香 港 海 關
CUSTOMS AND EXCISE DEPARTMENT

香港海關專用For Official Use Only

表 格 2
金錢服務經營者牌照續期申請Form 2
Application for Renewal of a
Money Service Operator (MSO) Licence

Receipt Date:
Application No.:
Licence 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
此申請表格必須連同已填妥的補充資料表格及附件同時遞交。請用正楷及黑色筆填寫表格、補充資料表格及附件。填
寫本表格、補充資料表格及有關附件前，請先閱讀填表須知及牌照指引。
This application form must be submitted together with a duly completed supplementary information sheet and annex. Please
fill in the form, supplementary information sheet and relevant annex in capital letter and black ink and read the GuidanceNotes and Licensing Guide before completing this form supplementary information sheet and annex.
第 1 部 - 申請人的業務詳情Part 1 - Particulars of the Applicant’s Business金錢服務經營者牌照號碼
MSO Licence No.
屆滿日期(日/月/年)
Date of Expiry (dd/mm/yyyy)
業務/法團名稱(英文)(商業登記證上所載名稱)Name of Business / Corporation(in English) (as shown in the Business Registration
Certificate)

業務/法團名稱(中文)(商業登記證上所載名稱)Name of Business / Corporation(in Chinese) (as shown in the Business Registration
Certificate)

業務名稱(英文)(如有)Business Name (in English) (if any)
(只適用於法團)(for corporation only)

業務名稱(中文)(如有)Business Name (in Chinese) (ifany)(只適用於法團) (for corporation only)- 0 0 0

商業登記號碼
Business Registration No.

屆滿日期
Expiry Date

年

月

日

DD

M

Y

M

Y

Y

Y

請填寫業務狀況：Please indicate the status of your business: 獨資經營(#最終擁有人(獨資經營者除外)數目：(如有))
Sole Proprietorship (number of #Ultimate Owner (other than the Sole Proprietor) :, if any) 合夥 (合夥人數目：
及 #最終擁有人數目：(如有))
Partnership (number of Partner:
and number of #Ultimate Owner:, if any)#
 法團 (董事數目：及 最終擁有人數目：(如有))
Corporation (number of Director:
and number of #Ultimate Owner:, if any)(  本地公司 local company
 非香港公司 non-Hong Kong company )#(最終擁有人 - 請參閱填表須知第 11.1 段 ) (Ultimate Owner - Please refer to Para. 11.1 of the Guidance Notes)

公司編號

成立地點

(只適用於法團)(只適用於法團)

Company No.

Place of Incorporation(for corporation only)(for corporation only)

成立日期 (只適用於法團)
Date of Incorporation(for corporation only)

日

D

年

月

D

M

註冊日期 (只適用於非香港公司)
Date of Registration

M

Y

Y

Y

*請删去不適用者*Please delete as appropriate
請在適當方格內加上 “” 號 Please insert a “” in the appropriate box
CED 401 (Rev.12/2022)

Y(for non-Hong Kong company only)

1

日

D

年

月

D

M

M

Y

Y

Y

Y

香 港 海 關
CUSTOMS AND EXCISE DEPARTMENT
表 格 2
金錢服務經營者牌照續期申請Form 2
Application for Renewal of a Money Service Operator (MSO) Licence
第 1 部 - 申請人的業務詳情(續)Part 1 - Particulars of the Applicant’s Business (Continued)
請述明金錢服務的性質：
Please indicate the nature of the money service: 匯款服務
貨幣兌換服務
Remittance service
Money changing service

匯款及貨幣兌換服務
Remittance and money changing services

請述明申請人是否在特定處所(請參閱填表須知第 8.1 段)經營金錢服務：Please indicate whether the Applicant operates any money service at particular premises (Please refer to Para. 8.1 of the
Guidance Notes): 是 Yes
 否 No(如「否」，請跳到第 2 部)
(If ‘No’, please go to Part 2)

用作經營金錢服務的特定處所的數目：
Number of particular premises used for operating money service:(請在第 3 部提供所有特定處所的資料)(Please provide the details of all the particular premises in Part 3)
第 2 部 - 業務 / 法團的主要地址
Part 2 – Principal Address of the Business / Corporation(此地址可以是經營金錢服務的特定處所或通訊地址，並會顯示於有關牌照上。)(This address can be the particular premises used for operating money service or the correspondence address and will be shownon the licence.)(1)

地址 (請用英文填寫)Address (Please complete in English)*室 / 店鋪號碼*Flat / Room / Shop No.

