SIGNATURE CARD (INDIVIDUAL)

ACCOUNT NO. For PhilEquity Use Only

2004-A, East Tower, Philippine Stock Exchange Centre, Exchange Rd., Pasig City, Philippines 1605
(+632) 689 8080
(+632) 706 0795
sales@philequity.net
www.philequity.net

Type of Account
Account Name
Address
Telephone No.
For Joint Accounts

Individual

Joint OR

Joint AND

ITF

Email
AND (all signatures must be present for all transactions)
OR (any of these signatures may be present for all transactions)
PLEASE SIGN THREE (3) TIMES

Primary Investor First, Middle, Last Name

Co-Investor 1 First, Middle, Last Name

Co-Investor 2 First, Middle, Last Name

Signed in the presence of / Date

Verified By / Date

PHILEQUITY USE ONLY

Approved By / Date