A1 - Customer Information

CIF Number Account Owner

(for internal use)
Business Owner / Officer / Signatory

I. CUSTOMER INFORMATION

Full Name Date of Birth

Last Name First Name Middle Name Suffix (mm / dd / yyyy)

/ /

Are you an existing BDO Customer? Yes No BDO Product Type Deposits Cards Loans Wealth Management Insurance
(If ‘Yes’, select the ‘BDO Product Type/s’ that you have.) Existing BDO customers only need to fill in the fields or inputs with Check Marks if there is information to update.
Otherwise, place NA or select the appropriate input. Clear

II. CONTACT INFORMATION

Personal Mobile Number Personal Email Address Home Landline Number

Country Code Mobile Number Country Code Area Code Landline Number

Home Address
Unit No. Building / No. Block. Street Subdivision / Village / Barangay

City / Municipality Province / State Country Zip Code

Please Select

Alternate Address (Do you have another home or address, including abroad? If ‘Yes’, provide below. If ‘No’, tick ‘Same as Home Address’) Same as Home Address
Unit No. Building / No. Block. Street Subdivision / Village / Barangay

City / Municipality Province / State Country Zip Code

Please Select

Work / Business Email Address Work / Business Landline Number

Country Code Area Code Landline Number Local (if applicable)

Work / Business Address

Unit No. Building / No. Block. Street Subdivision / Village / Barangay

City / Municipality Province / State Country Zip Code

Please Select

III. PERSONAL INFORMATION

Country of Birth
Gender Civil Status
Please Select Male Single Legally Separated Annulled

Female Married Divorced Widow/er

Citizenship (If ‘Others’, provide below)
TIN
Filipino Provide your Tax Identification Number
Please Select
Others

IV. FINANCIAL INFORMATION (Refer to ‘Instructions’ for ‘List of Codes’ for ‘Source of Funds’ and ‘Nature of Work / Business’)

Sources of Funds If a ‘Source of Funds’ is ‘Remittance’ or ‘004’, provide the following additional information:
Provide all applicable ‘Codes.’ (ex. 001, 002, 003) What country does the remittance come from? What do you primarily use the remittance for?
Please select

Natures of Work / Business Name of Primary Employer / Business

Provide all applicable ‘Codes.’ (ex. ABC, DEF, GHI)
OGI Indirect OGB / POGO Allied Service Provider

Position / Job Title in Primary Employer / Business (Select one if you are ‘Employed’) Gross Monthy Income (PHP)

For Private / Self-Employed Owner / Director / Officer Non Officer / Employee Contractual / Part Time

For Government Employed Elected / Appointee Employee Contractual / Part Time

 A2 - Regulations and Agreements

V. REGULATORY REQUIREMENTS

Political Relations and Affiliations Questionnaire

Do you have previous and current affiliation/dealings with the Government and/or relations to any government official in the Yes No
Philippines or another country? If ‘Yes’, accomplish ‘Form A6’

Foreign Account Tax Compliance Act (FATCA) Questionnaire (Refer to ‘Instructions’ for details on the ‘Substantial Presence Test’)
Are you obligated to pay taxes to the U.S. IRS because of your citizenship, residency, or other reasons such as meeting Yes No
the ‘Substantial Presence Test’? If ‘Yes’, accomplish ‘Form A7’
Online Gaming Questionnaire (Refer to ‘Instructions’ for details on ‘Online Gaming Business’)
Does your work / business provide service, process transactions, have transactions or related interests / relationships with any Yes No
business or service provider in the online gaming industry? If ‘Yes’, accomplish ‘Form A8’
Beneficial Ownership
Are you opening this account on behalf of someone else? Yes No

VI. DATA PRIVACY CONSENT

In compliance with the requirements of the Data Privacy Act, I hereby give my consent to the BDO Group, consisting of BDO Unibank, Inc. and its subsidiaries [the members of the BDO Group may be accessed at
[Link] to process, collect, store, my personal information or sensitive personal information obtained from me in the course of my transaction/s with the BDO Group. I understand and
agree that these information may be disclosed or shared by BDO Group to its members for know-your-client, cross-selling, marketing, or profiling (manual or automatic) purposes to offer and provide new or related products
and services of the BDO Group. Further, I hereby give my consent to any member of the BDO Group to process, collect, use, store, share or disclose my personal information or sensitive personal information to third parties for
legitimate purposes, or to provide services to me or implement transactions which I may request, allow, or authorize.

