SCR Confirmation & Authorization 《重要控制人登記冊》確認及授權 COMPANY INFORMATIONCompany English Name 公司英文名*Company Chinese Name 公司中文名Company No. 公司編號*Significant Controllers 公司重要控制人DECLARATION 聲明及同意書1. I declare that all information given in this form is correct, complete and true to the best of my knowledge and belief. 本人確認盡本人所知所信及證實在本表格內提供的資料均是全面、詳盡及正確無誤. 2. I hereby undertake to notify KPC of any future changes to the above beneficial owners and significant controllers information. 本人承諾如以上資料或公司最終擁有人有任何變更，須立即以書面通知 KPC。 3. I hereby confirm the above records for the Significant Controllers information for our company, and authorize KPC Corporate Services Limited to maintain the SCR records according to the declared records. 本人確認上述有關本公司重要控制人的記錄，並委託 KPC Corporate Services Limited 根據本人所提供資料保存SCR 記錄。* Agree & Confirm the above declaration. 同意並確認以上聲明。 Your Signature 請在此簽署確認*Signed By 簽署人*Capacity/Role 簽署人職位*Director 董事Shareholder/Member 股東/成員Employee 僱員Date for Signature 簽署日期* Date Format: DD dash MM dash YYYY Please check carefully and confirm the records for the Significant Controllers . {all_fields}