FILL OUT THE Application Form

May bagong application form for Home Subscribers! Follow this guide to
ensure a seamless application process using the PDF application form.

1 I-download ang PDF Application Form from the email galing

sa PLDT sales agent

2 Open the file using the following devices and apps:

Device Operating System Application
Desktop/Laptop Windows 10 or Adobe Acrobat Reader
later v2020.012.20041 and later
Apple iPhone or Apple iOS 13 and PDF Expert v7.3.8 and later
Tablet later
Android Phone Android/Miui/ Foxit Reader v7.3.0.0424 and
or Tablet OxygenOS/ColorOS later
7 and later
Punuin ang mga required information sa PDF Application Form.
3 Ang mga fields na may required na information ay highlighted
in RED. Punuin lamang ang fields base sa naka listang tao
Subscriber Sales Agent
 Order Type  Select Your Plan(Red  Sales Channel
 First Name highlight if New Connects,  Wireless Center
 Middle Name Upgrade or VAS)  Promo code
 Last Name  Signature and Signed  Sales Event Code
 Birthdate Date  Sales Agent Code
 ID Type/ID Number  NDD Access(For National  Sales Agent Signature
 Address Direct Dial option)  CID(if provided)
 Mobile Number  Other non-mandatory fields that needs
 ID Type/ID Number Sales Agent's input (optional if needed)


Punuin din ang mga required na checkboxes.
4
• Wag i-check ang box for printed billing. As per NTC
Advisory, paperless billing/eSOA will be issued until end of
2020.
Pirmahan ang PDF Application Form
5 • Lagyan ng signature ang PDF Application Form sa
mga Signature Fields in Page 2 and 3. Page 5 and 9
will require a signature if the chosen plan is a Cignal
Plan.
• Pirmahan ang PDF Application Form (sundin ang
mga sumusunod na instructions):
Device Application Steps
1. Click “View”
Desktop/ Adobe 2. Go to “Tools”
Laptop Acrobat 3. Go to “Comments”
Reader 4. Use the Pencil tool
5. Sign on the Signature field
Apple PDF Expert 1. Make sure the top part of the screen says
iPhone or “Annotate.” If it does not, click and select
Tablet “Annotate.”
2. Choose the Pen Icon.
3. Draw your signature in the
appropriate field.
Android Foxit 1. Go to “Comments”
Phone or Reader 2. Use the Pencil Tool
Tablet 3. Sign on the Signature Field

Save and Send the PDF Application Form through Email

6 • Save the PDF
• Reply to the email from the agent and attach the following:
• PDF Application Form
• ID Requirement (should match the ID information
provided in the application) – in JPEG, PDF, or
PNG format
• Click “Send”
 Thank you for choosing eSAFv4.9.11 REV
12/11/2020
FOR
RESIDENTIAL Home
USE
CAF Identifier:
YYMMDDHHMM
Start your journey with us and experience the S

strongest connections at home. SELECT

SELECTSALES
TYPE OF
CHANNEL
ORDER

� We'd like to get to� 'f tHA,; •••

First name Middle name here Last name here

Mother's first name Mother's middle name here Mother's last name here

I I
Birthday (MM/DD/YYYY) ID Provided ID Number

SELECT YOUR ID HERE

House # Block Lot Unit # Unit Type Floor Building/Apartment Postal Code (4 digits) Nearest Landmark Subdivisi
SELECT UNIT TYP
Province City Barangay Street Name Street
SELECT YOUR PROVINCE SELECT YOUR CITY SELECT YOUR BARANGAY SELECT YOUR STREET SELE
SELECT YOUR CITY SELECT YOUR BARANGAY SELECT YOUR STREET

@ Let's keep / �--·

lit.,,
Your e-mail below should be used when you enroll and /og-m to myHOME (w w w p / d t c o m p h ) so you can easily nage you
ma

ffice Number(10 digits max) Home Number (10 digits) Email Ad

Mobile Number(start with 09) O dress

Contact's First Name Contact's Middle Name Contact's Last Name Relationship with you
Contact's Relationship Here

0 By providing the information above, I certify that I have secured the permission of my secondary contact person to receive calls for installation activities, bill reminder, service repa

Should there be an update in my secondary contact person details, I can visit PLDT website (https://mypldthome.com) or call 171 hotline .

How would you like to receive Would you like us to publish your Name and
your Bill? Number?
Bill Delivery Agreement
YOUR ACCOUNT WILL BE AUTOMATICALLY
ENROLLED IN PAPERLESS BILLING AT THE
EMAIL ADDRESS YOU PROVIDED. YES 0
I authorize PLDT to pub I ish my name, address
I acknowledge that PLDT shall send me my Bill three and telephone number in the Directory Listing
(3) calendar days after the Bill Date via electronic mail (White Pages) I warrant that the information I
(email) through the email address I specified in this provided for publishing is accurate and up-to-
form PLDT is deemed to have validly sent the Bill, and date, and may be used to reach or access me
the Bill shall be deemed received at the email address I
provided PLDT I agree to hold PLDT free and harmless
from any liability for my failure to receive the Bill
NO 0
I do not allow PLDT to publish my name, address
despite it being sent to my email address and telephone number in the Directory listing
(White Pages)
By agreeing to receive my Bill via email, I understand
that I will no longer receive a printed copy of my Bill

Q I want to receive a printed copy of my Bill

for free.
Our representative wouldgladly

P� '1/HA,;
fl/I this out for you

(i) Tell us about the

w�---
Voice (Landline/Telephone) Service Data (Broadband/Internet) For Switcher Applications WITH SOA THE
Competitor Name So A Date Competitor's
Service For New Connects
SELECT NAME SELECT CO
Modem Fee+ Installation Fee SELECT YOUR PLAN MM/DD/YYYY
Service for Upgrade/Migration Value Added Service Selection
SELECT YOUR DEVICE
SELECT YOUR PLAN
Speed
I Volume Allowance
Cignal Plans Payment Type SELECT YOUR DEVICE

Promo, if applicable SELECT PLAN

0 0
SELECT PAYMENT SELECT YOUR DEVICE

MIN NDD Access YES NO

Account No.
(start with 0) Agent Telephone No. Solicited By/Date Clarity ID Encoded
Code No/SRN No. By/Date

Sales I hereby certify that all information given here had been Wireless Centre
Event verified true and correct.
Code
SELECT YOUR WIRELESS CENTRE
PLDT Rep/Sales Agent (Signature over
printed name)

