Regulatory Forms For Spouse or Co Borrower-BDO
Regulatory Forms For Spouse or Co Borrower-BDO
Regulatory Forms For Spouse or Co Borrower-BDO
I. CUSTOMER INFORMATION
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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 BDO customers only need to fill in the fields or inputs with Check Marks if there is information to update.
Otherwise, place NA or select the appropriate input. Clear
Home Address
Unit No. Building / No. Block. Street Subdivision / Village / Barangay
Please Select
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
Please Select
Please Select
Country of Birth
Gender Civil Status
Please Select Male Single Legally Separated Annulled
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?
Please select
Position / Job Title in Primary Employer / Business (Select one if you are ‘Employed’) Gross Monthy Income (PHP)
For Private / Self-Employed Owner / Director / Officer Non Officer / Employee Contractual / Part Time
V. REGULATORY REQUIREMENTS
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 Yes No
the ‘Substantial Presence Test’? If ‘Yes’, accomplish ‘Form A7’
Online Gaming Questionnaire (Refer to ‘Instructions’ for details on ‘Online Gaming Business’)
Does your work / business provide service, process transactions, have transactions or related interests / relationships with any Yes No
business or service provider in the online gaming industry? If ‘Yes’, accomplish ‘Form A8’
Beneficial Ownership
Are you opening this account on behalf of someone else? Yes No
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.
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 Signature
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.
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 understood and agreed to be governed by the provisions thereof, Signature
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 Date Signed
BDO Terms and Conditions by giving me notice by (i) exhibiting the same at any of BDO’s branches, (ii) publishing the same at BDO’s website or any (mm / dd / yyyy) / /
media, or (iii) such other manner BDO deems fit.
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Resident Face N
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Non-resident Finger H
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ID 1 ID 2
FOR I NT ER NA L US E O NLY
GE NERAL INSTRUCTIONS
1. These instructions are provided to guide you in filling up ‘Form A1-A2’, specifically where ‘Codes’ are necessary.
2. Provide accurate and detailed information to ensure regulatory compliance and determine the applicability of due diligence, where necessary.
SOURCE OF FUN DS
Indicate all relevant sources of funds. Refer to the descriptions and codes below for your entry. You may input multiple codes where applicable. (ex. 001, 002, 003)
001 Employed - Fixed Income 005 Pension 009 Investment / Dividend Income
002 Employed - Variable Income 006 Personal Savings / Retirement Proceeds 010 Rental Income
003 Self-Employed - Business Income 007 Allowance 011 Sale of Asset / Property
004 Remittances 008 Inheritance 012 Other Sources (Lottery, Donations, Tax Refunds, and Insurance/Legal Claims)
N AT U RE OF WORK / B US I N ES S
Indicate all relevant industries where you derive your income or assets from. Refer to the general categories and specific codes and descriptions below for
your entry. Notes on entries can be found at the back of this Instruction Sheet. You may input multiple codes where applicable. (ex. ABC, DEF, GHI)
Professional, Scientific, and Technical Services Information and Communication
ACT Accounting / Auditing / Tax Practice Services COM Information / Comunication / Telecommunication
N OT ES ON NAT URE OF WO R K / B US I N ES S
1
Designated Non-Financial Business and Professions (DNFBP)
As covered persons, the following Designated Non-Financial Businesses and Professions (DNFBPs) are required to declare their
engagement as a DNFBP and submit the Certificate of Registration issued by the AMLC:
1. Dealers of jewelry, precious metals, and precious stones
2. Company service providers which, as a business, provide any of the following services to third parties: (a) acting as a formation agent
of juridical persons; (b) acting as (or arranging for another person to act as) a director or corporate secretary of a company, a partner
of a partnership, or a similar position in relation to other juridical persons; (c) providing a registered office, business address or
accommodation, correspondence or administrative address for a company, a partnership or any other legal person or arrangement; and
(d) acting as (or arranging for another person to act as) a nominee shareholder for another person; and
3. Persons, including lawyers and accountants, who provide any of the following services: (a) managing of client money, securities
or other assets; (b) management of bank, savings, securities or accounts; (c) organization of contributions for the creation,
operation or management of companies; and (d) creation, operation or management of juridical persons or arrangements, and
buying and selling business entities.
