You are on page 1of 6

CUSTOMER INFORMATION SHEET

FOR INDIVIDUAL CUSTOMER

CUSTOMER NO.: ______________________________ DATE CREATED/UPDATED (mm/dd/yyyy): _________________________

PERSONAL INFORMATION
Full Name (First Name, Middle Name, Last Name)

Date of Birth (mm/dd/yyyy) Nationality Citizenship

Sex Place of Birth Civil Status


PHOTO
Mother’s Maiden Name (First Name, Middle Name, Last Name) No. of Children

Present Address (No./Street, Subd.,Brgy./Dist./Municipality/City,Province) ZIP Code

Permanent Address (No./Street, Subd.,Brgy./Dist./Municipality/City,Province) ZIP Code E-mail Address

Residential Phone Number (Area code + Tel. no) (optional) Primary Mobile Number Secondary Mobile Number (optional) Tertiary Mobile Number (optional)

SPOUSE INFORMATION
Name of Spouse (First Name, Middle Name, Last Name) Date of Birth (mm/dd/yyyy) Profession

FINANCIAL INFORMATION
Occupation
Employed OFW/Overseas Filipino Farmer/Fisher Unemployed Lawyers/Notary/Independent Legal Professional/Accountant
Self-employed Retired Student/Minor Housewife Government Official

Tax Identification Number (TIN) - - - 0 0 0


Source of Wealth (1-Primary, 2-Secondary, 3-Other Source)

Salary/Honoraria Other Remittance Grant/Scholarship/Awards/Prizes/Benefits Fees and Charges

Interest/Commission Donations/Inheritance Royalties/Commission Taxes and Licenses

Business Allowance Sale of Assets Others - with documents

Pension Professional Fees - Others Loans Others - without documents

Regular Remittance Professional Fees - Lawyers/Notary/Independent Government Appropriations


Monthly Gross Income/Pension/Allowance
Php 30,000.00 and below Php 30,000.01-50,000.00 Php 50,000.01-100,000.00 Php 100,000.01-500,000.00 Over Php 500,000.00
Annual Gross Income/Pension/Allowance
Php 360,000.00 and below Php 360,000.01-600,000.00 Php 600,000.01-1,200,000.00 Php 1,200,000.01-6,000,000.00 Over Php 6,000,000.00
EMPLOYMENT INFORMATION
Employer’s Name Employer’s Address (No./Street, Subd.,Brgy./Dist./Municipality/City,Province)

Job Title Employment Date (mm/dd/yyyy) Phone/Fax Number

Nature of Business/Economic Activity


1700 - Private Household with Employed Persons G4547 - Wholesale and Retail Trade, Repair of Motor T9798 - Activities of Private Households as Employers and Undifferentiated
1800 - Extra-territorial Organizations and Bodies Vehicles and Motorcycles Goods and Services and Producing Activities of Households for own
1204 - Jewelry and Precious Stones Dealer H4953 - Transportation and Storage use (e.g., Activities of Households as Employers of Domestic Personnel
1005 - Foreign Exchange Dealer/Money Changer/ I5556 - Accommodation and Food Service Activities such as Maids, Cooks, Waiters, Valets, etc.)
Remittance Agent J5863 - Information and Communication U9900 - Activities of Extraterritorial Organizations, and Bodies (e.g., Activities of
A0103 - Agriculture, Forestry, and Fishing K6466 - Financial and Insurance Activities International Organizations, such as, United Nations, ASEAN, etc.)
B0509 - Mining and Quarrying L800 - Real Estate Activities V0000 - Others
C1033 - Manufacturing M6975 - Professional, Scientific, and Technical Activities V0001 - Others - Student/Minor/Retiree/Pensioner
D3500 - Electricity, Gas, Steam, and N7782 - Administrative and Support Service Activities V0002 - Others - Unemployed/Housewife
Air-conditioning Supply O8400 - Public Administrative and Defense; Compulsory 9200 - Gambling and Betting Activities
E3639 - Water Supply, Sewerage, Waste Social Security 9210 - OGOs and OGO Service Providers
Management and Remediation Activities P8500 - Education 9220 - Casinos
(e.g., Cleaning Up of Oil Spills) Q8688 - Human Health and Social Work Activities
F4143 - Construction (e.g., Construction of R9093 - Arts, Entertainment, and Recreation
Buildings, Railroad Infrastructures) S9496 - Other Service Activities (Activities of Membership
Organizations)

CIS - Individual | Page 1 of 3 Revised August 2021


ADDITIONAL INFORMATION
List of Companies where Depositor is a Director/ List of Companies where Depositor is a Signatory
Officer/Stockholder with Related Interest
Company Name Company Name

