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

Guidance Notes

Form 5

Application to add New Premises
used for the operation of a Money ServiceTable of Contents
A

B

C

D

General Information

Page No.

1.

Introduction

(2)

2.

Business premises to be used in the operation of a Money Service

(2)

3.

Eligibility Criteria

(3)

4.

Application

(3)

5.

Processing of Application(4)

Notes on How to Complete the Application Form
6.

Part 1 – General Information of the Applicant

(4)

7.

Part 2 – Details of the Particular Premises to be added for the operation of a
Money Service

(5)

8.

Part 3 – Declaration by the person who submits the application form

(5)

9.

Specimen of a Completed Application Form 5(5)Personal Information Collection Statement
10.

Purpose of Collection

(6)

11.

Classes of Transferees

(6)

12.

Access to Personal Data

(6)

13.

Enquiries to Personal Data

(6)

(7)

General Enquiry

AppendixA

Reference Table on Application Fee(8)

B

Specimen of Completed Form 5 –Application to add New Premises used forthe operation of a Money Service(9)

C

Format of a Letter of Consent from Occupants of Domestic Premises

(14)

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

Guidance Notes on Form 5
Application to add New Premises used for the operation of a Money Service
Part A -General Information

1.

Introduction

1.1

Under section 38(1) of Anti-Money Laundering and Counter-Terrorist Financing Ordinance, Chapter 615(AMLO), must not operate a money service at any premises other than those specified premises unless theCommissioner has, on an application of the licensee, added the new premises to the licence. In thisconnection, the licensee is required to make application to the Commissioner of Customs and Excise (CCE)for seeking approval by submitting Form 5 Application to add New Premises used for the operation of a
Money Service.

1.2

Under section 39(1) of the AMLO, a licensee who is not required to operate a money service at particularpremises must not operate a money service at any particular premises unless the CCE has, on an applicationof the licensee, added the premises to the licence. In this connection, the licensee is required to makeapplication to the CCE for seeking approval by submitting Form 5 Application to add New Premises
used for the operation of a Money Service.

1.3

In respect of application to add new premises used for the operation of a money service or to operate amoney service at particular premises, the licensee must make the application in the form and manner
specified by the CCE and pay the fee specified in Schedule 3 of the AMLO. For details of the application
fee, please refer to the Appendix A.

2.

Business premises to be used in the operation of a Money Service
Licensees are NOT required to apply for adding new premises unless the licensee operates a money service
in particular premises as stated in this Part. The following examples of modes of operation are notconsidered as operating a money service at particular premises:(i) operating a money service without any fixed premises, e.g., door-to-door(ii) service; meeting customers at customer’s office; or(iii) conducting transactions only with the use of mobile electronic devices.

2.1

Here are some examples of particular premises for operating a money service
business :(i) the premises are holding out for operating a money service;(ii) the premises are advertised (including a name plate on display) for meeting customers; and the premises(iii) are regularly controlled by the licensee, e.g. being a landlord or a tenant.

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However, premises are not treated as particular premises for operating a money service if the licensee is only acustomer or visitor at premises such as dining establishments or banks, or at accountant or solicitor firms merely
for processing accounting or legal documents for your company.
2.2

Particular premises should be accessible by C&ED officers for the enforcement of the AMLO.

2.3

Premises falling within the following categories need not be registered:(i)which are located outside Hong Kong;(ii) which are not mainly used to operate a money service, e.g. premises solely used for:3.



storage of business records



staff training

Eligibility Criteria

Particular premises intended to be used for the operation of a money service should be suitable for such use. In casewhere the premises are mixed commercial and residential premises, the applicant should obtain a written consent fromevery occupant, (a person who usually resides at the premises) for any authorized person as defined by section 8 of
the AMLO to enter the premise for the purpose of exercising the powers under section 9 of the AMLO.
4.

Application

4.1

Application Form
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 http://www.customs.gov.hk.

4.2

OnlineApplicant may submit an electronic application form through the C&ED website at http://www.customs.gov.hk.

4.3

In person or by post(i)

Please note that there is no need to sign on the duly completed Form 5 when submitting it to the CCE.
You will be asked to sign on it during an interview with an officer of the C&ED at a later stage.

