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Enrollment of Other Person's Account

Confirmation Date & Time: Friday, Jan 10 2020; 10:30:37 AM (GMT +8)
Confirmation Number: 1578623437403
RM Number: 00000018314087
Account Name: Neil Michael Naling
Account Number: 2176436521
Relationship: Sibling
Purpose: Loan

Reminder
By signing below, I hereby:
• Authorize the Bank to process the enrollment;
• Re-affirm my acceptance of the terms and conditions covering the funds transfer facility;
• Acknowledge that the account will be available in the funds transfer facility of BPI Online
and BPI Mobile App, as well as the other electronic channels of the Bank, if applicable.

After signing, scan and send the enrollment form via email.
Email the scanned copy of the signed form to:
onlinebanking-enrollment@bpi.com.ph
Using the subject: 'Enrollment Request-Third Party Accounts'

Name: ____________________ Signature: ____________________


Please affix your specimen signatures on the spaces provided below.

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