香 港 海 關
CUSTOMS AND EXCISE DEPARTMENT
表 格 7
具 報 停 止 經 營 金 錢 服 務Form 7
Notification of Cessation of Operating Money Service香港海關專用
For Official Use Only
Receipt Date:
Application No.:
Approval Date:

香港法例 第 615 章《打擊洗錢及恐怖分子資金籌集條例》
Anti-Money Laundering and Counter-Terrorist Financing Ordinance, Chapter 615
致To:
:

海關關長
The Commissioner of Customs and Excise

具報停止經營金錢服務
Notification of Cessation of Operating Money Service
現通知海關關長(關長)(持牌人業務 / 法團)(金 錢 服 務 經 營 者 牌 照 號 碼 :(日/月/年)起:-)，將由

This is to notify the Commissioner of Customs and Excise (CCE) that with effect from(dd/mm/yyyy)(Licensee’s Business / Corporation)
Money Service Operator (MSO) Licence No.:

will:-

 停止經營金錢服務
cease to operate a money service
 停止在牌照指明的下述處所經營金錢服務：—cease to operate a money service at the under-mentioned premises specified in the licence:a)指明處所地址：Address of Specified Premises:b) 相關的商業登記號碼：Related Business Registration No.:2.

請提供理由：
Please provide reason:

3.

現隨附證明文件，以供參閱。
The supporting document(s) is / are enclosed for your reference.

重要事項:
如在特定處所經營金錢服務的持牌人有意更改為在沒有特定處所的情況下經營金錢服務，該持牌人必須提出新的牌照申請。
IMPORTANT:
If a licensee operating a money service at particular premises wishes to make a change to operation of amoney service without particular premises, the licensee is required to submit a new licence application.

*請删去不適用者*Please delete as appropriate
請在適當方格內加上  號 Please  as appropriate
CED 405 (Rev. 12/2022)

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香 港 海 關
CUSTOMS AND EXCISE DEPARTMENT
表 格 7
具 報 停 止 經 營 金 錢 服 務Form 7
Notification of Cessation of Operating Money Service4.
本人特此聲明，就本人所知及相信，上述資料全屬真實無誤。持牌人將於停業日期起計的 7 日內，將該牌照交回關長，以作取消或修訂(視屬何情況而定)。本人亦明白根據《打擊洗錢及恐怖分子資金籌集條例》(打擊洗錢條例)第 41(4)條，任何持牌人無合理辯解而未能遵守此項規定，即屬犯罪，一經定罪，可被判罰款 50,000元。
I hereby declare that the information given above is true and correct to the best of my knowledge and belief. Thelicensee will return the licence to the CCE for cancellation or amendment (subject to the cancellation status) within 7 days
beginning on the date of cessation. I further understand that under section 41(4) of the Anti-Money LaunderingandCounter-Terrorist Financing Ordinance (AMLO), a licensee who, without reasonable excuse, fails to comply with thisrequirement commits an offence and is liable on conviction to a fine of $50,000.

本人亦明白，如發現有任何違反打擊洗錢條例的規定，停止經營金錢服務無損關長採取任何法律及 /或行政及 / 或制裁的行動。

5.

I also understand that the cessation of money service is without prejudice to any legal and / or administrative actions
and / or sanction which the CCE may take if it is discovered that any of the provisions of the AMLO has been contravened.

(*持牌人 / 獲持牌人授權的合夥人 /董事或人士簽署及公司印章)(*Signature of the licensee / authorized personof the licensed partnership / corporation andcompany chop)( 姓名 ( 正楷 ))(Name in block letters)(*香港身份證 /旅遊證件號碼)(*HKID /Travel Doc. No.)

(在持牌人業務 / 法團擔任的職位)(Position in the Licensee’s Business /Corporation)(聯絡電話號碼)(Contact Tel. No.)

(日期)
(Date)

備註:
提交此具報表格的人士必須是：—
Remarks: The person who submits this notification form must be:(a) 如持牌人屬獨資經營，該獨資經營者；或the sole proprietor, if the licensee is a sole proprietorship; or(b) 如持牌人屬合夥，則獲每名合夥人書面授權的合夥人，並應隨附授權書；或the partner authorized in writing by every partner, if the licensee is a partnership.
authorization letter should be attached; orThe(c) 如持牌人屬法團，則獲董事局書面授權的董事或人士，並應隨附授權書。
the director or the person, authorized in writing by the Board of Directors, if the licensee is acorporation. The authorization letter should be attached.

請將填妥的具報停止經營金錢服務表格 7 呈交:Please submit the completed Notification of Cessation of Operating Money Service Form 7 to:香港海關 金錢服務監理科 九龍 九龍灣常悅道 11 號 新明大廈 4 樓 402-403 室
Money Service Supervision Bureau Customs and Excise Department
Units 402-403, 4/F, Centre Parc, 11 Sheung Yuet Road, Kowloon Bay, Kowloon*請删去不適用者*Please delete as appropriate
請在適當方格內加上  號 Please  as appropriate
CED 405 (Rev. 12/2022)

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