EMPLOYEE INFORMATION VERIFICATION FORM

PERSONAL DATA
Employee No

Title Name Affix

Last Name Nick Name

First Name Marital Status

2x2 ID PICTURE
Middle Name Date of Marriage

Gender Female Male Religion

Date of Birth Place of Birth

ADDRESS

House No. and Street

Permanent
Address Barangay, Municipality

Postal Code City/Province Telephone No

House No. and Street

Current
Address Barangay, Municipality

Postal Code City/Province Telephone No

House No. and Street

Provincial
Address Barangay, Municipality

Postal Code City/Province Telephone No

COMMUNICATION & OTHER COMPANY IDs GOVERNMENT IDs

Email Address SSS No

Personal Email Address PhilHealth No

Office Landline No. & Local Pag-ibig No

Mobile No TIN

Robinsons Bank Shop Card Tax Status

No
FAMILY/DEPENDENTS DATA
Last Name Date of Birth

First Name Place of Birth

Father
Middle Name

Last Name Date of Birth

First Name Place of Birth

Mother
Middle Name

Last Name Date of Birth

First Name Place of Birth

Spouse
Middle Name Gender Female Male
 EMPLOYEE INFORMATION VERIFICATION FORM
Last Name Date of Birth

First Name Place of Birth

Child_01
Middle Name Gender Female Male

Last Name Date of Birth

First Name Place of Birth

Child_02
Middle Name Gender Female Male

(For the dependents please don't hesitate to use additional paper/cells if needed)
IN CASE OF EMERGENCY CONTACT

NAME Mobile No.

ADDRESS Landline
RELATIONSHI
P No.

WORK -RELATED DATA

Company Division

Work Assignment Union Affiliation

Location
Employment Status Employee Classification

Position Hiring Date

Dept/Section/Sub- Regularization Date

section
JG UMMIT EMPLOYMENT HISTORY

Company Start Date

Division End Date

Work Assignment Employment Status

Location
Position Employee Classification

Dept/Section/Sub- Union Affiliation

section

Company Start Date

Division End Date

Work Assignment Employment Status

Location
Position Employee Classification

Dept/Section/Sub- Union Affiliation

section

Company Start Date

Division End Date

Work Assignment Employment Status

Location
Position Employee Classification

Dept/Section/Sub- Union Affiliation

section

Company Start Date

Division End Date

Work Assignment Employment Status

Location
 EMPLOYEE INFORMATION VERIFICATION FORM
Position Employee Classification

Dept/Section/Sub- Union Affiliation

section
PREVIOUS EMPLOYERS

Previous Employer 01

Inclusive Company Position

Dates

Industry Employment Status Salary Immediate Superior & Contact No

Previous Employer 02

Inclusive Company Position

Dates

Industry Employment Status Salary Immediate Superior & Contact No

Previous Employer 03

Inclusive Company Position

Dates

Industry Employment Status Salary Immediate Superior & Contact No

EDUCATIONAL BACKGROUND

High FROM Course and Award

School
TO School

College/ FROM Course and Award

University
TO School

Graduate FROM Course and Award

School
TO School

Post- FROM Course and Award

Graduat
e School
TO School
GOVERNMENT LICENSES & OTHER CERTIFICATIONS
Date Institution License/Certification Grade

TRAINING RECORDS
Date Type Training Title Provider Location
 EMPLOYEE INFORMATION VERIFICATION FORM

NOTE:

Please provide extra sheet for additional FAMILY/DEPENDENTS DATA, JG SUMMIT EMPLOYMENT HISTORY, GOVERNMENT LICENCES
& CERTIFICATIONS, TRAINING RECORD.

I believe that the information I have supplied herein are true and correct to the best of my knowledge.

Signature Over Printed Name

 POLICY ON DRUG-FREE WORKPLACE ACKNOWLEDGMENT

I have read and fully understood our Policy on Drug-Free Workplace, and certify that I am not engaged in any
activity that conflicts with the said policy. I further understand that I am responsible for full and continuous
compliance with these policies in my activities on behalf of the Company.

I understand and agree that if I violate the said policy, it shall be a just cause for me to be discharged from
service.

Signed this day of , 20 at .