I confirm that I understand and agree that my information may continue to be processed, collected, used, stored, or disclosed for ten (10) years from
my last transaction date with any member of the BDO Group or until the expiration of the retention limits set by applicable laws, whichever comes later. Signature

I hereby acknowledge and understand that should I wish to withdraw my consent to receive information about new or related products and services
of the BDO Group, or to access, update, or correct certain personal data as set out in this form, I may communicate directly with the relevant member
of the BDO Group’s Data Protection Officer through the email address found at [Link] I further acknowledge
and understand that I may access and view the BDO Group’s Data Privacy Statement at [Link] or obtain a copy
thereof from the office or branch of the relevant member of the BDO Group.

VII. CONSENT FOR THE ISSUANCE OF A BDO CREDIT CARD

By signing, I agree that this shall serve as my application for issuance of a BDO Credit Card and I undertake to submit documents as may be deemed Signature
necessary by BDO. I authorize BDO to conduct random verification with government agencies or third parties to establish authenticity of the
information declared and/or documents submitted and hereby waive confidentiality of the rules and laws as applicable. I understand that the issuance
of a BDO Credit Card shall be subject to credit evaluation and discretion of BDO.

VIII. CUSTOMER UNDERTAKING

By signing, I hereby certify that the information given in this application is true and correct to the best of my knowledge and I confirm that I have
read, understood, and agreed in full to the BDO Online Account Opening Service Terms and Conditions, Electronic Banking Terms and Conditions
of Use, Terms and Conditions of the General and Special Provisions on Deposits, the BDO ATM Debit Card Terms and Conditions, and the Terms and
Conditions of BDO Biometrics (the“BDO Terms and Conditions”) and have fully understood and agreed to be governed by the provisions thereof, Signature
as well as the rules and regulations of BDO, Bangko Sentral ng Pilipinas, Anti-Money Laundering Council, Bankers Association of the Philippines,
Philippine Deposit Insurance Corporation, and the Bureau of Internal Revenue with respect to taxes imposed on interest on deposits and bank
commission/charges relative to the establishment of operations of the account/s opened.

I also hereby affirm that the features, requirements, risks and benefits of the BDO product(s) and services I am availing were fully disclosed and
explained clearly to me by BDO. I further declare that I have fully understood and agree to be governed by the rules and regulations of the BDO
product(s) and services I am availing. I also acknowledge that the BDO Terms and Conditions were made available to me upon account opening, and
where copies were given upon request and posted in BDO’s website at [Link]/info/accounts. I agree that BDO may make amendments to the Date Signed
BDO Terms and Conditions by giving me notice by (i) exhibiting the same at any of BDO’s branches, (ii) publishing the same at BDO’s website or any (mm / dd / yyyy) / /
media, or (iii) such other manner BDO deems fit.

Reset

BDO Customer Contact Center: (02) 8631-8000

BDO Unibank, Inc. is regulated by the Bangko Sentral ng Pilipinas: Tel. No. (02) 8708-7087; Email: consumeraffairs@[Link]; Webchat: [Link] REVISED AS OF MAY 2022
The BDO, BDO Unibank, and other BDO-related trademarks are owned by BDO Unibank, Inc.

Account Number Date Opened (mm/dd/yyyy) Residency Biometrics RC NLDS

Resident Face N
/ /
Non-resident Finger H
Clear
ID 1 ID 2
FOR I NT ER NA L US E O NLY

Type of ID ID Number Type of ID ID Number

Walk In Referred By (please indicate below) Verified By Approved By

Name and Signature Name and Signature

Courtesy Call / Remarks

 Instruction Sheet

GE NERAL INSTRUCTIONS
1. These instructions are provided to guide you in filling up ‘Form A1-A2’, specifically where ‘Codes’ are necessary.
2. Provide accurate and detailed information to ensure regulatory compliance and determine the applicability of due diligence, where necessary.

