CUSTOMS AND EXCISE DEPARTMENT
Anti-Money Laundering and Counter-Terrorist Financing
Ordinance
Chapter 615, Laws of Hong Kong

Guidance Notes

Form 6

Notification of Changes in Particulars

Table of Contents
A

B

C

D

General Information

Page No.

1.

Introduction

(2)

2.

Change of particulars under Money Service Operator (MSO) Licence

(2)

3.

Notification of Changes

(3)

4.

Processing of Notification(3)

Notes on How to Complete the Application Form
5.

Completing the Notification Form

(4)

6.

Declaration by the person who submits this notification form

(4)

7.

Fill in Annex

(4)

8.

Specimen of a Completed Notification Form 6(5)Personal Information Collection Statement
9.

Purpose of Collection

(6)

10.

Classes of Transferees

(6)

11.

Access to Personal Data

(6)

12.

Enquiries to Personal Data

(6)

(7)

General Enquiry

AppendixA

Specimen of Completed Form 6 – Notification of Changes in Particulars

1(8)Rev. 12/2022

CUSTOMS AND EXCISE DEPARTMENT
Anti-Money Laundering and Counter-Terrorist
Financing Ordinance
Chapter 615, Laws of Hong Kong

Guidance Notes on Form 6
Notification of Changes in Particulars
Part A 1.

General Information

Introduction
Under Section 40 of the Anti-Money LaunderingandCounter-Terrorist

Financing

Ordinance, Chapter 615(AMLO), a licensee must report any changes in particulars to the Commissioner of Customs and Excise (CCE) inwriting within one month beginning on the date on which the change takes place. The breach of this requirement issubject to the imposition of supervisory sanctions by the CCE. The maximum penalty is a fine of $1,000,000. The
licensee may also be prosecuted and is liable on conviction to a fine of $50,000.

2.

Change of particulars under Money Service Operator (MSO) Licence
A licensee needs to notify the CCE of the following changes in MSO registration particulars by completing a
Notification of Changes in Particulars (Form 6):(i) Particulars of the Licensee business(a) Name of Business / Corporation(b) Business / Branch Name(c) Principal (Correspondence) Address(d) Contact Information(ii)

Particulars of Premises used for the operation of a Money Service(a) Business Premises Information(b) Telephone and Fax No. of Business Premises(c) Information of other Business being run in the Business Premises(d) Occupants of mixed commercial and residential premises(iii)

Particulars of the Licensee / Licensee’s Partners / Directors / Ultimate Owners(iv)

Incoming / Outgoing of Partners / Directors / Ultimate Owners(v)

The “Fit and Proper” status of licensee / Licensee’s Partners / Directors / Ultimate Owners(vi)

Deletion / addition of the Bank Account used for operating your Money Service(vii)

Information of Local place for storage of books and records and Local management office(viii)

Particulars of the Licensee's Compliance Officer and Money Laundering Reporting Officer
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3.

Notification of Changes

3.1

Notification Forms
Application forms can be obtained from the Money Service Supervision Bureau (MSSB) of the Customs andExcise Department (C&ED) at Units 402-403, 4/F, Centre Parc, 11 Sheung Yuet Road, Kowloon Bay, Kowloon or
downloaded from the C&ED website at https://eservices.customs.gov.hk/MSOS/index?request_locale=en.

3.2

In person or by post(i)

Please sign the duly completed Notification of Changes in Particulars when submitting it to the MSSB.

(ii)

After receiving the application submitted in person or by post, the CCE will issue an Acknowledgement ofReceipt of the Notification Form within 7 working days from the submission or the postal date.

(iii)

Information provided by the licensee in the Notification of Changes in Particulars must be supported bycopies of relevant documents. Licensee is therefore reminded to ensure that the notification is submitted
together with all required supporting documents indicated in the notification form. Failure to do so may
cause delay in processing the notification, or may result in deferment or termination processing of thenotification. For details of the required documents, please refer to the notification. After termination
processing the notification, record of the licensee in the C&ED will not be updated with the changes inparticulars.

4.

Processing of Notification

4.1

Upon receipt of a Notification of Changes in Particulars and the relevant documents, the CCE may also request
the licensee to provide additional information to process the notification where necessary. Failure to do so within aperiod as specified by the CCE may cause delay in processing the application, or even result in deferment or
termination processing of the notification. After termination processing the notification, record of the licensee in
the C&ED will not be updated with the changes in particulars.

4.2

MSSB will undertake a number of checks to confirm the accuracy of the information provided. This will include
vetting details against information held by the C&ED, other government departments and law enforcing agencies.

4.3

The processing time may vary depending on various factors including the time taken in collecting the requisite
documents from the licensee.

4.4

Regarding the change in name of business / corporation, branch name and correspondence address, the licensee
must return the licence to CCE for amendment.

4.5

A fresh licence application is required if there is a change in Licensee’s Business / Corporation status, e.g. sole
proprietorship to partnership or unlimited company to limited company.

4.6

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 needs to submit an application to notify the CCE of the
cessation of its existing business and submit a new application to apply for a licence to operate a money service
without particular premises.
If a licensee wishes to change the nature of money service business, e.g. money changing service to remittanceservice, the licensee is required to file a written submission with the CCE for a review of its fit and proper status
for the provision of the proposed money service.
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Part B

- Notes on How to Complete the Notification Form

Please fill in the form in capital letters and black ink according to the instructions stated in the notification form andthe Guidance Notes. An illegible handwritten form may be rejected.
5.

Completing the Notification Form(i)

Please provide the particulars of the licensee in the covering page and ‘tick’ as appropriate in the box
related to the particular change.

(ii)

The licensee should only complete the Annex relevant to the changes and related supporting documents asstated in the Annex. Please fill in, sign and stamp with company chop of the licensee and return therelevant Annex to the CCE.

6.

Declaration by the person who submits this notification form (see Remarks)
The person who submits this notification form should read the declaration in this part and fill in his / herparticulars and sign on it.

