HERBALIFE INTERNATIONAL PHILIPPINES, INC.

26th Floor the Trade and Financial Tower,

7th Avenue Corner 32nd Street, Bonifacio Global City,
Fort Bonifacio, Taguig City 1634, Philippines
(02) 8555-2828/09190592828 (Call only) – Member Services
(02) 532547-25 – Member Services Fax
BANK ACCOUNT INFORMATION FORM
PHILIPPINES ONLY
REMINDER:
If you wish to receive your Philippine Herbalife Nutrition earnings through Direct Deposit (Electronic Fund Transfer (EFT) the following must be followed:
• Complete this form in BLOCK letters.
• Name stated below should match the name indicated in the proof of your Bank Account.
• Email this form together with the other requirements to memberservicesph@herbalife.com .
• Attach a bank statement, bank book front page or deposit slip verification (Proof of account indicating your name and bank account no.)
• Your account Holder Name should reflect the same information that is currently stored in the Herbalife system.
• Attach a copy of your TIN ID and/or any ID/Document specifying your TIN number.
• Below are the lists of Banks that you can use
AL-AMANAH ISLAMIC BANK CTBC BANK MAYBANK ROBINSONS BANK
ASIA UNITED BANK DEUTSCHE BANK MEGA ICBC SECURITY BANK
ANZ BANK DBP METROBANK SHINHAN BANK
BANCO DE ORO EASTWEST BANK MIZUHO BANK STERLING BANK
BANGKOK BANK EQUICOM SAVINGS BANK MUFG BANK SUMITOMO MITSUI BANKING CORP
BANK OF AMERICA FIRST CONSOLIDATED BANK PB COM STANDARD CHARTERED BANK
BANK OF CHINA HSBC PNB UNION BANK
BANK OF COMMERCE INDUSTRIAL BANK OF KOREA PSBANK UCPB
BPI ING BANK PHILTRUST UNITED OVERSEAS BANK
CHINA BANK SAVINGS, INC JP MORGAN VETERANS BANK WEALTH DEVELOPMENT BANK
CHINA BANKING CORP KEB HANA BANK PRODUCERS SAVINGS BANK YUANTA SAVINGS BANK
CITIBANK LAND BANK RCBC

All changes will be made upon compilation of this form and processing by Herbalife Nutrition. Please allow 10-15 business days for processing.
Note: If you are already set up for EFT and need to make changes to any of your banking information, please contact Herbalife Member Services. Please consult
the RP Career Book/IBO for complete information on necessary documents required to receive Herbalife Nutrition earnings.
Please check the box that applies
I have not previously supplied bank account information to Herbalife International Philippines, Inc.
I would like to change the bank account information which I previously supplied to Herbalife International Philippines, Inc.

MEMBER BANK ACCOUNT INFORMATION

HERBALIFE NUTRITION I.D. NUMBER PHILIPPINE TAX IDENTIFICATION NUMBER (TIN)

Please write your Bank Account Name as declared in your Bank
records
LAST NAME FIRST NAME MIDDLE NAME

MOBILE NUMBER ACCOUNT NUMBER

All personal data provided on this Form shall be treated as confidential by Herbalife Nutrition and Herbalife Nutrition will take reasonable steps to ensure that the information collected from you
remains secured. However, since no data transmission can be guaranteed 100% secure, Herbalife Nutrition shall not be held responsible for any loss, damage or harm done or suffered as a result
of any breach of confidentiality relating to the information you provided to Herbalife Nutrition.
The information provided in this form shall be used for internal purposes in relation to transmitting funds to you through the EFT. Herbalife Nutrition may also use the information to update its
other records or it may be necessary from time to time for certain information about you to be disclosed to other offices of Herbalife Nutrition and its affiliates, agents or third parties for purposes
relating directly or indirectly to your membership. Such information may, if required be sent to parties outside Philippines. If you have any questions regarding the foregoing, please contact
Member Services at the number above.
By completing this form, signing below and faxing or mailing it back to Herbalife Nutrition, I authorize Herbalife Nutrition to deposit my net earnings entitlement and any other sums due to me
in the blank account identified above. This authorization shall remain valid, effective and binding on me until and unless revoked by me in writing, via fax/mail and such revocation has been
received by Herbalife Nutrition. I understand and agree that Herbalife Nutrition shall have no liability whatsoever for any incorrect information provided by me in this Form and for any failure of
any deposit to reach my account in a timely and accurate manner, except that Herbalife Nutrition will fully cooperate with me to rectify such error if the error was due to Herbalife Nutrition’s
fault. I have read and understand the above terms.

I accept and declare that the information in this form are true & correct. Any inaccuracy will result to the delay of release of my earnings. I will not hold Herbalife International Philippines Inc.
liable in the event of wrong information provided.

Privacy Statement:
By signing this form, I acknowledge and consent that Herbalife Nutrition shall collect and process my personal data provided in or with this form for the purposes of processing my request,
fulfilling all legal and contractual requirements, and other business purposes described in its privacy policy in accordance with the Republic Act No. 10173, otherwise known as the “Data Privacy
Act of 2012” (“DPA”), and all regulations, orders, notifications, and other subsidiary legislation thereunder, and as set forth in its privacy policy located at https://www.herbalife.com.ph/footer-
pages/privacy-policy/, which forms an integral part hereof, as consistent with the DPA. I have read and understood the privacy policy and understand that Herbalife Nutrition will retain my
personal data for as long as necessary for the purposes for which it was collected, or as long as required by law. I consent that Herbalife International Philippines, Inc. may share my data with
Herbalife International of America Inc. and its affiliates, subsidiaries, related parties, associates, and third parties pursuant to its privacy policy and the Rules of Conduct and Nutrition Club Rules
which may be accessed at: https://www.myherbalife.com/ed/en-PH/pages/DocumentsAndPolicies/policies.html. I have the right to request access to my personal data and to amend or update
inaccurate or incomplete personal information, request deletion of my personal data or request that Herbalife no longer use my personal data in the manner as set out in the privacy policy. I
may email privacy@herbalife.com or call Member Services at (632) 8555-2828/09190592828 to make a request. I further understand that if I have concerns about Herbalife’s collection and use
of my personal information that Herbalife cannot resolve to my satisfaction, I have the right to lodge a complaint before the National Privacy Commission.

Applicant’s Signature: __________________________ Date: ___________________________________________

Members have Herbalife’s permission to duplicate this document REVISION: 3/12/2021