SOURCE OF FUN DS
Indicate all relevant sources of funds. Refer to the descriptions and codes below for your entry. You may input multiple codes where applicable. (ex. 001, 002, 003)

001 Employed - Fixed Income 005 Pension 009 Investment / Dividend Income

002 Employed - Variable Income 006 Personal Savings / Retirement Proceeds 010 Rental Income

003 Self-Employed - Business Income 007 Allowance 011 Sale of Asset / Property

004 Remittances 008 Inheritance 012 Other Sources (Lottery, Donations, Tax Refunds, and Insurance/Legal Claims)

N AT U RE OF WORK / B US I N ES S
Indicate all relevant industries where you derive your income or assets from. Refer to the general categories and specific codes and descriptions below for
your entry. Notes on entries can be found at the back of this Instruction Sheet. You may input multiple codes where applicable. (ex. ABC, DEF, GHI)
Professional, Scientific, and Technical Services Information and Communication

ACT Accounting / Auditing / Tax Practice Services COM Information / Comunication / Telecommunication

LEG Legal Services PUB Publishing / Printing

ANE Architecture / Engineering ICT Robotics / AI / Cloud / Data Engineering / Software

Development / Cybersecurity
ADV Advertising / Marketing
Manufacturing
SVC Other Professional Services / Consultancy / Coaching
MFG Manufacturing / Packaging
Finance and Insurance
MFF Manufacturing / Trading of Firearms and Ammunition
PWN Pawnshop
Dealerships, Trading, Selling and Repair Services
LDG Lending
ART Art / Antiques Dealership
MSE Money Service Business - Electronic Money Issuer
CAR Car / Boat / Plane Dealership
MSV Money Service Business - Virtual Currency Exchange
JEW Jewelry / Precious Metals / Precious Stones Dealership
MSR Money Service Business - Remittance Transfer Company
WRT Wholesale / Retail Trade (Distribution & Sales) / E-Commerce / Online Selling
MSF Money Service Business - Foreign Exchange Dealer / Money Changer
REP Repair Services
BAN Banking
Transportation and Storage
INS Insurance
TRN Transportation (Land, Sea and Air)
SBD Securities Broker / Dealer
SHI Shipping / Cargo / Storage
Construction and Civil Engineering
SEA Seaman / Seafarer
CON Construction and Civil Engineering
Agriculture, Forestry, and Fishing
Real Estate Brokerage and Sales
AGR Agriculture / Fishing
REL Real Estate Brokerage and Sales
FOR Forestry
Media, Arts, Sports and Recreation
Mining and Quarrying
MED Media
MIN Mining / Quarrying
ENT Arts / Entertainment / Recreation
Electricity, Oil and Gas
SPO Sports / eSports
UTL Electric Utilities
GAM Gambling / Casino / eGames
OIL Oil / Gasoline
Healthcare and Social Work
Water Supply, Sewerage and Waste Management
HEA Healthcare (Doctor, Dentist, Nurse, Psychiatrist and others)
WAT Water Supply / Sewerage / Waste Management
SOC Social Work / Non-Government and Non-Profit Organizations
Public Administration and Peace and Order
Education
MIL Peace and Order (Military, Police, Fireman, Jail Warden and Others)
EDU Education / Online Education
PAD Public Administration / Government
Accomodation and Food Services
Embassises and Diplomatic Services
AFS Hotel / Accomodation / Restaurant / Food Services
EMB Embassies / Diplomatic Services
Administrative and Other Support Service Activities
Other Service Activities
TRA Travel / Travel Agencies
OTS Other Service Activities (Hairdresser, Manicurist, Masseuse and others)
AGY Employment Agency / Human Resources
RLG Religious Organization
BPO Business Process Outsourcing
Special Nature of Work / Business
SEC Security Agency / Services
DFP Designated Non Financial Business And Professions (DNFBP)1
Private Household and Household Staff
OGB Direct OGB / POGO Licensee and Authorized Gaming Agent2
HOU Private Household / Household Employee / Household Staff
OGI Indirect OGB / POGO Allied Service Provider
 Instruction Sheet

