WeAccess Monetary Enrolment Form
WeAccess Monetary Enrolment Form
INSTITUTION PROFILE
Institution Name Short Name
SK BARANGAY GABU, LABASON Z.N. SK BRGY. GABU
SUBSIDIARIES
INSTRUCTIONS INSTITUTION NAME TAX IDENTIFICATION NUMBER (TIN)
N/A - - -
N/A - - -
N/A - -
As Auto-Debiting Source
INSTRUCTIONS ACCOUNT TAG3/ ACCOUNT NUMBER
N/A - -
N/A - -
BILLS PAYMENT
INSTRUCTIONS MERCHANT NAME REFERENCE NUMBER
N/A N/A
N/A
STATEMENT OF ACCOUNT
Mode of Sending of SOA: SOA Formats for sending: Schedule of Sending SOA:
Email SFTP MT940 Multicash CSV Daily
✘ SWIFT HTM SWIFT Format Monthly
SWIFT Address: ✘ ✘
ACKNOWLEDGMENT
This serves as our application to your LANDBANK weAccess Facility. I/We hereby acknowledge to have read, understood and agreed to be bound by
the Terms and Conditions of the LANDBANK weAccess facility.
Notes: (1) Please write "Not Applicable" or "N/A" for fields with no applicable data and/or "Nothing Follows" immediately after the last item.
(2) Please use additional sheets, if necessary.
1/
The designated email address where notices from the weAccess Facility shall be sent.
2/
e.g. GOCC, NGA, LGU, Private Corporation, Partnership, Cooperative, SME, Educational and Health Institution, Development Partnet, Religious and
Charitable Organization, Commercial/Universal Bank, Thrift Bank, Rural Bank, Other Financial Intermediary, NGO/People Organization/Association,
Micro-Enterprise, Sole Proprietorship
3/
The designated account description with a maximum of 15 alphanumeric characters (e.g. Payroll Account).
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CLASS B
ACKNOWLEDGMENT
This serves as our application to your LANDBANK weAccess Facility. I/We hereby acknowledge to have read, understood and agreed to be bound by
the Terms and Conditions of the LANDBANK weAccess facility.
Notes: (1) Please write "Not Applicable" or "N/A" for fields with no applicable data and/or "Nothing Follows" immediately after the last item.
(2) Please use additional sheets, if necessary.
1/
The designated account description with a maximum of 15 alphanumeric characters.
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CLASS B
ACKNOWLEDGMENT
This serves as our application to your LANDBANK weAccess Facility. I/We hereby acknowledge to have read, understood and agreed to be bound by
the Terms and Conditions of the LANDBANK weAccess facility.
Queneth l. garan QUENETH L. GARAN ATHEA MYLES S. DESACA OCTOBER 21, 2024
Signature over Printed Name of User Signature over Printed Name of Authorized Signatory Date
SERVICING BRANCH/EO
Reviewed by Verified by Approved by
Notes: (1) Please write "Not Applicable" or "N/A" for fields with no applicable data and/or "Nothing Follows" immediately after the last item.
(2) User ID must be composed of 6-8 alphanumeric characters, letters using upper cases only. The number zero should be written as "Ø"
to differentiate from the letter "O".
1/
Authority of the designated user.
2/
All enrolled Users have Automatic access to Account Information, Customization, More Services, Administration and Help Desk Email.
3/
Fund Management includes Auto Crediting, Auto Debiting and Fund Sweeping Modules.
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CLASS B
ACKNOWLEDGMENT
This serves as our application to your LANDBANK weAccess Facility. I/We hereby acknowledge to have read, understood and agreed to be bound by
the Terms and Conditions of the LANDBANK weAccess facility.
ATHEA MYLES S. DESACA QUENETH L. GARAN / ATHEA MYLES S. DESACA OCTOBER 21,2024
Signature over Printed Name of User Signature over Printed Name of Authorized Signatory Date
SERVICING BRANCH/EO
Reviewed by Verified by Approved by
Notes: (1) Please write "Not Applicable" or "N/A" for fields with no applicable data and/or "Nothing Follows" immediately after the last item.
(2) User ID must be composed of 6-8 alphanumeric characters, letters using upper cases only. The number zero should be written as "Ø"
to differentiate from the letter "O".
1/
Authority of the designated user.
2/
All enrolled Users have Automatic access to Account Information, Customization, More Services, Administration and Help Desk Email.
3/
Fund Management includes Auto Crediting, Auto Debiting and Fund Sweeping Modules.
page 2