樓
Floor

座
Block No.

大厦名稱
Building Name
*屋邨 / 屋苑名稱*Estate / Court Name
門牌號碼Street No.

街道名稱
Street Name
 香港
HK

地區(例如灣仔)District (e.g. Wanchai)
(2)

聯絡資料
Contact Information

業務網址Business Website Address
電郵地址
E-mail Address
電話號碼
Telephone No.

*請删去不適用者*Please delete as appropriate
請在適當方格內加上 “” 號 Please insert a “” in the appropriate box
CED 401 (Rev.12/2022)

傳真號碼
Fax No.

2

 九龍
KLN

 新界
NT

香 港 海 關
CUSTOMS AND EXCISE DEPARTMENT
表 格 2
金錢服務經營者牌照續期申請Form 2
Application for Renewal of a Money Service Operator (MSO) Licence
第 3 部 - 用以經營金錢服務的所有特定處所的資料
Part 3 – Details of all the Particular Premises used for the operation of a Money Service
按編號排列的處所之Premises Serial No.
of(1) 處所的資料
Premises information(例如 2 之 1，如有兩處處所)(e.g. 1 of 2, if there are 2 premises)

處所的面積
Area of the premises

商業登記號碼
Business Registration
Number(平方米)(m2)

請述明經營金錢服務的處所類別：
Please state the type of premises at which the money service is operated: 商業處所

混合式商住處所
Commercial premises
Mixed commercial and residential premises
分行名稱(英文)(如有)(商業登記證上所載名稱)Branch Name (in English) (if any)(as shown in the Business Registration Certificate)

分行名稱(中文)(如有)(商業登記證上所載名稱)Branch Name (in Chinese) (if any)(as shown in the Business Registration Certificate)(2)地址 (請用英文填寫)Address (Please complete in English)*室 / 店鋪號碼*Flat / Room / Shop No.

樓
Floor

座
Block No.

大厦名稱
Building Name
*屋邨 / 屋苑名稱*Estate / Court Name
門牌號碼Street No.

街道名稱
Street Name
 香港
HK

地區(例如灣仔)District (e.g. Wanchai)
(3)

 九龍
KLN

 新界
NT

聯絡資料
Contact information

辦事處電話號碼
Office Telephone No.

辦事處傳真號碼
Office Fax No.

有否其他業務在此處所內經營?
Is there any other business being run in this premises?
 有 Yes 否 No(如「有」，請提供下述資料) (If ‘Yes’, please provide the following details)
請提供共用處所的業務的以下資料：
Please provide the following information of the business sharing the premises:-(4)

由申請人經營，業務性質為：Run by the Applicant, the nature of business is:-*請删去不適用者*Please delete as appropriate
請在適當方格內加上 “” 號 Please insert a “” in the appropriate box
CED 401 (Rev.12/2022)

3

香 港 海 關
CUSTOMS AND EXCISE DEPARTMENT
表 格 2
金錢服務經營者牌照續期申請Form 2
Application for Renewal of a Money Service Operator (MSO) Licence
第 3 部 - 用以經營金錢服務的所有特定處所的資料(續)Part 3 – Details of all the Particular Premises used for the operation of a Money Service (Continued)由其他經營者經營，請提供以下資料：
Run by other business entity, please provide the following information:共用處所的業務的資料：
Particulars of the business sharing the premises:業務 / 法團名稱Name of Business /Corporation
業務性質
Nature of Business

請述明：
Please specify:-

商業登記號碼
Business Registration
Number

—(如有超過一間公司共用處所，請用另紙提供資料)(If more than one company shared the premises, please provide the information in a separate sheet.)(5)佔用人的同意 (只適用於用以經營金錢服務的混合式商住處所)
Occupant’s Consent (only applicable for mixed commercial and residential premises used for theoperation of a money service)

遞交申請時，你必須提供佔用人的姓名，並取得所有佔用人的同意書。請確保每位佔用人都已閱讀於填表須知
第 C 部所載的收集個人資料聲明。
You must provide the names of occupants and obtain the letters of consent from all of them when you submit theapplication. Please ensure that each of the occupants has read the Personal Information Collection Statement in Part Cof the Guidance Notes.
佔用人姓名Name of Occupants
(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(如佔用人超過 8 名，請用另紙提供資料)(If more than eight occupants are involved, please provide the information in a separate sheet.)

