BDO ATM APPLICATION GUIDELINES

Requirements:

1.BDO FORM A1-A5 (5pages)

2. Photocopy of 2 Govt ID (back to back) with 3 signature

3. 2 pcs 1x1 picture

Guide:

1. STRICTLY NO ERASURE

2. DO NOT PUT DATE

3. Write the following on respective column:

Work/Business Email: hramtrak@amtrakmachineries.com Work/Business Landline: 63-044-7954436

Work Business Address: 1549 Springfield Drive Ph1 , Meycauayan Industrial Subd. , Pantoc, Meycauayan Bulacan
Philippines 3020

Name of Business: AMTRAK Machineries & Equipment OPC

Source of Funds: Salary Nature of Work: Dealership Position: Non Officer/Employee

 (lF Numher {t Account Owile(
(forintemal use)
Businers Ownsr / Officer/ Signatory

I. CUSTOMER INFORMATION
rffiame
Naule [Lrt Nani.
r ,nderfairth
(mm/dd/yyyy)
/6*

/
Are,.yodan existing BDo Customert f' Yes C No BDO ProductType Deposits Cards Loans Wealth Management lnsurance
!f
rYes',
select the'BDO Produ(t Type/s'that you have.) i ExistingBDOcustomersonlyneedtofilllnthefioldsorinputswithCheckMarksiftheroislnfolmationtoupdat6.
, Otheruise, place NA or select the apPropriat€ inPut.

r t. C-QN-fACT I N FOR MATI ON

Jrler sonal M obile Nu mber g\ome Landline Number

{ounuv ci,Jc Mobile lluri,be.
(ourilrv Cods Arcr Code Landlire Numbe.

./ Honri: Address
SubCi!ision / Village / !arsngay
lnir ry/ij"ll*iilg / No. slock. 5lreet

Zip codc
Cjif / Mrnli(iirality

r/ /itef nate Addfess (Do you have another home or address, including abroad? lf 'Yes', provid-e belou lf 'No', tick 'Same a5 Home Address') Same as Home Address
UrfNr. hL ld,ng / No. 8ro(i. st'ee( Subd'v'rron / v'llage / Batdngav

Ccuntry

J worfr lBusiness Email Address ./ Work / Business Landline Number

Nurber Lo.rl (,, applicilblc)
coun,fi cooe a,* c.c. Landli4e

r/ Nor$(ildirg
Worpfisiness Address
Unir Io. Block.5tre"(
I Subdivision / V;llage / BarangaY

II I, B.SRSONAL INFORMATION

fduntry of Birth 6ender .z drit st.tr.

f, naale f single C legally separated f' Annulled
.,,.-..
l" f Female C Married C' Divorced (*r Widow/er
{sy'Ctzenship (tf 'others', povide bdw)
t/ TIN
your ld*nflfl.ttion Number
t r-lrprno
Provlde T0x

f; others

lV. NC IAL I N FO R MATIO N (Refer to ,lnstructions' for_}ist of codes' fqr 'source of Funds' and 'Niture of work / Business')
Ft^!{"A
p,omixnplrnrrLir'crcel. yAifa,SourceofFunds'is'Remittance'or'004',providethefollowingajlditional information:
nAourr.rofFunds (hri couarry doo' thd mhrdanr. cors n..il? writ do lou pdmrilrv uso th6 ,dffilbnrd ro.z
#;;" ;;-

r/ ,lfdtUres of WOrk / BuSiness P'ovide 3ll appli.able'codes.' (ex. ABC. oE., G!lr) ./ t'tdme of Primary Employer / Business
Pf6ase select

/ Position / Job Title in Primary Employer / Business (select one if you are'Employed') {ttGross Monthy ncome I (PHP)

f ovsner/oirector tcflicq (^: UonOffker/hploVee C'contractual/PartTime

*@frivatelsdf-Hrnployed
(^i Contractual/Palt1ime
F(}r(}{}v*rnme*tilrnpio1,eel fl: fleaed/lppointee C Employee
 V. REGULATORY REQUIREMENTS