CUSTOMER APPLICATION FORM

fr
o COMPUTER. CUSTOMER'S
ADUANCE FOR.MS,
NAME I INC.
PLDT I FORM NAME
RFLCODE
I PLD 3A CUSTOMER APPLICATION FORM
16164 PLDT
I
n
t SIZE I
PLD3A MCAG R7 I 13 X 8.5
I I Black
■ ■
PRINTING COLOR Red
NAME
APPROVED BY: DATE:
0 REVISION
SIGNATURE
OVER PRINTED
0 APPROVED FOR NOTE: DEGREE OF DEVIATION IN THE COLORS PRESENTED HEREIN IS EXPECTED IN THE ACTUAL
PRINTING THIS PRODUCTION RUN DUE TO DIFFERENCES IN CHEMICAL COMPOSITION AND PROPERTIES OF THE
COLOR SUBSTRATE AND INKS OF THE PRINTING PROCESS. UPON APPROVAL, THE COMPANY SHALL
PROOF IS NOT BE HELD LIABLE FOR ANY GRAMMATICAL, TEXTUAL, SPELLING, TYPOGRAPHICAL AND
A OTHER ERRORS FOUND DURING PRE AND POST PRODUCTION. OTHER ERRORS SHALL
DESKTOP INCLUDE: PIXELATED IMAGES, LOW-RESOLUTION IMAGES WRONG PAGINATION, AND
PRINTOU ERRONEOUS LAYOUTING, AMONG OTHERS. THE COMPANY SHALL ON A BEST EFFORTS
T A BASIS ENDEAVOR TO INFORM THE CLIENT OF AND CORRECT ALL SUCH ERRORS IN THE COURSE OF
THE PRODUCTION PROCESS
Numbering we presented on the layout is just a visual representation of Numbering position, actual numbering font style, size and spacing might vary
subject to availability of the depth.
 @Your data will help us continuously SVLV� '1fH,v better...
Subscriber Declaration
My signature below signifies that: a. For the continuous improvement of PLDT's business and operations. For example, when PLDT
All information that I have stated in this application, including all supporting documents that I have analyzes my usage of its network and facilities to help them manage my account, provide
submitted, are true and correct. I have voluntarily provided this information and supporting documents customer care activities, investigate and resolve service-related requests and concerns that I may
to PLDT its assignees and successors-in-interest to facilitate the processing and evaluation of my have, monitor the quality and security of its network, train its staff, and plan for future growth. I
application for service subscription; and acknowledge that PLDT may also process my personal contact details and publish them in an
internal directory listing, in order to effectively communicate with me and provide me with
I acknowledge and consent to how PLDT collects, uses, and shares my personal data. necessary assistance.
b. For the continuous improvement of PLDT's products and services. I acknowledge that PLDT may
1. I acknowledge that PLDT will require the validation of my identity and my credit history in order to collect, use, process, and analyze my use of its products and services so that it can understand
evaluate my application for service subscription. I therefore authorize the following: how to improve them for my benefit. PLDT's analysis may include some information about my
a. For PLDT to obtain relevant information about myself and my credit information from my declared usage, such as the volume and frequency of my use of its voice, and data services, and my
employer or business, and from the banks, credit card companies, and other financial institutions historical locational information which it determines based on an analysis of the places where I
and service providers with whom I have existing accounts with, as evidenced by the supporting may have used your products and services. I understand that this is done in order to generate
documents I have submitted together with my application; insights on foot traffic, crowd density, and mobility patterns.
b. For PLDT to obtain from my declared employer or business, and from the banks, credit card c. For PLDT to understand my needs and preferences so that it can serve me better. I acknowledge
companies, and other financial institutions and service providers, which I have identified and that PLDT shall process data to determine my usage profile by maintaining a record of the
authorized to release, my information as may be necessary for the evaluation of my application, products and services that I avail, and by analyzing other activities such as when I participate in
and for PLDT to verify relevant information concerning myself or my subscription with them; and PLDT's market research initiatives, when I visit and transact in PLDT stores, and when I visit and
use PLDT websites and mobile apps such as myPLDTSmart App. I understand that PLDT does so
c. For PLDT, and third-party business partners authorized by PLDT, to compute my credit score in order to gain a better insight of the kinds of offers that would be relevant to my preferences.
using the relevant information that has been obtained about myself and my credit information. I
acknowledge that my credit score shall be used solely to evaluate my application for service d. For PLDT to manage the security of its business operations. I understand that PLDT may process
subscription my personal data to conduct IT security operations, to manage its assets, to ensure my fair use
of its products and services, and for business continuity, disaster recovery and audit purposes
2. I acknowledge that PLDT may temporarily park my service application in cases when
a. My preferred service is currently unavailable. I understand that I may choose to wait up to a
maximum of 180 days for my preferred service to become available. If, after the prescribed 180 7. I consent to PLDT's processing of my personal data as I avail of its products and services so that
days, my preferred service is still unavailable, my service application shall automatically be PLDT may be able to create and offer better products and services for me, including through direct
cancelled, unless I update my application and avail a different service type; marketing. I understand that PLDT carries out the following processing activities based on my consent
b. PLDT requires additional supporting documents to be submitted. I understand that my service
a. To send me offers, recommendations and promotions. I consent to PLDTs processing of my
application shall not be processed until these supporting documents are submitted by me. If I am
usage profile to send me customized offers and promotions through my contact details using
unable to submit these additional documents within 30 days, my service application shall
channels such as SMS, voice calls, and e-mail. This includes location-based offers that are
automatically be cancelled; and
exclusively available in areas that I may frequent
c. I have unpaid balances due to PLDT. I understand that my service application shall not be
b. To conduct online marketing, I consent to PLDT's use of information such as my mobile
processed until I have settled all unpaid balances. If I am unable to settle payment for these
number, e-mail address, and browsing behavior, which PLDT collects through cookies and tags
unpaid balances within 30 days, my service application shall automatically be cancelled
(when I visit PLDT's websites) in order to place advertisements about its latest products and
d. I acknowledge that PLDT may contact me for updates or reminders within the 180 days that my promotions on some of the most popular social media platforms and websites that I may visit.
service application is temporarily parked. I also acknowledge that PLDT may use my parked I acknowledge that I may learn more about PLDT's Cookie Policy by visiting https:j/
service application for further analysis within the same 180-day period, solely for PLDT to plan for pldthome.com/cookie-policy for more details.
future growth, increase its areas of serviceability, and improve its installation services
c. To elaborate my usage profile. I consent to PLDT's collection of personal information about me
3. I agree to complete my personal profile on the welcome email that PLDT will send me once my from third-party sources such as its subsidiaries, affiliates, and business partners, to whom I
service has been activated. I understand that I need to accomplish and submit it within thirty (30) days have also given my consent for them to share my information. I acknowledge that PLDT creates
upon receipt of the email this enhanced usage profile about me solely to get a deeper understanding of my preferences so
4. I acknowledge that there are some instances where PLDT may be required to disclose my personal that I may receive even better targeted product recommendations, special offers, and
data as part of its regular business operations and for the provision of its products and services. I promotions.
understand that my personal data may be disclosed to:
a. PLDT's service providers, contractors, and professional advisers who help PLDT provide its
products and services. This includes partner companies, organizations, or agencies, and their sub- I acknowledge that I can choose to object to and withdraw my consent from any of these processes
contractors. For example: PLDT couriers for bill delivery and customer contact centers providing at any time through visiting https://my.pldthome.com and as well as adjusting my privacy settings
pre- and post-sales hotline operations;
b. PLDT's subsidiaries and affiliates with whom I have also signed-up with. I understand that this is 8. I acknowledge that PLDT will keep all information pertaining to my account, including all personal
done only for the improvement of their business and operations; For example: PLDT may share data about myself, for as long as I continue to use PLDT's products and services, and for a maximum
information related to my use of its products and services with its subsidiaries and affiliates so of twelve (12) years after termination. I agree that, in the event of payment default, PLDT will have
that they can create new offers that bundle their products and services into a single subscription the right to collect all unpaid balance/s of my account including applicable surcharges and late payment
for my benefit; fees.
c. other companies to whom I may have also given consent my consent for PLDT to share my 9. There are additional ways that we may process your personal data. These are
information with. For example, when I sign-up for products and services offered by other completely optional, and we commit only to proceed with activities that you specifically
companies, they may request for information from PLDT in order for them to validate your allow us to do (check all those that apply):

0
identity; and Personal Profile
d. Law enforcement and government agencies, but only when required by laws and regulations and Create a personal profile about you. We analyze data about the websites and apps that you
other lawful orders and processes. may visit and use and your locational information (historical and real-time location), to get a
deeper understanding of your personal needs and interests. We create this personal profile
I acknowledge that a complete list of these third-parties may be accessed by myself through about you so that we can send you even better targeted product recommendations, special
http://www.pldt.com/privacy-policy#partners. offers, and promotions

5. I acknowledge that PLDT processes and discloses my personal data to the Government, in cases
0 Share Profile - Third Party
Share your usage and personal profile with our third-party business partners. This will allow our
business partners to serve you better through their own products and services.
when PLDT is required to do so for purposes such as

0
a. To assist public authorities. I understand that PLDT generates statistical insightsbased on my Promotions - Subsidiaries and Affiliates
usage of its network and facilities to assist public authorities in planning for healthcare, disaster Send you offers and promotions from our subsidiaries and affiliates. This will allow our sister
management, and other similar initiatives; and companies and affiliates, for a complete list please visit
b. To comply with legal requirements. I understand that PLDT runs credit scoring programs and http://www.pldt.com/privacy-policy#subsidiaries to send you information about their special offers
initiatives, including but not limited to, providing information to the Credit Information Corporation and promotions through direct marketing channels such as SMS, voice calls, and e-mail.
in accordance to Republic Act No. 9501 and the Credit Information System Act. PLDT may also
perform other required personal data processing or disclosure to meet other relevant legal and
regulatory requirements. 0 Promotions - Third Party Business Partners
Send you advertisements from our third-party business partners. This will allow our business
partners, for a complete list please visit
6. I acknowledge that PLDT shall process my personal data based on its legitimate interest to function
effectively as a business, and that this is only done when my interests and fundamental rights or http://www.pldt.com/privacy-policy#partners to send you information about their special offers
freedoms do not override its legitimate interest and promotions through direct marketing channels such as SMS,
voice calls, and e-mail.