備註:
如有其他處所需作出登記，請影印本申請表格的第 3 部，用以提供其他處所的詳情。
Remarks: If you have other premises for registration, please make a photocopy of Part 3 of this application form forfilling in the particulars of the other premises.

*請删去不適用者*Please delete as appropriate
請在適當方格內加上 “” 號 Please insert a “” in the appropriate box
CED 401 (Rev.12/2022)

4

香 港 海 關
CUSTOMS AND EXCISE DEPARTMENT
表 格 2
金錢服務經營者牌照續期申請Form 2
Application for Renewal of a Money Service Operator (MSO) Licence
第 4 部 - 獨資經營者的申請人 / 申請人的合夥人 / 董事 (屬個人) 的詳情
Part 4 - Particulars of Applicant who is a Sole Proprietor or Particulars of Individual Partner / Director ofApplicant which is a partnership / corporation 獨資經營者 Sole Proprietor
英文姓名(*先生/太太/小姐/女士)
Name in English (*Mr/Mrs/Miss/Ms)

 合夥人 Partner



董事 Director

先填寫姓氏再填寫名字 Surname first then other names

中文姓名(如適用)
Name in Chinese (if applicable)

別名(如有)
Alias (if any)

中文電碼(如適用)
Chinese Commercial Codes (if applicable)
出生日期
Date of Birth

日

D

年

月

D

M M

Y

Y

Y

Y

出生地點
Place of Birth
國籍
Nationality
 中學程度Secondary level

教育程度
Education Level 專上程度Post-secondary level 其他，請註明：
Others, please specify:-

香港居民適用 For Hong Kong Resident
香港身份證號碼
Hong Kong Identity Card No.

()

非香港居民適用 For non-Hong Kong Resident
旅遊證件類別(例如護照)
Travel Document Type (e.g. passport)
旅遊證件號碼
Travel Document No.
簽發日期
Date of Issue

日

D

年

月

D

M

屆滿日期
Date of Expiry

M

Y

Y

Y

Y

日

D

年

月

D

M

M

Y

Y

Y

Y

簽發國家 / 地點Country / Place of Issue

備註：

如有超過 1 名合夥人 / 董事 (屬個人)，請影印本申請表格的第 4 部，用以填寫其他合夥人 / 董事的詳情。
Remarks: If you have more than one partner / director who is an individual, please make a photocopy of Part 4 of thisapplication form for filling in the particulars of the other partner / director.

*請删去不適用者*Please delete as appropriate
請在適當方格內加上 “” 號 Please insert a “” in the appropriate box
CED 401 (Rev.12/2022)

5

香 港 海 關
CUSTOMS AND EXCISE DEPARTMENT
表 格 2
金錢服務經營者牌照續期申請Form 2
Application for Renewal of a Money Service Operator (MSO) Licence
第 5 部 - 申請人的法團合夥人 / 董事的詳情(如適用)Part 5 - Particulars of the corporate Partner / Director of Applicant (if applicable)(1) 法團的資料
Particulars of the Corporation
 合夥人 Partner

 董 事 Director

法團名稱 ( 英 文 )Name of Corporation(in English)
法團名稱 ( 中 文 )Name of Corporation(in Chinese)
商業登記號碼
Business Registration No.

-

屆滿日期
Expiry Date

日

D

年

月

D

M

M

Y

Y

D

M M

Y

Y

Y

Y

Y

Y

公司編號
Company No.
成立日期
Date of Incorporation

日

D

年

月

成立地點
Place of Incorporation
業務性質
Nature of Business
電郵地址
E-mail Address辦事處電話號碼
Office Telephone No.
(2)

辦事處傳真號碼
Office Fax No.

法團的註冊地址
Registered Address of the Corporation*室 / 店鋪號碼*Flat / Room / Shop No.

樓
Floor

座
Block No.

大厦名稱
Building Name
*屋邨 / 屋苑名稱*Estate / Court Name
門牌號碼Street No.