N OT ES ON NAT URE OF WO R K / B US I N ES S
1
Designated Non-Financial Business and Professions (DNFBP)
As covered persons, the following Designated Non-Financial Businesses and Professions (DNFBPs) are required to declare their
engagement as a DNFBP and submit the Certificate of Registration issued by the AMLC:
1. Dealers of jewelry, precious metals, and precious stones
2. Company service providers which, as a business, provide any of the following services to third parties: (a) acting as a formation agent
of juridical persons; (b) acting as (or arranging for another person to act as) a director or corporate secretary of a company, a partner
of a partnership, or a similar position in relation to other juridical persons; (c) providing a registered office, business address or
accommodation, correspondence or administrative address for a company, a partnership or any other legal person or arrangement; and
(d) acting as (or arranging for another person to act as) a nominee shareholder for another person; and
3. Persons, including lawyers and accountants, who provide any of the following services: (a) managing of client money, securities
or other assets; (b) management of bank, savings, securities or accounts; (c) organization of contributions for the creation,
operation or management of companies; and (d) creation, operation or management of juridical persons or arrangements, and
buying and selling business entities.
4. Real Estate Brokers and Developers;
5. Offshore Gaming Operators (OGO) and Offshore Gaming Operator Service Provider (OGO SP)
2
Online Gaming Businesses (OGB)
As covered persons, Online Gaming Businesses with ‘Direct engagement’ and ‘Indirect engagement’ to Online Gaming are required
to declare their engagement in the industry and submit the required documents from PAGCOR, as needed.

‘Direct engagement’ in Online Gaming refers to offshore entities with a Philippine Offshore Gaming license granted by PAGCOR to
primarily engage in Online Gaming, while ‘Indirect engagement’ in Online Gaming refers to Philippine entities or persons accredited
by PAGCOR to provide allied support services and / or components of offshore gaming operations to Philippine Offshore Gaming
Operators (POGOs) such as Customer Relations, Strategic Support, Information Technology, Gaming Software Platforms, and Live
Studio and Streaming Providers.

Business Process Outsurcing Providers (BPOs) that are servicing legitimately licensed gaming operators abroad and do not in any way
handle betting but purely product marketing and customer relations and are not servicing any of PAGCOR POGO licensees and have
at least 90% Filipino workforce are also classified as having an ‘Indirect Engagement’ in Online Gaming.

O N T HE FOREIGN ACCO UN T TAX CO M PL I AN C E ACT ( FATCA) A ND ‘ SU B STA NT I A L PR E S E NCE T E ST ’

An individual will be considered a United States resident for tax purposes if they meet the Substantial Presence Test for the calendar year. To meet
this test, the individual must be physically present in the U.S. on at least:

1. 31 days during the current year, and

2. 183 days during the 3-year period that includes the current year and the 2 years immediately before that, counting: (a) All the days the
individual was present in the current year; (b) 1/3 of the days the individual was present in the first year before the current year; and (c) 1/6 of
the days the individual was present in the second year before the current year.

BDO Customer Contact Center: (02) 8631-8000

BDO Unibank, Inc. is regulated by the Bangko Sentral ng Pilipinas: Tel. No. (02) 8708-7087; Email: consumeraffairs@[Link]; Webchat: [Link] REVISED AS OF MAY 2022
The BDO, BDO Unibank, and other BDO-related trademarks are owned by BDO Unibank, Inc.
 C1 - Financial Information

CIF Number
(for internal use)

I. BORROWER INFORMATION

Principal Borrower Date of Birth

Last Name First Name Middle Name Suffix (mm / dd / yyyy)

/ /

Are you an existing BDO Customer? Yes No BDO Product Type Deposits Cards Loans Wealth Management Insurance
(If ‘Yes’, select the ‘BDO Product Type/s’ that you have.)