(ii)

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

(iii)

Information provided by the applicant in the application form must be supported by copies of relevant
documents. Applicant is therefore reminded to ensure that application is submitted together with all
required supporting documents. Failure to do so may cause delay in processing the application, or may
result in deferment or rejection of the application. For details of the required documents, please refer tothe “Checklist for submission of supporting documents” in the application form.

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(iv) If there is any change to the information contained in the application after its submission, the applicant
should submit a written request to the CCE promptly. Likewise, if an applicant wishes to withdraw
the application, the applicant shall submit a written request to the CCE. Applicants are reminded thatany amendments shall form an integral part of their applications. The supplementary informationmust be submitted together with copies of relevant supporting documents to the CCE.

5.

Processing of Application

5.1

Upon receipt of an application and the relevant documents, the CCE may also request the applicant toprovide additional information to process the application where necessary. Failure to do so within a period
as specified by the CCE may cause delay in processing the application, or even result in deferment
or rejection of the application.

5.2

The applicant will receive a notice for an interview together with a demand note for the payment of fees
regarding the application for adding new premises for the operation of a money service. An application
without full payment will be rejected by C&ED. The fees are non refundable irrespective whether the
licence application is successful or not.

5.3

The applicant is required to bring along the notice, receipt of payment and the relevant original documentsfor verification during an interview with the authorized officers of the C&ED at date, time and venue as
specified by the CCE. During the interview, the applicant is required, among others, to sign on the Form 5in the presence of an authorized officer of the C&ED.

5.4

Authorized officers of the C&ED will conduct on-site inspection at the premises provided in the application
form.

5.5

The processing time may vary depending on various factors including the time taken in collecting therequisite documents from the applicant and the time required in on-site inspection at the premises used forthe operation of a money service.

5.6

After the approval of adding new money service business premises, the money service business premises
address of the licensee will be published in the Register of Licensees maintained by the CCE. The register
will be kept and made available for inspection by members of the public at the MSSB’s office and the
C&ED’s website. The licence granted to the licensee will also be updated accordingly.

Part B-

Notes on How to Complete the Application Form

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

6.

Part 1 - General Information of the Applicant
Please provide the information of the applicant company including the MSO licence number, applicant
company name and business registration number.

4Rev. 12/2022

7.

Part 2 - Details of the Particular Premises to be added for the operation of a Money Service

7.1

Please state the reason of adding new particular premises to operate a money service:

7.2

(i)

Adding new premises
For the licensee who is licensed to operate a money service at premises specified in the licence adds
a new premises for operating a money service.

(ii)

Application to operate a money service at particular premises
For the licensee who is not required under the licence to operate a money service at particularpremises adds the premises to the licence for operation a money service.

(iii)

Adding new premises in trade fair / exhibition venue:Please indicate the exhibition period.

Please provide the particulars of the premises in which you operate a money service, including businessregistration number, premises type, area, address and contact information.

7.3

Please provide information on whether any other business is being run on the premises. Where otherbusiness is being run on the same premises of an applicant, the money service business of the MSO
must be clearly partitioned and distinguished from the other business. Sharing the premises with other
MSO to operate money service business will not be accepted by the CCE.

7.4

Where the premises used to operate a money service are mixed commercial and residential premises, theapplicant must list out the names of all the occupants. Separate sheet may be used if space in theapplication is insufficient. The applicant should secure the written consent of every occupant of thepremises for any authorized person to enter the premises for conducting a routine inspection. The applicant
should also ensure that each of the occupants has read the Personal Information Collection Statement inPart C of the Guidance Notes. The format of the Letter of Consent is at Appendix C for reference.

7.5

The applicant will need to pay a fee for each premises. If the applicant has more than one premises to be
added, please make a photocopy of the respective page of the application form for filling in the particulars
for other business premises.

8.

Part 3 – Declaration by the person who submits the application form (see remarks in Part 3)
The person who submits the application form should read the declaration in part 3 and fill in his / herparticulars without signing on it. The application form is to be signed and stamped with the applicant
company’s chop in the presence of an authorized officer of the C&ED during an interview.

9.

Specimen of a Completed Application
Form 5For further information on the requisite particulars and documents, the applicant should make reference tothe “Specimen of Completed Form 5 –Application to add New Premises used for the operation of a Money
Service” at Appendix B.
5Rev. 12/2022

Part C 10.

Personal Information Collection Statement

Purpose of Collection

10.1 The personal data provided in the application form as well as any updates of them will be used forfacilitating processing of applications / record purpose / record update and investigations for theenforcement of the Anti-Money Laundering and Counter-Terrorist Financing Ordinance, Chapter 615.