街道名稱
Street Name
 香港 HK  九龍 KLN  新界 NT 香港特區以外 OTHER THAN HKSAR

地區(例如灣仔)District (e.g. Wanchai)

備註:如有超過 1 名屬法團合夥人/董事，請影印本申請表格的第 5 部，用以填寫其他合夥人/董事的詳情。
Remarks: If you have more than one corporate partner / director, please make a photocopy of Part 5 of thisapplication form for filling in the particulars of the other corporate partner / director.
*請删去不適用者*Please delete as appropriate
請在適當方格內加上 “” 號 Please insert a “” in the appropriate box
CED 401 (Rev.12/2022)

6

香 港 海 關
CUSTOMS AND EXCISE DEPARTMENT
表 格 2
金錢服務經營者牌照續期申請Form 2
Application for Renewal of a Money Service Operator (MSO) Licence
第 6 部 – 申請人的最終擁有人(請參閱填表須知第 11.1 段)的詳情(如有)Part 6 - Particulars of Ultimate Owner(s) (Please refer to Para. 11.1 of the Guidance Notes) of the Applicant (if any)
英文姓名(*先生/太太/小姐/女士)
Name in English (*Mr/Mrs/Miss/Ms)

先填寫姓氏再填寫名字 Surname first then other names

中文姓名(如適用)
Name in Chinese (if applicable)

別名(如有)
Alias (if any)

中文電碼(如適用)
Chinese Commercial Codes (if applicable)
出生日期
Date of Birth

日

D

年

月

D

M

M

Y

Y

Y

Y

出生地點
Place of Birth
國籍
Nationality
教育程度
Education Level 中學程度Secondary level 專上程度Post-secondary level 其他，請註明：
Others, please specify:-

香港居民適用 For Hong Kong Resident
香港身份證號碼
Hong Kong Identity Card No.

()

非香港居民適用 For non-Hong Kong Resident
旅遊證件類別(例如護照)
Travel Document Type (e.g. passport)
旅遊證件號碼
Travel Document No.
簽發日期
Date of Issue

日

D

月

D

M

屆滿日期
Date of Expiry

年

M

Y

Y

Y

Y

日

D

年

月

D

M

M

Y

Y

Y

Y

簽發國家 / 地點Country / Place of Issue

備註:
如有超過 1 名最終擁有人，請影印本申請表格的第 6 部，用以填寫其他最終擁有人的詳情。
Remarks: If you have more than one ultimate owner, please make a photocopy of Part 6 of this application form forfilling in the particulars of the other ultimate owner.

*請删去不適用者*Please delete as appropriate
請在適當方格內加上 “” 號 Please insert a “” in the appropriate box
CED 401 (Rev.12/2022)

7

香 港 海 關
CUSTOMS AND EXCISE DEPARTMENT
表 格 2
金錢服務經營者牌照續期申請Form 2
Application for Renewal of a Money Service Operator (MSO) Licence
第 7 部 - 用以經營申請人的金錢服務的銀行帳戶的資料
Part 7 - Details of the Bank Account(s) used for operating the Applicant’s Money Service
帳戶名稱
Name of Account Holder

銀行名稱
Name of Bank帳戶號碼Account No.

(1)
(2)
(3)
(4)
(如有超過 4 個銀行帳戶，請用另紙提供資料)(If you have more than four bank accounts, please provide the information in a separate sheet.)

重要事項:
用以經營金錢服務的銀行帳戶必須以申請人、其合夥人、董事或最終擁有人名義持有。
Important Notes:
The holder of bank account(s) used for operating the money service must be in the name of the applicant, its
partner, director or ultimate owner.
第 8 部 - 關於業務的額外資料
Part 8 - Additional Information of the business(1) 請提供過去 12 個月的營業額：
Please provide the transaction volume in the past 12 months:(a) 匯款服務(港元)Remittance service (HK$)(b) 貨幣兌換服務(港元)Money changing service (HK$)(2) 請提供申請人目前為經營金錢服務所聘用的僱員人數：
Please provide the no. of staff currently employed by the Applicant for operating money service:0
1 – 23 – 56 – 10
11 或以上 or above(3) 請提供申請人在未來兩年為經營金錢服務而計劃增聘的僱員人數：
Please provide the no. of staff to be employed in the coming 2 years by the Applicant for operating money service:0
1 – 23 – 56 – 10
11 或以上 or above(4) 請述明申請人有否使用電腦系統經營金錢服務：Please indicate whether the Applicant operates the money service with the use of a computer system:有 Yes
否No

重要事項: 此申請表格必須連同已填妥的附件及有關證明文件一併遞交予香港海關金錢服務監理科。
Important Notes: This application form must be submitted together with a duly completed Annex and relevant
supporting documents to the Money Service Supervision Bureau of C&ED.
*請删去不適用者*Please delete as appropriate
請在適當方格內加上“” 號 Please insert a “” in the appropriate box
CED 401 (Rev.12/2022)