./ Political Relations dnd Affiliarions Ou*rt,lonnaire

oiiy'ou havl piieviorls #ci iilienl aifm;ti-6;l.je;firids with the Government and,/or relations to any governnrent off icial in the f Yes fruo
Philippines oi another country? tr'Yest a(compt,sh'rorn A;'

/ ForeiqnAccountTaxComplianceAct(FAfCrf)Questionnaire(Referto'lnsrLctrons'rordetarlsonthe'substantiar P"esencelest')
(" (.ruo
Are y6u obligated to pay taxes to the U.S. IRS because of your citizenship, residency, or other reasons such as meeting ves
the'Su kJsta ntia I Prese nce Te st' ? tf 'Yes', accomplsl't-o, m A7'

l. Online Ga rninE Question traire (Referto'lnstnrctions'for.letails on'online Gaming Business)

("' (*
Does yourr workT brusiness provide seruice, process transactions, have transactisns sr related interests I relationships with any Yes t'to
bt:siness or servire proviclen In the online gaming irrdustry? r'ves; accomplisl'toir AB

./ Eeneficial Ownershin
(- ("'xo
rlre yr:u opening thii account c,n hehalf of sorneone else? ves

VI. DATA PRIVACY CONSENT

legtrimats purposos, or to prov de serviceg lo me or implomont vansaations which I may request, allou or authollze.

I conl rnr that unders(and and agree thdt rny if[orrnat on may con( nue lo be processed, co ]ected, used, *ored, or dlsclosed Ior ten (10) years fro 1
mylastrransa.toniJatewthanymemberoltheBDOGrouporuntltheexpiratonofthereteftlon lmtssetbyappllcable aws,whichevercomeslater. t/ SignatUfg

hereby acknowLedgo and underetand tiiat shou d I w sh to withdraw my con!enl to receive inlormation about new or related produ.ts and serv ces
of tho BDO Gror p, or to accesg, updale, or corre.t certarn personal data as set out in th s form, I may commun (ate d rectly w th the relevant fflember
of the BDO Group's Data Prote(tlon Off cer throuqh the email address found at https //www.bdo com.ph/privacy_statement l fudher acknowledge
dnd understand that I may scce55 and !iew the EDO 6roup's Data Pr vacy Stalement at htLps //www.bdo.com.ph/pr vacy-statement or obta n a copY
thereof from the off ce or branch of the relevant member of the BDO Group.

VII, CON,$ENT FOR THE ISSUANCE OF A BDO CREDIT CARD

tly stgntng, I agre6 that ihis ehal serle as rny app cation ior sguan.e of a BDO Credit Card and unde(ake to submit documents as may be deemed y' Signature
BDO,"L.-u .8DO.u,o1o-cr a.oom'e ft\a(.o1 w_. 1o/a,'en ac"''p(or _1'ooarP, OF.do.- rLlcr'.r\ or'le
inj,ormatjondecaredand/ordocumeuGsubmtteclandherebywarveconfidentialityoitherulesandlawsasapplicable.lunderstandthatthe ssuance

VIII. CUSTOMER UNEERTAKING

Bysrqnlng,lherebycertifythatrhe nformatongveninlhlsappllalon strueandcorrecttothebestofmyknowiedgeandlconllrmlhotlhave
read !nderstood,andagreedlnfu tolheBDOOnlineAccountOpeningServceTermsandCondilions EectronicBanklnglermsandConditions
of Use, Terms and Cond tio rr of rhe General and Spec al Prov sions on Deposits, the BDO ATM Debit Card Terms and Conditions, and the Terms and
Condirtons of BDO Biomerrics ftre"BDO Te.ms and Conditions") and have fully understood and agreed to be governed by lhe Provisions thereol / Signature
aswellastherulesandregulatonsofBDO,Bangkosenualngpilipinas,Anti'MoneyLaundeilngCouncil B.nLersAs!ocrtronofthePhiiippnes,
Phllppne Deposit lnsurance Corporation, and the Burea! of lntornaL Revenue with respect to t.\es mPosed on nterast on deposits and bank
comm ss on/charges re ative Io lhe establ shment of operations of the accounl/s opened.

