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Note: All fields with RED CHECK MARKS (¥/) are required to be filed out
Just COPY the answers in BLUE INK and BLUE CHECK MARKS (7). Ce aaa
eae numa pee ce ence retro ren.
are ad agn onthe ta rvcy Act Caren! bape 3)
rere ‘Naw Car No. Ola Cord No For aplcamen) ‘Cash Card CF No
Yojsi/ 0)1/ 2/0124
Zicompany Ciretait
‘Company Name 800 Branch
Francisco M Bautista Foundation ine
_YPurpoee (Sonar Carter Typo ST]
[Personal Use [_|Corporate {7} Others [Z Purchaser/Cardholer [_] Recipient (Supplementary x The Party) Relationship
Primary CC#:
(fisiaoe/rtotireterton
Full Name First Name, Mido Nar, Lst Name) Name to appear on card rat to excaed 25 charactors)
Juan Santos Dela Cruz
etd omtagg Se. el
Birthday (nevitd/vrry) Place oF Birth (Cry/Province) Present Address (No, Street, Subdivision Burangoy/Ditiet/TownyCity Province, Country, Zip Code)
01/01/2000 QuezonCity, Mero Manila __123 Rizal St, Commonwealth, Quezon Gity, Metro Manila, Philippines, 1121
-YHlome Phone Number ‘YMobile Number/s “Permanent Address (No, Sree, Subdivision Barrgny/Dati/Towe/Ciy/Povine, Coun, Zp Code)
(eetetes tannins) Yom bet Choheak sme es presence
er2sse7 = 17-1284567 Bik. 4, Lt 5, Onyx St, MeAthur High Way, Tarlac iy Central Luzon, Philippines, 111
ietionality Chr Status Mates Maiden Name (Fst Ne, Nile Name, Lat Name)
single) Maries
Maria Ferandez Santos
=
Rama ie of pope sess
Yc mack ast SNE pn Pecan
eon TN Ere” Kyte SIGS ae
ee nes Adress
fl Student just ‘St Peter Corporate Center, 099 ESA, Veterans Village, Quezon City, 1105
nr roster) Minor rar tuden) Se rose nae
Ia eee elas) [ccna tooe ker) YO ome Nn c
rane caer eee TTTSTI0c 128 Imbtigstpete.com ph
(Dunemployed/Beneficiary (D Unemployed/Beneficiary Job Title or Nature of Work Gf employed) / Nature of Business (it seif employed)
veren Fine Worker (or Oversee iin Wore (FW
ones Cotter Dis Precried iT ci)
1
ocureo fF i
Cisalary [Business 7 Allowance [_] Commission ID Numbers (iF1D presented is not Tjtyor SSS/GSiS)
leet elieritancce J ieeomerts others :
Place of Birth (Cyrovincs)
“Mobile Number/=
(Preset Mobile Na)
‘Job Tile or Nature of Work it erpioyed)/ Nature of Businoss faa mpioyed)
an i
ID Presented race Typ of 0)
ID Numbers (0 preserteis nt TW or SS8/6515)
Client Risk Classification
(For Baris Use On
Signature Over Pinied Name — Signature Over Printed Name
Branch Authorid Sigratorie/Ofer of he Grarch
Corporate
Perforation Detal
(trot cad ater 6 dos)
e/Datefeuner er een)
1, BDO CASH CARD. The BDO Unibank, Inc (8D0) Cash Card the “Cash Card”)
isaprepsd,reloadable, multi-purpose electronic value card, which canbe used
asa debit card for banking and other lawful ransation, local and internation
‘The Cash Card may be issued to corporate and retail cents, may be
Pre-Embossed [with no name embossed thereon, or Embossed [with name
‘embossed thoreon].As used hereunder, “Cardholder” shall refer o the named
‘0 designated Cardholder of the Cash Card or it/his authorized holder of the
‘Cash Card, when applicable. The Cash Card may only be redeemed at face
value It shall not earn interest nor rewards and other similar incentives
‘convertible to cash, not be purchased a a discount.