PLDT Group Credit Checking Declaration

I authorize PLDT to obtain relevant information about myself and my credit information from PLDT's subsidiaries and affiliates for the validation of my credit history in order to evaluate my application for service

0
subscription. I authorize the release of such information by these companies from which my information will be requested
I acknowledge that a complete list of PLDT's subsidiaries and affiliates may be accessed by myself on https://pldthome.com/privacypolicy

MVP Rewards Consent

As a customer of PLDT, I am aware that I may earn points and rewards through MVP Rewards, which is a loyalty program owned and operated by MVP Rewards and Loyalty Solutions Incorporated ("MRSl"). My consent

0 signifies that
I allow PLDT to share my personal information (complete name, mobile number, email address, and date of birth) to MRSI so that my MVP Rewards membership may be processed; I acknowledge that MRSl shall contact me
by text or email to send me a link where I can complete my registration; and I may exercise my privacy rights, such as my right to withdraw my membership from MVP Rewards, by contacting MRSI through ask@mvpre
wards.com.ph or by accessing https://www.mvprewards.ph/dataprivacy

I confirm that I have read, understood and agree to the provisions stated in the Subscriber Declaration section of this form
I also confirm that I have read, understood and agree to the (i) PLDT Terms and Conditions and Privacy Policy found on PLDT's website at www.pldthome.com/termsandconditions) or in the PLDT Terms & Conditions
and Privacy Policy presented to and/or discussed with me by a PLDT representative during my service application and attached hereto, including any amendments thereto (the "Terms & Conditions''), concerning my
subscriptions to PLDT HOME PLANS, as well as Value Added Services identified in the "Tell us about the Plan you want..." section of this form and (ii) specific terms and conditions of applicable promos found at
www.pldthome.com/termsandconditions or in the specific terms and conditions of applicable promos presented to and/or discussed with me by a PLDT representative during my service application and attached
hereto

Customer's signature over printed name Click the below buttons to Validate/submit application Date signed (MM/DD/YYVY)

Validate Submit button

Submit button is for PLDT Home Use only. Please send this form to your agent in charge.

back
I PLDT I FORM NAME I PLD 3A CUSTOMER APPLICATION FORM I SIZE I 13 X 8.5
ADUANCE
COMPUTER. FOR.MS, INC.
I
CUSTOMER'S NAME

RFLCODE
16164 PLDT PLD3A MCAG R7 I PRINTING COLOR I ■ Black ■ Red
APPROVED BY: NOTE: THIS COLOR PROOF IS A DESKTOP PRINTOUT. A DEGREE OF DEVIATION IN THE COLORS PRESENTED HEREIN IS EXPECTED IN THE
0 REVISION ACTUAL PRODUCTION RUN DUE TO DIFFERENCES IN CHEMICAL COMPOSITION AND PROPERTIES OF THE SUBSTRATE AND INKS OF THE
PRINTING PROCESS. UPON APPROVAL, THE COMPANY SHALL NOT BE HELD LIABLE FOR ANY GRAMMATICAL, TEXTUAL, SPELLING,
TYPOGRAPHICAL AND OTHER ERRORS FOUND DURING PRE AND POST PRODUCTION. OTHER ERRORS SHALL INCLUDE:
SIGNATURE OVER PRINTED NAME 0 APPROVED FDR PRINTING PIXELATED IMAGES, LOW-RESOLUTION IMAGES WRONG PAGINATION, AND ERRONEOUS LAYOUTING, AMONG OTHERS. THE COMPANY
DATE: SHALL ON A BEST EFFORTS BASIS ENDEAVOR TO INFORM THE CLIENT OF AND CORRECT ALL SUCH ERRORS IN THE COURSE OF THE
PRODUCTION PROCESS
Numbering we presented on the layout is just a visual representation of Numbering position, actual numbering font style, size and spacing might vary subject to availability of the depth.

Mbps
 (LANDLINE) gadget, if any,
AND DATA TERMINATION, shall apply to a
I understand and agree
(BROADBAND) that my PLDT Home PRE- downgrade or
SERVICES voice and data plans TERMINATION, pre-termination
(the “PLDT HOME FEES AND OTHER of current PLDT
PLAN/S”) is for the CHARGES HOME Whole
SU B SC Home Wifi
minimum lock-in period I understand and
indicated in item no. agree that fees and bundle within
RIPT 2.4, reckoned from charges shall apply the Minimum
date of installation of to my PLDT HOME Term.
ION the relevant PLDT PLAN/S, and VAS
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may require longer
CA T E PLDT PLAN/gadget
lock-in periods. In
HOME /VAS beyond
such case, the
PLAN/gad the Minimum
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Pre- incur a
HOME termination processing fee
fee of PhP500.

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entitled to the Warranty
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following A pre-termination fee equivalent to three times (3x) the
promo Renewal of
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(3) Subscription
HOME
Device/Content Name SSEELLEECCTTYOYUORUDR
items SELECT YOUR DEVICE BASE PLAN, plus the EDVIECVE ICE
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g
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INCLUSIO 1
NS, if
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:
f

3
PLDT HOME
VOICE
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CERTIFICATE
2017
renewed for the initial or Additi
same period, Minimum features, onal
and under the Term, and with notice Month
same terms and every to the ly
conditions (the Renewed subscriber, Volum
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Term”), unless I thereafter. initial Allow
submit a written PLDT Minimum ance
request to PLDT reserves Term (Applic
for termination the right and/or able
(the “Pre- to change after every only to
termination”) the PLDT Renewed data
at least thirty HOME Term plans
(30) days prior PLAN thereafter. with
to the end of the inclusions volume
allowance subs subscription under any
as indicated crib of these plans, I
er In the event of pre-
in Item at a understand and agree
No.2.2) termination of
one- that I shall be liable to
time subscription under
pay the outstanding
total any of these plans, I
balance of the WiFi
additional 1 GB cost understand and
modem fee, if any, and
of agree that I shall be
additional 4 GB only upon completion
PhP3 liable to pay the
additional 10 GB of all installment
,600 outstanding balance
payments shall I
paya of the WiFi modem
I understand become the owner
ble fee, if any, and only
and agree that thereof.
over upon completion of
(i) there may be all installment
a corresponding the DSL Plans 1699 and up
coun payments shall I
speed and (all variants)
ter become the owner
volume thereof.
allocation for my at  WiFi modem
PLDT HOME PLDT is PLDT
Sales FIBR Plans 2899 and
data subscription owned
and up (all variants)
plan as indicated
in Items No. 2.1 Servi
and 2.2; and (ii) ce  WiFi modem is
upon reaching Cent PLDT owned
the optimum ers  Free installation
monthly volume only,
allocation for the inclu
In the event of
account, I have sive
termination of
the option to of
subscription under
purchase PhP2
any of these plans, I
additional ,500
understand and
monthly mod
agree that I shall be
volume em
liable to return the
allowance via fee
WiFi modem unit to
www.pldthome.c and
the nearest PLDT
om. PhP1
Sales and Service
,100
Center.
Insta
W
llatio
iFi DSL Plans 1299 and
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fee;
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or  WiFi modem is
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36-
m owned
mont
o  WiFi modem
h
w cost and
amor installation fee
n
tizati may be paid
er by the
on
sh subscriber at a
sche
ip one-time
me
u total cost of
at
n PhP2,300
PhP1
d payable over
19
er the counter at
per
P PLDT Sales and
mont
L Service Centers
h,
D only, inclusive
subj
T of PhP1,200
ect
H modem fee and
to
O PhP1,100
PLDT
M installation fee;
appr
E or via a 24-
oval
D month
base
at amortization
d on
a scheme at
the
Pl PhP109 per
credi
a month,
t
ns inclusive of
stan
PhP57 modem
ding
FIBR Plans 1899 fee and PhP52
of
and below (all installation fee,
subs
variants) subject to
cribe
PLDT approval
r, or
based on the
as
 Wifi modem credit standing
may
is of subscriber,
be
subscriber- or as may be
allow allowed by
owned ed
 Wifi PLDT.
by
modem
cost and PLDT
Installatio .
n fee may In the event of pre-
be paid termination of
by the
  Free installation government requested.
Additional Terms
authority, war, 3. The PLDT
and Conditions
In the event of termination national emergency, HOME PLAN/S
of subscription under any accident, or riot, are not in
among others. I understand and any way an
of these plans, I
agree that: inducement
understand and agree that
I shall be liable to return for me to
the WiFi modem unit to the 1. My application terminate my
nearest PLDT Sales and for any of the current
Service Center. PLDT HOME subscription/s
PLAN/S shall with other
For all Data Plans be subject to service
the availability provider/s.
of facilities in Should my
I understand and agree
my given decision to
that for subscriber owned
address. In avail of the
WiFi modem, upon full
the event that PLDT HOME
payment of the WiFi
there are no PLAN/S result
modem fee, I shall own the
available in the
unit and I shall have no
facilities in my termination of
obligation to return the
area, PLDT existing
same to PLDT upon the
shall not be subscription/s
termination of my PLDT
liable in any with other
HOME data plan
way for its service
subscription. PLDT’s
inability to provider/s, I
responsibility for any
install the shall be solely
damage to the WiFi modem
services liable for the
shall be limited to the
applied for. In payment of
repair of defects thereon
such any pre-
within the 12- month
event, this termination
warranty period, beginning
subscription fees and/or
on the date of installation.
certificate other charges
shall be that may be
As applicable, in the event imposed by
rendered
that I opt to pay for the such other
invalid and
WiFi modem fee on service
without force
installment, I understand provider/s, if
and effect.
that until all installment any.
2. I shall be
payments are completed,
responsible
PLDT shall continue to own
for installing
the WiFi modem and I am
the in-
obliged to use and take
house wiring
care of the same with due
necessary By affixing my
diligence and care.
for the signature on
services the space
Should the WiFi modem be applied for
defective or destroyed provided below, I
herein. In (the “Subscriber”)
without my fault or the event
negligence, upon my confirm that I have
that the in- read, understood,
request, PLDT shall replace house wiring
such WiFi modem at no and agree to the (i)
present at PLDT Terms &
additional cost. However, my address
should the WiFi modem Conditions found
is not herein and at
become defective or suitable or
destroyed due to my fault www.pldthome.com/
available for termsandconditions
or negligence, I shall be the services
obliged to pay PLDT for the or the attached PLDT
applied for, I Terms & Conditions,
outstanding balance of the understand
WiFi modem fee as if voice only
that I cannot subscriber, including
indicated in item no. 2.3 hold PLDT
before PLDT provides a any amendments
liable for thereof, (the “Terms
replacement therefor. PLDT damages
shall not be liable for any & Conditions”)
resulting concerning my
damage to, or loss of the from any
WiFi modem due to force subscriptions to
delay or PLDT HOME PLANS,
majeure including acts of inability to
God such as earthquakes, as well as VAS
install the identified in the
tsunami, lightning; acts of services