7.

Fill in Annex

7.1

For the following changes, please fill in and return Annex 1 and relevant supporting documents
Notification of change in particulars of Business / Corporation(a) Name of Business / Corporation(b) Business / Branch Name(c) Principal AddressThis address can be the particular premises used for operating money service or the correspondence
address. The new correspondence address will be shown on the licence.
(d) Contact Information
Please tick “” the types of notification you would like to make to the CCE and provide the information requiredin the Annex relevant to the changes in your company.

7.2

For the following changes, please fill in and return Annex 2 or 7 and relevant supporting documents
Particulars of change in particulars of Premises(a) Business Premises Information [please fill in Annex 2](b) Contact information [please fill in Annex 2](c) Information of other business being run in the premises [please fill in Annex 2](d) Change in occupants of mixed commercial and residencial premises [please fill in Annex 2](e) Local Management Office (applicable to licensees without any particular premises for money
service business) [please fill in Annex 7](f) Local place for storage of books and records [please fill in Annex 7]

Please tick “” the types of notification you would like to make to the CCE and provide the information requiredin the Annex relevant to the changes in your company.
4Rev. 12/2022

7.3

For the following changes, please fill in and return Annex 3 and relevant supporting documents(i)

Notification of change in particulars of the licensee / licensee’s Partners / Directors / Ultimate owner who
is an Individual(a) Changed particulars of the Individual(ii)

Notification of change in particulars of licensee’s Partner/ Director(a) Changed particulars of the Corporation(b) Changed registered address of the Corporation

Please tick “” the types of notification you would like to make to the CCE and provide the information requiredin the Annex relevant to the changes in your company.
7.4

For the following changes, please fill in and return Annex 4 and relevant supporting documents
Notification of particulars of the incoming / outgoing of licensee’s Partners / Directors / Ultimate Owners(a) Particulars of the incoming licensee’s Partner / Director / Ultimate Owner who is an individual(b) Particulars of the incoming licensee’s corporate Partner / Director(c) Particulars of the outgoing licensee’s Partner / Director / Ultimate Owner who is an individual(d) Particulars of the outgoing licensee’s corporate Partner / Director
Please tick “” the types of notification you would like to make to the CCE and provide the information requiredin the Annex relevant to the changes in your company.

7.5

For the following changes, please fill in and return Annex 5 and relevant supporting documents
Notification of change in “Fit and Proper Person” status of licensee’s / licensee’s Partners / Directors / Ultimate
Owners(a) Particulars of the Individual whose “Fit and Proper Person” status has been changed(b) Particulars of the corporate Partner / Director of which the “Fit and Proper Person” status has beenchanged.
Please tick “” the types of notification you would like to make to the CCE and provide the information requiredin the Annex relevant to the changes in your company.

7.6

For the following changes, please fill in and return Annex 6
Notification of Deletion / Addition of Bank Account used for operating the Licensee’s Money Service(a) Particulars of the deletion of bank account for operating the licensee’s money service(b) Particulars of the addition of bank account for operating the licensee’s money service
Please tick “” the types of notification you would like to make to the CCE and provide the information requiredin the Annex relevant to the changes in your company.

7.7

For the following changes, please fill in and return Annex 8 and relevant supporting documents
Notification of change in the licensee’s Compliance Officer/Money Laundering Reporting Officer(a) Particulars of licensee's compliance officer and money laundering reporting officer(b) Incoming/Outgoing of licensee's compliance officer and money laundering reporting officer
Please tick “” the types of notification you would like to make to the CCE and provide the information requiredin the Annex relevant to the changes in your company.

8.

Specimen of a Completed Notification Form 6
For further information on the requisite particulars and documents, the licensee should make reference to the“Specimen of Completed Form 6 – Notification of Changes in Particulars” at Appendix A.

5Rev. 12/2022

Part C-

Personal Information Collection Statement

9.

Purpose of Collection

9.1

The personal data provided in the notification form as well as any updates of them will be used for facilitatingprocessing of applications / record purpose / record update and investigations for the enforcement of the AntiMoney Laundering and Counter-Terrorist Financing Ordinance, Chapter 615.

9.2

It is obligatory for you to supply the personal data as required by the application form.

If you do not provide

sufficient information, we may not be able to process your notification

10.

Classes of Transferees
The personal data you provided in the application form as well as any updates of them may be disclosed to other
Government departments / bureaux or organizations for the purposes mentioned in paragraph 9.1 above; or any
third parties under section 49 of the AMLO; or where such disclosure is authorized or required by law.

11.

Access to Personal Data
You have the right of access to and correction of your personal data as provided for in the Personal Data (Privacy)
Ordinance (PDPO). Your right of access includes the right to obtain a copy of your personal data provided inthis form. In accordance with the provisions of the PDPO, we have the right to charge a reasonable fee for theprocessing of any data access request.

12.

Enquiries to Personal Data
Enquiries concerning the personal data collected by the application form, including the request for access to andcorrection of personal data, should be addressed to:

Departmental Secretary
Office of Departmental Administration
Customs and Excise Department
31/F, Customs Headquarters Building
222 Java Road, North Point, Hong Kong

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Part D-

General Enquiry

Licensees may visit the C&ED website at https://eservices.customs.gov.hk/MSOS/index?request_locale=en for
details of information on notification of changes
notification,
licensees
may
write
to

in

particulars.

For

enquiriesonindividual

msoenquiry@customs.gov.hk or call the following enquiry

hotline:Enquiry Hotline :3742 7742 (during normal office hours)

Please attach the copies of the supporting documents (stamped with the applicant company’s chop) to the completed
notification form.
You should forward the duly completed notification form together with copies of the necessary supporting
documents to the MSSB of the Customs and Excise Department.

