BDO Electronic Banking Enrollment

This will serve as proof/copy of your electronic banking enrollment. IMPORTANT REMINDERS FOR BDO ONLINE ENROLLMENT: 1. Please sign in and submit enrollment form within 30 days to any BANCO DE ORO branch, or mail to TBG-FU (Enrollment Section), 7th Floor South Tower Building, BDO Corporate Center, 7899 Makati Avenue, Makati C 2. BDO-Electronic Banking Unit shall process your E-Banking enrollment upon receipt of this form. The system will automatically delete enrollment data if the enrollment forms are not sent/submitted within 30 days. 3. You will receive an email notification from BDO once your enrollment has been processed. 4. You may inquire about the status of your enrollment by logging-in to BDO Internet Banking under "User With Pending Application".

Enrollment Transaction Reference No: ELECTRONIC BANKING ENROLLMENT

Channel Internet Banking ATM

OE1002151053230886654

Log-In ID krayzierj

CLIENT PROFILE
Mr.
Title:

Ramirez
Last Name

Ramijon
First Name Middle Name

Birth Date: Spouse's Full Name: Mother's Full Maiden Name:

Mar. 28, 1981 Teresita J. Ramirez

SSS No.: TIN:

CONTACT INFORMATION
Home Address No./St.: Village/Subd.: City: Zip Code: Work Address Company Name: Bldg./St.: City: Zip Code: Work Phone: Fax No.: blk. 65, lot 26, Zircon st. South Fairway Homes/Landayan San Pedro/Laguna Home Phone: Mobile No.: Email Address: rj_dope2000@yahoo.com 09272167077

ACCOUNT ENROLLMENT
Account No. Account Type Currency ATM Card Number Account Name Nickname

Page 1 of 2 Print Date: 02/17/2010

BDO Electronic Banking Enrollment

4490720230 Savings Account PHP 5194634490378842 Ramijon J. Ramirez RJ

Note: IB - Internet Banking; PB - Phone Banking; CC - Call Center; ATM - Automated Teller Machine; MB - Mobile Banking I have read and agreed to the Electronic Banking Terms and Conditions. I declare that the above information is accurate to my knowledge

Ramijon Ramirez FOR BANK'S USEUSE ONLY FOR BANK'S ONLY BDO - ELECTRONIC BANKING UNIT
Verified/Processed By:
Signature Over Printed Name

BDO BRANCH
Branch:

Date

Received By:
Signature Over Printed Name

Approved By: Date VCN:

Signature Over Printed Name Signature Over Printed Name

Date

Verified By: Date

Approved By:
Signature Over Printed Name

CIF: Date *** END OF REPORT ***

Page 2 of 2 Print Date: 02/17/2010