ACQUIRED ASSET BUYER’S PROFILE

INDIVIDUAL
I. MANDATORY INFORMATION
LAST NAME FIRST NAME MIDDLE NAME

DATE OF BIRTH (MM/DD/YYYY) PLACE OF BIRTH NATIONALITY COUNTRY OF RESIDENCE

PRESENT ADDRESS TELEPHONE NUMBER (Residence)

ZIP CODE FAX NUMBER (Residence)

PERMANENT ADDRESS MOBILE PHONE NUMBER

ZIP CODE E-MAIL ADDRESS

NATURE OF WORK/SELF-EMPLOYMENT/BUSINESS NAME OF EMPLOYER/BUSINESS TIN

SSS/GSIS NO.

EMPLOYMENT STATUS GROSS ANNUAL SALARY/INCOME (in pesos or peso equivalent) SOURCE OF FUNDS
EMPLOYED 250,000 and below More than 1,000,000 to 1,500,000 SALARY/EMPLOYMENT COMMISSIONS BUSINESS

SELF-EMPLOYED More than 250,000 to 500,000 More than 1,500,000 PENSION REMITTANCES (Pls. specify country of origin) ________________

UNEMPLOYED More than 500,000 to 800,000 OTHERS (Please specify) _____________________________________________

RETIRED More than 800,000 to 1,000,000

II. CLIENT PROFILING

CIVIL STATUS GENDER NO. OF CHILDREN NO. OF DEPENDENTS (other than
children)
UNMARRIED MARRIED WIDOWED MALE FEMALE
SEPARATED (legally) DIVORCED/ANNULED
MOTHER’S MAIDEN NAME (first name not required) TYPE OF ID PRESENTED ID NUMBER

EMPLOYER/BUSINESS ADDRESS PREFERRED MAILING ADDRESS

Current Home Address
ZIP CODE
Permanent Home Address

JOB TITLE/POSITION
Top/Senior Management Rank and File/Clerical Overseas Filipino Worker Self-employed Others (please specify)

Manager/Middle Management Professional/Consultant Government Employee Student _________________________________

SPOUSE’S INFORMATION
SPOUSE’S LAST NAME SPOUSE’S FIRST NAME SPOUSE’S MIDDLE NAME

DATE OF BIRTH (MM/DD/YYYY) PLACE OF BIRTH NATIONALITY COUNTRY OF RESIDENCE

PRESENT ADDRESS TELEPHONE NUMBER (Residence)

ZIP CODE FAX NUMBER (Residence)

PERMANENT ADDRESS MOBILE PHONE NUMBER

ZIP CODE E-MAIL ADDRESS

NATURE OF WORK/SELF-EMPLOYMENT/BUSINESS NAME OF EMPLOYER/BUSINESS TIN SSS/GSIS NO.

EMPLOYER/BUSINESS ADDRESS JOB TITLE/POSITION

Top/Senior Management Rank and File/Clerical Overseas Filipino Worker

Manager/Middle Management Self-employed Professional/Consultant

Government Employee Student Others (please specify)
____________________
EMPLOYMENT STATUS GROSS ANNUAL SALARY/INCOME (in pesos or peso equivalent) SOURCE OF FUNDS
EMPLOYED 250,000 and below More than 1,000,000 to 1,500,000 SALARY/EMPLOYMENT COMMISSIONS BUSINESS
SELF-EMPLOYED More than 250,000 to 500,000 More than 1,500,000 PENSION REMITTANCES (Pls. specify country of origin) ___________
UNEMPLOYED OTHERS (Please specify) __________________________________
More than 500,000 to 800,000 More than 800,000 to 1,000,000
RETIRED
OTHER THAN PURCHASE OF ROPA, WHAT ARE OTHER TYPES OF PRODUCTS AND SERVICES ARE YOU AVAILING FROM THE BANK (Please check ALL that apply)
Regular Savings Deposit (Passbook-Based)/ATM Savings Deposit/ Auto Credit/Debit/Pension
Savings Payroll Account/Prepaid Debit Card Accounts Inward Remittance (specify country of origin) _______________________________________________
Current/Checking Account Outward Remittance (specify country of destination) __________________________________________
Time Deposit/Trust or Treasury Products Others _____________________________________________________________________________