Signature & Date over Printed Name Job Title

Department Company / Division and Location

 CORPORATE GOVERNANCE

Chapter CODE OF BUSINESS CONDUCT Document No. Page

CORP-9000-EXH-01 1 of 1
Section CERTIFICATE OF COMPLIANCE Revision No. Effectivity.
15 December 2003

CERTIFICATE OF COMPLIANCE

I have read and fully understood our Code of Business Conduct, and certify that I am not engaged in any activity that conflicts with the said
Code. I further understand that I am responsible for full and continuous compliance with these policies in my activities on behalf of the
Company

Except as otherwise specified and noted in the Self-Disclosure Form (SDF) during the past year, I have been, I am presently, and I will continue
to be in full compliance with the policies stated in the Code.

Signature and Date over Printed Job Title Name

Department Company / Division and Location

INSTRUCTIONS FOR RETURNING CERTIFICATES

YOU MUST RETURN YOUR SIGNED CERTIFICATE OF COMPLIANCE TO THE PERSON INDICATED NEXT TO THE BUSINESS
UNIT / CORPORATE CENTER DEPARTMENT FOR WHICH YOU WORK.

Business Unit/Corporate Center Contact Person/Address

JG Summit Holdings, Inc.

Code of Business Conduct
 ROBINSONS LAND CORPORATION

EMPLOYEE NON-DISCLOSURE / NON-COMPETE AGREEMENT

I hereby acknowledge that it is an essential condition to my employment by Robinsons Land Corporation,

that I conform to this Employment Non-Disclosure / Non-Compete Agreement. Accordingly, I, having affixed my
signature below, hereby agrees and acknowledges, that I will at all times observe the following agreement:

NON-DISCLOSURE OF CONFIDENTIAL INFORMATION

That during the course of my employment, I may directly or indirectly have access to Confidential Information in
connection with the business of the Company. Said Confidential Information shall include but is not otherwise limited to
(a) Technical Information, such as methods, processes, formulae, compositions, blueprints, design, standards, systems,
techniques, inventions, machines, computer programs and research projects or results; and (b) Business Information,
such as but not otherwise limited to customer lists, pricing data, sources of supply, financial data, marketing strategies,
policies, systems or plans or any and all other similar non-public information which concerns the business, operations,
ideas or plans of the company. That I will never, at any time, either during my employment or after my separation from the
company, discuss, disclose, divulge, or make known to any person or persons, Confidential Information pertinent to the
company’s business, unless compelled to do so by the Court of Law.
That upon my separation from the company, I shall return all documents, records, files and other repositories of or
containing Confidential Information, including but not limited to drawings, blueprints, reports, manual, correspondence,
memos, customer lists, computer programs and passwords, and other materials relating in any way to the company’s
business.
COVENANT NOT TO COMPETE
I hereby agree that within Two (2) years from date of my separation or severance from my employment, I shall
not join or be employed by a company or business which directly competes with the Company.

Further, I agree that I will not, directly or indirectly, for the period of Non-Competition, commit any act or
omission that is likely to result in impairment of the business, interests, or business opportunities of the Company.

I understand and agree that if I violate the above non-disclosure/non-compete agreement, it shall be a just cause for
me to be terminated from employment, without prejudice to any penalties or lawsuits for injunctive relief and money
damages, as well as possible charges for breach of this agreement.

Signed this day of , 20 at

EMPLOYEE POSITION
(Signature over printed name)

EMPLOYER REPRESENTATIVE POSITION

 ROBINSONS LAND CORPORATION
COMPRESSED WORKWEEK SYSTEM
Individual Undertaking

The undersigned hereby state:

1. I am fully aware of the Compressed Workweek System to be implemented by Management.

2. I have been briefed about the Implementing Guidelines, and I understand that the Guidelines were drawn
up to ensure no diminution of benefits for covered employees. I also recognize and accept that on a long-term
basis, the System ensures the non-diminution of benefits. Should by chance it does, I hereby waive my right to
claim.

3. As a consequence of the compression of the 6-day workweek to a 5-day workweek, I know and accept
that I should work longer hours from Monday to Friday. As a rule, I as a Managerial employee, am not entitled to
overtime pay. More so, if I work longer working hours under a compressed workweek scheme. If at all I am
entitled, I hereby waive and forego my right to claim.

4. Likewise, I understand that if there is a holiday at the end of the workweek, and no work
schedule/rendered on said holiday, all the 9.6 hours of work rendered each preceding five days are entitled only
to regular pay. No holiday nor rest day premium. However, if I am required to work on a weekend holiday, all
hours of work are to be paid additional holiday and rest day premiums.

