Form No. 01 attached to Decree 52/2024/NĐ-CP: Application form for opening a payment account at the State Bank of Vietnam
Form No. 01
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ORGANIZATION REQUESTING TO OPEN A PAYMENT ACCOUNT
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SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
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No: ..........
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[Date], [Month], [Year]
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APPLICATION TO OPEN A PAYMENT ACCOUNT AT THE STATE BANK OF VIETNAM
To: …………………………..
Name of the organization requesting to open a payment account (account holder): ……………………………
……………………………………………………………………………………………………..
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Full name in Vietnamese: …………………………………………………………………
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Full name in English (if any): ………………………………………………………..
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Trading name: ……………………………………………………………………
Establishment decision number: ………………………………. Date of issue: …………………..
Place of issue: ………………………………………………………………………………………
Business operation license/Enterprise registration certificate number: ……………….
Date of issue: ………………………………. Place of issue: …………………………………….
Tax identification number: ………………………………………………………………………….
Address: ……………………………………………. Phone: ……………………..
Website: ………………………………….. Email: ………………………………………
Full name of the legal representative: ……………………………………………….
Scope of representation: ………………………………………………………………………….
Date of birth*: ………………………… Gender (Male/Female)*: ……………..
Nationality*: …………………… is a resident/non-resident: ………………………….
Place of permanent residence*: ………………………………………………………………………………
Current address (if different from permanent address): ………. Phone:………………
Appointment decision number: ………………….…. Date: …… [Month] ….. [Year]…..
Personal identification number (for ID card, citizen ID card) or passport number: …………….; Date of issue:……….; Valid until:.......; Issuing authority: …............
Full name of the chief accountant (or person in charge of accounting or person verifying transaction documents with the State Bank): …………………………………………………
Date of birth*:…………………. Gender (Male/Female)*:……………………..
Personal identification number (for ID card, citizen ID card) or passport number:……………; Date of issue:…….; Valid until:....; Issuing authority:…………
Appointment decision number: ……………… Date: …… [Month]….. [Year]…..
Request to open a payment account at: …………………………………………………
Currency type: □ VND □ USD □ Other type …………
We commit to:
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The above information is accurate, and we take full responsibility for the accuracy and truthfulness of the documents in the attached payment account opening file.
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Comply fully with the current legal regulations regarding the opening and use of payment accounts at the State Bank of Vietnam and will take responsibility for any issues arising if we do not fully comply with the regulations established by the State Bank of Vietnam.
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Provide written notice (with related documents) to the State Bank of Vietnam whenever there are any changes to the information provided in the payment account opening form or the registered seal/signature sample used with the State Bank of Vietnam.
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Attached documents:
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Seal and signature sample registration form with authorization letter (if any);
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Decision No. ………………..
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………………………………….
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LEGAL REPRESENTATIVE
(Signature, full name, seal)
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PART FOR THE STATE BANK OF VIETNAM
After verifying and confirming that the payment account opening file of ………………… is complete and valid, the State Bank of Vietnam …………………… agrees to open the payment account number: ………………… for ……………………………………………..
Start date of operation: …………………………………………………………………
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HEAD OF ACCOUNTING DEPARTMENT
(Signature, full name)
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DIRECTOR OF TRANSACTION BRANCH
STATE BANK OF VIETNAM /
DIRECTOR OF STATE BANK OF VIETNAM
BRANCH ……
(Signature, full name, seal)
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Note: In case the State Bank of Vietnam receiving the application to open the payment account has access to and can extract information from the National Population Database, the organization opening the payment account is not required to fill in the (*) marked information.
PAYMENT ACCOUNT SEAL AND SIGNATURE SAMPLE REGISTRATION FORM WITH THE STATE BANK OF VIETNAM
(Attached to the application to open account No. ...... dated... of ......)
Name of organization: …………………………………………………………………………
Transaction address: …………………………. Phone number: …………………..
Payment account name: ………………………………………………………….
Payment account number: …………………………………………………………
Place of opening the payment account: …………………………………………………….
Seal and signature samples to be used on transaction documents with the State Bank of Vietnam are as follows:
1. Signature sample:
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Person registering the signature sample
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First signature sample
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Second signature sample
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Legal Representative of the Account Holder:
1.1. First Legal Representative:
Full Name:…………………………
Personal Identification Number (for ID card, citizen ID card)/Passport Number:…………………………
Date of Issue:…………………………
Valid Until:…………………………
Place of Issue:……………………………………
Scope of Representation:…………………………..
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1.2. Second Legal Representative:
Full Name:……………………………………….
Personal Identification Number (for ID card, citizen ID card)/Passport Number:………………………………
Date of Issue:…………………………
Valid Until:……………………….
Place of Issue:………………………………
Scope of Representation:…………………………
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1.3. Third Legal Representative:
Full Name: ..........................................................
Personal Identification Number (for ID card, citizen ID card)/Passport Number: ..........................................................
Date of Issue: ...........................................................
Valid Until: ...........................................................
Place of Issue: ...........................................................
Scope of Representation: .........................................
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2. Chief Accountant (or person in charge of accounting, person controlling transaction documents with the State Bank) and Authorized Person
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2.1. Chief Accountant (or person in charge of accounting, person controlling transaction documents with the State Bank):
Full Name: …………………………..
Personal Identification Number (for ID card, citizen ID card)/Passport Number: ………………………………………….
Date of Issue: …………………………..
Valid Until: ……………………………
Place of Issue: …………………………..
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2.2. First Authorized Person:
Full Name: ……………………………………..
Personal Identification Number (for ID card, citizen ID card)/Passport Number: …………………
Date of Issue: …………………………………
Valid Until: …………………………………
Place of Issue: …………………………………
Authorization Document Number: ……………. Date: …………..
Authorization Period: ………………………..
Scope of Authorization: ………………………..
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2.3 Second Authorized Person:
Full Name: ……………………………………
Personal Identification Number (for ID card, citizen ID card)/Passport Number: ……………………..
Date of Issue: …………………………………
Valid Until: ……………………………………
Place of Issue: …………………………………
Authorization Document Number: ……………. Date: …………..
Authorization Period: ………………………..
Scope of Authorization: ………………………..
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2. Seal Samples
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First Seal Samples
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Second Seal Samples
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…….. day…month….year….
LEGAL REPRESENTATIVE
(Sign, write full name, and affix seal)
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SECTION FOR THE STATE BANK OF VIETNAM
After confirming that the signature and seal samples of ……………………… are valid, the State Bank of Vietnam ……………………… agrees to the Registration of Seal and Signature Samples for using the payment account at the State Bank of Vietnam ……………………… attached with the payment account number: …………… of ………………….
Effective date: ………………………………………………………
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ACCOUNTING DEPARTMENT HEAD
(Sign, write full name)
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DIRECTOR OF THE STATE BANK OF VIETNAM BRANCH
(Sign, write full name, and affix seal)
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Download detailed file here.