Do you hold a prominent public position in the Philippines/a Foreign State/an International Organization? Government Office Position
Yes __________________________ __________________________ No
Does your spouse/partner/child/child’s spouse/parent/parent-in-law hold prominent public position in the Name of Relative Gov’t Office & Position
Philippines/a Foreign State/an International Organization? Yes __________________________ __________________________ No

Are you a Close Associate of a person who holds a prominent public position in the Philippines/a Foreign Name of Official Gov’t Office & Position
State/an International Organization? Yes __________________________ __________________________ No

PURPOSE FOR PURCHASE OF ROPA

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I. CREDIT INFORMATION
A. METROBANK DEPOSITOR
BRANCH OF ACCOUNT ACCOUNT NAME TYPE OF ACCOUNT

OTHER BANKS DEPOSITOR

NAME OF BANK/BRANCH ACCOUNT NAME TYPE OF ACCOUNT

B. CREDIT CARD
ISSUING COMPANY TYPE OF CREDIT (local, international) CREDIT LIMIT

II. CERTIFICATION

By signing below, I/we hereby certify and attest to the fact that all the information represented and given by me/us is true and correct, that the
undersigned is the direct/actual purchaser of the property indicated in my/our Reservation Agreement and is buying the property on my/our own accord,
that the undersigned has the financial capability to purchase the property, and that any and all material misrepresentation or falsity therein shall be
construed as an act to defraud METROPOLITAN BANK & TRUST CO. (Metrobank) for which civil and/or criminal liability can be pursued against
me/us. Any changes in the foregoing information shall be promptly communicated to the Bank. I/we hereby authorize Metrobank to verify and
investigate any and all information given by me/us as Metrobank may deem appropriate.

I/we also certify that I/we have read and understood and agree to be bound by the terms and conditions governing the transaction including
any and all amendments thereto. All charges on the transaction except Creditable Withholding Tax shall be for my/our sole and exclusive account and
responsibility. All the terms, conditions and provisions pertinent to this transaction shall also be binding and enforceable upon my/our heirs, successor-
in-interest, and assignees.

I/we shall hereby hold Metrobank free and harmless from any and all losses, damages, responsibilities, or liabilities arising out of or as
consequence of the awarding of and subsequent sale of the property.

Once approved by Metrobank, all provisions of this information sheet are deemed incorporated in the Contract to Sell or Deed of Absolute
Sale, or whatever other documents are to be executed by the parties hereinafter.

__________________________________________
<Buyer’s Signature Over Printed Name>/Date

I. PRIVACY NOTICE

Metrobank recognizes its responsibilities under the Data Privacy Act of 2012 (R.A. 10173). We are collecting your personal information and/or sensitive
personal information in compliance with the Anti-Money Laundering Act, as amended, and its implementing rules and regulations for purposes of
coordination, evaluation and background and credit investigation.

You may revoke these authorizations at any time by notifying in writing your branch of account, Relationship Manager or the bank’s Data Privacy Officer
at dataprotectiondept@metrobank.com.ph. If you revoke these authorizations, it may affect our ability to process your proposal to purchase
Metrobank’s acquired assets.

All personal information collected will be stored in a secured location; retained in accordance with Metrobank’s retention policies; and only authorized
employees will have access to them.

If you think that our personal data was mishandled in terms of confidentiality or integrity, or if someone tampered with your personal data without your
consent, please do not hesitate to contact our Data Privacy Officer through the following:

Data Privacy Officer

21F Metrobank Plaza
Sen. Gil Puyat Avenue, Makati City 1200
Telephone Number: 63-2-8988557
Fax Number : 63-2-8934084
E-mail Address: dataprotectiondept@metrobank.com.ph

MB-V-43.1-t/Oct. ’18

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