ALAWAN EXPRESS PERA PADALA MURA, MABILIS, WALANG Palawan Pawnshop Building, 170 Rizal Avenue, Puerto Princesa City 5300 SEND MONEY FORM “cae WKM SENDER: Name v MARILOU NIVERA Mobile No. W +9639121741837 Suki Card # RECEIVER: Name W OTHERS P1NY1E4 IMG Mobile No. v Destination Branch AMOUNT ® wW 5,500.00 Purpose of Transaction 0 PAYMENT oe fo Y cLIENT/MEMBER Total By signing this form, | acknowledge that transactions under Palawan Express Pera Padala (PEPP) are subject to Anti-Money Laundering and Terrorist Financing Prevention (AML-TFP) laws and PEPP policies. Further, | attest that | have read, understood and accepted the terms and conditions of Palawan Express Pera Padala set out at the reverse side of this form. CUSTOMER SERVICE: 09989621869 / 07173013868 / 07328508613 ] Fee v MARILOU NIVERA Signature over Printed Name Signature over Printed Name Sender PEPP Authorized Personnel Version 04.05.18