HKD Cheque Book Request Form

Please “4” as appropriate

For your convenience, please order your cheque book via SC Mobile,
Online Banking, Standard Chartered ATM or Phone Banking.
Collection Method Cheque Type (Ordinary / with Counterfoil)
c Ordinary mail to Account Mailing Address c Bearer
c Registered mail to Account Mailing Address and debit the charge to c Order
k my/our current A/C
c Pick up at ________________________________ Branch / PB Centre*

Account Title _____________________________________________________

S. V.
Account No. - - -
* Cheque books will be destroyed if not collected at designated branches
after two weeks. Signature(s) (Please use signature(s) filed with the Bank)
Note: 1. HKD Order Cheque Book request is not available via SC Mobile, Online Banking and ATM
2. Please mail this form to Standard Chartered Bank (Hong Kong) Limited at G.P.O Box 21, Hong Kong. CA141G-13 (6/2020)
港元支票簿申請表
請在適當空格上加“ 4 ”。

請透過SC Mobile、網上理財、渣打自動櫃員機或電話理財
申請支票簿。
領取方式 支票種類 (普通 / 有存根)
c 以平郵寄至戶口地址 c 持票人
c 掛號郵寄至戶口地址而有關郵費請支取本人(等)之往來存款賬戶 c 記名
c 本人(等)將前往 ________________________ 分行/優先理財服務中心領取 *

賬戶姓名 _____________________________________________________

賬戶號碼 - - - S. V.

* 如閣下未能於兩星期內到指定分行提取，支票簿將會銷毀。
簽署（須與本行紀錄相符）
註： 1. 記名的港元支票簿不能經SC Mobile、網上理財和自動櫃員機申請。
2. 請將此申請表寄往香港郵政信箱二十一號渣打銀行( 香港) 有限公司收啟。 CA141G-13 (6/2020)