CARD SME Bank, Inc.

A Thrift Bank
A member of CARD MRI

konek2CARD INFORMATION SHEET

NAME OF BRANCH:
NAME OF UNIT:
NAME OF CENTER:
Full Name CID Birthday Mobile Number Educational Source of Fund Occupation Signature
(First, Middle, Last) Attainment

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Waiver/Consent of Confidentiality

“I/We signify my/ our consent and agree that CARD SME Bank, Inc., (a) may collect, use and disclose my/our personal data, as provided in this document, or obtained by CARD SME Bank, Inc. as a result of
being its client, for the purpose of processing this document and (b) to the disclosure and sharing of said information to CARD SME Bank’s subsidiaries/affiliates: and further understand that I/we have a
right to amend/revise the information that I/we have provided including deletion of the said information in accordance with the Data Privacy of 2012 and CARD SME Bank, Inc. data protection policy.”