___________________________________________________________________________ ____________________________________________________________________________

___________________________________________________________________________ ___________________________________________________________________________

___________________________________________________________________________ ___________________________________________________________________________
Existing Accounts with LANDBANK Existing Accounts with Other Banks
Bank Branch Name Account Type
Savings Current Treasury None
_________________________ ________________________ _____________________
Time Deposit Trust Credit Card
_________________________ ________________________ _____________________
Loans Trade With ATM _________________________ ________________________ _____________________

Relationship to Official of Government/International Organization

Full Name Relationship Position Government Branch/Organization Name

_________________________________________ ____________________________ _________________________________ _________________________________________________

_________________________________________ ____________________________ _________________________________ _________________________________________________

_________________________________________ ____________________________ _________________________________ _________________________________________________

iAccess ENROLLMENT
Request for enrollment iAccess Others (please specify) ____________________________________________________________________________________

Account Type* Account** Fund Transfer**


Account Number Bills Payment
Individual (I)/Joint (J) Own 3rd Party Source Destination

- -

- -

- -

*Indicate (I) if Individual account or (J) if joint account. For joint “and” account, only inquiry services can be enrolled.
**Put a check (✓) mark to whichever is applicable.
Bills Payment (Limited to individual/joint “or” accounts) Note: All enrolled deposit accounts will be activated for Bills Payment feature
Merchant/Agency Subscriber’s Name Reference Number*

*For verification of your reference number, please present your latest Billing Statement from your merchant.
Note: Please indicate “NOT APPLICABLE” or “NA” for fields with no applicable data and “Nothing Follows” immediately after the last item.
I certify that the above information is true and correct. I hereby consent to the provisions of the Republic Act No. 10173 (Data Privacy Act of 2012).

N A T
G
U
I

R E * V
S
D *

E
E

________________________________________________________
R I F I

Signature over Printed Name

CIS - Individual | Page 2 of 3 Revised August 2021


VALID IDS AND DOCUMENTS PRESENTED

ID Type ____________________________ ID Number ___________________________ Document Name ______________________ Document Name ______________________

ID Type ____________________________ ID Number ___________________________ Document Name ______________________ Document Name ______________________

ID Type ____________________________ ID Number ___________________________ Document Name ______________________ Document Name ______________________

For US person under Foreign Account Tax Compliance Act (FATCA) Are you a U.S. Person? YES NO
If yes, please provide the following:
U.S. Address: ZIP Code

U.S. Phone no.: (Area Code + Telephone number) Length of Stay in the U.S. U.S. TIN

I certify that the above information is true and correct. I hereby consent to the provisions of the Republic Act No. 10173 (Data Privacy Act of 2012).

G N A T
I

E D * S

U
R E *
V

I
E R I F
________________________________________________________
Signature over Printed Name
Validated by: Approved by:

____________________________________________ __________________ ____________________________________________ __________________


Signature over Printed Name Date (mm/dd/yyyy) Signature over Printed Name Date (mm/dd/yyyy)

ACKNOWLEDGMENT SECTION

CTD CARD PASSBOOK CHECKBOOK

N A T U
G

R
I
S

E * V
D *

E
E

R I F I
________________________________________________________
Signature over Printed Name

FOR BANK USE ONLY


Approved by: Released by:

____________________________________________ __________________ ____________________________________________ __________________


Signature over Printed Name Date (mm/dd/yyyy) Custodian Date (mm/dd/yyyy)