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2
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1
7
 preceding item no. 3; and (ii) specific terms and
conditions of applicable promos found at
www.pldthome.com/termsandconditions or
the attached specific terms and conditions of
applicable promos, if voice only subscriber.

With my conformity:

SUBSCRIBER’S SIGNATURE
OVER PRINTED NAME

DATE

SELECT YOUR ID HER

GOVERNMENT ID PRESENTED
& ID NO.

YYMMDDHHMMSS

CUSTOMER INFORMATION SHEET NO.

PLDT REPRESENTATIVE
SIGNATURE OVER PRINTED NAME

Page 3 of 3
PLDT HOME VOICE (LANDLINE) AND DATA (BROADBAND)
SUBSCRIPTION CERTIFICATE 2017
Terms and Conditions
1. The Agreement. This Residential Direct-to-Home Subscriber Service Agreement (hereinafter referred to as “Agreement”), together with any applicable
RESIDENTIAL DIRECT-TO-HOME SERVICE AGREEMENT
agreement such as, but not limited to the Lock-in Agreement and Outlet Agreement for postpaid plans, sets forth the terms and conditions under which
Cignal TV, Inc., (hereinafter referred to as “Service Provider”) will provide its Services to an approved and activated residential subscriber (hereinafter
referred to as “Subscriber”) and defines the rights and obligations of the parties. This Agreement shall take effect immediately upon activation of the Service
subject to the details written on the reverse side hereof. If any of the provisions in this Agreement are declared void, illegal or unenforceable by order of a
court of competent jurisdiction, then the provisions that remain valid shall be enforced and remain in full force and effect. Service Provider being unable to alignment of dish, delivery of repaired and/or replacement equipment; repairs and other
strictly enforce one or any of the provisions of this Agreement shall not be construed as a waiver of the provision(s) concerned. For the avoidance of doubt, similar services; and package upgrades and downgrades.
any waiver by Service Provider of any provision of this Agreement shall only be valid if made in writing by an authorized representative of Service Provider.

2. Services. “Services” shall mean all video, audio, data and other programming services and all other services that are currently available from Service 8. Late Payment Charges. Service Provider reserves the right to impose a late payment charge on unpaid amounts as Service Provider determines in its
Provider (whether subscription, pay-per-view or otherwise) and those that Service Provider may provide to its subscribers in the future. Services and sole discretion. Service Provider may charge interest equivalent to one and a half percent (1.5%) per month for all accounts not paid by the due date, plus a
other value-added services that may be provided in the future shall be subject to the terms and conditions for the Availment of such services as provided late payment charge equivalent to one and half percent (1.5%) per month, until the date of full payment.
under a separate agreement. Except as provided in this Agreement, all rights, title and interest in and to the Service, including but not limited to the titles,
names, logos or material included therein, shall remain vested in Service Provider or its content providers. Subscriber agrees that the Service Provider may
assign its rights to the Service to any entity without the prior written consent of Subscriber. The Agreement and the rights and obligations of the parties 9. Surcharges. Service Provider further reserves the right to add to Subscriber’s overdue accounts a surcharge equivalent to the actual costs incurred by the
hereunder shall be binding upon and shall inure to the benefit of the parties, their legal representatives, successors-in-interest and in Subscriber’s case Service Provider to answer for collection or attorney’s fees if collection of said overdue account is endorsed to a collection agency or law firm.
his/her/its permitted assigns.
10. Billing and Payment a. Billing. For Post-Paid accounts, Service Provider shall send (to Subscriber a Statement of Account (SOA) for billings of
3. Changes in Services Offered. Service Provider reserves the right to add, delete, rearrange and/or change the channel programming, programming subscription fees, outlet fees, fees for other services, and other charges, at regular intervals and taking into consideration the chosen payment mode
packages, rationalize channel line-up and other Services offered by Service Provider, at any time, including without limitation during any minimum (i.e. monthly, quarterly, semi-annual or annual). SOAs may be delivered to Subscriber by courier, mail, electronic mail or such other mode agreed upon
subscription period or term commitment to which Subscriber has agreed to. Subscriber agrees that any notice required with respect to any change in by the parties. B. Payment. Subscriber shall pay the subscription fees, charges and any balance on or before the due date indicated in the SOA.
programming, packages, channel line-up and other Services offered by Service Provider may be made in a newspaper of general circulation, as well as other Notwithstanding the non-delivery or late delivery of any SOA, it shall be the responsibility of Subscriber to inquire from Service Provider the amount of
means via mass media available to the Service Provider, and Subscriber waives its rights to receive any such notice individually or by any other means. In his/ her/its outstanding balance through Service Provider’s Customer Helpdesk and effect immediate payment, without need of further demand, on or before
such event, the changes effected by Service Provider shall not be considered a violation of this Agreement and Service Provider shall have no the due date. C. Payment Centers. Payments may be made at Service Provider’s offices, distributors, authorized payment centers and through duly
obligation to replace or supplement such channel programming, programming packages or other Services. Subscriber shall not be entitled to any refund accredited banks. Service Provider shall inform Subscriber from time to time of any changes or additions to its existing bill payment centers. Service Provider
because of a deletion, rearrangement or change of any programming, programming packages or other Services.Certain services, sporting events and shall not be held liable for any payments made to parties other than these authorized bill payment centers. D. Change in Billing Address or other
broadcast network Services, may be blacked out in Subscriber’s viewing area or certain programs, content or portions thereof may be blacked-out in Customer Information. Subscriber shall inform Service Provider in writing of any changes in the Customer Information or Customer Address indicated in the
compliance with legal and/or contractual obligations of the Service ProviderIf Subscriber circumvents or attempts to circumvent any of these blackouts, reverse side of this form. Service Provider shall not be responsible for the consequences of Subscriber’s inability to receive the Service and/or the SOA and
Subscriber may be subject to legal action in addition to any other remedies Service Provider may have. to pay the account on time as a result of Subscriber’s failure to timely notify Service Provider as required herein. For the avoidance of doubt, Service Provider
shall not be bound by any change in Customer Information or Customer Address unless and until it receives notice in writing from Subscriber of said
4. Equipment. In order to receive the Services, Subscriber must purchase or lease, whenever applicable, certain reception equipment consisting primarily change. e. Non-Payment. Service Provider shall have the right to disconnect the Service if
of a Service Provider compatible satellite receiver or set-top box, a Service Provider-approved conditional access card (“Smart Card”), remote control, the Subscriber fails to pay in full his account after its due date. Such disconnection shall be without prejudice to any action available to Service Provider
under the other provisions of this Agreement, under the law or in equity to recover all amounts payable to Service Provider and/or damages suffered by
satellite antenna or dish, low noise block (LNB) converter (collectively, the “Equipment”). Service Provider may provide to Subscriber a standard length of
cabling determined by Service Provider and such other ancillary devices and accessories as part of the Equipment. Set-top boxes and Smart Cards contain Service Provider as a result of or in connection with Subscriber’s non-payment. F.Application of Payments. In the event payment made by the Subscriber is
not sufficient to fully discharge its payables to the Service Provider pursuant to this Agreement, Service Provider shall apply such payment in the following
components and software that are proprietary to Service Provider and/or its licensors (collectively “Embedded Software and Smart Card Software”).
Subscriber agrees that he will not and will not attempt nor cause or allow any person to reverse-engineer, decompile or disassemble, tamper with or order: (i) expenses for collection, including attorney’s fees, (ii) penalty, (iii) interest, (iv) outlet fees, and (v) subscription fees. g. Bill Disputes. If Subscriber
in good faith disputes any portion of the SOA, Subscriber shall submit to Service Provider, at least five
modify, any software or hardware contained within any set-top box or Smart Card. Such actions are strictly prohibited and may result in the termination
of this Agreement, disconnection of Services and/or legal action. For the avoidance of doubt, the supply by the Service Provider of the Set-top boxes does (5) days prior to the relevant due date, written documentation identifying and substantiating the disputed amount and shall make full payment of the
not include transfer of ownership over the Set-top box Embedded Software and Viewing Card (Smart Card) Software, the ownership over which remains undisputed portion of the SOA within the due date. If Subscriber does not report a dispute within the said period, Subscriber shall be deemed to have
with the Service Provider and/or its licensor for the said items.Subscriber shall use the Equipment strictly for the purpose of receiving Services and in irrevocably waived his/ dispute rights for that SOA and the SOA shall be deemed to be correct and final. Any disputed amount resolved in favor of Subscriber
accordance with terms of this Agreement, other guidelines of the Service Provider and any accompanying operating manual or directions for such shall be adjusted and reflected in the SOA immediately after the resolution. Any disputed amount determined to be payable to Service Provider shall be due
Equipment by its manufacturer. Prolonged non-use of the set-top box may adversely affect the ability of such set-top box to properly receive signal for within seven (7) days of the resolution of the dispute. If Subscriber withholds the disputed amount, Subscriber’s account shall be deemed to be past due and
the service. unpaid. In such event, Service Provider shall be entitled to pursue any and all legal remedies provided in this Agreement, including suspension or
disconnection of service.