i also hereby affiiln that the features, requ remonrs, r sks and benelits of the BDO product(s) and serli(es I am availing were lully disclosed and
erp a ne<l c early to me by BDO. I further d6.lare that I have fully underetood and sgr€e to be governed by the rules and regulallons of the BDO
productG) and services I am ava ln9. also acknowledge that the BDO Terms and Conditions w€re made available to me upon ac(ount opening, and
L

where copies were giver upon request and posled n BDO's webs te at bdo.com.ph/info/accounts. agree that BDO may make amendments io the / Eate Signed
BDO lerrns and Cond rions by g ving me not ce by (i) exhibiting the sam6 a( any of BDO! branches, ( ) publishlng the same at BDO'S website or any
(mm/dd/vyyy)
media or( ) suchothet mannerBDo deems f t.

p)f r"liiihnrir, i,r.. l, xrluiilfl LI rh.i li;ri!c ritd,tl nq illlp,n*$^

-1-,' ,-1- ". 1 .!, t t .,,i i?it\4stit) 4i 0i: ilrY ,rr2l:
Iilf tlll0, ill(ll U,\iL,1rt, !nd ilirr7 [r)(i.iolrLtxi h'rd{]*ririirr ir o ofltHl hl ilD{ \}ttl}\rr'. }a

,.lr:ct:unt htrurnber U0te *Pened (nnr/ddlyyyy) Residency Bi0m6trics t{c t{ Lt)5.

f Rosid*nt' Faco tr'N I

f Non-residerrt FiEger fu
IDl tnz
liilrt 4!tn li hilt1l,ttt

f"'' Walk lr, ('" [e*f*rved *S(pteasaindicatelrelow) Veriii*d Sy Approved Ey

l{}nilr.l ,i(rrlilii
ii$r,r!*ird:xrrrrrr*

{ourt*sy Cqll / P*rn*rks

 Account Name
(For Business Accounts Only)

I. CUSTOMER INFORMATION (CLIENT 1) II. CUSTOMER INFORMATION (CLIENT 2)

Full Name (lasr Name, [i3t Namc, Middlo N:mo) Full Name (lasr Naftr). li6t Name. Mlddle N:mr)

Mobile / Landline Number Mobile / Landline Number

CUSTOMER SIGNATURE CUSTOMER SIGNATURE

Purpose of Account Opening Account Classification

Payroll Savings Payments lnYestment (^ tndirrdu"t (* ,oin,r*r' f .'oin,'ol, f o.n.r.

By.ffixinq hy/@rlign.ture.boE, fre hercby ldhoia BDO Crdptoditurefu.dr as wellas homraharrelatcd tan!.dim, on tk b.si therol,n reldon

Account Number Date Opened (mm /dd /yyyy)

CIF Number (ctient0 C'ii Number (crientzi

Account Type {f 'others', please ifldicate) Currency Type 1tt lothere', please indicate) Signature Requirements
fl savings f rimeoeposh {* p".o fl otne* (* anyonu {* ltt
(- cr*nt f otn"o f ootl"t (* lnytwo f o,t"o

Verifled by
Dnre (smldd/yy!T) Dai, inm/cd/y$y)

// /t

BDQ tJnb€flk, in.. is regolated by the Eanglo Senhal ng !I:pinr$.