Address

Money Service Supervision Bureau
Customs & Excise Department
Units 402-403, 4/F, Centre Parc
11 Sheung Yuet Road, Kowloon Bay, Kowloon

WARNING(1) Please read the Guidance Notes carefully before completing the Notification Form. The data provided in
the notification from must be true and correct. Under section 40 of the AMLO, a licensee must report any
changes in registration particulars to the Commissioner of Customs and Excise (CCE) in writing within one
month from the date on which the change takes place.
(2) Any breach of the requirement under section 40 is subject to the imposition of disciplinary actions by the
CCE. The maximum penalty is a fine of $1,000,000. The licensee may also be prosecuted and is liable onconviction to a fine of $50,000.

This Guidance Note is not a legal document. It only serves as a guide in completing the Form 6
Notification of Changes in Particulars. In case of doubt about legal issues, you should refer to the AntiMoney Laundering and Counter-Terrorist Financing Ordinance or if necessary, seek assistancefrom your legal advisor.

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香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

香港海關專用For Official Use Only

表 格6
具報詳情改變
Form 6

Receipt Date:
Application No.:
Approval Date:

Notification of Changes in Particulars

附錄A
Appendix A

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
請用正楷及黑色筆填寫表格。填寫本表格前，請先閱讀填表須知及牌照指引。
Please fill in the form in capital letter and black ink and read the Guidance Notes and Licensing Guide before completing this form.
致:在此樣本表格內填報的資料全屬虛構，如有雷同，實屬巧合。

海關關長All the particulars filled in this specimen form are fictitious. Any
resemblance to individuals or companies is entirely coincidentalTo:

The Commissioner of Customs and Excise
具報改變金錢服務經營者牌照的登記詳情
Notification of Changes in Particulars under Money Service Operator Licence現具報海關關長

KAM CHIN SHENG COMPANY(持牌人業務 / 法團)(金錢服務經營者牌照號碼：12-04-03333
詳情改變。經修訂的資料現列述如下：This is to notify the Commissioner of Customs and Excise)，下列在香港海關金錢服務經營者牌照的登記
KAM CHIN SHENG COMPANY( Licensee’s Business / Corporation)(Money Service Operator (MSO) Licence No.:12-04-03333) of the change of the following particular(s)under our Money Service Operator Licence in Customs and Excise Department. The revised information is now given
below:(A) 關於以下改變，請填寫及交回附件 1
業 務 / 法團名稱業 務 / 分行名稱主要地址
聯絡資料(B) 關於以下改變，請填寫及交回附件 2營業處所的資料
營業處所的電話及傳真號碼在營業處所經營的其他業務的資料
混合商業及住宅處所的佔用人(C) 關於以下改變，請填寫及交回附件 3


持牌人 / 持牌人的合夥人 / 董事
/ 最終擁有人的詳情(D) 關於以下改變，請填寫及交回附件 4

For the following changes, please fill in and return Annex 1.
Name of Business / Corporation
Business / Branch NamePrincipal AddressContact Information
For the following changes, please fill in and return Annex 2.
Business Premises Information
Telephone and Fax No. of Business Premises
Information of other Business being run in the Business PremisesOccupants of Mixed Commercial and Residential Premises
For the following changes, please fill in and return Annex 3.
 Particulars of Licensee / Licensee’s Partners / Directors/ Ultimate Owners
For the following changes, please fill in and return Annex 4.

接任成為持牌人合夥人/董事/最終擁有人 Incoming of Licensee’s Partners / Directors / Ultimate Owners
卸任作為持牌人合夥人/董事/最終擁有人 Outgoing of Licensee’s Partners / Directors / Ultimate Owners

8* 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 404 (Rev.12/2022)

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香 港 海關
CUSTOMS AND EXCISE DEPARTMENT
表 格6
具報詳情改變
Form 6香港海關專用For Official Use Only
Receipt Date:
Application No.:
Approval Date:

Notification of Changes in Particulars(E) 關於以下改變，請填寫及交回附件 5


持牌人 / 持牌人的合夥人 /董事 /最終
擁有人的「適當人選」狀況有所改變(F) 關於以下改變，請填寫及交回附件 6删除用以經營金錢服務的銀行帳戶

For the following change, please fill in and return Annex 5.
 The “Fit and Proper” status of Licensee / Licensee’s Partners /Directors / Ultimate Owners

加入用以經營金錢服務的銀行
帳戶

For the following changes, please fill in and return Annex 6.
 Deletion of Bank Account(s) used for Operating Money
Service Addition of Bank Account(s) used for operating Money
Service(G) 關於以下改變，請填寫及交回附件 7
本地儲存帳目及紀錄地點的資料
本地管理辦事處的資料

For the following changes, please fill in and return Annex 7.
 Information of Local place for storage of books and records
 Information of Local management office(H) 關於以下改變，請填寫及交回附件 8
合規主任的詳情洗錢報告主任的詳情

For the following changes, please fill in and return Annex 8.
 Particulars of Compliance Officer Particulars of Money Laundering Reporting Officer

重要事項: 請於已填妥的附件蓋上持牌人公司印章並簽署Important Notes: Please sign and stamp with company chop of the Licensee on the completed Annex
提交此具報改變表格人士的聲明 (見於備註)
Declaration by the person who submits this notification form (see Remarks )2.
本人謹此聲明，就本人所知及相信，在上文第 1 段和相關附件 1,2,3,4,5,6,7,8 所提供的資料，均屬
真實及正確，而*本人/本公司在申請金錢服務經營者牌照的批給 / 續期申請表上提供的其他資料仍然有效。本人明白此通知書為*本人/本公司申請金錢服務經營者牌照的批給 / 續期申請表的一部份。本人進一步承諾自任
何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。

I hereby declare that the information provided in paragraph 1 above and the relevant Annex
1,2,3,4,5,6,7,8 is true and correct to the best of my knowledge and belief and other particulars of my company
provided in the Application Form for Grant / Renewal of a Money Service Operator Licence remain valid. I
understand that this notification forms part of my Application Form for Grant / Renewal of a Money Service Operator
Licence. I further undertake to notify the Commissioner of Customs and Excise in writing of any changes within one
month beginning on the date on which the change takes place.