4. Real Estate Brokers and Developers;
5. Offshore Gaming Operators (OGO) and Offshore Gaming Operator Service Provider (OGO SP)
2
Online Gaming Businesses (OGB)
As covered persons, Online Gaming Businesses with ‘Direct engagement’ and ‘Indirect engagement’ to Online Gaming are required
to declare their engagement in the industry and submit the required documents from PAGCOR, as needed.
‘Direct engagement’ in Online Gaming refers to offshore entities with a Philippine Offshore Gaming license granted by PAGCOR to
primarily engage in Online Gaming, while ‘Indirect engagement’ in Online Gaming refers to Philippine entities or persons accredited
by PAGCOR to provide allied support services and / or components of offshore gaming operations to Philippine Offshore Gaming
Operators (POGOs) such as Customer Relations, Strategic Support, Information Technology, Gaming Software Platforms, and Live
Studio and Streaming Providers.
Business Process Outsurcing Providers (BPOs) that are servicing legitimately licensed gaming operators abroad and do not in any way
handle betting but purely product marketing and customer relations and are not servicing any of PAGCOR POGO licensees and have
at least 90% Filipino workforce are also classified as having an ‘Indirect Engagement’ in Online Gaming.
CIF Number
(for internal use)
I. BORROWER INFORMATION
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Borrower Type Principal Borrower’s Spouse Co-Borrower Co-Borrower’s Spouse Co-Maker Co-Maker’s Spouse Surety
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.)
Name of Principal Borrower (Your application will be linked to the Principal Borrower’s account) Date of Birth
Last Name First Name Middle Name Suffix (mm / dd / yyyy)
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For Employed Private Government Bangko Sentral ng Pilipinas Non-Governmental Organization Overseas Filipino Worker
For Self-Employed Professional For Business Owners Sole-Proprietor Partner Stockholder
Length of Stay with Previous Employer / Business Length of Stay with Current Employer / Business
Years Months Years Months
Do you have Deposits with other banks? Do you have Loans with other banks? Do you have Credit Cards with other banks?
If ‘Yes’, provide information below If ‘Yes’, provide information below If ‘Yes’, provide information below
Name of bank (ex. Bank A) Type of account (ex. Savings, Checking) Name of bank (ex. Bank A) Your monthly loan amortization in PHP Name of bank (ex. Bank A) Last six digits (ex. 654321) Year issued (ex. 1968)
IV. COLLATERAL AND LOAN ADMINISTRATOR INFORMATION FOR A BDO HOME / SME LOAN (For Home and SME Loans applicants ONLY. Auto Loan applicants may skip to the next page.)
TCT / CCT No. of property to serve as collateral (Only provide if you are an owner of the collateral to be used as part of this loan)
V. REGULATORY REQUIREMENTS
I hereby agree that the terms of the Form A1-A2 and its attachments form part of this Form C4- I agree that BDO may conduct, through its representative accredited appraisers, an appraisal
C5 and are deemed an integral part hereof, my Conforme in the Form A1-A2 is deemed restated of any or all of the collateral to be used for my applied loan and that the appraisal report will be
for purposes of my application in this Form C4-C5 and that the representations, warranties, and forwarded directly to BDO for its sole use only.
undertakings under this Form C4-C5 shall be in addition to those provided in the Form A1-A2.
I acknowledge that payment of bank fees (appraisal fee, mortgage/security registration expenses,
I hereby certify that all information and documents given in this Form C4-C5 and in Form A1-A2 insurance premium, DST, notarial fee, handling fee, cancellation fee, and other amounts as
are true and correct. I authorize the relevant Consumer Banking Unit/s to update or cause the may be required upon loan application and/or for the release of loan proceeds) should only be
updating of the information in the Form A1-A2 based on the information or documents provided through a BDO branch, otherwise, payments shall not be honored or recognized.
by me. I understand that non-disclosure and/or falsification of information and documents herein
required shall be grounds for the disapproval of my application, a default of my loan, and/or legal In case of disapproval of my application under this Form C4-C5, I understand that BDO is under
action against me. no obligation to disclose the reason/s for such disapproval.
