Form Crs-I - Crs Individual Self-Certification Page 3
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4Part 2 – Jurisdiction of Residence for Tax Purposes and related Taxpayer Identification Number or equivalent
number (“TIN”)*
Please complete the following table indicating (i) each jurisdiction of residence where the Account Holder is a resident for tax purposes
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and (ii) the Account Holder’s TIN for each jurisdiction indicated. Indicate all (not restricted to three) jurisdictions of tax residence.
If the Account Holder is tax resident in more than three jurisdictions please use a separate sheet.
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If the Account Holder is a tax resident of Hong Kong, the TIN is the Hong Kong Identity Card Number.
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If a TIN is unavailable please provide the appropriate reason A, B or C where indicated below:
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Reason A - The jurisdiction where the Account Holder is a resident for tax purposes does not issue TINs to its residents.
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Reason B - The Account Holder is otherwise unable to obtain a TIN or equivalent number. (Please explain why you are unable to obtain
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a TIN in the below table if you have selected this reason)
Reason C - No TIN is required. (Note: Only select this reason if the authorities of the jurisdiction of tax residence entered below do not
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require the TIN to be disclosed)
If no TIN available enter
TIN
Jurisdiction of Tax Residence
Reason A, B or C
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Please explain in the following boxes why you are unable to obtain a TIN if you selected Reason B above.
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Parent category: Financial