9* 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 404 (Rev. 12/2022)

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香 港 海關
CUSTOMS AND EXCISE DEPARTMENT
表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars
3.

本人已閱讀具報詳情改變表格 6 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 6
Notification of Changes in Particulars and understand the contents stated therein.

KAM CHIN SHENG(*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 person of thelicensed partnership / corporation and company chop)

KAM CHIN SHENG( 姓 名 ( 正 楷 ))(Name in block letters)

Z123456(1)(香港身份證/旅遊證件號碼)(HKID No. /Travel Doc. No.)PARTNER(在持牌人業務 / 法團擔任的職位)(Position in the Licensee’s Business / Corporation)

98759875(聯絡電話號碼)(Contact Tel. No.)

01/09/2021(日期)(Date)

備註:
提交此具報改變表格的人士必須是：
Remarks: The person who submits this notification of changes in particulars form must be:(a) 如持牌人屬獨資經營，該獨資經營者；the sole proprietor, if the licensee is a sole proprietorship;(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；the partner authorized in writing by every partner, if the licensee is a partnership. The authorization
letter should be attached;(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.
請將填妥的具報詳情改變表格 6 呈交:Please submit the completed Notification of Changes in Particulars Form 6 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

10* 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 404 (Rev. 12/2022)

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香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

附件1

Annex 1

表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars(請選擇需要修改的項目並在有關的方格內加上「」號及填上更新的資料。如某項目欄所提供的空位不敷應用，請另紙填寫。)(Please select the item(s) that have to be amended by putting a tick in the square box and fill in the revised information and use separate sheet if thespace provided for a particular item is insufficient.)

具報業務 / 法團的詳情改變
Notification of Change in Particulars of Business / Corporation
改變的生效日期(日/月/年)
3 1 0 8 2 0 2 1
Effective Date of the change (dd/mm/yyyy)
 業務 / 法團名稱 (業務 / 法團名稱有所改變，持牌人須將牌照交還關長以作更新)Name of Business / Corporation (Change in name of business / corporation, the licensee must return the licence to CCE for amendment)
業務/法團名稱(英文)(商業登記證上所載資料) K A M
Name of Business / Corporation(in English) (as shown in the BusinessC H I NS H E N GC O M P A N Y

Registration Certificate)

業務/法團名稱(中文)(商業登記證上所載資料)
Name of Business / Corporation
金錢成公司(in Chinese) (as shown in the Business
Registration Certificate)請夾附以下證明文件：
Please attach the following supporting documents 新的商業登記證複本A copy of the new Business Registration Certificate
 公司更改名稱證明書的複本
A copy of the Certificate of Change of Name

 業務 / 分行名稱 (業務 / 分行名稱有所改變，持牌人須將牌照交還關長以作更新)Business / Branch Name (Change in name of business / branch, the licensee must return the licence to CCE for amendment)
業務 / 分行商業登記號碼
Business / Branch Business Registration Number-

業務 / 分行名稱(英文)(商業登記證上所載名稱)Business / Branch Name (in English)(as shown in the Business Registration Certificate)

業務 / 分行名稱(中文)(商業登記證上所載名稱)Business / Branch Name (in Chinese)(as shown in the Business Registration Certificate)請夾附以下證明文件：
Please attach the following supporting documents 新的商業登記證複本A copy of the new Business Registration Certificate

11* 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 404 (Rev. 12/2022)

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香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

附件1

表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars

Annex 1

 主要地址 (此地址可以是經營金錢服務的特定處所或通訊地址，如更改通訊地址將會顯示於有關牌照上。)
Principal Address (This address can be the particular premises used for operating money service or the correspondence
address. The change of correspondence address will be shown on the licence.)(通訊地址有所改變，持牌人須將牌照交還關長以作更新)(Change correspondence address the licensee must return the licence to CCE for amendment)*室/店鋪/攤位及會場號碼
*Flat/Room/Shop/Booth & HallNo.
大厦名稱
Building Name

樓
Floor

座
Block No.

*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) 九龍  新 界
KLNNT

請夾附以下證明文件：
Please attach the following supporting document: 新的商業登記證複本A copy of the new Business Registration Certificate(請選擇需要修改的項目並在有關的方格內加上「」號及填上更新的資料。如某項目欄所提供的空位不敷應用，請另紙填寫。)(Please select the item(s) that have to be amended by putting a tick in the square box and fill in the revised information and use separate sheet if thespace provided for a particular item is insufficient.)

 聯絡資料
Contact Information
業務網址Business Website Address

H T T P : / / WWW . K C S M C . C O M

電郵地址
E-mail Address

K C S M C @ G M A I L . C O M

辦事處電話號碼
Office Telephone No.

3 4 1 2 3 4 1 2

辦事處傳真號碼
Office Fax No.

3 6 6 6 2 2 2 2

重要事項:(a) 如持牌人業務 / 法團的狀況改變，例如是由獨資經營轉為合夥經營或由無限公司轉為有限公司，則必須重新申請牌照。
(b) 如持牌人有意改變金錢服務業務性質，例如從貨幣兌換服務轉為匯款服務，持牌人須向關長遞交書面陳詞，供關長檢視其擬提供的金錢服務的適當人選資格。
IMPORTANT:(a) A fresh licence application is required if there is a change in Licensee’s Business / Corporation status, e.g.
sole proprietorship to partnership or unlimited company to limited company.
(b) If a licensee wishes to change the nature of money service business, e.g. money changing service toremittance service, the licensee is required to file a written submission with the CCE for a review of its fit
and proper status for the provision of the proposed money service.
12
Rev. 12/2022* 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 404 (Rev. 12/2022)

香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

附件2

Annex 2

表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars(請選擇需要修改的項目及在方格內加上「✓」號及填上經修訂的資料。如某項目提供的空位不敷應用，請另紙填寫。)(Please select the item(s) that have to be amended by putting a tick in the square box and fill in the revised information and use separate sheet if thespace provided for a particular item is insufficient.) 具報營業處所的登記詳情改變
Notification of Change in Particulars of Business Premises以下營業處所的登記詳情有所改變Particulars in relation to the following business premises have been changed
商業登記號碼
Business Registration Number
改變的生效日期 (日/月/年)
Effective Date of the change (dd/mm/yyyy)


1

2

3

4

5

6

7

8

-

0

0

3 1 0 8 2 0 2 1

營業處所的資料
Business premises information經營金錢服務的處所類別：Type of premises where the money service is operated: 商業處所
混合商業及住宅處所
Commercial premises
Mixed commercial and residential premises
營業處所的面積
Area of the business premises



(平方米)
(m2)

聯絡資料
Contact information

電話號碼
Telephone No.