8

香 港 海 關
CUSTOMS AND EXCISE DEPARTMENT
表 格 2
金錢服務經營者牌照續期申請Form 2
Application for Renewal of a Money Service Operator (MSO) Licence
第 9 部 – 提交此申請表格及附件人士的聲明 (見於第 9 部內的備註) (請於會見時簽署及蓋章)
Part 9 – Declaration by the person who submits this application form and Annex (see Remarks in Part 9) (Pleasesign and stamp at the time of interview)
本人謹此聲明:I declare that:(a) 在本申請表格及附件提供的所有詳情及資料(包括附加頁)共頁，全屬真確無誤；
the particulars and information given in this application form and Annex (including supplementary sheets)
consisting ofpage(s) are true and correct;(b) 本人已閱讀香港法例第 615 章《打擊洗錢及恐怖分子資金籌集條例》(打擊洗錢條例)。本人明白打擊洗錢
條例第 52 條訂明任何人在與要求批給牌照或將牌照續期的申請有關連的情況下，(1) 作出在要項上屬虛假
或具誤導性的陳述；並知道該項陳述在要項上屬虛假或具誤導性，或罔顧該項陳述是否在要項上屬虛假或具誤導性的；或 (2) 在某項陳述中遺漏任何要項，以致該項陳述成為虛假或具誤導性的陳述；及知道該項
陳述遺漏該要項，或罔顧該項陳述是否遺漏該要項，即屬犯罪，一經定罪，可被判罰款 50,000 元及監禁 6個月；
I have read the Anti-Money Laundering and Counter-Terrorist Financing Ordinance, Chapter 615 (AMLO). I
understand that section 52 of the AMLO provides that any person who, in connection with an application for the
grant or renewal of a licence, (1) makes a statement that is false or misleading in a material particular; and knows
that, or is reckless as to whether, the statement is false or misleading in a material particular; or (2) omits a material
particular from a statement with the result that the statement is rendered false or misleading; and knows that, or isreckless as to whether, the material particular is omitted from the statement, commits an offence and is liable onconviction to a fine of $50,000 and to imprisonment for 6 months;(c) 本人已閱讀香港海關就協助有關人士填寫本表格及附件而作出的填表須知及牌照指引。本人明白根據打擊洗錢條例，經營金錢服務牌照的持牌人須獲海關關長批准，否則任何人不得成為持牌人的董事、合夥人及最終擁有人，亦不得在牌照內加入新的營業處所；
I have read the Guidance Notes and Licensing Guide issued by the Commissioner of Customs and Excise to facilitate
the filling of this application form and Annex by the person concerned. I understand that according to the AMLO,
the licensee of a money service operator licence must obtain the approval of the Commissioner before a person may
become the licensee’s director, partner or ultimate owner; or before any new premises may be added to the licence.
(d) 本人承諾採取措施，以確保如本申請表格及附件內所提供的詳情(除在第 8 部提供的資料及上述(c)段提及的有關批准外)有任何改變，持牌人須在自改變發生之日起計的一個月內，藉書面向海關關長具報有關改變事項。本人明白根據打擊洗錢條例第 40 條，持牌人如無合理辯解而違反此項規定，即屬犯罪，一經定罪， 可被判罰款 50,000 元；
I undertake that actions shall be taken to ensure that the licensee must notify the Commissioner of Customs andExcise in writing of any change in the particulars that are provided in this application form and Annex, except for
those given in Part 8 and the approval as mentioned in para. (c) above, within one month beginning on the date on
which the change takes place. I understand that section 40 of the AMLO provides that a licensee who without
reasonable excuse contravenes this requirement commits an offence and is liable on conviction to a fine of $50,000;(e) 本人承諾採取措施，以確保如獲發牌在有關牌照指明的處所經營金錢服務，須在該指明的處所內的一處顯眼地方，展示該牌照的正本。本人明白根據打擊洗錢條例第 39A 條，持牌人如無合理辯解而違反此項規定，即屬犯罪，一經定罪，可被判罰款 50,000 元；
I undertake that actions shall be taken to ensure that the licensee who is licensed to operate a money service at apremises specified in the licence must display the original of the licence in a conspicuous place at the specified
premises. I understand that section 39A of the AMLO provides that a licensee who without reasonable excuse
contravenes this requirement commits an offence and is liable on conviction to a fine of $50,000;(f) 本人已指示本申請表格第 3 部提述的所有處所的負責人，亦已獲得有關處所(如該處所屬混合式商住處所)的所有佔用人的同意，讓香港海關的獲授權人員進入有關的處所，以審核該處所是否適合用作經營金
錢服務；
I have instructed all responsible persons of the premises as mentioned in Part 3 of this application form
andhave obtained consent of every occupant of the premises (if the premises are mixed commercial and residential
premises) to allow the authorized officers of the Customs and Excise Department to enter the said premises to assess
whether the premises are suitable to be used for the operation of a money service;(g) 本人已閱讀金錢服務經營者牌照續期申請表格 2 的填表須知第 C 部所載的收集個人資料聲明，以及明白當中內容。
I have read the Personal Information Collection Statement stated in Part C of the Guidance Notes on Form 2
Application for Renewal of a Money Service Operator Licence and understand the contents stated therein.