5. Additional Receivers. Service Provider may choose to allow Subscriber to place additional receivers or set-top boxes to a single subscription account. If 11. Non-Transferability. This Agreement and the Service may not be leased, assigned or transferred by Subscriber to a third party without the prior
Service Provider allows Subscriber to do so, each additional receiver or set-top box will be authorized to receive the same Service as the initial set-top written consent of Service Provider. In the event Service Provider gives its consent, the original Subscriber shall furnish to Service Provider the
box, subject to the limitations of Subscriber’s television equipment. All such additional set-top boxes must be located at the same registered residence conformity of the new Subscriber to the assignment or transfer, including an agreement to assume all fees and charges under the original account, if any.
of the Subscriber. If Subscriber wishes to receive Services at different residential locations or desires to have a programming package for his additional The assignment or transfer notwithstanding, all Equipment, cable, connections and other accessories, unless already paid for, shall remain the property of
set-top box different from that in his initial set-top box, Subscriber must open a separate account for each location or set-top box unless otherwise Service Provider and the new Subscriber shall have no property right or interest over the same but only the right to use as provided under
specifically authorized in writing by Service Provider. Subscriber shall then be treated as having multiple subscriptions and will be charged accordingly unless this Agreement.
the Service Provider provides for a separate scheme. Subscriber shall purchase or lease additional set top box(es), Smart Cards, remote controls
and the appropriate length of cable for each additional set-top box. 12. Installation and Transfer of Purchased or Leased Equipment. Subscriber shall not install, or transfer purchased or leased Equipment on his own.
Subscriber hereby accepts full responsibility for any damages that may be caused to the Equipment by this action or for any service interruption and hereby
accepts that this renders void any replacement warranty on the Equipment.
6. Minimum Subscription Period. Service Provider reserves the right to impose a minimum subscription period for the Service from date of activation.
Should Subscriber fail to complete the minimum subscription period or choose to terminate or cancel the subscription prior to the end of the 13. Leased Equipment. Leased Equipment (if any) as may be provided by Service Provider, installed at the premises of Subscriber, shall remain the property
minimum subscription period, Service Provider may charge Subscriber a pre-termination fee imposed by way of penalty in addition to forfeiture of any of Service Provider and shall not be transferred, moved or removed from the place of its initial installation. Subscriber shall take proper care of the
Service Deposits made. Unless otherwise specified by Service Provider in a separate agreement, Subscriber shall pay the pre-termination fee as leased Equipment and will not make any alterations or additions thereto. Subscriber shall be liable for any loss or damage to such leased Equipment installed
prescribed by the Service Provider at the time this Agreement is entered into between the parties and received in good order and condition. All leased Equipment shall be returned to Service Provider upon termination of this Agreement or as may be
required by Service Provider.

