服務申請表格Service Application Form

I
公司名稱 (請用英文正楷填寫)
Company Name (Please complete in English)
聯絡人/職位
Contact Person/Position
已開設之特快專遞/本地郵政速遞賬戶編號 (如適用)
Existing Speedpost/ Local CourierPost Account No. (if any)
聯絡電話
服務申請表格
Service Application Form
顧客資料 (為方便電腦輸入,請用正楷填寫)
Customer Details (For computerization purpose, please complete in BLOCK LETTERS)
傳真號碼
業務性質
Nature of Business
商業登記證編號
Business Registration Certificate No.
電郵地址
Contact Telephone No.
登記地址
Fax No.
E-mail
(請用英文填寫)
Registered
Address
室 Flat/Room 樓 Floor 座 Block 大廈/地段號數 Name of building/Lot number
(Please
街道名稱及門牌號數 Number and Name of Street
complete in
English)
II
收件安排
Collection Arrangement
收費/服務費
Charges/Service Fees
* 香港/九龍/新界 (*刪去不適用者)
地區 District * Hong Kong/Kowloon/New Territories (* Delete as appropriate)
選擇服務 (請在適當位置加上“�” 號)
Choice for Service (Please “�” in where appropriate)
本地郵政速遞 Local CourierPost
□ 特快專遞服務
□ 標準服務 Standard Service □ 特快服務 Premium Service
SpeedPost Service
按要求收件
On Demand Collection
按件計算
At a per item basis
請參閱註解 See Note Below
□ 按要求收件
On Demand Collection
□ 按時收件
Scheduled Collection
(請填寫 III 部) (Please complete Section III)
按每月速遞件數計算
Based on the monthly usage
請參閱註解 See Note Below
□ 按要求收件
On Demand Collection
□ 按時收件
Scheduled Collection
(請填寫 III 部) (Please complete Section III)
按件計算
At a per item basis
註解 NOTE 不論屬按時上門或按要求上門收件預約服務,若到戶時未有郵包收取,每次收件的最低費用為《本地郵政速遞服務指南》中列明的行政費。
The minimum charge per collection call, when no item is collected, will be equivalent to the administration fee as specified in the Local CourierPost Service Booklet.
按時收件時間
III
Pick Up Interval for Scheduled Collection Arrangement
往指定收件地址按時收取郵件的時間如下:
The regular interval at which postal packets are to be collected from the Pick Up Address is as follows:
每月_________日 / 逢星期_________ □ 上午 / □ 下午
At □ AM / □ PM Session of every __________ / every __________ day of the month.
IV
收件地址 (如與登記地址不同請填寫,並參閱註解)
Pick Up Address (Please fill in if different from the Registered Address and see note below)
室 Flat/Room 樓 Floor 座 Block 大廈/地段號數 Name of building/Lot number
街道名稱及門牌號數 Number and Name of Street
* 香港/九龍/新界 (*刪去不適用者)
地區 District * Hong Kong/Kowloon/New Territories (* Delete as appropriate)
註解 NOTE
只接受商業地區地址作為收件地址。上門收件服務並不覆蓋住宅地址。
Only commercial address is acceptable. No pick up service will be offered to residential address.
本人已細閱並同意夾附在服務申請表格的特快專遞服務 / 本地郵政速遞標準服務 / 本地郵政速遞特快服務之服務條款(08/06)譯本。本人明白提出此項申請表示要求香港郵政提供上述服務,香港郵政並無責
任 接受。以上所有資料正確無訛,謹此聲明。
I have read and hereby agree with Conditions of Service for the Provision of Speedpost Service/ Local CourierPost Standard Service/ Local CourierPost Premium Service version (08/06) as
attached to this Service Application Form. I understand that this application constitutes an offer to Hongkong Post for the use of such Service(s) and Hongkong Post is not bound to accept such application.
I declare that the information given above is true and accurate in each and every respect.
申請上述服務時,可同時登記成香港郵政中小企業郵務協進會會員,專享各項優惠,費月全免。如無意加入中小企業郵務協進會,請於方格內填上 X 號。 □
When applying for the above service, you can register as a member of PostalPlus for SME. As a member, you will enjoy a range of exclusive offers. If you do not wish to register as a member of PostalPlus
for SME, please put a cross in the box. □
授權人簽署及公司印章
Authorized Signature and Company Chop
申請日期
Date of Application

V
□ 適用於公司帳戶申請:
For Company Account Applicants :
交回表格
To send in your application
公司的有效商業登記證副本
□ 適用於個人帳戶申請: 香港永久居民身份證副本及
Photocopy of your valid Business Registration Certificate
For Personal Account Applicants : Photocopy of HK permanent identity card and
(只適用於特快專遞服務)
(Applicable to Speedpost Service only)
請填妥及簽署此表格 # ,並連同上述文件:
Simply complete and sign this form with above required documents :
傳真往 2854 9623
fax to 2854 9623
或 or
郵寄往 香港郵政業務發展部
上環德輔道中 308-320 號
安泰金融中心 21 樓
如有查詢,請致電 2921 2277
For enquires, please call 2921 2277
# 如屬公司帳戶申請,請蓋上公司印鑑。
For Company Account Applications, please provide company chop.
現居住址證明,如電費單、差餉單、銀行月結單(發出日期為最近 3 個
月內);或最近之薪俸稅/利得稅單(發出日期為最近一年內)
Current residential proof dated within the latest 3 months, e.g.
electricity bill, rates demand note, bank statement; or latest Income
tax/ Profit tax demand note within 1 year from the date of issuance.
mail to Business Development Branch
Hongkong Post
21/F ING Tower
308-320 Des Voeux Road Central
重要啟示
Important Note from Hongkong Post
您在此申請表格所填報的個人資料,香港郵政將用作處理您的申請事宜。
根據「個人資料(私隱)條例」第18及22條以及附表1第6項原則,您有權獲得及更改個人資料。您的權利包括獲得一份此表格上
填報資料的副本。如欲索取或更改資料,請往郵政局索取查閱資料要求表格(Pos 736),填妥後交回辦理。
The personal data you provide in this form will be used by Hongkong Post for processing your application.
You have the right of access and correction with respect to personal data as provided for in Sections 18 and 22 and Principle 6 of
Schedule 1 of the Personal Data (Privacy) Ordinance. Your right of access includes the right to obtain a copy of your personal data as
provided in this form. For access and correction, please complete the Data Access Request Form (Pos 736) which is available at any
post office.
香港郵政專用
For Hongkong Post Use
Account No.
Service Commencing Date
Approved by (PSR)
□ Schedule pick up □ POD Required
Date Time Agreed Pick Up Time
To IMC/GPO
To FSD
Reply from IMC/GPO
Pos 554A (11/06)