Additional Borrowers

Principal Borrower’s Spouse Date of Birth

Last Name First Name Middle Name Suffix (mm / dd / yyyy)

/ /

Co-Borrower / Co-Maker Date of Birth

Last Name First Name Middle Name Suffix (mm / dd / yyyy)

/ /

Co-Borrower / Co-Maker’s Spouse Date of Birth

Last Name First Name Middle Name Suffix (mm / dd / yyyy)

/ /

II. FINANCIAL INFORMATION

Number of Dependents Length of Stay at Current Home Ownership of Current Home

How many rely on you for financial support? Years Months
Owned Rented Mortgaged

Used for Free Living with Relatives

Employment Type (Select one if you are ‘Employed’)

For Employed Private Government Bangko Sentral ng Pilipinas Non-Governmental Organization Overseas Filipino Worker

For Self-Employed Professional For Business Owners Sole-Proprietor Partner Stockholder

Length of Stay with Previous Employer / Business Length of Stay with Current Employer / Business
Years Months Years Months

Primary Monthly Income Other Monthly Income

The amount you receive from your primary source of income monthly The amount you receive from other sources of income monthly

Do you have Deposits with other banks? Do you have Loans with other banks? Do you have Credit Cards with other banks?

If ‘Yes’, provide information below If ‘Yes’, provide information below If ‘Yes’, provide information below
Name of bank (ex. Bank A) Type of account (ex. Savings, Checking) Name of bank (ex. Bank A) Your monthly loan amortization in PHP Name of bank (ex. Bank A) Last six digits (ex. 654321) Year issued (ex. 1968)

III. PERSONAL AND BUSINESS REFERENCES (It is recomended that Professionals and Business Owners provide ‘Business’ or ‘Trade References’)

Full Name Company Name Contact Number

(ex. Juan Santos) (ex. ABC Company) Provide the most accessible number where your reference can
be reached
 C2 - Loan and Collateral Information

IV. LOAN INFORMATION

What loan product are you interested in? BDO Auto Loan BDO Home Loan BDO SME Loan

Loan Amount Loan Term Equity / Downpayment (In PHP) Fixing Period
The total amount you wish to loan in PHP Up to 60 months for Auto, and from 1-10 years for Home and SME The amount you will be comitting as downpayment in PHP For Home and SME ONLY. From 1-5 years.

COLLATERAL INFORMATION FOR A BDO HOME / SME LOAN (For Home and SME Loans applicants ONLY. Auto Loan applicants may skip to the next page.)

Property Address
Unit No. Building / No. Block. Street Subdivision / Village / Barangay

City / Municipality Province / State Country Zip Code

TCT / CCT No. of Property Name of Property Owner

Last Name First Name Middle Name Suffix

Name of Contact Person Mobile Number of Contact Person

Last Name First Name Middle Name Suffix Country Code Mobile Number

Type of Collateral Vacant Lot House and Lot Townhouse Condominium

Factory / Warehouse Building

Use of Collateral Residence Commercial Industrial Agricultural

Purpose of Home Loan Purchase of Vacant Lot

(for Home Loans ONLY)
Purchase of House and Lot Construction of House

Purchase of Townhouse Renovation / Home Improvement

Purchase of Condominium Reimbursement of Acquisition Cost

Equity Loan (please specify) Refinancing / Take-out from:

Purpose of SME Loan For Working Capital

(for SME Loans ONLY)
Increase in Capital Funds for other Operating Activities

Purchase of Inventory Loan Take-out (Original Purpose is Working Capital)

Additional Manpower / Salaries

For Capital Expenditure (Core Assets)

Major Repairs, Upgrades & Maintenance Acquisition of Property, Plant & Equipment

Renovation and Improvement of Office / Business Expansion (Addt’l branches, office, plant)
Plant Improvements
Loan Take-out (Original Purpose is CAPEX)
Construction of Property for Business Use
For Investment (Non-Core Assets)
Construction of Property
Acquisition of Non-core Assets
Loan Take-out (Original purpose is Investment)
Renovation and Improvement of Office /
Plant Improvements

LOAN ADMINISTRATION FOR A BDO HOME / SME LOAN (For Home and SME Loans applicants ONLY. Auto Loan applicants may skip to the next page.)