7. Subscription Fees and Other Charges. Subscriber agrees to pay to Service Provider subscription fees, outlet fees (for any Service Provider leased
Equipment), and other charges, as well as all applicable taxes, in accordance with the selected payment plan in the Residential Subscriber Application Form. 14. Limited Warranty on Purchased Equipment. Set-top boxes purchased by Subscriber from Service Provider have a six-month warranty from the
Service Provider reserves the right to increase the subscription fee, outlet fees, and other charges and to impose new or additional charges date of its activation in accordance with Service Provider’s warranty policies. Except as expressly provided herein, Service Provider makes no
other than those indicated in the said form.a.Installation Fees. Subscriber shall pay, in addition to the subscription fees outlet fees, and other warranty, either express or implied, regarding the Equipment or any other equipment or the Services furnished to Subscriber. All such warranties,
charges, an installation fee that would cover the truck roll, labor, physical installation of the Equipment and other necessary equipment in Subscriber’s including without limitation, any implied warranty of merchantability or fitness for a particular purpose, are hereby expressly disclaimed and excluded.
premises that would enable subscriber to receive the Service. Service Provider reserves the right to charge installation fees to Subscriber upon reconnection Subscriber may access Service Provider’s detailed and complete warranty policies in its website www.cignal.tv.
of Service, regardless of reason for disconnection.b.Excess Cable. There shall be additional charges for materials and labor for installation in excess of .
the standard length of cable provided by Service Provider, as determined by Service Provider, from the dish to the location where the set-top box will be
installed in Subscriber’s residence.c.Additional Equipment. Subscriber shall be responsible for purchasing any additional equipment needed to receive the 15. Access to Premises. Subscriber shall allow the duly authorized personnel, agents or representatives of Service Provider access to his premises for
Service. These should be acquired by Subscriber prior to the installation of the Equipment. d. Outlet fees (as the term is defined in the Outlet Agreement) maintenance, inspection, quality assurance and technical audit purposes and to recover any leased Equipment or any equipment owned by Service Provider.
and Other Charges. Service Provider reserves the right to charge monthly fees for the continued use of any Service Provider leased Equipment (which may
include but not be limited to the set-top box), security deposits, fees for other services and Subscriber-initiated requests including, but not limited to, 16. Prohibited Acts. The following shall constitute prohibited acts by Subscriber (“Prohibited Acts”) whether performed by himself/herself/itself or in
value-added services, disconnection, reconnection or transfer of the Set-top box within the Subscriber’s premises; installation, disconnection, reconnection conjunction with others and shall be dealt with in accordance with the terms of this Agreement:a. Unauthorized lease, assignment or transfer of Service or
and/or transfer of additional set-top box; replacement of Equipment beyond the warranty coverage, re- leased Equipment;b. Repair or cause the repair of any set-top box or other Equipment by third party repair entities;c. Subscription fraud discovered after
approval of application;d. Willful violation of the rules and regulations of Service Provider in relation to provision of the Service or of any government
regulatory agency having jurisdiction;e. Use of the Service for any illegal or immoral purpose, or for any purpose other than that as described under this
Agreement;f. Unauthorized reception of Service Provider’s DTH signal including unauthorized copying recording, reproduction or rebroadcasting of any content
of the Service;g. Unauthorized connection of accessories or devices to the Equipment;h. Receiving any portion of the Services without paying for them and/or
any direct or indirect act or attempted act to engage or assist in any unauthorized interception or reception of any portion of the Services;i. Modifying
the Equipment to receive encrypted television programming without payment of required subscription;j. Reverse-engineering, decompiling or disassembling,
tampering with or modifying (including any attempts thereof) the Equipment, or any software or hardware contained within any set-top box or Smart
Card;k. Use of Smart card other than that issued by Service Provider for the specific set-top box;l. Removal of the Equipment from the Philippines or export
and/or use of Equipment outside the Philippine territory; and m. Other similar acts.The commission of the above acts are strictly prohibited and may result in
the immediate termination of this agreement, disconnection of the Services and/or legal action. Subscriber shall indemnify Service Provider for any and all Prohibited Acts.
damages, claims incurred or to be incurred by Service Provider as a result of or in connection with the commission of any of the
17. Disconnection and Termination. Service Provider reserves the right to disconnect the Service received by Subscriber, without prior notice, in the
following instances:a.Commission of any of the Prohibited Acts in Section 16 above;b.Violation of any of the material provisions of this Agreement; 4. Subscriber undertakes to use the Outlet solely and strictly in connection with the Service and shall take utmost care of the same with the
orc.Non-payment of account after due date.Upon the sole determination of Service Provider and after due notice, Service may likewise be disconnected or diligence of a good father of a family.
denied to a Subscriber with poor credit or paying history. Upon disconnection, the outstanding balance of Subscriber shall be deemed immediately due and 5. The Outlet shall be installed in a particular location and television set in the Installation Address and shall not be moved or removed there
demandable and must be paid immediately without need of further demand. Service Provider likewise reserves the right to terminate this Agreement from without the prior written consent of Service Provider. Subscriber shall not remove the SMARTCARD in the Outlet without the prior written consent of
and disconnect the Service received by Subscriber in the event that the Service Provider is prevented from rendering such Service for reasons and/or the Service Provider. Service Provider shall remain the owner of the Outlet and the Subscriber shall not sell, assign, sublease, mortgage, charge, encumber
causes beyond the Service Provider’s control, such as, but not limited to the imposition of restrictions by national and/or local government authorities, the or otherwise part possession or dispose of the Outlet and shall at all times be responsible therefor. Nothing herein shall confer or be deemed to confer
imposition of restrictions and/or charges by a condominium corporation, village or homeowners’ association, or similar entities/authorities in the location ownership of the Outlet to the Subscriber.
where the Service is rendered. In such instance, all leased Equipment shall be returned to Service Provider immediately without need for further demand. 6. Subscriber shall be responsible for any loss or damage to the Outlet while in the Subscriber’s possession or custody, except those arising from
Any costs for the retrieval and/or removal of the leased Equipment shall be for the account of the subscriber. normal wear and tear. If the Outlet is damaged while in the possession of or custody of the Subscriber, Subscriber shall immediately notify Service Provider
18. Subscriber Initiated Disconnection. In cases where Subscriber voluntarily requests for disconnection of the Service, Subscriber shall provide written and deliver the damaged Outlet to Service Provider or its authorized personnel for testing and repair. Subscriber shall not allow any third party to access
notice to Service Provider at least thirty (30) days prior to the intended date of disconnection. Service and monthly charges shall continue to apply until and/or repair the Outlet. The cost of the repair shall be charged to the Subscriber (“Repair Charges”). Service Provider shall replace the Outlet if it finds it
Service Provider has received the written notice of disconnection and made it effective. Voluntary termination shall not relieve the Subscriber of his defective, malfunctioning or damaged as a result of manufacturer flaws. The Outlet shall not be replaced if such defect, malfunction or damage is found
obligation to pay Service Provider of fees and charges accrued or payable prior to the effective date of termination. Upon termination of this Agreement to be due to improper use, abuse, faulty handling, accident, neglect, lightning, electrical current fluctuations, tampering, repair by unauthorized technician,
as provided for under this section, all leased Equipment shall be returned to Service Provider without need for further demand. Any costs for the retrieval improper parts replacement, force majeure, fortuitous event and other circumstances beyond the reasonable control of Service Provider or such acts as
and/or removal of the leased Equipment shall be for the account of the Subscriber.
may be attributable to the fault or negligence of Subscriber. In such cases replacement shall be provided upon payment of the applicable costs and
19. Service Commitment on Signal Interruptions. The fees due to Service Provider shall continue to accrue without deductions even in case of service
charges by the Subscriber. Service Provider shall not be responsible for any damages to Subscriber’s television or other appliances and devices and other
interruption except where such interruption is through no fault of the Subscriber. Service Provider does not warrant that an uninterrupted signal and/or
property as well as signal or system problems that may arise due to the instances mentioned in the this clause. Service Provider shall have no obligation to
clear reception will be available to Subscriber at all times. Subscriber shall hold Service Provider free and harmless from any and all liabilities as a result
of such interruption of signal and/or unclear reception. However, Service Provider will exert its best efforts to deliver a continuous and clear signal to replace the Outlet while the same is being repaired.
7. In case of loss of the Outlet (or damage of the Outlet caused by the
Subscriber in accordance with applicable technical standards required by the National Telecommunications Commission.
20. Intellectual Property. Subscriber hereby undertakes to uphold the intellectual property rights and interests of Service Provider and third parties and Subscriber), Subscriber shall pay Service Provider the cost of the Outlet based on Service Provider’s current retail sale pricing (“Unreturned Outlet Fee”) in
hereby commits to refrain from unauthorized taping, rebroadcasting, recording, duplicating or otherwise reproducing, in any manner, form, and for addition to the forfeiture of any deposits or Outlet fees paid in advance by the Subscriber to the Service Provider. Service Provider shall have no
any purpose whatsoever, the programs, trademarks, logos, copyrights and services received by and passed to Subscriber under and by reason of this obligation to replace the lost Outlet and reserves the right to charge the Subscriber the Unreturned Outlet Fee before a replacement outlet is issued. The
Agreement without prejudice to the right of Service Provider to recover damages and/or to file the necessary criminal action against violators. Subscriber Subscriber shall inform Service Provider within forty- eight (48) hours from such loss and furnish Service Provider with copies of police report, affidavit of
shall indemnify and hold Service Provider free and harmless from any and all claims, losses, damages, costs or expenses incurred by reason of loss and/or such other documents as may be required by Service Provider.
Subscriber’s infringement of any intellectual property rights under this Section. 8. Subscriber agrees to allow duly authorized personnel of Service Provider access to its premises for installation and maintenance purposes, as