傳真號碼
Fax No.

在此營業處所內經營的其他業務的資料
Information of other business being run in this premises

有否其他業務在此處所內經營? (不適用於在貿易展覽會場地加入新的營業處所)
Is there any other business being run in this premises? (not applicable for adding business premises in trade fair / exhibition venue) 有 Yes 否 No(如「有」，請提供下述資料)(If ‘Yes’, please provide the following details)
請提供共用營業處所的業務的以下資料：
Please provide the following information of the business sharing the business premises: 由持牌人公司經營，業務性質為：Run by the licensee’s company, the nature of business is:-13
* 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 404 (Rev. 12/2022)

Rev. 12/20220香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

附件2

Annex 2

表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars(請選擇需要修改的項目並在有關的方格內加上「」號及填上更新的資料。如某項目欄所提供的空位不敷應用，請另紙填寫。)(Please select the item(s) that have to be amended by putting a tick in the square box and fill in the revised information and use separate sheet if thespace provided for a particular item is insufficient.)由其他經營者經營，請提供共用營業處所的業務的以下資料：
Run by other business entity, please provide the particulars of the business sharing the business premises as follows: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

—

混合商業及住宅處所的佔用人資料
Change in occupants of mixed commercial and residential premises

遞交通知書時，你必須取得遷入的佔用人的同意書，並與通知書一併遞交。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 obtain the letter(s) of consent from Incoming occupants and submit it/them together with the notification.
Please ensure that each of the occupants has read the Personal Information Collection Statement in Part C of the GuidanceNotes.
遷入的佔用人姓名
Name of Incoming Occupants

遷出的佔用人姓名
Name of Outgoing Occupants(1) CHEUNG CHI MING

(1) CHAN WAI MAN

(2)

(2)

(3)

(3)

(4)

(4)

14
* 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 404 (Rev. 12/2022)

Rev. 12/2022

香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

附件3

Annex 3

表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars(請選擇需要修改的項目並在有關的方格內加上「✓」號及填上更新的資料。如某項目欄所提供的空位不敷應用，請另紙填寫。)(Please select the item(s) that have to be amended by putting a tick in the square box and fill in the revised information and use separate sheet if thespace provided for a particular item is insufficient.) 具報持牌人/ 持牌人的合夥人 / 董事 / 最終擁有人 (屬個人) 的詳情改變
Notification of Change in Particulars of the Licensee / Licensee’s Partner/Director/Ultimate owner who is an
Individual
以下人士的詳情有所改變Particulars of the following Individual whose particulars have been changed
姓名(*先生/太太/小姐/女士)
Name (*Mr/Mrs/Miss/Ms)

K A M

香港身份證 / 旅遊證件號碼*
HKID / Travel Document No.*
身分
Status

A 1 2 3 4 5 6 ( 3 )改變的生效日期 (日/月/年)
Effective Date of the change (dd/mm/yyyy)

WI N G

K WA I先填寫姓氏再填寫名字 Surname first then other names獨資經營者 Sole proprietor 董事 Director
3 1 0 8 2 0 2 1合夥人 Partner
最終擁有人 Ultimate owner 已改變的個人詳情 (請隨附證明文件)
Changed Particulars of the Individual (Please attach copy of supporting documents)
 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Name in Chinese (if applicable)(如適用)

別名(如有)
Alias (if any)

 中文電碼(如適用)
Chinese Commercial Code(if applicable)
 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:-.

 旅遊證件類別(例如護照)P A S S P O R T
Travel Document Type(e.g. passport)
 旅遊證件號碼Travel Document No.
 簽發日期
Date of Issue

B B 4 3 2 1 0 0 5
3 1 0 8 2 0 2 1日

月年

DDMMYYYY 屆滿日期
Date of Expiry

3 0 0 8 2 0 3 1日

月年

DDMMYYYY 簽發國家 / 地點Country / Place of Issue

C H I N A / B E I J I N G

15* 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 404 (Rev. 12/2022)

Rev. 12/2022

香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

附件3

Annex 3

表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars(請選擇需要修改的項目並在有關的方格內加上「✓」號及填上更新的資料。如某項目欄所提供的空位不敷應用，請另紙填寫。)(Please select the item(s) that have to be amended by putting a tick in the square box and fill in the revised information and use separate sheet if thespace provided for a particular item is insufficient.) 具報持牌人的法團合夥人 / 董事 的詳情改變
Notification of Change in Particulars of Licensee’s Corporate Partner / Director
以下法團的詳情有所改變Particulars of the following Corporation which particulars have been changed
法團名稱Name of Business / Corporation

商業登記證號碼
Business Registration No.

H A P P Y

E X C H A N G E

L I M I T E D

3 3 2 2 1 1 0 0 - 0 0 0身分
Status改變的生效日期 (日/月/年)
Effective Date of the change (dd/mm/yyyy)合夥人Partner

董事
Director

3 1 0 8 2 0 2 1

 已改變的法團詳情 (如更改名稱，請隨附更改名稱的證明文件)
Changed Particulars of the Corporation (Please attach copy of supporting documents for the change of name) 法團名稱 (英文)Name of Business / Corporation(in English) 法團名稱 (中文)Name of Business / Corporation(in Chinese) 電郵地址
E-mail Address 辦事處電話號碼
Office Telephone No.
 辦事處傳號碼
Office Fax No.
 已改變的法團的註冊地址 (請隨附更改地址的證明文件)
Changed Registered Address of the Corporation (Please attach copy of supporting documents for the change of address)*室 / 店鋪號碼*Flat / Room / Shop No.

