Supplemental Form for Online Gaming Business

Account Name Account Number

____________________________________________________________________ _________________________________________

YES NO

1. Is your business classified under the online gaming industry? c c

If yes, please identify the Appropriate Government Agency (AGA) that issued the license:
c PAGCOR c CEZA c APECO c AFAB c Others, please specify: ____________________________

2. Does your business provide service or have dealings/transactions with the online gaming industry? c c

If yes, please specify which category it belongs to:

c Customer Relations Provider c POGO Hub/Real Estate
c Gaming Software/Platform Provider c Special Class of BPO
c IT Support Provider c Strategic Support Provider
c Live Studio & Streaming Provider

3. Do you have related interest/relationship with any business or service provider under the online gaming industry? c c

If yes, please specify your position/relationship:

c 20% Stockholder c Primary Officer (President, Treasurer, Secretary, etc.)
c 20% Ultimate Beneficial Owner (UBO) c Employee
c Others, please specify: _________________________

4. Do you process transaction related to the online gaming industry? c c

If yes, please provide information:

c Remittance facilitation between online gaming business and its clients
c Processing of pay-outs
c Others, please specify: _________________________

5. What are the names of the clients and counter-parties that you are servicing?

__________________________________________ __________________________________________

__________________________________________ __________________________________________

By signing, I undertake to advise the bank if I will be directly/indirectly exposed to the online gaming industry.

________________________________________________________
Signature over Printed Name / Designation / Date Signed

For Business Account:

N/A
Name of Business: _______________________________________________________________________________

Business Authorized Signatories

N/A
_____________________________________________________ _____________________________________________________
Signature over Printed Name Designation / Date Signed

N/A
_____________________________________________________ _____________________________________________________
Signature over Printed Name Designation / Date Signed

N/A
_____________________________________________________ _____________________________________________________
Signature over Printed Name Designation / Date Signed