21. Restriction on Viewership. The Service is strictly provided and shall strictly be used solely for private viewing in Subscriber’s private home indicated in well as recovery of the Outlet upon termination of this Outlet Agreement.
the installation address on the reverse side of this Agreement. Subscriber agrees that the Services will not be viewed in areas open to the public, commercial 9. In no event shall Service Provider be liable for any loss of profits, loss of use, or indirect, special, incidental or consequential damages of any
establishments or other residential locations. Services shall not be used for business, commercial or industrial purposes. Services may not be re-broadcast or kind, in connection with or arising out of or in any manner connected with this Outlet Agreement or the subject matter hereof, in each case regardless of
performed, and admission may not be charged for listening or viewing any Services. Subscriber shall hold Service Provider free and harmless from any and all the form of action and whether or not such the Service Provider has been informed of, or otherwise might have anticipated, the possibility of such
liability arising from a violation of this condition. Further, if the Services are viewed in an area open to the public, a commercial establishment or other damages.
residential location, Service Provider may disconnect the Services and, in addition to all other applicable fees, Subscriber undertakes to pay Service 10. Subscriber hereby agrees to hold Service Provider free from all liability against any suit, action or claim arising from the unauthorized use of
Provider the difference between the price actually paid for the Services and the full applicable rate for such Services, regardless of whether Service Provider the Outlet. Likewise, Service Provider shall not be held responsible for any damages to the Subscriber’s television set or other property as a result of any
has the right to distribute the Services in such other location. improper operation or usage of the Outlet.
22. Limitation of Liability. Service Provider shall not assume any liability for any suits, actions and/or claims arising from interruptions or impairment of 11. This Outlet Agreement may be terminated on notice at the sole option of the Service Provider if (i) Subscriber breaches the terms of the
service and damage to property including but not limited to TV sets, video and audio equipment; house of Subscriber or third persons; and injury to Agreement or this or any other Outlet Agreement entered into by Subscriber and Service Provider, (ii) if the Outlet is lost or substantially damaged, (iii) if
persons or pets that may be caused by lightning, typhoon, earthquake, other natural calamities; electrical current fluctuations, accident, force majeure, the Outlet Agreement for the Primary Outlet is terminated, and (iv) the Service is disconnected by the Service Provider. A termination by Service Provider of
fortuitous events, or circumstances beyond the control of Service Provider, DTH system problems arising from unauthorized cable connection or transfer, the outlet agreement for the Primary Outlet automatically results in the termination of the outlet agreement for 2nd and 3rd boxes (each, a “Secondary
even if caused by Service Provider Equipment; works made by unauthorized technicians; and acts attributable to Subscriber, in the course of the delivery of Outlet”). Termination by Service Provider of this Outlet Agreement is without prejudice to any other rights Service Provider may have under law or equity. If
Service to Subscriber. Notwithstanding anything contained herein to the contrary, any liability of Service Provider in connection with or arising from this
Subscriber desires to terminate this Outlet Agreement, written notice must be provided to Service Provider at least fifteen (15) days prior to the intended
Agreement shall be limited to an amount equivalent to one month’s subscription fee under this Agreement. Service Provider shall not have any liability
date of termination.
whatsoever for any special, indirect, incidental or consequential damages arising out of or relating to the Equipment or any other equipment, Service
12. If prior to the expiration of the Term Commitment, (i) Subscriber terminates this Outlet Agreement or the Service, or (ii) Service
Provider’s furnishing or failure to furnish any Services or equipment to Subscriber, or any fault, failure, deficiency or defect in Services or equipment
furnished to Subscriber.Subscriber is responsible for imposing any programming or other content restrictions on himself, members of his family and Provider terminates this Outlet Agreement in accordance with Section 11 and 17 hereof, all unapplied Outlet Fee shall be forfeited in favor of Service
Provider and in addition, Service Provider may collect a cancellation fee (“Cancellation Fee”) equivalent to the Outlet Fee payable for the remaining
household and guests as Subscriber deems appropriate. Service Provider shall not be liable to anyone due to, or based upon, any content (including without
limitation, any inaccuracies, errors I, or omissions from such content): (i) contained in any of the Services furnished to you; or (ii) accessed using the months in the Term Commitment.
13. Upon termination of this Outlet Agreement or the Service for any reason whatsoever, the Subscriber shall immediately return the Outlet
Services or Equipment furnished to you.
to the Service Provider or its authorized personnel in good working order and condition. In case Subscriber fails to return the Outlet within one (1) week
23. Amendments. Service Provider reserves the right to amend, modify, change or supplement the terms and conditions to this Agreement as the
from effective date of termination or refuses to deliver possession thereof to authorized personnel of Service Provider, Subscriber shall be liable to pay
Service may require. Service Provider shall advise Subscriber of any such changes or supplements with reasonable prior notice.
Service Provider the amount equivalent to Service Provider’s retail sales for the Outlet or its equivalent as well as any damages and/or costs incurred for
24. Venue of Action and Expenses of Litigation. The parties agree that the venue of all actions arising from this Agreement shall be the proper courts in
recovery of the Outlet.
Makati City, Metro Manila, to the exclusion of all other venues. In addition to any amounts due and collectible, Subscriber shall pay twenty five
14. Any and all fees, charges and deposits, when applicable, under this Outlet Agreement are subject to change without prior notice
percent (25%) of such amount as damages and twenty five percent (25%) for attorney’s fees and cost of suit. OUTLET AGREEMENT FOR LEASE PLAN
to the Subscriber.
SUBSCRIBERSThis Outlet Agreement sets forth the terms and conditions for the use by Subscriber of the Service Provider’s Equipment (as described in
15. This Outlet Agreement shall take effect immediately upon installation of the Outlet in the Installation Address and activation
section 4 of the Residential Service Agreement Form) (each an “Outlet”) solely in connection with the Service Provider’s DTH Service for residential
of the Service.
subscribers under a Lease plan as availed of by Subscriber under the Direct To Home Service Agreement (the “Agreement”). The terms and conditions of
16. Service Provider further disclaims and shall not assume any liability for any suits, actions and/or claims arising from any interruption or
the DTH Service are contained in the Residential Direct to Home (DTH) Service Agreement between the Subscriber and the Service Provider (“Agreement”) is
impairment of service or damage to property of Subscriber or third persons and injury to persons or pets that may be caused by lightning, typhoons,
incorporated herein by reference. In case of conflict between the terms of the Agreement and this Outlet Agreement with respect to the Outlet, including its
earthquake or natural calamities, accident, force majeure, fortuitous events, circumstances beyond the control of the Service Provider arising from or in
use, replacement, termination and warranty, the terms of this Outlet Agreement shall prevail.It is hereby understood that the term “Outlet” used under
connection with the use by the Subscriber of the Outlet or the Accessories. Notwithstanding anything contained herein to the contrary, any liability of
this Outlet Agreement includes the conditional-access card (Smart Card) supplied by the Service Provider.
Service Provider in connection with or arising from this Outlet Agreement shall be limited to an amount equal to one (1) month’s Outlet Fee.
17. The Subscriber, hereby, undertakes to uphold the property rights and interest of Service Provider and/or its content providers and hereby
1. Installation of the Outlet and activation of the DTH Service (“Service”) for the Outlet shall be conclusive presumption that the Subscriber agrees not to tape, record duplicate or otherwise reproduce, in any manner and form whatsoever and for any purposes, the programs, trademarks/logo,
has accepted the Outlet and that such Outlet is in good working condition, unless Subscriber serves Service Provider written notice within five (5) days copyrights and services received by and passed to him under and by reason of this Outlet Agreement. Subscriber further undertakes not to use the Outlet to
from installation thereof specifying any defect in the Outlet. perform the Prohibited Acts provided for in the Agreement. A breach of this provision shall result in the termination of this Outlet Agreement and the
2. All accessories supplied by Service Provider together with the Outlet, namely the satellite dish, LNB (low noise block), connectors, remote Agreement without prejudice to Service Provider's rights to recover damages and to file criminal action.
control, cabling (collectively, the “Accessories”) shall be owned by Subscriber upon delivery thereof. Title and risk to the Accessories shall be transferred to 18. The Outlet under this Agreement shall be used exclusively for household or personal viewing in Subscriber’s private home
the Subscriber upon delivery. Service Provider makes no warranty on the Accessories’ merchantability or fitness for a particular purpose. indicated in the Installation Address and shall never be used for business, commercial or industrial purposes. The Outlet shall not be installed or used to
3. Installation charges for the Outlet and/or the Accessories shall be for the account of and paid for by the Subscriber. The cost of any safety allow viewing of the Services in areas open to the public. The Subscriber shall hold Service Provider free and harmless from any and all liability that
device or equipment which Service Provider deems necessary and the installation thereof shall be for the account of and paid for by the Subscriber. may arise from a violation of this provision.
Service Provider warrants that the workmanship of the installation for a period of six (6) months from Activation Date. This warranty excludes damage 19. Service Provider shall have the right to assign any and all rights, obligations to and under this Agreement to any third party without
or defects of the Outlet, Accessories caused by Subscriber, any third party or force majeure. Service Provider makes no representation or warranty, express need of consent of the Subscriber. Subscriber shall not assign any and all rights, obligations to and under this
Agreement.
or implied, including without limitation, warranties of merchantability, fitness for a particular purpose or infringement except as provided under this
20. Service Provider reserves the right to adjust, modify, amend or supplement these terms and conditions as the Service may
Outlet Agreement.
require. Service Provider will advise the Subscriber of any changes by sending him a notice setting out such changes
21. The failure by Service Provider to insist upon the strict performance by Subscriber of any of the Subscriber’s obligations or provisions
under this Outlet Agreement shall not be construed as a waiver of such obligation or provision, the same to continue to be in force and effect. The terms
and conditions of this Outlet Agreement are severable and in the event any provision herein shall be held to be void, invalid or unenforceable, the other
provisions shall not be affected and shall continue to be applicable and in force and effect.
SIGNATURE OVER PRINTED NAME
 Terms and Conditions