0 8

大厦名稱
Building Name

H A P P Y

樓
Floor

座
Block No.

2 8

5MA N S I O N*屋邨 / 屋苑名稱*Estate / Court Name
門牌號碼Street No.
地區 (例如灣仔)District (e.g. Wanchai)街道名稱 A B C
Street NameC E N T R A L

 香港 HK  九龍 KLN  新界 NT 香港特區以外 OTHER THAN HKSAR
16* 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 404 (Rev. 12/2022)

S T R E E T

Rev. 12/2022

香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

附件4

Annex 4

表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars(請選擇需要修改的項目並在有關的方格內加上「✓」號及填上更新的資料。如某項目欄所提供的空位不敷應用，請另紙填寫。)(Please select the item(s) that have to be amended by putting a tick in the square box and fill in the revised information and use separate sheet if thespace provided for a particular item is insufficient.) 具報接任成為持牌人/ 卸任作為持牌人的合夥人 / 董事 / 最終擁有人的詳情
Notification of Particulars of the Incoming / Outgoing of Licensee’s Partner / Director / Ultimate Owner
改變的生效日期 (日/月/年)
Effective Date of the change (dd/mm/yyyy)

3 1 0 8 2 0 2 1

 接任成為持牌人的合夥人 / 董事 / 最終擁有人 (屬個人) 的詳情
Particulars of the Incoming of Licensee’s Partner/Director/Ultimate owner who is an individual
姓名(*先生/太太/小姐/女士)
Name (*Mr/Mrs/Miss/Ms)
香港身份證 /旅遊證件號碼*
HKID / Travel Document No.*
身分
Status

I P

T A I

Y A T

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

D 2 3 0 0 1 1 ( 9 )




合夥人
Partner
董事
Director
最終擁有人
Ultimate owner請夾附以下證明文件：
Please attach the following supporting documents:

海關關長批准加入成為持牌人的合夥人 / 董事 / 最終擁有人的函件
Approval letter from the Commissioner of Customs & Excise for the addition of partner / director / ultimate
owner



商業登記冊內資料的摘錄複本 / 更改公司秘書及董事通知書(委任/停任) (ND2A) 的複本
A copy of extract of information on the Business Register/ A copy of the Notice of Change of Company Secretaryand Director (Appointment/Cessation) (ND2A)



接任成為持牌人的法團合夥人 / 董事 的詳情
Particulars of the Incoming Licensee’s Corporate Partner/Director

法團名稱(英文)Name of Corporation(in English)
商業登記號碼
Business Registration No.
身分
Status合夥人Partner

董事
Director請夾附以下證明文件:
Please attach the following supporting documents:海關關長批准加入為合夥人 / 董事的函件
Approval letter from the Commissioner of Customs & Excise for the addition of partner / director
更改公司秘書及董事通知書(委任/停任) (ND2A) 的複本
A copy of the Notice of Change of Company Secretary and Director (Appointment/Cessation) (ND2A)
17* 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 404 (Rev. 12/2022)

Rev. 12/2022

香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

附件4

Annex 4

表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars(請選擇需要修改的項目並在有關的方格內加上「✓」號及填上更新的資料。如某項目欄所提供的空位不敷應用，請另紙填寫。)(Please select the item(s) that have to be amended by putting a tick in the square box and fill in the revised information and use separate sheet if thespace provided for a particular item is insufficient.)

卸任作為持牌人的合夥人 / 董事 / 最終擁有人 (屬個人) 的詳情
Particulars of the Outgoing of licensee’s Individual Partner / Director / Ultimate owner

姓名(*先生/太太/小姐/女士)
Name (*Mr/Mrs/Miss/Ms)

先填寫姓氏再填寫名字 Surname first then other names*香港身份證 / 旅遊證件號碼
*HKID / Travel Document No.
身分
Status合夥人Partner
董事
Director
最終擁有人
Ultimate owner請夾附以下證明文件：
Please attach the following supporting documents:



商業登記冊內資料的摘錄複本 / 公司秘書及董事辭職通知書(ND4) 的複本
A copy of extract of information on the Business Register / A copy of the Notice of Resignation of Company
Secretary and Director (ND4)

卸任作為持牌人的法團合夥人 / 董事 的詳情
Particulars of the Outgoing of licensee’s Corporate Partner / Director

法團名稱(英文)Name of Corporation(in English)
商業登記號碼
Business Registration No.

-請夾附以下證明文件：
Please attach the following supporting documents:

公司秘書及董事辭職通知書(ND4) 的複本
A copy of the Notice of Resignation of Company Secretary and Director (ND4)18* 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 404 (Rev. 12/2022)

Rev. 12/2022

香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

附件5

Annex 5

表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars(請選擇需要修改的項目並在有關的方格內加上「✓」號及填上更新的資料。如某項目欄所提供的空位不敷應用，請另紙填寫。)(Please select the item(s) that have to be amended by putting a tick in the square box and fill in the revised information and use separate sheet if thespace provided for a particular item is insufficient.) 具報持牌人 / 持牌人的合夥人 / 董事 / 最終擁有人的「適當人選」狀況改變
Notification of Change in “Fit and Proper” Status of Licensee / Licensee’s Partners / Directors / Ultimate
Owners
個人的「適當人選」狀況所改變的詳情Particulars of the Individual whose “Fit and Proper” status has been changed
 持牌人
Licensee 持牌人的合夥人
Licensee‘s Partner

姓名(*先生/太太/小姐/女士)
Name (*Mr/Mrs/Miss/Ms)

