1、表 8 国家外汇管理局合格境外机构投资者登记表(SAFE)REGISTRATION FORM FOR QUALIFIED FOREIGN INSTITUTIONAL INVESTORS编号(No.):中文: 中文:申请机构名称Name of applicant English:托管人名称Name of custodian English:申请日期Date of application申请投资额度(百万人民币)Intended investment quota(Million RMB)机构类别Institution category基金管理公司 保险公司 证券公司 /投行 商业银行 其他机构Fu
2、nd management institution Insurance company Securities company/Investment bank Commercial bank Other institution 中文:成立时间Time of establishment注册地址Domicile of incorporation English:上一会计年度实收资本(百万美元)Paid-up capital for the latest fiscal year(Million USD)上一会计年度管理证券资产(百万美元)Assets under management for the
3、latest fiscal year(Million USD)证券投资业务许可证号No. of securities investment license发证日期Licensing date最近三年是否受到所在国家或地区监管机构的处罚。如有,请具体说明。Any penalty from the home regulator in recent 3 years. If any, please specify.主要管理人员简况Brief description of the professionals资金来源说明Statement on sources of the funds初步投资计划Init
4、ial investment plan主要股东名称、注册地和股权比例(可用英文)Names, domiciles and share percentages of major shareholders (In English if necessary)主要关联机构名称和注册地(可用英文)Names and domiciles of major affiliates (In English if necessary)合格投资者联系人QFIIs contact person电话(Telephone)传真(Fax)托管人联系人Custodians contact person 电话(Telephone)传真(Fax)合格投资者董事会授权人签名:(Signature of the authorizee of QFIIs board):