*請删去不適用者*Please delete as appropriate
請在適當方格內加上 “” 號 Please insert a “” in the appropriate box
CED 401 (Rev.12/2022)

9

香 港 海 關
CUSTOMS AND EXCISE DEPARTMENT
表 格 2
金錢服務經營者牌照續期申請Form 2
Application for Renewal of a Money Service Operator (MSO) Licence
第 9 部 – 提交此申請表格及附件人士的聲明 (見於第 9 部內的備註) (請於會見時簽署及蓋章) (續)Part 9 – Declaration by the person who submits this application form and Annex (see Remarks in Part 9) (Pleasesign and stamp at the time of interview) (Continued)(*申請人/獲授權的合夥人/獲授權的董事或人士
簽署及公司印章)(*Signature of the Applicant/authorized person of
the partnership/authorized director or person of thecorporation and company chop)(姓名(正楷))(Name in block letters)(*香港身份證 /旅遊證件號碼)(*HKID /Travel Doc. No.)

(聯絡電話號碼)(Contact Telephone No.)

(日期)
(Date)(海關人員的姓名及職位)(Name and Post of C&ED officer)(日期)(Date)(會見時簽署及蓋章)(to be signed and stamped at the time of interview)(在申請人業務 / 法團擔任的職位)(Position in the Applicant’s Business / Corporation)

見證人:
Witnessed by :(簽署)
(Signature)

備註:
提交此申請表格及附件的人士必須是：
Remarks: The person who submits this application form and Annex must be:(a) 如申請人屬獨資經營，該獨資經營者；the sole proprietor, if the applicant is a sole proprietorship;(b) 如申請人屬合夥，則獲每名合夥人書面授權的合夥人，並應隨附授權書；the partner authorized in writing by every partner, if the applicant is a partnership.
authorization letter should be attached;The(c) 如申請人屬法團，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 applicant is a
corporation. The authorization letter should be attached.

提示：如申請人未能遞交所有證明文件，海關將藉書面提醒申請人須在指明期限內提交所需文件。如申請人未能在指明期限內提交所需文件，有關申請會被視為無效，並不獲海關處理，相關牌照亦會於有效期屆滿後自動失效。
Reminder: If the applicant fails to submit all the supporting documents, C&ED will remind the applicant inwriting to submit the required documents in a specified period. If the applicant fails to submit the required
documents in the specified period, the application will be deemed to be invalid and will not be processed by C&ED.
The licence concerned will lapse automatically upon the expiry of the validity period.