10.2 It is obligatory for you to supply the personal data as required by the application form. If you do notprovide sufficient information, we may not be able to process your application.

11.

Classes of Transferees
The personal data you provided in the application form as well as any updates of them may be disclosed toother 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.

12.

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 in this form. In accordance with the provisions of the PDPO, we have the right to charge areasonable fee for the processing of any data access request.

13.

Enquiries to Personal Data
Enquiries concerning the personal data collected by the application form, including the request for accessto and correction 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

Applicants may visit the C&ED website at http://www.customs.gov.hk for details of information on application.
For enquiries on individual application, applicant may write to 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 (to be stamped with the applicant company’s chop) to thecompleted application form. Authorized officers of C&ED will examine the originals during the interview with theapplicant.

Please forward the duly completed application 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 Application Form. The data provided in
the application from must be true and correct.

Under Section 38(1) of Anti-Money Launderingand Counter-Terrorist Financing Ordinance, Chapter 615, a licensee must seek prior approval fromthe Commissioner of Customs and Excise (CCE) for adding a new premises used for a Money Service andunder Section 39(1) a licensee must seek prior approval from the CCE for operating a money service atany particular premises. Under Section 39A(1) of AMLO, a licensee must display the original of the licencein a conspicuous place at the specified premises.
(2) The breach of the requirement is subject 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 liable on conviction to afine of $50,000 and to imprisonment for 6 months.
(3) The licensee must pay a fee for each business premises to be registered specified in Schedule 3 of the AMLO.

This Guidance Note is not a legal document. It only serves as a guide in completing the Form 5
Application to add New Premises used for the operation of a Money Service. In case of doubt
about legal issues, you should refer to the Anti-Money Laundering and Counter-Terrorist Financing
Ordinance or if necessary, seek assistance from your legal advisor.

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Appendix A
Reference Table on Application Fee

Item
1.

Particulars

Fee (HK$)

Application for the grant of a licence

3,310

plus for each additional business premises

2,220

plus for each person who is subject to the fit and proper person

860

test
2.

Application for the renewal of a licence790

plus for each additional business premises

355

plus for each person who is subject to the fit and proper person

860

test
3.

Application for an approval to become a licensee’s director

860
for each person in
relation to whom theapplication is made4.

Application for an approval to become a licensee’s ultimate owner

860
for each person in
relation to whom theapplication is made5.

Application for an approval to become a licensee’s partner

860
for each person in
relation to whom theapplication is made6.

Application to add new business premises

2,220
for each new businesspremises

7.

Application to operate a money service at particular premises

2,220
for each businesspremises

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附錄B
Appendix B

香 港 海關CUSTOMS AND EXCISE DEPARTMENT

香港海關專用For Official Use Only

表 格5
要求加入新的用以經營金錢服務的處所申請書
Form 5
Application to add New Premises
used for the operation of a Money Service

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
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 letters and black ink and read the Guidance Notes and Licensing Guide before
completing this form.
第 1 部 – 申請人的一般資料
Part 1 - General Information of the Applicant
金錢服務經營者牌照號碼Money Service Operator Licence No.

1 2 -業務 / 法團名稱(英文)Name of Business / Corporation(in English)

K A M

在此樣本表格內填報的資料全屬虛構，如有雷同，實屬巧合。
All the particulars filled in this specimen form are fictitious. Any resemblance
to individuals or companies is entirely coincidental.
0 4 -9 9 9 9C H I

N業務 / 法團名稱(中文)Name of Business / Corporation(in Chinese)金錢商公司

商業登記號碼
Business Registration No.

1 2 3 4 5 6 7

8S H E N GC O M P A N Y- 0 0 0

第 2 部 – 擬加入用以經營金錢服務的特定處所的資料
Part 2 - Details of the Particular Premises to be added for the operation of a Money Service(1) 處所的資料
Premises information
請述明加入新的用以經營金錢服務的特定處所的情况：—Please state the status for adding new particular premises to operate a money service : 要求在特定處所經營金錢服務
 加入新的處所 Adding new premises
Application to operate a money service at particular premises 在貿易展覽會場地加入新的處所 :Adding new premises in trade fair / exhibition venue:日期 (日/月/年) :Date (dd/mm/yyyy)