2 CASH CARD LOAD. The Cash Card is activated upon intial loading or
reiting, The initial loadin tho Cash Card shall be at eastP100.00 or such othor
‘amount as may be imposed by BDO. At no time shall the fund covered bythe
Cash Card be more than: (a) the maximum balanee of Php100,000.00, or as
specified by BDO (as the same may be revised by BDO from time to time) and
(@)the combined reload limit ofthe cardholder set by BSP per month,
3. CASH CARD RELOAD. The Cosh Card can be reloaded or credited with cashin
‘the manner and/or channel a may be prescribed by BOO from time to tim
4 CASH CARD USAGE/FEES. Tho Cath Card may bo used to () purchase
items/goods/sorvces. at accredited merchants; i) withdraw cash thru
Gesignated automated toler machines ATM’: (i) receive/transfer valve
from/to another Cash Car(s) balance inguiy: (change Cash Card Personal
dentification Number (PIN’ for ATM and POS use, thru ATM: i load/oloed
vale; (i) pay bills (vi purchase prepaid mobile load; and (x) such other usos
{8 may be allowed by BDO. BDO reserves the right to impose fee/s for Cath
{Cara usage in such amount/s as it may reasonably determine, All Cash Card
purchase and/or withdrawal transections in US Dollars made outside ofthe
Philippines, shall be converted into its Philippine Peso equivalent, while
purchases and/or withdrawal transactions in third curency shall be converted
‘nto US Dollars prior to conversion into thet Philippine Peso equivalent. All US
Dolla and Philippine Peso conversions shall bo based on the prevaling BDO
Foreign Exchange Rate atthe time of ransaction which shall be deemed a valid
{and binding upon the Cardholder. Applicable foreign exchange markeup ate it
2:0 applied to cover assessment fee charged by Martercard and service fee
Of 1% ofthe converted amount based onthe prevalng exchange rate of BDO at
the time of transaction
Meurer ia
Online and POS Purchase Free
~ Balance Inquiry
BDO ATMs
(Other Local Bank ATMs
(Overseas ATMs
‘ATM Withdrawal S
BDO ATMs _. Pip 2.00
(Other Local Bank ATMs | = Php 11.00
Php 2.00
___usD 109 4
2) Observe internet security measures as follows:
~ Check forthe right and secure website,
= Bofore doing any online transactions or sending personal information,
‘make sure that correct website ha been accessed. Beware of bogus or
“Took ako" wobsites which are designed to deceive consumers.
= Check if tha wobsite is "secure" by checking the Universal Resource
Locators (URLs) which should begin with “https” and a closed padlock
icon onthe statusbar in th browsers displayed,
To confirm authenticity of the ste, double-click on the lock icon to
Asplay a security information of host
Not to sond any persona information particularly password or PIN via
‘ordinary emai
= Not to open other browser windows while banking oni,
+ Avoid using shared or public personal computers in conducting
‘e-banking Wansactions,
+ Disable tho “il an printer sharing” foature on the operating system it
‘conducting banking transactions online
Contact the banking institution to discuss security concerns and
medias to any online e-banking account issues.
62. Automated Toler Machine (ATM)
Use ATMs that aro familar or that are in well-itlocations where one fels
comfortable. the machine is poorly i orn a hidden ares, use ancther
am.
~ Hove Cash Card ready bafore approaching the ATM. Avoid having to 90
‘through the wallet or purse find the car,
Not to use ATMs that appear to have basn tampered with or otherwise
‘tered. Report such condition to the bank which own the ATM
‘Memorize ATM Personal ldentifcation Number (PIN) and nove disloteit
teanyone. Donot keep those numbers or pastwordsin the wallet or purse
[Never write them onthe Cash Cardia And avid using easy avail
Personal information lke a birthday nickname, mathe's maiden name or
‘onsecutive numbers
Be mindful of “shoulder surfer” whan using ATMs. Stand close to the
[ATM and shild the keypad with hand when keying inthe PIN and
transaction amount
|f the ATM is not working comectly, cancel the transaction and use 2