Significant Controllers Register (SCR) – Service Deactivation 《重要控制人登記冊》- 終止服務 COMPANY INFORMATIONCompany English Name 公司英文名*Company Chinese Name 公司中文名Company No. 公司編號*Company SCR Records Address 公司重要控制人登記冊地址 Please provide the address for registering the SCR Records 請提供註冊SCR記錄的地址SCR Records Address 重要控制人登記冊地址*(Must be a Hong Kong Address 必須為香港地址) DECLARATION 聲明及同意書I/ We hereby confirm that we do not need the SCR services provided by KPC, and I/ We will prepare and file the SCR by myself/ourselves. 我/我們在此確認我們不選用 KPC 提供的《控制人登記冊》服務，我/我們將自己準備並提交SCR。* 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 CONFIRMATIONPlease check and confirm below details. {all_fields}