Loan Administrator Questionnaire

Are you located abroad, an Overseas Filipino Worker (OFW), or require a Loan Administrator for this application? Yes No
If ‘Yes’, accomplish ‘Form C6’
 COLLATERAL INFORMATION FOR A BDO AUTO LOAN (For Auto Loan applicants ONLY)

Year Model, Car Brand and Car Model Vehicle Selling Price
(ex. 2020 Brand A, Model B) In PHP

Vehicle Type Sedan AUV Vehicle Classification Brand New

LCV SUV Used

Motorcycle Truck

Vehicle Use Personal Business Purpose of Auto Loan Purchase Refinancing

V. LOAN ACCOUNT INFORMATION

Deliver my reports, statements, and notices to my: Personal Email Address Work / Business Email Address

VI. LOAN PROCEEDS AND AUTO DEBIT ARRANGEMENT INFORMATION

A BDO Deposit Account is required as part of this application for the crediting of Loan Proceeds (if applicable for the loan type) and the setup of an Auto Debit Arrangement (ADA) for the monthly amortization of
the loan. The BDO Deposit Account MUST BE in the name of Loan account holder. You may provide an existing BDO account or open a new BDO Deposit Account by ticking the consent below.

Provide your BDO Account for ‘Loan Proceeds’ If you would like a new ‘BDO ADA/ACA Settlement Account’ and
and set up ‘Auto Debit Arrangement’ your ‘Loan Proceeds’ credited and an ‘Auto Debit Arrangement
(ADA)’ set up to this account, tick the option below:
BDO Savings or Checking Account Number (under Borrower’s name)
If approved, I would like to open a new ‘BDO ADA/ACA
Settlement Account’ and would like to have my ‘Loan Proceeds’
and an ‘Auto Debit Arrangement (ADA)’ for the monthly
amortization of the loan set up to this account
AUTO DEBIT / AUTO CREDIT ARRANGEMENT UNDERTAKING
By signing, I/we expressly authorize BDO Unibank to automatically debit and/or credit from time to time, without
need of any further act and deed, from and to the enrolled deposit account, the amount(s) granted and/or due
in my/our loan account. I/we also agree to any updates that may be done to my/our enrolled deposit account as
a result of maintenance and updates to any account that may be linked to it. I/we agree to be governed by the
Auto-Debit/Auto-Credit Terms and Conditions (“ADA/ACA”) as found online on [Link]/info/ada-aca.

Primary Signatory Secondary Signatory

(Signature over Printed Name) (Signature over Printed Name)
 C3 - Regulations and Agreements

VII. REGULATORY REQUIREMENTS

Related Party Questionnaire

Are you a director, officer, or stockholder of BDO or BDO-affiliated company? Yes No

Are you a spouse or relative up to second degree, i.e. parent, child, grandparent, grandchild, brother, sister Yes No
(biologically, legally adopted, or in-law) of a Director, Officer, Stockholder of BDO and/ or BDO-affiliated companies?
If ‘Yes’, accomplish ‘Form C10’

VIII. CUSTOMER UNDERTAKING

I hereby agree that the terms of Form A1-A2 and its attachments form part of this Form C1-C3 and are deemed Revenue Regulation RR-4 2005, I further authorize BDO to: (a) conduct random verification with the Bureau
an integral part hereof, my Conforme in Form A1-A2 is deemed restated for purposes of my application in this of Internal Revenue in order to establish authenticity of the ITR, accompanying financial statements and such
Form C1-C3 and that the representations, warranties, and undertakings under this Form C1-C3 shall be in other documents/information/data submitted by me and (b) to request information regarding the status of
addition to those provided in Form A1-A2. any court case to which I may be a party.

