that the information may also be forwarded to future partners within Deutsche Bank Group in Ger-many.I will be informed of this separately in writing and promptly so that I may withdraw my consent before the information is forwarded.To this extent, I also hereby release Deutsche Bank Privat-and Geschaftskunden AG from its obligation to maintain banking secrecy.Signing this declaration is voluntary and may be revoked at any time without affecting the contractual business relationship.Declaration of consent for the forwarding of personal information to public authorities in the home country, foreign resident authorities and representations of Deutsche Bank I declare my consent for Deutsche Bank Privat-and Geschafts-kunden AG to forward any required information in connection with my stipend/visa to the relevant authorities, foreign resi-dent authorities and representations of Deutsche Bank relating to the blocked account hereby applied for via fax and/or email.I hereby release Deutsche Bank Privat-and Geschaftskunden AG from its obligation to maintain banking secrecy to the cessary extent.ne-This declaration is voluntary and may be revoked at any time without affecting the business relationship.Branch number Customer number 日LZ.Notice regarding data protection law: The bank processes and uses the personal information you provide for the purposes of advertising as well as market and opinion research.You may withdraw your consent to the processing and use of your personal information for these purposes at any time..In the past, you一as a private investor一were able to choose whether your bank withheld and deducted church tax on your capital gains or whether you preferred to do this with your personal income tax return.On 1 January 2015, you will no longer have this choice.In future, banks have a legal obligation to request from the Federal Central Tax Office the data necessary for automatic church tax deduction once a year in the period between 1 September and 31 October(starting in 2014)and to subsequently deduct church tax.valid for all banks taking part in the deduction procedure.The official form n German only)can be downloaded at www.tmdps.cnpensation Scheme of German Banks(Entschadigungseinrichtung deutscher Banken GmbH).This covers all liabilities that must be reported on the balance sheet under “Liabilities to customers”.Among these are demand, term and savings deposits, including registered savings certificates.The protection limit for each creditor amounts to 30% of the bank's liable capital relevant for deposit protection until December 31，2014, 20% until December 31，2019, 15% until December 31，2024 and 8.75% as of January 1，2025.The new protection limits apply as of the key dates specified above for deposits formed or extended after December 31，2011，irrespective of the date on which the deposit was formed.The old protection limits apply to all deposits formed before December 31，2011 up to when the deposit matures or the next possible date of termination.The bank will notify the customer of the respective deposit protection limit upon request.It can also be found on the Internet at www.tmdps.cnpensation Scheme of German Banks).The claim against the Compensation Scheme is limited to 90% of the value of these securities, but not more than the equivalent of , 20.000.I have been instructed that there is no protection by the Deposit Protection Fund for bearer securities issued by the bank.X Signature of account holder