TNT Token Claim Form(TNT 代币索赔表单)
Section 1: Claimant Identifying Information
第一节: 索赔人身份信息。
This section requests information concerning the identity of the Claimant.
本节要求提供索赔人的身份信息。
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英文
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中文
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First Name
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名字
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Last Name
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姓氏
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Address
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地址
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City
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城市
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State
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州
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Zip/Postal
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邮编
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Email
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电子邮箱
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Phone
Number
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手机号码
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Country
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国家
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Government ID Type
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政府签发的
身份证件类型
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Government ID Number
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政府签发的
身份证件的证件号
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如果你代表某企业提出索赔,请填下表
If you are filing a claim on behalf of a business, complete the following:
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中文
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Business Name
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企业名称
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Country
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国家
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Tax ID Number
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纳税识别号码
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Section 2: Claimant TNT Token Information
第 2 节:索赔人 TNT 代币信息
Token Sale Information
“代币销售”信息
Complete this section if you participated in the Token Sale. This information must match identically to the information provided to Tierion in connection with the purchase of tokens in the token sale.
如果您参加了“代币销售”,请完成本部分。此信息必须跟在购买代币时向 Tierion(为方便阅读, 下文会用“TNT 公司”指代 Tierion)提供的信息完全相同。
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Email address used in Token Sale (“代币销售”中用的电子邮箱地址)
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Ethereum or Bitcoin address(es) used to transfer consideration to purchase tokens in Token
Sale (“代币销售”中为了购买代币,用于转移对价的以太坊或比特币地址)
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Transaction ID(s) of the transfer of consideration to purchase tokens in the Token
Sale (“代币销售”中为了购买代币进行对价转移的交易 ID)
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Address where Claimant received tokens purchased in the Token Sale(索赔人接收 “代币销售”中购买的代币的地址)
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Number of tokens purchased in the Token Sale (“代币销售” 中购买的代币数量)
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Number of tokens purchased in the Token Sale that the Claimant holds today(索赔人至今持有的属于“代币销售”中购买的代币的数量)
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TNT Address Information
TNT 地址信息
Complete this section if you currently hold TNT in one or more on-chain addresses:
如果您当前在一个或多个链上地址中拥有 TNT,请完成本部分:
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Number of addresses holding TNT( 持 有
TNT 的地址数量)
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Total TNT currently held in on-chain addresses( 当前在链上地址中持有的总
TNT)
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交易所信息
Exchange Information
Complete this section if you have ever deposited TNT into an exchange account.
如果您曾经将 TNT 存入交易所帐户,请完成本部分
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Number of exchange accounts(交易所账户数量)
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Total TNT currently held in on exchanges(当前在交易所账号中持有的总TNT)
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Exchange Name(交易所名称)
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Total TNT in this Exchange Account
(当前在该交易所账号中持有的总 TNT)
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1.
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2.
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3.
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4.
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5.
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拥有五个以上交易所帐户的索赔人应在邮寄时在支持文档中通过补充文档提供他们的交易所信息。Claimants with more than five exchange accounts should provide their Exchange Information in a supplemental document when mailing in their supporting documentation.
TNT Rewards Information
TNT 奖励信息
Complete this section if you currently hold TNT acquired as rewards for running a public Node:
如果您当前持有的 TNT 是通过运行公共节点(Node)获得的奖励,请完成本部分:
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Number of unique rewards transactions
received(收到了几笔奖励交易)
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Total TNT you currently hold in on-chain addresses, from rewards(对于来自奖励的TNT,您当前在链上地址中持有的总 TNT 数量)
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Total TNT transferred to exchanges, from rewards(对于来自奖励的 TNT,您转移到交易所的总 TNT 数量)
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All information provided in Section 2 regarding address counts, exchange accounts, and balances must match data that will later be provided via the Claims Processing System.
第 2 节中提供的有关地址计数,交易账户和余额的所有信息均必须与以后通过理赔处理系统提供的数据匹配。
Section 3: Claimant Financial Institution Information For Payment of U.S. Dollars
第 3 节:索赔人接受美元付款的金融机构信息
本节要求索赔人提供信息,以使 TNT 公司可据此为已批准的索赔请求支付付款。
美国索赔人可以选择通过支票接收付款,支票将会被 TNT 公司发送到索赔人提供的邮寄地址。
This section requests information to allow Tierion to make payments for approved claims. Alternatively, US Claimants may receive payment via check, sent to the mailing address provided by the Claimant:
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Name of Financial Institution(金融机构名称)
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Mailing Address of Financial Institution(金融机构邮寄地址)
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ABA/SWIFT Routing Number (ABA / SWIFT 路由号)
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Bank Account Number(银行帐号)
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For all approved claims, Tierion may make a small trial deposit ("Trial Deposit") to the account identified in Section 3. Claimant may be required to confirm the amount of the Trial Deposit before Tierion will make the full payment.
对于所有已批准的索赔,TNT 公司会在第 3 节中指定的帐户中存入少量的测试存款(“测试存款”)。 索赔人会被要求确认测试存款的金额, 确认之后 TNT 公司才会进行全额付款。
Section 4: Supporting Documentation That Must Be Submitted
第 4 节:必须提交的支持文档
In addition to this Claim Form, the following documentation must be submitted
除此索赔表单外,索赔人还必须提交以下文件:
1. Copy of government-issued photo identification referenced in Section 1.
第 1 节中提及的政府签发的带有照片的身份证明的副本。
1. Copy of a business registration document (if a business entity is filing the claim), demonstrating your authority to submit a claim on behalf of such business entity
如果商业实体提出索赔,则需要提供商业登记文件的副本,证明您有权代表该业务实体提出索赔。
2. Copy of a cancelled check or account statement establishing Claimant as the owner of the financial institution account identified in Section 3 of the Claim Form. This information will not be required if Claimant elects to receive their payment via check, mailed to their physical address.
已取消的支票或帐户对帐单的副本,该副本将索赔人确定为索赔表第 3 节中金融机构帐户的所有者。如果索赔人选择通过接收邮寄到他们实际地址的支票来收取付款,则不需要提供此信息。
It is recommended that claimants submit their supporting documents in English. The completed Claim Form and all required supporting documentation must be mailed to the following address and received by the Expiration Date:
建议索赔人以英语提交其支持文件。填写完整的索赔表和所有必需的支持文件都必须邮寄到以下地址,且要确保在到期日期前送达并被接收。
(以下为邮寄地址)
TNT Claims Administrator
P.O. Box 1208
Austin, TX 78767
在 2021 年 2 月 21 日后收到的索赔表格和支持文档,TNT 公司将不会进行处理。
COMPLETED CLAIM FORMS AND SUPPORTING DOCUMENTATION MUST BE RECEIVED NO LATER THAN FEBRUARY DD, 2021. CLAIMS RECEIVED AFTER THAT DATE WILL NOT BE PROCESSED.
币赢CoinW团队
2020年12月31日