A1 - Customer Information

CIF Number Account Owner

(for internal use)
Business Owner / Officer / Signatory

I. CUSTOMER INFORMATION

Full Name (As found in your valid government issued ID) Date of Birth
Last Name First Name Middle Name Suffix (mm/dd/yyyy)

/ /

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

II. CONTACT INFORMATION

Personal Mobile Number Personal Email Address Home Landline Number

Country Code Mobile Number Country Code Area Code Landline Number

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

City / Municipality Province / State Country Zip Code

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

City / Municipality Province / State Country Zip Code

Work / Business Email Address Work / Business Landline Number

Country Code Area Code Landline Number Local (if applicable)

Work / Business Address

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

City / Municipality Province / State Country Zip Code

III. PERSONAL INFORMATION

Country of Birth
Gender Civil Status

Male Single Legally Separated Annulled

Female Married Divorced Widow/er

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

Others

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

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

Natures of Work / Business Name of Primary Employer / Business

Provide all applicable ‘Codes.’ (ex. ABC, DEF, GHI)

Position / Job Title in Primary Employer / Business (Select one if you are ‘Employed’) Gross Monthy Income (PHP)
BDOL-01-1 (42023)

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

For Government Employed Elected / Appointee Employee Contractual / Part Time

 A2 - Regulations and Agreements

V. REGULATORY REQUIREMENTS

Political Relations and Affiliations Questionnaire

Do you have previous and current affiliation/dealings with the Government and/or relations to any official of a government in any Yes No
country, territory, or of an intergovernmental/international organization? If ‘Yes’, accomplish ‘Form A6’
Foreign Account Tax Compliance Act (FATCA) Questionnaire (Refer to ‘Instructions’ for details on the ‘Substantial Presence Test’)
Are you obligated to pay taxes to the U.S. IRS because of your citizenship, residency, or other reasons such as meeting the ‘Substantial Yes No
Presence Test’? If ‘Yes’, accomplish ‘Form A7’
Designated Non-Financial Business and Professions (DNFBPs) Questionnaire (Refer to ‘Instructions’ for details on ‘DNFBPs’ and ‘OGBs’)
Does your work / business fall under the classification of a DNFBP? If ‘Yes’, accomplish ‘Form A8’ Yes No
Does your work/business provide service, process transactions, have transactions or related interests / relationships with any
business or service provider in the online gaming industry? If ‘Yes’, accomplish ‘Form A8’ Yes No

Beneficial Ownership
Yes No
Are you opening this account on behalf of someone else?

VI. DATA PRIVACY CONSENT

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

I confirm that I understand and agree that my information may continue to be processed, collected, used, stored, or disclosed for
ten (10) years from my last transaction date with any member of the BDO Group or until the expiration of the retention limits set by
applicable laws, whichever comes later.
Signature
I hereby acknowledge and understand that should I wish to withdraw my consent to receive information about new or related products
and services of the BDO Group, or to access, update, or correct certain personal data as set out in this form, I may communicate directly
with the relevant member of the BDO Group’s Data Protection Officer through the email address found at [https://www.bdo.com.ph/
privacy-statement]. I further acknowledge and understand that I may access and view the BDO Group’s Data Privacy Statement at
[https://www.bdo.com.ph/privacy-statement] or obtain a copy thereof from the office or branch of the relevant member of the BDO
Group.

VII. CONSENT FOR THE ISSUANCE OF A BDO CREDIT CARD

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

VIII. CUSTOMER UNDERTAKING

By signing, I hereby certify that the information given in this application is true and correct to the best of my knowledge and I confirm
that I have read, understood, and agreed in full to the BDO Online Account Opening Service Terms and Conditions, Electronic
Banking Terms and Conditions of Use, Terms and Conditions of the General and Special Provisions on Deposits, the BDO ATM Debit
Card Terms and Conditions, and the Terms and Conditions of BDO Biometrics (the“BDO Terms and Conditions”) and have fully Signature
understood and agreed to be governed by the provisions thereof, as well as the rules and regulations of BDO, Bangko Sentral ng
Pilipinas, Anti-Money Laundering Council, Bankers Association of the Philippines, Philippine Deposit Insurance Corporation, and
the Bureau of Internal Revenue with respect to taxes imposed on interest on deposits and bank commission/charges relative to the
establishment of operations of the account/s opened.
I also hereby affirm that the features, requirements, risks and benefits of the BDO product(s) and services I am availing were fully
disclosed and explained clearly to me by BDO. I further declare that I have fully understood and agree to be governed by the
rules and regulations of the BDO product(s) and services I am availing. I also acknowledge that the BDO Terms and Conditions
were made available to me upon account opening, and where copies were given upon request and posted in BDO’s website at
bdo.com.ph/info/accounts. I agree that BDO may make amendments to the BDO Terms and Conditions by giving me notice by (i) Date Signed
exhibiting the same at any of BDO’s branches, (ii) publishing the same at BDO’s website or any media, or (iii) such other manner (mm/dd/yyyy) / /
BDO deems fit.

For inquiries and concerns, please call our BDO Contact Center at (+632) 8888-0000.
BDO Unibank, Inc. is regulated by the Bangko Sentral ng Pilipinas. https://www.bsp.gov.ph REVISED AS OF May 2023
The BDO Unibank and other BDO-related marks are registered trademarks of BDO Unibank, Inc. All rights reserved.

Other Official Name / Alias (As found on and as supported by a valid government-issued ID or document)
Last Name First Name Middle Name Suffix

Account Number Date Opened Residency Biometrics RC NLDS

(mm/dd/yyyy)
Resident Face N
FO R IN TE RN A L US E ON LY

/ /
Non-resident Finger H

ID 1 ID 2
Type of ID ID Number Date Issued Expiry Date Type of ID ID Number Date Issued Expiry Date

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

Name and Signature Name and Signature

Courtesy Call / Remarks