I hereby certify that all information and documents given in this Form C1-C3 and in Form A1-A2 are true and I agree that BDO may conduct, through its representative accredited appraisers, an appraisal of any or all of
correct. I authorize the relevant Consumer Banking Unit/s to update or cause the updating of the information the collateral to be used for my applied loan and that the appraisal report will be forwarded directly to BDO
in Form A1-A2 based on the information or documents provided by me. I understand that non-disclosure for its sole use only.
and/or falsification of information and documents herein required shall be grounds for the disapproval of my
application, a default of my loan, and/or legal action against me. I acknowledge that payment of bank fees (appraisal fee, mortgage/security registration expenses, insurance
premium, DST, notarial fee, handling fee, cancellation fee, and other amounts as may be required upon
I authorize BDO to obtain relevant information as it may require concerning my application under this Form loan application and/or for the release of loan proceeds) should only be through a BDO branch, otherwise,
C1-C3 from other institutions/persons. All information obtained by or provided to BDO pursuant to this loan payments shall not be honored or recognized.
application shall be BDO’s property whether or not the loan is granted.
In case of disapproval of my application under this Form C1-C3, I understand that BDO is under no obligation
I agree that my application under this Form C1-C3 shall be subject to applicable laws (including BSP circulars, to disclose the reason/s for such disapproval.
rules, and regulations), and policies of BDO and undertake to comply with/submit all the loan requirements.
BDO is hereby authorized to send me notices and information regarding the status of the my application
I recognize that BDO is committed to ensuring the confidentiality of my information under R.A. No. 1405 under this Form C1-C3, including details concerning my approved/availed facility/loan via email, as well
(Bank Secrecy Law of 1955) as amended, R.A. No. 8971 (General Banking Law of 2000) as amended, and as broadcast messaging service, multi-media messaging service, and/or short messaging service as these
R.A. No. 6426 (The Foreign Currency Deposit Act), and will exert reasonable efforts to protect against terms are defined in the regulations of the National Telecommunications Commission (NTC).
unauthorized use or disclosure. However, I understand that information regarding my deposit account/s with
BDO may be inquired to, or disclosed, in relation to the evaluation of my application under this Form C1-C3, Signature
as may be required by applicable rules and laws and/or to ensure a successful debit under an Auto-Debit Date Signed
Payment Arrangement. Pursuant to BSP Circular No. 472 Series of 2005 as implemented by BIR (mm / dd / yyyy)

/ /

Reset

BDO Customer Contact Center: (02) 8631-8000

BDO Unibank, Inc. is regulated by the Bangko Sentral ng Pilipinas: Tel. No. (02) 8708-7087; Email: consumeraffairs@[Link]; Webchat: [Link] REVISED AS OF MAY 2022
The BDO, BDO Unibank, and other BDO-related trademarks are owned by BDO Unibank, Inc.

Unit / Branch Developer / Dealer Referrer Account Officer

FOR INTERNAL USE ONLY

With Broker Broker Name and Signature Program / Promotion Date (mm / dd / yyyy) Others

Yes
/ /
No
 A7 - Foreign Account Tax Compliance Act (FATCA) Due Diligence Form

CIF Number
(for internal use)

I. ON YOUR OBLIGATION TO PAY TAXES TO THE U.S. IRS

I am a U.S. Citizen If ‘Yes’, provide your U.S. SS / TIN I hold permanent

resident status in the U.S.
(If ‘Yes’, you must provide a U.S.
address in the next section - ‘US
Indicia’)

I meet the ‘Substantial Presence Test’ as defined by U.S. IRS

II. ON YOUR U.S. INDICIA

I have a U.S. Telephone Number If ‘Yes’, provide your U.S. Telephone Number

I have a U.S. Address If ‘Yes’, provide your U.S. Address and / or P.O. Box Number
Unit No. Building / No. Block. Street Subdivision / District / Town

City State ZIP P.O. Box Number

I have standing instructions for regular transfer of funds to an account in the U.S I have granted a Power of Attorney to a person with a U.S. address

CUSTOMER UNDERTAKING Signature over Printed Name

By signing, I hereby certify that the information in this form is true and correct Date Signed
to the best of my knowledge. I undertake to advise BDO Group and provide (mm / dd / yyyy)
documentation for any changes to the above information.

