HSBC UAE - FATCA Information Update

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Personal Details

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Full Name:

Account Number:

Email Address:

Mobile Number:

Supporting Documents

Please upload a clear scanned copy of the applicable documents:

W-9 Form/W-8BEN Form
HSBC's Tax Reporting Obligations Terms
S3 - Explanation of US address and/or US telephone number
Certification of loss of nationality^*
Explanation of US country of birth^*^*
Copy of valid passport

^*Copy of Individual Certification of Loss of Nationality (CLNS). CLNs are applied for and issued at a US consulate or embassy. Citizens who receive a CLN surrender their US passport and lose all rights of US.

^*^*Written explanation supporting a claim of foreign status for any individual that has a Country of Birth of US found on their profile. This is a reasonable explanation of the citizenship renunciation, or the reason the account holder did not receive US Citizenship at birth.

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I certify that this is a true, complete and accurate copy of my original documentation.

HSBC reserves the right to contact you further regarding the submitted documents and could, at its sole discretion, request submission of physical originals/copies as it deems necessary.