K A M

 持牌人的董事
Licensee‘s Director
WI N G 持牌人的最終擁有人
Licensee‘s Ultimate owner

K WA I先填寫姓氏再填寫名字 Surname first then other names(適用於香港居民

香港身份證號碼
Hong Kong Identity Card No.(for Hong Kong resident)
旅遊證件號碼(適用於非香港居民)Travel Document No.(for non-Hong Kong resident)

A 1 2 3 4 5 6( 7)(e.g. passport)*定罪/判決日期
Date of *conviction /adjudication

具報事項
Matters to be notified 上述人士在香港或別處地方曾被定罪
The person mentioned above has been convicted of an offence in Hong Kong or
elsewhere 上述人士曾被頒佈破產及破產仍未被解除？
The person mentioned above has been adjudged bankrupt and not yet beendischarged?
 上述人士是第 6 章《破產條例》下的破產程序的標的
The person mentioned above is the subject of any bankruptcy proceedings underthe Bankruptcy Ordinance (Cap. 6)

2

8

0

8

2

0

2

日D 日D 月M 月M 年Y 年Y 年Y 年Y日D 日D 月M 月M 年Y 年Y 年Y 年Y日D 日D 月M 月M 年Y 年Y 年Y 年Y

請夾附以下證明文件(於會面時遞交):Please attach the following supporting documents (於會面時遞交): 已填妥的狀況改變的持牌人/持牌人的合夥人/董事/最終擁有人適當人選聲明表格 3A 連同附錄 I 及 II
Completed Fit and Proper Person Declaration Form 3A together with Appendices I & II of Licensee / Licensee’sPartners / Directors / Ultimate Owners whose status has been changed.
(填寫表格 3A 的詳情，請參閱表格 3A 的填表須知。)(For details of how to complete Forms 3A, please refer to the relevant Guidance Notes.)19* Please delete as appropriate* 請删去不適用者
請在適當方格內加上 “✓”號 Please “✓” as appropriate
CED 404 (Rev. 12/2022)

Rev. 12/2022

1

香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

附件5

Annex 5

表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars(請選擇需要修改的項目並在有關的方格內加上「✓」號及填上更新的資料。如某項目欄所提供的空位不敷應用，請另紙填寫。)(Please select the item(s) that have to be amended by putting a tick in the square box and fill in the revised information and use separate sheet if thespace provided for a particular item is insufficient.)

法團合夥人 / 董事的「適當人選」狀況所改變的詳情Particulars of the Corporate Partner / Director of which the “Fit and Proper” status has been changed


持牌人的合夥人
Licensee‘s Partner



持牌人的董事Licensee‘s Director

持牌人的最終擁有人
Licensee‘s Ultimate owner

法團名稱Name of Corporation

商業登記號碼 Business Registration No.

*定罪/清盤令/自動清盤日期
Date of *conviction /winding-up order/ voluntary
winding-up

具報事項
Matters to be notified
 上述公司在香港或別處地方曾被定罪
The company mentioned above has been convicted of an offence in Hong Kong or
elsewhere 上述公司正在清盤
The company mentioned above is in liquidation
 上述公司是清盤令的標的或已就該公司委任接管人The company mentioned above is the subject of a winding up order or there is areceiver appointed in relation to it

日D 日D 月M 月M 年Y 年Y 年Y 年Y日D 日D 月M 月M 年Y 年Y 年Y 年Y日D 日D 月M 月M 年Y 年Y 年Y 年Y

請夾附以下文件 (與申請表格一併遞交):Please attach the following supporting documents (submitted together with the application form): 已填妥狀況改變的法團合夥人 / 董事的適當人選聲明表格 3B
Completed Fit and Proper Person Declaration Form 3B of the corporate Partner / Director of which the “Fit andProper” status has been changed.
(填寫表格 3B 的詳情，請參閱表格 3B 的填表須知。)(For details of how to complete Forms 3B, please refer to the relevant Guidance Notes.)20* 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 404 (Rev. 12/2022)

Rev. 12/2022

香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

附件6

Annex 6表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars(請選擇需要修改的項目並在有關的方格內加上「✓」號及填上更新的資料。如某項目欄所提供的空位不敷應用，請另紙填寫。)(Please select the item(s) that have to be amended by putting a tick in the square box and fill in the revised information and use separate sheet if thespace provided for a particular item is insufficient.) 具報删除 / 加入用以經營持牌人的金錢服務的銀行帳戶
Notification of Deletion / Addition of Bank Account used for operating the Licensee’s Money Service删除用以經營持牌人的金錢服務的銀行帳戶的詳情Particulars of the Deletion of bank account used for operating the Licensee’s Money Service

改變的生效日期
2 0 0 8 2 0 2 1
Effective Date of the change D D M M Y Y Y Y
日

日

月

月

年

年

年

年

帳戶名稱
Name of Account Holder

K A M

W I N GK W A I

銀行名稱Name of BankB A N KO F

G L O B E

帳戶號碼Account No.

0 1 2 - 3 2 3 - 6 6 1 1 - 0 1

理由
Reasons





L T D

 商 業 理由
Commercial reason

結束帳戶
Closed 主管當局下令凍結帳戶
Ordered to be frozen by acompetent authority

加入用以經營持牌人的金錢服務的銀行帳戶的詳情Particulars of the Addition of bank account used for operating the Licensee’s Money Service

改變的生效日期
2 1 0 8 2 0 2 1
Effective Date of the change D D M M Y Y Y Y
日

日

月

月

年

年

年

年

帳戶名稱
Name of Account Holder

K A M

C H I NS H E N G

銀行名稱Name of BankA B C

B A N K

L T D

帳戶號碼
Account No.

