50
CAP. 41]
Insurance Companies
[1988 Ed.
4. Nationality, including a statement as to whether it was acquired by birth or naturalization.
5. Qualifications and experience, including those relating to insurance and allied matters.
6. Present occupation or employment and occupations and employment during the last 10 years, including the name of the employer, the nature of the business, the position held and relevant dates.
7. Has he at any time been convicted of any criminal offence (other than an offence committed when he was of or under the age of 16 years unless the same was committed within the last 10 years) by any court, including a military tribunal, in Hong Kong or elsewhere? If so, give full particulars of the court by which he was convicted, the offence and the penalty imposed and the date of the conviction.
8. Has he in the last 10 years, in Hong Kong or elsewhere, been censured, disciplined or publicly criticized by any professional body to which he belongs or belonged or been dismissed from any office or employment or refused entry to any profession or occupation? If so, give full particulars.
9. Has he at any time been adjudicated bankrupt by a court in Hong Kong or elsewhere? If so, give full particulars.
10. Has he at any time in the last 10 years failed to satisfy any debt adjudged due and payable by him as a judgment-debtor under an order of a court in Hong Kong or elsewhere? If so, give full particulars.
11. Has he, in connection with the formation or management of any body corporate or insurer, been adjudged by a court in Hong Kong or elsewhere civilly liable for any fraud, misfeasance or other misconduct by him towards such a body or insurer or towards any members thereof? If so, give full particulars.
12. Has any body corporate or insurer with which he was associated as director or controller in the last 10 years, in Hong Kong or elsewhere, been compulsorily wound up or made any compromise or arrangement with its creditors or ceased trading in circumstances where its creditors did not receive or have not yet received full settlement of their claims, either whilst he was associated with it or within one year after he ceased to be associated with it? If so, give full particulars.
(Note: In relation to a body corporate which is not an insurer, "controller" is to be construed as a reference to a person who would, if he were a company, be a holding company of that body in accordance with section 2(7) of the Companies Ordinance).
13. Of what bodies corporate or insurers-
(a) is he now a director or controller?
(b) has he been a director or controller at any time during the last 10 years?
14. Has he any other occupation other than that disclosed at items 6 and 13 above. If so, give full details.
15. Give particulars of the circumstances (by reference to section 9(1) of the Insurance Companies Ordinance) by virtue of which he became controller.
16. In carrying out his duties will he be acting on the directions or instructions of any other person? If so, give full particulars.
I certify that the above information is complete and correct to the best of my knowledge and belief.
Date
I certify that
Signed
(Individual named in paragraph 1 above.)
has supplied the above information and that in respect of*
Date
(a) §Director/Controller/Chief Executive/Managing Director (b) A partner in ‡.
is §Director/Controller/Chief Executive/Managing Director
* Insert name of Insurer.
Signed
† Insert name of individual to whom particulars relate.
† Insert name of partnership.
§ Delete as necessary.
(Director/Secretary§ of the Insurer.)
he is--
which
50
CAP. 41]
Insurance Companies
[1988 Ed.
4. Nationality, including a statement as to whether it was acquired by birth or naturalization. 5. Qualifications and experience, including those relating to insurance and allied matters. 6. Present occupation or employment and occupations and employment during the last 10 years, including the name of the employer, the nature of the business, the position held and relevant dates.
7. Has he at any time been convicted of any criminal offence (other than an offence committed when he was of or under the age of 16 years unless the same was committed within the last 10 years) by any court, including a military tribunal, in Hong Kong or elsewhere? If so, give full particulars of the court by which he was convicted, the offence and the penalty imposed and the date of the conviction.
8. Has he in the last 10 years, in Hong Kong or elsewhere, been censured, disciplined or publicly criticized by any professional body to which he belongs or belonged or been dismissed from any office or employment or refused entry to any profession or occupation? If so, give full particulars.
9. Has he at any time been adjudicated bankrupt by a court in Hong Kong or elsewhere? If so,
give full particulars.
10. Has he at any time in the last 10 years failed to satisfy any debt adjudged due and payable by him as a judgment-debtor under an order of a court in Hong Kong or elsewhere? If so, give full particulars.
11. Has he, in connection with the formation or management of any body corporate or insurer, been adjudged by a court in Hong Kong or elsewhere civilly liable for any fraud, misfeasance or other misconduct by him towards such a body or insurer or towards any members thereof? If so, give full particulars.
12. Has any body corporate or insurer with which he was associated as director or controller in the last 10 years, in Hong Kong or elsewhere, been compulsorily wound up or made any compromise or arrangement with its creditors or ceased trading in circumstances where its creditors did not receive or have not yet received full settlement of their claims, either whilst he was associated with it or within one year after he ceased to be associated with it? If so, give full particulars.
(Note: In relation to a body corporate which is not an insurer, "controller" is to be construed as a reference to a person who would, if he were a company, be a holding company of that body in accordance with section 2(7) of the Companies Ordinance).
13. Of what bodies corporate or insurers-
(a) is he now a director or controller?
(6) has he been a director or controller at any time during the last 10 years?
14. Has he any other occupation other than that disclosed at items 6 and 13 above. If so, give full
details.
15. Give particulars of the circumstances (by reference to section 9(1) of the Insurance Companies
Ordinance) by virtue of which he became controller.
16. In carrying out his duties will he be acting on the directions or instructions of any other
person? If so, give full particulars.
I certify that the above information is complete and correct to the best of my knowledge and belief.
Date
I certify thatt
Signed
(Individual named in paragraph 1 above.)
has supplied the above information and that in respect of*
Date
(a) §Director/Controller/Chief Executive/Managing Director (b) A partner in ‡.
is §Director/Controller/Chief Executive/Managing Director
* Insert name of Insurer.
Signed
† Insert name of individual to whom particulars relate.
† Insert name of partnership.
§ Delete as necessary.
(Director/Secretarys of the Insurer.)
he is--
which
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