商業登記號碼
Business Registration
Number

由
From
1 2

3

4

至
to
5

6

7

8 — 0

0

0

處所的面積
Area of the premises3

5 (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)

如有意改為在特定處所經營金錢服務，請遞交業務計劃及經修訂的打擊洗錢政策。
註:Remarks: If you wishes to make a change to operation of a money service at particular premises, please submit a
Business Plan and updated AML Policy.
9Rev. 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 403 (Rev. 12/2022)

香 港 海關
CUSTOMS AND EXCISE DEPARTMENT
表 格5
要求加入新的用以經營金錢服務的處所申請書
Form 5
Application to add New Premises used for the operation of a Money Service
第 2 部 –擬加入用以經營金錢服務的特定處所的資料(續)Part 2 - Details of the Particular Premises to be added for the operation of a Money Service (Continued)(2)

地址(請用英文填寫)Address (Please complete in English)*室 / 店 / 鋪/樓
Floor

攤位及會場號碼
*Flat / Room / Shop /Booth & Hall No.

18

大厦名稱
Building Name

H A P P Y

M A N S

I

座
Block No.

1 8

1 8

O N

*屋邨/屋苑名稱*Estate / Court name
門牌號碼Street No.

1 8

地區(例如灣仔)District (e.g. Wanchai)

S H E

(3)

U N G

H A P

P Y

S T

R E

E T

 香港 

W A NHK

九 龍  新界
KLN
NT

聯絡資料
Contact information

辦事處電話號碼
Office Telephone No.
(4)

街道名稱
Street Name0□□ □0□□ □□□□□ □□□□ □□□□ □ 1 1 1□

辦事處傳真號碼
Office Fax No.

2 3 4 5 2 2 2 2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)
 否 No
有 Yes
(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:

由申請人公司經營，業務性質為：—Run by the applicant, the nature of business is:-

 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

H A P*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 403 (Rev. 12/2022)

P Y

B U S

10

I

N E S S

L

I

M I

T E D

Rev. 12/2022

香 港 海關
CUSTOMS AND EXCISE DEPARTMENT
表 格5
要求加入新的用以經營金錢服務的處所申請書
Form 5
Application to add New Premises used for the operation of a Money Service
第 2 部 –擬加入用以經營金錢服務的特定處所的資料(續)Part 2 - Details of the Particular Premises used for the operation of a Money Service (Continued)
業務性質
Nature of Business

請述明：—
Please specify:-

INVESTMENT

商業登記號碼
Business Registration
Number

1 2

7 9 — 0 0

3 4

5 6

0 0

0

(如有超過 1 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 提供所有佔用人的姓名，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
C of the Guidance Notes.
佔用人姓名Name of Occupants(1) KAM WING KWAI

(2)

(3)

(4)

(5)

(6)

(如佔用人超過 6 名，請用另紙提供資料) (If more than six occupants are involved, please provide the information in a separate sheet.)註:如有其他處所需作出申請，請影印本申請表格第 2 部，用以提供其他處所的資料。
Remarks: If you have other business premises for application, please make a photocopy of Part 2 of this application
form for filling in the particulars of the other business premises.

*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 403 (Rev. 12/2022)

11

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香 港 海關
CUSTOMS AND EXCISE DEPARTMENT
表 格5
要求加入新的用以經營金錢服務的處所申請書
Form 5
Application to add New Premises used for the operation of a Money Service
第 3 部 –提交此申請表格人士的聲明 (見於第 3 部內的備註) (請於會見時簽署及蓋章)
Part 3 –Declaration by the person who submits this application form (see Remarks in Part 3) (Please sign andstamp at the time of interview)
本人謹此聲明：I declare that:-(a) 在本申請表格提供的所有詳情及資料(包括附加頁)，共 5 頁，全屬真確無誤。
The particulars and information given in this application form including additional sheet(s) consisting
5ofpage(s) are true and correct;(b) 本人承諾採取措施，以確保如本申請表格內第 2 部所提供的詳情有任何改變，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 Part 2 within one
month beginning on the date on which the change takes place. I understand that a licensee who without
reasonable excuse contravenes this requirement commits an offence and is liable on conviction to a fine of$50,000;(c) 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 a licensee who without reasonable excuse contravenes this requirement commits anoffence and is liable on conviction to a fine of $50,000;(d) 本人已指示本申請表格第 2 部提述的所有處所的負責人，亦已獲得有關處所(如該處所屬往宅處所)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 2 of this application form and haveobtained consent of every occupant of the premises (if the premises are domestic premises) to allow theauthorized officers of the Customs and Excise Department ("C&ED") to enter the said premises to assess
whether the premises are suitable to be used for the operation of a money service;(e) 本人已閱讀要求加入新的用以經營金錢服務的處所申請表格 5 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 5
Application to add New Premises used for the operation of a Money Service and understand the contents statedtherein.

