致：_________________________________
To: _________________________________
申请人：_____________________________
Applicant：__________________________
重要声明：本申请人董事会保证本申请所载材料不存在任何虚假记载、误导性陈述或者重大遗漏，并对内容的真实性、准确性和完整性承担法律责任。
ACKNOWLEDGEMENT： The applicant’s Board of Directors hereby represents and warrants that this Application contains no false representations, misleading statements or material omissions, and shall be liable for the authenticity, accuracy and completeness of the contents.
填表日期（Date）__________________
（说明：除非另有标明，请用中文填写本表。）（Please fill out this Form in Chinese, unless otherwise stated.）
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托管人名称 Name of the Applicant |
中文: English: |
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在境内持续经营时间 Continual operations in P.R. China |
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上一会计年度实收资本 Paid-in capital in the latest accounting year |
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境内注册地址 Domicile in P.R.C. |
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境内金融业务许可证号 No. of financial business license in P.R.C. |
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境内经核准的业务范围 Approved Business Scope In P.R.C. |
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是否有足够的熟悉托管业务的专职人员 Availability of sufficient professionals eligible for custody business |
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最近三年内有无重大违反外汇管理规定的记录。如有,请说明。 Material breach of foreign exchange regulations in the recent three years. If yes, please specify. |
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申请人法定代表人或其授权代表姓名及联系方式 Name and contact of legal representative or his/her authorized representative of the Applicant(in English if necessary) |
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上栏人员签名 Signature of the aforesaid senior management (in English if necessary) |
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联系人(Contact person): 电话(Tel): 传真(Fax)： 电子邮件（E-mail）: |
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要求 （Requirements）
附件 （Attatchments） |
齐备性 Completeness checked by CSRC (是√,否×) (Yes√,No×) |
合规性 Authenticity and accuracy checked by CSRC (是√,否×) (Yes√,No×) |
备注 Remarks |
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1、托管人资格申请书 Letter of Application for custodian |
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2、中国银监会同意申请人开办QFII托管业务的批复 Letter of Approval for QFII custody issued by CBRC |
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3、金融业务许可证和营业执照 Financial Business License issued by PBOC and Business License issued by State Administration for Industry & Commerce (SAIC) |
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4、实收资本证明文件 Supporting documents for paid-in capital of no less than RMB 8bn |
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5、境内托管部基本情况 General information on domestic custody department. |
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6、托管业务管理制度 Management system for custody business |
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7、拥有高效、快速、安全、可靠的技术系统的说明及有关证明 Statement and supporting documents for owning an efficient, safe and reliable technology system |
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8、中国证监会根据审慎原则要求的其他文件 Other documents as required by CSRC based on prudent regulatory principles. |
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