0 4 4 - 6 6 0 - 5 5 2 2 - 0 1

C O M P A N Y

請夾附以下證明文件:
Please attach the following supporting documents :

由銀行發出證明持有銀行帳戶的文件，例如由持牌人持有擬加入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 additional bankaccount held by the licensee for money service business

確認由持牌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 licensee is used for operating money service
business

重要事項:
用以經營金錢服務的銀行帳戶必須以持牌人、其合夥人、董事或最終擁有人名義持有。
IMPORTANT:The holder of bank account(s) used for operating the money service must be in the name of the licensee, its partner,
director or ultimate owner.
* 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 404 (Rev. 12/2022)

21

Rev. 12/2022

附件7

香 港 海關CUSTOMS AND EXCISE DEPARTMENT

Annex 7

表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars(請選擇需要修改的項目並在有關的方格內加上「」號及填上更新的資料。如某項目欄所提供的空位不敷應用，請另紙填寫。)(Please select the item(s) that have to be amended by putting a tick in the square box and fill in the revised information and use separate sheet if the spaceprovided for a particular item is insufficient.) 具報本地儲存帳目及紀錄地點／本地管理辦事處的資料改變Notification of Change in Information of Local place for storage of books and records / Local management office

本地儲存帳目及紀錄地點
Local place for storage of books and records

改變的生效日期
2 5 0 8 2 0 2 1
Effective Date of the change D D M M Y Y Y Y
日

日

月

月

年

年

年

年

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

A

樓
Floor

大厦名稱
Building NameX Y Z

C O MM E R C I A L

C E N T R E

門牌號碼Street No.

1 2 3

街道名稱
Street NameR O A D地區(例如灣仔)District (e.g. Wanchai)

WA N

1 5

座
Block No. 2*屋邨 / 屋苑名稱*Estate / Court Name

A B C

 香港
HK

C H A I

 九龍
KLN

新界
NT

本地儲存帳目及紀錄地點的處所類別：Type of premises where the Local place for storage of books and records is located: 商業處所
混合商業及住宅處所
Commercial premises
Mixed commercial and residential premise請夾附以下證明文件:
Please attach the following supporting documents :該處所的已加蓋釐印租約或業權紀錄的複本
A copy of stamped tenancy agreement or record of ownership of the premises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
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 storageof books and records

22* 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 404 (Rev. 12/2022)

Rev. 12/2022

香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

附件7

表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars

Annex 7

本地管理辦事處 (只適用於沒有在特定處所經營金錢服務的持牌人)
Local management office (Only applicable for licensee who operates money service without particular premises)

改變的生效日期
Effective Date of the change

日D 日D 月M 月M 年Y 年Y 年Y 年Y

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)
商業登記號碼
Business Registration No.

 九龍
KLN

新界
NT

屆滿日期
Expiry Date-傳真號碼
Fax No.

電話號碼Telephone No.

本地管理辦事處的處所類別：Type of premises where the Local management office is located: 商業處所
混合商業及住宅處所
Commercial premises
Mixed commercial and residential premises請夾附以下證明文件:
Please attach the following supporting documents :該處所的已加蓋釐印租約或業權紀錄的複本
A copy of stamped tenancy agreement or record of ownership of the premises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
office23* 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 404 (Rev. 12/2022)

Rev. 12/2022

香 港 海關
CUSTOMS AND EXCISE DEPARTMENT

附件8

表 格6
具報詳情改變
Form 6
Notification of Changes in Particulars

Annex 8(請選擇需要修改的項目並在有關的方格內加上「✓」號及填上更新的資料。如某項目欄所提供的空位不敷應用，請另紙填寫。)(Please select the item(s) that have to be amended by putting a tick in the square box and fill in the revised information and use separate sheet if thespace provided for a particular item is insufficient.) 具報持牌人的合規主任 / 洗錢報告主任的詳情改變
Notification of Change in Particulars of the Licensee’s Compliance Officer (“CO”) /Money Laundering
Reporting Officer (“MLRO”)
改變的生效日期 (日/月/年)
2 1 0 8 2 0 2 1
Effective Date of the change (dd/mm/yyyy)
 持牌人的合規主任 / 洗錢報告主任所改變的詳情
Changed Particulars of the Licensee’s Compliance Officer/Money Laundering Reporting Officer
 接任成為持牌人的合規主任 / 洗錢報告主任的詳情
Particulars of the Incoming of Licensee’s Compliance Officer/Money Laundering Reporting Officer
 合規主任 Compliance Officer 洗錢報告主任 Money Laundering Reporting Officer

 英文姓名(*先生/太太/小姐/女士) K A M
Name in English (*Mr/Mrs/Miss/Ms)

WI N GY A N

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

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

香港身份證號碼 或
Hong Kong Identity Card No. or 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.
 在公司擔任的職位
Position in Company

別名(如有)
Alias (if any)

金永仁
A 1 2 3 4 5 6( 0)

M A N A GE R

 受聘日期 (日/月/年)
2 1 0 8 2 0 2 1 聯絡電話號碼
Date of Appointment (dd/mm/yyyy)
Contact Telephone No.
 教育程度Education Level

9 9 1 1 2 2 3 3

中學程度 Secondary level
專上程度 Post-secondary level
其他，請註明 Others, please specify:-請夾附以下證明文件:
Please attach the following supporting documents :

合規主任 / 洗錢報告主任的有效僱傭合約及香港身份證複本
A copy of valid employment contracts and Hong Kong Identity Card of CO and MLRO
合規主任 / 洗錢報告主任的住址證明A copy of residential address proof of CO and MLRO
卸任作為持牌人的合規主任 / 洗錢報告主任的詳情
Particulars of the Outgoing of Licensee’s Compliance Officer/Money Laundering Reporting Officer

姓名(*先生/太太/小姐/女士)
Name (*Mr/Mrs/Miss/Ms)

C H A NS I U

MI N G先填寫姓氏再填寫名字 Surname first then other names*香港身份證 / 旅遊證件號碼
*HKID / Travel Document No.

B 2 3 4 5 6 7 ( 0 )身分
Status* 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 404 (Rev. 12/2022)

合規主任
洗錢報告主任24

Compliance Officer
Money Laundering Reporting Officer
Rev. 12/2022