REQUEST FOR CUSTOMER UPDATE

(For Metrobankdirect-Retail)
Indicate a checkmark ( ) in the appropriate boxes and fill out applicable spaces.

CUSTOMER NAME :
BRANCH/UNIT :

Metrobankdirect (Internet Banking) Metrobank Mobile Banking Facility (MoBF)

CUSTOMER ID : MOBILE NO. :

Enable / Disable / Delete User ID

Change of Email Address Reset MPIN
Change of Mobile Number to Suspend MoBF
Manage Transaction Limits Reactivate MoBF
ACCOUNT NO. FUNCTION AMOUNT Terminate MoBF
FT BP Others Change in Account Enrollment
FT BP Others ACCOUNT NO. UC* AT**
FT BP Others 1
FT - Fund Transfer BP - Bills Payment 2
Add/Delete Own/3rd Party Account/s 3 `
ACCOUNT NO. *UC / **AC ACCOUNT NAME / NICKNAME

1
OTHERS
2

OTHERS

* Update Code (UC) : A - Add D - Delete M - Modify

* Update Code (UC) : A - Add D - Delete M - Modify ** Account Type (AT) : O - Own Account T - Third Party Account ** Account Type (AT) : O - Own Account T - Third Party Account

REQUESTED BY:

Customer's Signature Over Printed Name Date

FOR BANK'S USE ONLY

VERIFIED BY: APPROVED BY:

BRANCH
Signature Over Printed Name Signature Over Printed Name
`
ENCODED BY: CHECKED BY:
E-BANKING DIVISION
Signature Over Printed Name Signature Over Printed Name

MB-I-M-73-t/Rev. Mar. '14

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