*請删去不適用者*Please delete as appropriate
請在適當方格內加上 “” 號 Please insert a “” in the appropriate box
CED 401 (Rev.12/2022)10申請金錢服務經營者牌照須遞交的證明文件的核對清單
Checklist for submission of supporting documents for application for a Money Service Operator Licence
1. 申請人詳情的證明文件
Supporting Documents of the Applicant’s Particulars獨資經營 有效商業登記證的複本
Sole proprietorshipA copy of valid Business Registration Certificate
 商業登記冊內資料的摘錄複本
A copy of Extract of information on the Business Register合夥 有效商業登記證的複本
PartnershipA copy of valid Business Registration Certificate
 商業登記冊內資料的摘錄複本
A copy of Extract of information on the Business Register
本地公司
 有效商業登記證的複本
Local company
A copy of valid Business Registration Certificate
 公司註冊證明書的複本
A copy of Certificate of Incorporation 最近的周年申報表(表格NAR1)及在遞交最近的周年申報表後存檔於公司註冊處的所有文件
的複本
A copy of the latest Annual Return (Form NAR1) and all documents filed with the Companies
Registry after filing of the latest Annual Return 新成立公司：法團成立表格 — 表格 NNC1 (股份有限公司) 或表格 NNC1G (股份有限公司以外的公司) 的複本
A copy of Incorporation Form - Form NNC1 (for company limited by shares) or Form NNC1G(for company not limited by shares) for new established company
 集團架構*及集團每一成員*的持股量百分率的資料
Information of group structure* and percentage of shareholdings of each group member*
 組織章程大綱及章程細則的複本
A copy of Memorandum and Articles of Association
非香港公司
 有效商業登記證的複本
Non-Hong Kong
A copy of valid Business Registration Certificatecompany 非香港公司註冊證明書的複本
A copy of Certificate of Registration of non-Hong Kong Company
 最近的周年申報表(表格 NN3)及在遞交最近的周年申報表後存檔於公司註冊處的所有文件
的複本
A copy of the latest Annual Return (Form NN3) and all documents filed with the Companies
Registry after filing of the latest Annual Return 新成立公司：在香港註冊的非香港公司詳情 表格 NN1 的複本
A copy of Particulars of a non-Hong Kong Company Registered in Hong Kong (Form NN1) for
new established company
 集團架構*及集團每一成員*的持股量百分率的資料
Information of group structure* and percentage of shareholdings of each group member*
 組織章程大綱及章程細則的複本
A copy of Memorandum and Articles of Association
2. 每一處所詳情的證明文件
Supporting Documents of Particulars of each premises
用作經營金錢服務  該處所的已加蓋釐印租約或業權紀錄的複本
的處所
A copy of stamped tenancy agreement or record of ownership of the premises
Premises Used for  該處所的平面圖
the Operation of aFloor plan of the premises
Money Service 兩張顯示該處所外部及內部的 4R 照片
Two 4R-sized photographs showing the exterior and interior of the premises
 由業主發出容許將該處所用作經營金錢服務的同意書複本
A copy of letter issued by the landlord to the applicant permitting the premises to be used formoney service business 該處所內每一名佔用人的同意書的複本(只限混合商業及住宅處所)
Copies of consent letters from every occupant of the premises (for mixed commercial andresidential premises only)*請删去不適用者* Please delete as appropriate
請在適當方格內加上 “” 號 Please insert a “” in the appropriate box
CED 401 (Rev.12/2022)11申請金錢服務經營者牌照須遞交的證明文件的核對清單(續)Checklist for submission of supporting documents for application for a Money Service Operator Licence (Continued)
本 地 儲 存 帳 目 及  該處所的已加蓋釐印租約或業權紀錄的複本
紀錄地點A copy of stamped tenancy agreement or record of ownership of the premises
Local place for 該處所的平面圖
storage of books
Floor plan of the premises
and records 兩張顯示該處所外部及內部的 4R 照片
Two 4R-sized photographs showing the exterior and interior of the premises
 由業主發出容許將該處所用作本地儲存帳目及紀錄地點的同意書複本
A copy of letter issued by the landlord to the applicant permitting the premises to be used for local
place for storage of books and records
本地管理辦事處  該處所的已加蓋釐印租約或業權紀錄的複本
Local management
A copy of stamped tenancy agreement or record of ownership of the premises
office 該處所的平面圖
Floor plan of the premises 兩張顯示該處所外部及內部的 4R 照片
Two 4R-sized photographs showing the exterior and interior of the premises 有效商業登記證的複本
A copy of valid Business Registration Certificate
 由業主發出容許將該處所用作本地管理辦事處的同意書複本
A copy of letter issued by the landlord to the applicant permitting the premises to be used for local
management office
3. 獨資經營者及申請人的每一名(屬個人)合夥人 / 董事 / 最終擁有人詳情的證明文件
Supporting Documents of Particulars of the sole proprietor and each individual partner / director / ultimate
owner of the Applicant
香港居民 已填妥的適當人選聲明表格 3A 連同附錄 I 及 II
Hong Kong
Completed Fit and Proper Person Declaration Form 3A together with Appendices I & II
resident
 香港身份證複本 A copy of Hong Kong Identity Card
非香港居民
 已填妥的適當人選聲明表格 3A 連同附錄 I 及 II
Non-Hong Kong
Completed Fit and Proper Person Declaration Form 3A together with Appendices I & II
resident
 旅遊證件的個人資料頁的複本 A copy of the Bio-data page of the Travel Document
4. 每一名申請人的法團合夥人 / 董事的詳情的證明文件
Supporting Documents of Particulars of each corporate partner / director of the Applicant
本地公司
 已填妥的適當人選聲明表格 3B
Completed Fit and Proper Person Declaration Form 3B
Local company
 有效商業登記證的複本
A copy of valid Business Registration Certificate
 公司註冊證明書的複本
A copy of Certificate of Incorporation
 組織章程大綱及章程細則的複本
A copy of Memorandum and Articles of Association
非香港公司
 已填妥的適當人選聲明表格 3B
Non-Hong Kong
Completed Fit and Proper Person Declaration Form 3B
company 有效商業登記證的複本
A copy of valid Business Registration Certificate
 非香港公司註冊證明書的複本
A copy of Certificate of Registration of non-Hong Kong Company
 組織章程大綱及章程細則的複本
A copy of Memorandum and Articles of Association
非在香港註冊的  已填妥的適當人選聲明表格 3B
法團
Completed Fit and Proper Person Declaration Form 3B
Corporation not 公司註冊證明書的複本或根據香港法例第 32B 章《公司(表格)規例》第 3 條等同於公司註冊
registered in Hong證明書的經核證的文件的複本
Kong
A copy of the Certificate of Incorporation or its equivalent certified in accordance with reg. 3 of
the Companies (Forms) Regulations, Chapter 32B*請删去不適用者* Please delete as appropriate
請在適當方格內加上“” 號 Please insert a “” in the appropriate box
CED 401 (Rev.12/2022)12

