PAY CARD APPLICATION FORM

(This is not a Deposit Account)

BUSINESS NAME TAX IDENTIFICATION NO ESTABLISHMENT DATE

(MM/DD/YY)
CHIOSON DEVELOPMENT CORPORATION 005-105-501-000
OFFICE ADDRESS (No., Street, City/Municipality/Province) ZIP CODE TYPE OF OWNERSHIP

P.SANCHEZ STREET,RIVERSIDE CANDUMAN,MANDAUE CITY 6014 CORPORATION

EMAIL ADDRESS BUSINESS NUMBER (S) BUSINESS DESCRIPTION

MANUFACTURING
032 344-0458
BUSINESS CONTACT PERSON/S AND TELEPHONE NUMBER/S NO. OF CASH CARDS REQUIRED: 7
PREFERRED EMBOSSED NAME (limited to 26 characters ):
SAMUEL L. CHIOSON / (032) 344-0458
To be delivered by: (pls. check)  Metrobank Courier  Pick-up
By signing below, I/We have fully understood, and agree to be governed by the Terms and Conditions which are or may be applicable to the Metrobank Pay Card
and all facilities or services rendered/to be rendered by the Bank, its subsidiaries or affiliates. I/We fully understand the corresponding risks entailed in availing of
such banking products, facilities or services. Further, our continued use and/or availment of such banking products, facilities, or services shall mean our
conformity to any and all supplement/s, modification/s or amendment/s of such Terms and Conditions which may be posted in conspicuous places within the
Bank's premises or which may be published in any other manner. I/We also attest to our business information are true, correct and voluntary given.

SAMUEL L.CHIOSON CHARMAINE B. CHIOSON

Company’s Authorized Signatory Company’s Authorized Signatory
(Signature Over Printed Name) (Signature Over Printed Name)
For Bank’s Use Only

SIGNATURE AUTHENTICATED BY: APPROVED BY:

______________________
BRANCH OPERATIONS OFFICER (BOO)

MB-I-M-59-t/May ‘07