5. I also agree and accept that the Compressed Workweek System could be stopped by Management at
anytime for whatever reason. I recognized and accept the prerogative of Management to revert to the 6-day
workweek.

6. I understand and hereby agree that despite the compression of the 6-day workweek to 5-day workweek,
the prevailing 313-factor shall continue to be observed in all respects.

7. Overall, I hereby express conformity and acceptance of the Compressed Workweek System and its
Guidelines, or its modifications, without reservation and qualification.

Employee’s Signature Over Printed Name

Compressed Workweek
Non-EP
 ROBINSONS LAND CORPORATION
DATA PRIVACY EMPLOYEE CONSENT LETTER

In compliance with the requirements of Republic Act No. 10173, also known as the Data Privacy Act of 2012, its Implementing Rules and
Regulations (collectively, the “DPA”), circulars of the National Privacy Commission (the “NPC”), including any amendments thereto, this Data
Privacy Employee Consent Letter (the “Consent Letter”) is hereby executed to ensure that [insert name of company]’s (the “Corporation”)
employees are fully informed about how the Corporation uses their personal information and that they agree to the collection, use, processing,
storage, retention and disposal or destruction of their information.

Collection of Information

The Corporation may have asked you to provide personal data from the time you applied or were referred for a position in the Corporation or
may request for further information during your employment with the Corporation. Such data may cover personal information (including
sensitive personal information), such as but not limited to:

(1) Contact details, such as your name, home address, telephone numbers, e-mail address and contact details of others that you
provide, such as who to contact in case of an emergency, details of your dependents and/or life assurance beneficiaries.

(2) Financial information relating to your compensation, benefits and retirement arrangements, such as details of your salary and any
deductions, bank account, tax codes, tax identification number, social security number, Pag-Ibig and Philhealth numbers.

(3) Recruitment information, such as your resume or curriculum vitae, interview notes or application forms, job offer, background
information and third-party references, NBI clearances, psychological/medical examination results, licenses and academic transcripts,
certificates and/or diplomas.

(4) Employment administration information, such as employment and career history, case records, photographs, employment
contract and/or other agreements with the Corporation, performance information (including appraisals or other internal
communication), attendance records, official business travel, skills records, training records, records of projects worked on, and/or
termination/separation details.

(5) Information about participation or involvement in any criminal, civil or administrative proceedings whether in relation to your
position or not.

(6) Information about access and attendance to premises and physical assets, such as security records about times of entry and exit.

(7) Other information which you voluntarily provide in the course of application or employment that is necessary to hold or use for
the purposes indicated below.

(collectively referred to as “Personal Information”)

Your Personal Information may have been or may be collected directly or indirectly from you, or from third parties to which you have provided
such information.

Use of Information by the Corporation

Your Personal Information is used for the following purposes:

(1) Administration of employee-related activities and benefits, such as but not limited to recruitment; payment of salaries; provision
of sickness and maternity benefits; assessment and training; time-keeping; staff and duty travel; monitoring of compliance with
company policy; performance management; advancement planning; and communication.

(2) Planning and management activities, such as but not limited to scheduling, rostering, progress monitoring, and forecasting.

(3) Support services, such as but not limited to, security (including use of security cameras, access to the building/parking), office
administration, marketing, finance and legal (including bringing and defending suits) functions.

Data Privacy Employee Consent Letter

Page 1 of 3
 (4) Record keeping and databases purposes, so that the Corporation may perform its obligations as employer.

(5) Conduct of market research, profiling and data analysis so that it may improve on any products/services/facilities offered to
you.

(6) Reporting as may be required by law.

(7) Data sharing with the Corporation’s subsidiaries, affiliates, and trusted partners for the above-
mentioned purposes so they can inform you of their products, improve the products/services/facilities that they offer to you, and/or cross-sell
their products to you.

Storage and Processing of Information by the Corporation

Access to your information is only to those with a clear “need to know” for the purposes indicated above. Your information may be stored in
paper or electronic formats in our data storage facilities or data servers. The Corporation has taken reasonable steps to safeguard your data by
restricting who may access the same and by installing physical and electronic security systems.

The Corporation may disclose your Personal Information to a contracted third-party which the Corporation has appointed to provide services to
or for the Corporation. In this circumstance, the third-party will be provided with your Personal Information only in order to carry out the
function/s for which they have been appointed. The Corporation will ensure that your right to privac y is maintained and the third-party is itself
subject to the requirements of the Data Privacy Act (as may be amended).