申請金錢服務經營者牌照須遞交的證明文件的核對清單(續)Checklist for submission of supporting documents for application for a Money Service Operator Licence (Continued)
5. 授權書Authorization letter合夥人 經所有合夥人簽署的授權書複本
Partner
A copy of the authorization letter signed by all partners
法團 經董事局簽署的授權書複本
Corporation
A copy of the authorization letter signed by the Board of Directors
6. 《牌照指引》訂明的其他所需文件
Other requisite documents as specified in Licensing Guide 經獨資經營者 / 每一名(屬個人)合夥人 / 董事 / 最終擁有人確認的業務計劃Business Plan endorsed by sole proprietor / each individual partner / director / ultimate owner 經獨資經營者 / 每一名(屬個人)合夥人 / 董事 / 最終擁有人確認的打擊洗錢及恐怖分子資金
籌集政策Anti-money laundering and counter-terrorist financing policy endorsed by sole proprietor / eachindividual partner / director / ultimate owner 與參與經營金錢服務的本地及／或外地第三方簽訂的協議／合約複本
A copy of agreement / contract with each local and/or foreign third party involved in the process ofmoney service
 合規主任及洗錢報告主任的香港身份證複本
A copy of Hong Kong Identity Card of Compliance Officer (CO) and Money Laundering Reporting
Officer (MLRO) 合規主任及洗錢報告主任的有效僱傭合約複本
A copy of valid employment contracts for CO and MLRO
 合規主任及洗錢報告主任的住址證明複本，例如在申請日期前三個月內發出的水、電、煤氣費
用帳單、銀行結單
A copy of residential address proof of CO and MLRO, e.g. utility bills, bank statement, issued within
the last three months from the application date
 由銀行發出證明持有銀行帳戶的文件，例如由申請人持有用作經營金錢服務的銀行帳戶結單
複本
Proof of bank account ownership issued by bank concerned, e.g. a copy of statement of the bankaccount held by the applicant for money service business 確認由申請人持有的銀行帳戶是用作經營金錢服務業務的銀行確認書
An acknowledgement from bank that the bank account held by the applicant is used for operating
money service business
申請人須將填妥的申請表格、附件及補充資料表格連同已蓋上申請人公司印章的證明文件，遞交予香港海關金錢服務監理科辦理。海關的獲授權人員與申請人會面時將會查驗文件的正本。
Applicant is required to submit the completed application form, annex and supplementary information sheet together
with the supporting documents (stamped with the applicant’s company chop) to the Money Service Supervision Bureau
of C&ED. Authorized officers of C&ED will examine the originals during the interview with the applicant.
地址
九龍九龍灣常悅道11號新明大廈4樓402-403室
香港海關
金錢服務監理科

辦公時間星期一至星期五(公眾假期除外)

Address
Money Service Supervision Bureau,

Office hours
Monday to Friday

8:45 a.m. to 12:30 p.m.

Customs and Excise Department(Except Public Holidays)

1:30 p.m. to 5:30 p.m.

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 insert a “” in the appropriate box
CED 401 (Rev.12/2022)13

上午 8 時 45 分至中午 12 時 30 分
下午 1 時 30 分至下午 5 時 30 分