I$1. Na^: (r4 trt{*:l*&'li fm6il: coi sufraruk€:rrOhsp.!rruph. Ri:Yi5tp A: ti): MAr: :11):?
)h{} Bl.). BDO ,inibrnk, aid clrer EIO rslrt,C l,).t{ra_iq are oi,nrc !y 3D,) irrh,,r lt, lic
1
CIF Number
(for rnternal use)

I. NEW ATM DEBIT CARD ACCOUNT INFORMATION

DoyouwantaDebitCardwithyournarneonit?(tfyes,providettrenam6toappearonthecard) f Yes (^ No

II. EXISTING ATM DEBIT CARD UPDATE INFORMATION

To rnaintain your ATM Debit Card account, provide the card number

What would you like to do with the ATM Debit Card account indicated?

f'. Add Account/s f RemoveAccount/s f. Detete card

(Provide account numbers to be added) (Provide account numbers to be removed)

CUSTOMER UNDERTAKING ATM DEBIT CARD RECEIVED BY

By s gning, certify that the inlormat on in thls form is vue and (orrect to tho be* of my knowledge
I hereby By slgning, I / We confrrm that I / We have received our AINI Debit Card.
I !ndetrake to advise BDO Group and provlde doc!mentation for any changes to the above information.

Signatug"6 over Printed Name Signature over Printed Name

Date Sioned Date Sioned
(mm / cid /yyyy) (rnrrr/ddlyyyy.)

,/
Accoufit Name '$tt$*rrt Number

Branch ':'l:i'i :Card Number (for new cards)

p*tP {mdii'tit ly}yt }

t.
,11)

Card Type (lf 'orherr', please indicate) Verified and Card Released by
(' Mastercard (' JuniorSavers r Prima Savers
NurFc / S'9rilru,c .rate n,rn/udl/yyy)

//
fl visa (^ Kabeyansavings r
. .: ,:)::,:.1;l:l

Verified and Processed by Approved by Witnessed by .

Nam. lliy'iatu,e Lri.u! (dlii'lddly7fi) Nrfi{/ Sl.}Aat'ft! o8ie trlnldd/yyw) Ns(*./ 5l!*tuilf 0ut0 ($r'y'ddryry!)

r;n / I // tl
,ll,l,ll'"

BDO L,niLlrrl, fxi^ k rryululrld by ttre *€igko gantr*l ng pllllhas.

1e!. No.i (oZ) q708-?08i; tniail: conluil\erdl}}lsObtp.$qv.ph.
ilivts;D ns of MAY ?c?2
Ihe 3Do, 9,0 UnibanL. and oil1er BDo-relited trndemar*r aro owned by BoLl Unibank. ln..
CIF Number
(for int€inal use)

I. CUSTOMER INFORMATION ' ; .. ,'

::,
' . i.: ):.t:t'):l:.;lt:::....

Full Name Date of Birth

(nnltldlyvyy)

II. DATA MAINTENANCE

customer / Account Data to be Maintained Ffom (Existing data; if applicable)

Action to be Performed To (New data)

f aoo f change f peloto

Custonrer / Account Data to be Maintained From (Existing data; if applicable)

Action to be Performed To (New data)

f laa (^: change f oelete

customer / Account Data to be Maintained Ffom (Existing data; if applicable)

Action to be Performed To (New data)

f ldo f,change f: Delete

CUSTOMER UNDERTAKING Sionature over Printed Name

Date Sioned
By slgning. I / we conflrm tha! I / wa have requested for rhe above to be effected (mn, / dcj Tyyry)
n ar'eco'ot ol BDO G.o-o and he'eby.ed lv lldr the irfor-a! 01 rn rh's'orm
is lr,e
"nd
corF.l to tle oesl of m! / oJ, klow'edge | / We -noeilake to ad\rse
BDo Group and provide do.umentation for any changes to the above informat on' I
I
I

Verified and Procelsed br,"',

Nx,rc / si$ril!iln$

.tl\
, it, , ,,i.tr,i. . :::::::: .-1.

Approved by
uarru/ {iiliulr,rlr Mi;(n'Frdrilyffi) l r :::,::::::

..
8DO ilribank, ,t. ij re?ulaied by the U*igko sent.al PrlipinBs nlvlsfD /r5 0tr M{Y ?0?2
^g
'ol. No,. (Cl) 8ne-/0C,. tsr,i. (6r!u wiiin trsbip.Sfr ph.
The ,DO, 8DO uilibank, uild t!ilsr AD*-reiaied Faden'iil5 .re DwfeC bY BDo Un'bank ln'