The Corporation will only store your information for as long as the purpose for collecting the same exists or as required by law, regulation, and
our policies. Thereafter, it will destroy the same when retention is no longer necessary.

Disclosure of Information

Should the Corporation receive any request for disclosure of your Personal Information from the government or any regulatory agency, the
Corporation shall ensure that there is a proper legal basis before making any such disclosure. Any disclosure other than what has been indicated
herein shall only be done with your prior consent.

Retention of Information

The Corporation will retain your Personal Information during the term of your employment for the purposes indicated above. After the term of
your employment (whether through resignation, retirement or termination), your Personal Information will be retained in compliance with
applicable legal or regulatory requirements and archived as historical data of the Corporation. Your Personal Information shall be disposed of or
destroyed as soon as the Corporation shall no longer need the same.

You may request for a copy of the information the Corporation holds about you, which the Corporation may provide in paper or electronic
form, provided that it is given reasonable time to extract and reproduce the same in accordance with the circumstances surrounding said request.
In case of any errors, you may request to have the necessary correction or removal made. Unless there are legal, practical and contractual
reasons, rest assured the Corporation will process your request.

If you have any data privacy concerns, requests, objections to processing, complaints, and feedback on the foregoing, you may course the same
through the Data Protection Officer Dennis R. Llarena with email address dennis.llarena@robinsonsland.com.

This Consent Letter shall be governed by and construed in accordance with the laws of the Republic of the Philippines. Any dispute arising
hereunder shall be brought before the relevant courts of Pasay City.

If any provision of this Consent Letter is found by a court of law or other competent authority to be void and unenforceable, such provision
shall be deemed to be deleted and the remaining provisions of this Consent Letter shall continue in full force and effect.

Data Privacy Employee Consent Letter

Page 2 of 3
 CONFORME

I, , knowingly and willingly consent to the collection, use, storage, processing, retention, and
disposal or destruction of my Personal Information in accordance with the terms and conditions stated above.

I acknowledge, consent and warrant that my Personal Information was provided voluntarily and may be processed and made accessible to the
Corporation’s employees, service providers, subsidiaries, affiliates, partners, and clients. I authorize the Corporation to obtain additional
information about me through my use of products/services, social media, data-sharing with the Corporation’s subsidiaries and/or affiliates that
have also obtained my consent or through research from other organizations (e.g. credit card associations, credit bureaus, fraud prevention
agencies, online database).

By signing and submitting this Consent Letter, I agree to hold the Corporation, its directors, officers and employees, free and harmless from and
against any and all losses, expenses, liabilities and claims of any nature, which it may suffer or incur from or in connection with its reliance on
this Consent Letter.

Signature Over Printed Name

Date:

Data Privacy Employee Consent Letter

Page 3 of 3
 Beneficiary Designation Form

The Manufacturers Life Insurance Co. (Phils.), Inc.

Head Office: 10th Floor NEX Tower, 6786 Ayala Avenue, Makati City, 1229 Philippines
Customer Care: (02) 884-7000
Domestic Toll-Free: 1-800-1-888-6268
Website: www.manulife.com.ph Email:phcustomercare@manulife.com

Please answer completely and accurately. If possible use black ink. Any change should be initialled by proposed insured and/or owner/payor.
Employer / Policyholder Policy Number

INSURED MEMBER’S INFORMATION

Name (Title) (Last) (First) (Middle)

Date of Birth (YYYY/MM/DD) Sex [ ] Male Civil [ ] Single [ ] Married Height [ ] cm Weight [ ] lbs
[ ] Female Status [ ] Separated [ ] Widowed [ ] ft/in [ ] kls

Date of Birth (YYYY/MM/DD) Place of Birth

Permanent Residence Address (Number, Street, City & Province)

Zip Code [ ]
Office Address (Number, Street, City & Province)

Zip Code [ ]

Date of Birth Relationship of

Secondary Beneficiary/ies Place of Birth Revocable Irrevocable Citizenship
(YYYY/MM/DD) Applicant
Primary [ ] [ ]

Contingent [ ] [ ]

Trustee to Minor Beneficiary/ies [ ] [ ]

Note : All designated beneficiary/ies are deemed revocable unless stated otherwise.

Signed at By
Signature of Applicant

Date Witness
Signature over Printed Name

Form No. GAT005-B (0414)