Return of Information for Assessment of Systemically Important Authorized Institutions (Form MA(BS)24)

AA 和 (For Official Use Only) SECRET under the Banking Ordinance RETURN OF INFORMATION FOR ASSESSMENT OF SYSTEMICALLY IMPORTANT AUTHORIZED INSTITUTIONS *LOCAL OFFICE(S) / COMBINED / CONSOLIDATED RETURN As at a (ddmm/yyyy)

• Delete where inapplicable Name of Authorized Institution Date of Submission The Banking Ordinance Information requested in this return is required under section 63(2) of the Banking Ordinance. The return should be submitted to the Monetary Authority not later than 4 calendar months after the last day of each calendar year, unless otherwise advised by the Monetary Authority. Note: This return is to be prepared in accordance with the completion instructions issued by the Monetary Authority. We certify that this return is, to the best of our knowledge and belief, correct. Chief Accountant Chief Executive Name and telephone number of responsible person who may be contacted by the Monetary Authority in case of any query. Name Telephone Number MA(BS)24(12/2014)

NATURE OF ITEM | TOTAL | (HKS'000)

1. Size 1.1 Total assets | |
2. Interconnectedness 2.1 Balances and placement with banks 2.2 Deposits and balances from banks 2.3 Loans to financial concerns
3. Substitutability 3.1 Deposits from customers | | 3.2 Loans and advances to customers | |