Application Form for Personal ID-Cert

Digi-Sign Certification Services Limited
Application Form for Personal ID-Cert

For use by Tradelink Customers only

Cets ID:

Company Name:

English Name
(as appeared on HKID Card / Passport / EEP):

Surname:
Given Name:

Chinese Name:

Salutation:

Mr. Mrs. Ms Miss

Please choose an identity document
to be produced and fill in the appropriate box.
(Please attach copy)

	HKID No.	( )
	Passport / EEP No.
	Passport Issuing Country

E-mail Address for Contact Purpose:

Date of Birth:

(DD-MM-YYYY)

Contact No. / Mobile / Pager

Contact No.:
Mobile / Pager:

Correspondence Address :

Room/Floor/Flat:
Building:
Street/Road/District:
Area:	HK KLN NT Others
Country:

Agreement and Declaration by Subscriber

I hereby apply for a Personal ID-Cert to be issued by Digi-Sign Certification Services Limited ("Digi-Sign") in my name as appeared on my HKID Card (or Passport / EEP) stated above.
I have been given a copy of the Subscriber Terms and Conditions (For Tradelink Sponsored Subscriber) and understand that the Certification Practice Statement in respect of ID-Cert ("CPS") is available at Digi-Sign's website www.dg-sign.com. I have read and understood the Subscriber Terms and Conditions (For Tradelink Sponsored Subscriber) and the CPS. In consideration of the processing of my application by Digi-Sign, I agree to observe and be bound by the Subscriber Terms and Conditions (For Tradelink Sponsored Subscriber) and the provisions of the CPS.
I acknowledge the absolute right of Digi-Sign to approve or reject my application pursuant to the CPS.
I confirm that all my personal particulars stated above are true and correct.
I hereby AUTHORISE Tradelink Electronic Commerce Limited ("Tradelink") and Digi-Sign, to from time to time release my personal data respectively kept by Tradelink and Digi-Sign to each other for the purposes of or incidental to verifying my identity, facilitating my application and my using ID-Cert in any Tradelink Services, including but not limited to my :

copy of identity card / passport / EEP and any data appeared thereon
specimen signature
contact information : correspondence address / e-mail addresses / contact telephone numbers

I understand my personal data provided above shall be used by Digi-Sign in accordance with Digi-Sign's "Privacy Policy Statement – Digi-Sign Certification Services Limited" which is available at www.dg-sign.com.

We have read and understood the Agreement and Declaration by Subscriber.

Verification Code:
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Please save and print the "Application Form for Personal ID-Cert" after click "Print" button. After completion of the printed form, remember to sign it before submission. Submission of the form can be made by post, fax or in person to our office.