AYA TRAVELCATIONS TOP UP APPLICATION FORM 

Please provide the following details and send to 

aya.starlegendsadventures@gmail.com 
◆ Email Subject: TOP UP FIRST NAME – DATE 
Example: TOP UP CHARRI – OCT 31, 2018 
◆ Full Name: REA ANGELA P. PURISIMA 
◆ Terminal ID: PHMXA029025200 
◆ Top Up Amount: 
◆ Date needed to Top Up: 
◆ Promissory date of payment: 
◆ Current address: 
◆ Active contact number with country code: 
◆ Active e-mail address: 
◆ Active FB/Messenger Account: 
◆ 2 Valid IDs 
◆ Sponsor’s full name and FB name: 
Credit Policy: 1. Php10.00 for every Php1,000 2. Jpy100 for every Jpy2,000. *Use 
Seven Bank app for accurate conversion. 3. Payment of credit should be done 
within 2 days. 4. Additional Php50 (Jpy100) for every succeeding day. 5. Kindly 
send a clear photo of receipt to aya.starlegendsadventures@gmail.com 6. Any 
misleading/false information given will lead to corresponding fine. 
BANK Details: 
Thank you for being responsible!