I authorize BDO to obtain relevant information as it may require concerning my application under BDO is hereby authorized to send me notices and information regarding the status of the
this Form C4-C5 from other institutions/persons. All information obtained by or provided to BDO my application under this Form C4-C5, including details concerning my approved/availed
pursuant to this loan application shall be BDO’s property whether or not the loan is granted. facility/loan via email, as well as broadcast messaging service, multi-media messaging service,
and/or short messaging service as these terms are defined in the regulations of the National
I agree that my application under this Form C4-C5 shall be subject to applicable laws (including Telecommunications Commission (NTC).
BSP circulars, rules, and regulations), and policies of BDO and undertake to comply with/submit
all the loan requirements.
I recognize that BDO is committed to ensuring the confidentiality of my information under R.A.
No. 1405 (Bank Secrecy Law of 1955) as amended, R.A. No. 8971 (General Banking Law of 2000)
as amended, and R.A. No. 6426 (The Foreign Currency Deposit Act), and will exert reasonable
efforts to protect against unauthorized use or disclosure. However, I understand that information Signature
regarding my deposit account/s with BDO may be inquired to, or disclosed, in relation to the
evaluation of my application under this Form C4-C5, as may be required by applicable rules and Date Signed (mm / dd / yyyy)
laws and/or to ensure a successful debit under an Auto-Debit Payment Arrangement. Pursuant
to BSP Circular No. 472 Series of 2005 as implemented by BIR Revenue Regulation RR-4 2005, I
further authorize BDO to: (a) conduct random verification with the Bureau of Internal Revenue / /
in order to establish authenticity of the ITR, accompanying financial statements and such other
documents/information/data submitted by me and (b) to request information regarding the
status of any court case to which I may be a party.
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With Broker Broker Name and Signature Program / Promotion Date (mm / dd / yyyy) Others
Yes
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No
A7 - Foreign Account Tax Compliance Act (FATCA) Due Diligence Form
CIF Number
(for internal use)
I have a U.S. Telephone Number If ‘Yes’, provide your U.S. Telephone Number
I have a U.S. Address If ‘Yes’, provide your U.S. Address and / or P.O. Box Number
Unit No. Building / No. Block. Street Subdivision / District / Town
I have standing instructions for regular transfer of funds to an account in the U.S I have granted a Power of Attorney to a person with a U.S. address
By signing, I hereby certify that the information in this form is true and correct Date Signed
to the best of my knowledge. I undertake to advise BDO Group and provide (mm / dd / yyyy)
documentation for any changes to the above information.
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CIF Number
(for internal use)
Is your business classified under the online gaming industry? If ‘Yes’, identify the Appropriate Government Agency (AGA) that issued your license Yes No
Does your business provide service or have dealings / transactions with the online gaming industry? If ‘Yes’, identify the category/ies it belongs to Yes No
Customer Relations Provider Live Studio and Streaming Provider Strategic Support Provider Real Estate Brokers and
Developers
Gaming Software / Platform Provider POGO Hub / Real Estate Offshore Gaming Operator
Individuals acting as Real
IT Support Provider Special Class of BPO Offshore Gaming Operator Estate Agents/Brokers
Service
Do you have related interest / relationship with any business or service provider under the online gaming industry? Yes No
If ‘Yes’, identify your position/s and relationship/s
Do you process transactions related to the online gaming industry? If ‘Yes’, identify the type/s of transactions Yes No
What are the names of the clients and counter-parties that you are servicing?
By signing, I hereby certify that the information in this form is true and correct Date Signed
to the best of my knowledge. I undertake to advise BDO Group and provide (mm / dd / yyyy)
documentation for any changes to the above information.
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CIF Number
(for internal use)
Rank / Position of Relation / Affiliation Relation or Affiliation via Name of Affiliated Company
BDO Unibank
Rank / Position of Relation / Affiliation Relation or Affiliation via Name of Affiliated Company
BDO Unibank
Rank / Position of Relation / Affiliation Relation or Affiliation via Name of Affiliated Company
BDO Unibank
By signing, I hereby certify that the information in this form is true and correct Date Signed
to the best of my knowledge. I undertake to advise the BDO Group and provide (mm / dd / yyyy)
documentation for any changes to the above information.
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