(*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 / authorized director or person of
the licensed corporation and company chop)

KAM CHIN SHENG

Z123456(1)(姓名(正楷))(Name in block letters)(*HKID No. /Travel Doc. No.)(*香港身份證 /旅遊證件號碼)(會見時簽署及蓋章)(to be signed and stamped at the time of interview)
PARTNER

98759875(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 Telephone No.)見證人:
Witnessed by:(簽署)(Signature)*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 403 (Rev. 12/2022)(海關人員的姓名及職位)(Name and Post of C&ED officer)

12

(日期)
(Date)

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香 港 海關
CUSTOMS AND EXCISE DEPARTMENT
表 格5
要求加入新的用以經營金錢服務的處所申請書
Form 5
Application to add New Premises used for the operation of a Money Service
備註:
提交此申請表格的人士必須是：
Remarks: The person who submits this application form must be: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;
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;
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 a
corporation. The authorization letter should be attached.






申請要求加入新的用以經營金錢服務的特定處所的證明文件的核對清單
Checklist for submission of supporting documents forApplication to add New Premises used for the operation of a Money Service
有效商業登記證的複本
A copy of the valid Business Registration Certificate
應邀於貿易展覽會場地經營金錢服務的邀請文件及/或合約複本
A copy of the invitation document and/or agreement to operate a money service in trade fair / exhibition venue
該 處所已加蓋釐印的租約或業權紀錄的複本
A copy of stamped tenancy agreement or record of ownership of the business premises
該 處所或展覽會場地經營攤位的平面圖及照片
Floor plan and photographs of the business premises or booth in a trade fair / exhibition

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 for money service
business該 處所內每一名佔用人的同意書的複本 (只限混合式商住處所)
Copies of consent letters from every occupant of the premises (for mixed commercial and residential
premises only)請隨已填妥的申請表格夾附已蓋上申請人公司印章的證明文件。海關的獲授權人員會在與申請人會面時查驗文件的正本。
Please attach the supporting documents (stamped with the applicant’s company chop) to the completed
application form. Authorized officers of C&ED will examine the originals during the interview withthe applicant.

已填妥的申請表格連同證明文件，應遞交香港海關金錢服務監理科辦理。
The completed application form together with the supporting documents should be submitted to the Money
Service Supervision Bureau of the Customs and Excise Department.
地址
辦公時間
九龍九龍灣常悅道 11 號
星期一至星期五 上午 8 時 45 分至中午 12 時 30 分
新明大廈 4 樓 402-403 室(公眾假期除外)
下午 1 時 30 分至 5 時 30 分
香港海關
金錢服務監理科
Office hours
Address
Mondayto Friday
8:45 a.m. to 12:30 p.m.
Money Service Supervision Bureau(Except
publicholidays)
1:30 p.m. to 5:30 p.m.
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 403 (Rev. 12/2022)

13

Rev. 12/2022

Appendix C

To : Commissioner of Customs and Excise

Letter of Consent
Regarding the Operation of a Money Service Businessby(Company Name)…………………………………………………………………………………………..

at(address)…………………………………………………………………………………………
*

I / My child,(Name of the occupant), being an occupant of the premises at theabove address, hereby give my consent to any authorized person as defined by section
8 of the Anti-Money Laundering and Counter-Terrorist Financing Ordinance (Chapter
615) to enter the above premises for the purpose of exercising the powers under
section 9 of the said Ordinance in connection with the operation of the money service
business by the above company at the above address.
I have read the Personal Information Collection Statement stated in Part C of the
Guidance Notes on Form 5 Application to add New Premises used for the operation ofa Money Service and understand the contents stated therein.

*

Signed by the occupant/the parent/guardianof the occupant
: (

)

*

HKID Card No./ Travel
Document Type and No.
Occupant :The parent/guardianof the occupant :Date :* Please delete as appropriate

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