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Name (Chinese)
Name (English)
Date of Birth:
Email Address:
Residential Address:
City:
State:
Country:
Mobile No.:
Passport No:
Date of Issued:
Date of Issued:
Expiry Date:
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(HKD)
DECLARATION
I hereby declare that all the information provided to Wow Digital Development Limited as above is true and shall notify Wow Digital of
any changes in my information without delay. I understand and hereby confirm my willingness that Wow Digital are entitled to collect my
information provided as above for clearance of issues of anti-money laundering and counter terrorist financing. I shall declare that all
transactions execute through the platform and services of Wow Digital are irrelevant to any money laundering, terrorist activities, terrorist
financing or any criminal activities, I shall fully indemnify Wow Digital for loss otherwise.
Signature of Applicant:
Date:
7527701
Unit 701, 7/F, Tower 2, South Seas Centre, 75, Mody Road,
Tsim Sha Tsui East, Kowloon, Hong Kong
Tel: +852 2386 8936 | Fax: +852 2386 8976
Email: cards@wowdigit.com
Date: ______________________________
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