PRIVACY NOTICE AND GENERAL CONSENT FORM

Cignal TV, Inc. (“Cignal TV”) respects your fundamental right to privacy and we commit
to take great care in safeguarding your personal data. Throughout your use of our How we protect your personal data
services, we collect and maintain some basic information about you. In accordance with
applicable privacy laws, we share with you the general principles that govern how we The integrity, confidentiality, and security of your personal data are important to us.
collect, use, and share your personal data, as well as our privacy practices. That’s why we strictly enforce our privacy statement within Cignal TV and have
implemented technical, organizational, and physical security measures that are
designed to protect your information from unauthorized or fraudulent access,
Why we collect your personal data alteration, disclosure, misuse, and other unlawful activities. These are also designed
to protect your information from other natural and human dangers.
When we process your personal data, we do so under the following legal bases and for
the purposes set out below: We also put in effect the following safeguards:

A. We process your personal data to perform our obligations under •We keep and protect your information using a secured server behind a firewall,
contract with you. encryption and security controls;
•We keep your information only for as long as necessary for us to (a) provide the
•To create and nurture a relationship with you, so that we can continuously provide products and services that you avail from us, (b) for our legitimate business
you with our services. For example, when you apply for our products and services, we purposes, (c) to comply with applicable laws, and (d) for special cases that will
collect personal data about you that will allow us to validate your identity and credit require the exercise or defense of legal claims, and for a maximum retention period
history for purposes of billing and collection of fees for the products and services that you of ten (10) years from your service's permanent deactivation;
avail from us. •We restrict access to your information only to qualified and authorized personnel
who are trained to handle your information with strict confidentiality;
B. We process your personal data based on our legitimate interest to function •We undergo regular audits and rigorous testing of our infrastructure’s security
effectively as a business, but we only do so when your interests and protocols to ensure your information is always protected;
fundamental rights or freedoms do not override our legitimate interest. •We promptly notify you and the National Privacy Commission, when sensitive
personal data that may, under the circumstances, be used to enable identity fraud
•To continuously improve our business and operations. For example, we analyze your are reasonably believed to have been acquired by an unauthorized person; and
use of our products and services to help us manage your account, provide customer care •We let you update your information securely to keep our records accurate.
activities, investigate and resolve your service-related requests and concerns, monitor the
quality and security of our technology, train our staff, and plan for future growth. We do What your choices are
this so that we can continue to provide you with the best experience for the products and
services that you avail from us. The Data Privacy Act gives you certain rights to your personal data. Subject to
exceptions under the law, you are entitled to request:
•To continuously improve our products and services. We collect, use, process, and
analyze your use of our products and services so that we can understand how to improve •Access to the personal data we process about you;
them for your benefit. Our analysis may include some sensitive information about your •Rectification of your personal data if it is found to be outdated, inaccurate, or
usage, such as your historical locational information which we determine based on an incomplete;
analysis of the places where you may have used our products and services. In all cases, •Erasure of your personal data in cases where it is no longer needed to achieve
we ensure to aggregate and anonymize this information so that you are never identified the legitimate purpose of its processing;
as an individual. •Restriction of processing of your personal data in limited circumstances;
•Portability of your personal data so that you may receive a copy thereof or
•To understand your needs and preferences so that we can serve you better. We that we transmit the same to another company on your behalf.
process data to determine your usage profile by maintaining a record of the products and
services that you avail from us, and by analyzing other activities such as when you You moreover have a right to object to the processing of your personal data, such as
participate in our market research initiatives, when you visit and transact in our stores, in cases when we process your personal data for purposes related to direct
and when you visit and use our websites and mobile apps such as www.cignal.tv and marketing.
www.cignalplay.com. We do so in order to gain a better insight about the kinds of offers
that would be relevant to your preferences. To the extent that the processing of your personal data is based on your consent,
you have the right to withdraw such consent, exercise the foregoing rights, or
•To manage the security of our business operations. We may process your personal otherwise manage your privacy preferences by (a) logging in your account portal
data to conduct IT security operations, to manage our assets, to ensure your fair use of located at our website (b) contacting our customer service representatives through
our products and services, and for business continuity, disaster recovery, and audit email or telephone, or (c) contacting our Data Privacy Officer through the contact
purposes. details provided below. Please note that this will not affect the lawfulness of the
processing that was carried out before you withdrew your consent or Cignal TV’s
C. We process your personal data as you avail of our products and services so right to continue parts of the processing based on other legal bases than your
that we may be able to create and offer better products and services for you, consent. If, however, we have not provided you with another legal basis justifying
including through direct marketing. We only carry out these processing the processing of your personal data in this privacy statement, we will stop the
activities based on your consent. processing and delete your personal data.
•To send you offers, recommendations and promotions. We process your usage
profile to send you customized offers and promotions through your contact details using In some instances, we may request for supporting documents or proof before we
channels such as SMS, voice calls, and e-mail. This includes location-based offers that are effect any requested changes to your personal data.
exclusively available in areas that you may frequent.
•To elaborate your usage profile. We may also collect personal information about you If, despite our commitment and efforts to protect your personal data, you believe
from third-party sources such as our subsidiaries, affiliates, and business partners, to that your data privacy rights have been violated, we encourage and welcome
whom you have also given your consent for them to share your information with us. We individuals to come to Cignal TV first to seek resolution of any complaint. You have
create this enhanced usage profile about you solely to get a deeper understanding of your the right at all times to register a complaint directly with the National Privacy
preferences so that we can send you even better targeted product recommendations, Commission or to make a claim against us with a competent court (either in the
special offers, and promotions. country where you live, the country where you work or the country where you
deem that data privacy law has been infringed).
D. We process your personal data to comply with legal requirements.
•To assist public authorities. We generate statistical insights based on your usage of Cignal TV Data Privacy Office
our network and facilities to assist public authorities in planning for healthcare, disaster 5th Floor Launchpad, Reliance corner Sheridan Streets, Barangay Highway Hills,
management, and other similar initiatives meant for public benefit. When we can, we Mandaluyong City, 1554
aggregate and anonymize this information so that you are never identified as an [email protected]
individual.

•To comply with legal requirements. We run credit scoring programs and initiatives,
including but not limited to, providing information to the Credit Information Corporation in SPECIFIC CONSENT FORM
accordance to Republic Act No. 9501 and the Credit Information System Act. We may
also perform other required personal data processing or disclosure to meet other relevant There are additional ways that we may process your personal data. These are
legal and regulatory requirements. completely optional, and we commit only to proceed with activities that you
specifically allow us to do (check all those that apply):
When we disclose your personal data

In some instances, we may be required to disclose your personal data to our agents, 0 Create a personal profile about you. We analyze
data about you, such as the websites and apps that you
subsidiaries, affiliates, business partners and other third-party agencies and service may visit and use and your locational information
providers as part of our regular business operations and for the provision of our products (historical and real-time location), to get a deeper
and services. understanding of your personal needs and interests. We
create this personal profile about you so that we can send
This means we might share your information with: you even better targeted product recommendations,
special offers, and promotions.
•Our service providers, contractors, and professional advisers who help us
provide our products and services. This includes partner companies, organizations, or
agencies, and their sub-contractors. For example: sales dealers, distributors and 0 Send you offers and promotions from our sister
companies and affiliates. This will allow our sister
installation contractors, our couriers for bill delivery and our customer contact centers for companies and affiliates to send you information about
our pre- and post-sales hotline operations; their special offers and promotions through direct
marketing channels such as SMS, voice calls, and e-mail.
•Our subsidiaries and affiliates with whom you have also signed-up with. We
do so only for the improvement of each other’s legitimate business and operations. For
example: we share information with each other about your usage profile so that we can ACKNOWLEDGMENT
create new offers that bundle our products and services into a single subscription;
I have read and understood this Privacy Notice and I consent to the
•Other companies to whom you have also given consent for us to share processing of my personal data as set forth above.
your information with. For example, when you sign-up for products and services
offered by
other companies, they may request for information from us in order for them to validate
your identity; and
Signature over printed name
•Law enforcement and government agencies, but only when required by laws
and regulations and other lawful orders and processes.
Date
In these cases, we ensure that your personal data is disclosed on a confidential basis,
through secure channels, and only in compliance with applicable privacy laws and
regulations. We will never share, rent, or sell your personal data to third parties outside of
Cignal TV, except in special circumstances where you may have given your consent for,
and as described in this statement.

For a list of our partners, please visit https://cignal.tv/territorypartners.