Reset

BDO Unibank, Inc. is regulated by the Bangko Sentral ng Pilipinas.

Tel. No.: (02) 8708-7087; Email: consumeraffairs@[Link]. REVISED AS OF MARCH 2022
The BDO, BDO Unibank, and other BDO-related trademarks are owned by BDO Unibank, Inc.
 A8 - Online Gaming Business (OGB) Due Diligence Form

CIF Number
(for internal use)

Is your business classified under the online gaming industry? If ‘Yes’, identify the Appropriate Government Agency (AGA) that issued your license Yes No

PAGCOR CEZA APECO AFAB Others

Does your business provide service or have dealings / transactions with the online gaming industry? If ‘Yes’, identify the category/ies it belongs to Yes No

Customer Relations Provider Live Studio and Streaming Provider Strategic Support Provider Real Estate Brokers and
Developers
Gaming Software / Platform Provider POGO Hub / Real Estate Offshore Gaming Operator
Individuals acting as Real
IT Support Provider Special Class of BPO Offshore Gaming Operator Estate Agents/Brokers
Service

Do you have related interest / relationship with any business or service provider under the online gaming industry? Yes No
If ‘Yes’, identify your position/s and relationship/s

20% Stockholder Employee Others

Primary Officer (President, Treasurer, Secretary, etc.)

20% Ultimate Beneficial Owner

Do you process transactions related to the online gaming industry? If ‘Yes’, identify the type/s of transactions Yes No

Remittance facilitation between online gaming business Others

and its clients
Processing of payouts

What are the names of the clients and counter-parties that you are servicing?

CUSTOMER UNDERTAKING Signature over Printed Name

By signing, I hereby certify that the information in this form is true and correct Date Signed
to the best of my knowledge. I undertake to advise BDO Group and provide (mm / dd / yyyy)
documentation for any changes to the above information.
/ /

Reset

BDO Unibank, Inc. is regulated by the Bangko Sentral ng Pilipinas.

Tel. No.: (02) 8708-7087; Email: consumeraffairs@[Link]. REVISED AS OF MARCH 2022
The BDO, BDO Unibank, and other BDO-related trademarks are owned by BDO Unibank, Inc.
 C10 - Related Parties and Affiliations

CIF Number
(for internal use)

Full Name of Relation / Affiliation

Last Name First Name Middle Name Suffix

Rank / Position of Relation / Affiliation Relation or Affiliation via Name of Affiliated Company

BDO Unibank

BDO affiliated company

Full Name of Relation / Affiliation

Last Name First Name Middle Name Suffix

Rank / Position of Relation / Affiliation Relation or Affiliation via Name of Affiliated Company

BDO Unibank

BDO affiliated company

Full Name of Relation / Affiliation

Last Name First Name Middle Name Suffix

Rank / Position of Relation / Affiliation Relation or Affiliation via Name of Affiliated Company

BDO Unibank

BDO affiliated company

CUSTOMER UNDERTAKING Signature over Printed Name

By signing, I hereby certify that the information in this form is true and correct Date Signed
to the best of my knowledge. I undertake to advise the BDO Group and provide (mm / dd / yyyy)
documentation for any changes to the above information.
/ /

BDO Customer Contact Center: (02) 8631-8000

BDO Unibank, Inc. is regulated by the Bangko Sentral ng Pilipinas: Tel. No. (02) 8708-7087; Email: consumeraffairs@[Link]; Webchat: [Link] REVISED AS OF MAY 2022
The BDO, BDO Unibank, and other BDO-related trademarks are owned by BDO Unibank, Inc.