CIS - Individual | Page 3 of 3 Revised August 2021


LAND BANK OF THE PHILIPPINES
DEPOSIT ACCOUNT TERMS AND CONDITIONS
INDIVIDUAL AND SOLE PROPRIETOR

The following Terms and Conditions (T&C) of insufficiency of funds, forgery, unauthorized and hereby waive the presentation for payment the account at its sole discretion, without need
shall govern my/our deposit account/s with overdraft, stoppage or any other reason. of the original to LBP. of prior notice, at any time if the Account is without
LANDBANK “LBP” and “Bank” shall refer to any outstanding balance, or that the depositor
Whenever improper or erroneous credit is made Whenever the Account is mishandled as
LANDBANK. “I,” “We,” “me,” “us,” “my,” and “our” turns out to be a fictitious/false individual, the
on the Account, LBP shall, without prior notice when the same is overdrawn or whenever an
shall refer to any person who opens an account deposit is used for fraudulent purposes, or any
and regardless of the intervening time that has amount is withdrawn in excess of the required
with LBP. “ATM Card” refers to the Automated reason that LBP deems necessary to protect its
elapsed be authorized to debit back any item minimum balance, I/we obligate to pay LBP the
Teller Machine (ATM) Card issued by LBP. interest.
previously credited. debit balance appearing, if any, in the Account
These T&C shall govern the use of passbook, and/or LBP’s applicable service charges. 21. Miscellaneous
5. Interbranch Deposit
checkbook, ATM Card, LANDBANK Visa Debit Card I/We further authorize LBP to close the Account I/We attest that the information provided herein
Interbranch deposit is allowed subject to LBP’s
(LVDC) and LBP’s Electronic Banking (e-Banking) when mishandled and to report the fact of said are true, correct and voluntarily given. LBP is
existing policy.
facilities and services such as PhoneAccess, closure and the reason therefor with the Banker’s authorized to give information on the Account
iAccess, Mobile Banking, etc. including any and 6. Passbook Association of the Philippines or any central to appropriate agencies in case of questionable
all amendments thereto, and such other rules, Where the Account is Passbook-based, I/we monitoring entity or body. implementation thereof, and represent and
regulations, terms and conditions as may be agree that nothing shall be written therein warrant that the opening of the Account and all
14. Stop Payment Orders on Current Account
issued by the Bank from time to time. which are not authorized by LBP. LBP shall not transactions made thereon are not in violation
Stop payment orders may only be honored when
be responsible for any sum recorded therein thereof. I/We acknowledge that LBP is duly bound
By signing on the T&C or my/our use of the filed under such form and manner as may be
without LBP’s authorization. In the event of any to comply with certain requirements under the
passbook, checkbook, ATM Card or LVDC and prescribed by LBP and before LBP’s certification,
discrepancy between the entries in the Passbook law such as records management, reportorial
LBP’s e-Banking facilities and services, I/we acceptance or payment of the check sought for
and the LBP’s records, the latter shall prevail. requirements, disclosure of certain information
hereby acknowledge and confirm that I/we have stop payment.
about the Account and transactions pertaining
fully read, understood and agreed to be bound by The Passbook is not assignable or transferable.
Notwithstanding the timely filing of the stop thereto, and in connection therewith, hereby holds
these T&C with respect to my/our deposit account The Bank shall have the right to presume that
payment order, I/we agree to hold LBP free and LBP free and harmless from any and all liabilities,
or accounts (“Account” or “Accounts”). the presenter of the Passbook is my/our duly
harmless from whatever liability that may arise claims and/or damages that may arise therefrom.
authorized representative/s. I/We acknowledge
1. Account Opening when it honors the same.
that LBP possesses no obligation to indemnify I/We hereby authorize LBP, a banking institution
I/We are free from any legal disabilities when
me/us for unauthorized payments made on I/We also agree that after the expiration of six (6) duly organized and existing under and by virtue
opening an Account.
the Account prior to LBP’s receipt of notice months from the date of stop payment of check, of the Provision of RA 3844, as amended, with
I/We represent and warrant that I/we am/are of its loss. the request for stop payment shall be considered principal office at the LBP Plaza, 1598 M.H.
the lawful owner/s of the Account and if another cancelled and should there be any fee occasioned del Pilar St. cor. Dr. J. Quintos St. Malate,
Loss or destroyed passbooks may be replaced Metro Manila, Philippines to inquire and make
person is opening or transacting on my/our behalf, by the stop payment, the same shall be charged
by LBP upon prior payment of applicable fees and verification with any bank, financial or lending
he/she is my/our authorized representative, by LBP against my/our Account.
compliance with its documentary requirements. institution whether juridical or otherwise as to
subject to the submission of the documentary
15. Statement of Account the state and condition of any and all kinds of
requirements of LBP including compliance with 7. Withdrawals
I/We acknowledge that a Statement of Account accounts I/we keep and maintain with any or all
the minimum client/depositor information, per Withdrawals from the Account shall only be
(SOA) shall be regularly provided to me/us of them, and I/we hereby waive my/our rights to
BSP and other relevant issuances, and after due allowed by LBP upon presentation of a duly
via email, digital banking channels or sent to the secrecy thereof.
verification of my/our identity, signature, and accomplished withdrawal slip and, where the
me/us via postal service at my/our last given
other pertinent details. I/We agree to hold LBP Account is Passbook-based, the Passbook.
address unless the same is picked-up by my/our ADDITIONAL T&C FOR LANDBANK
free from any and all damages and liabilities that
I/We agree that only checks/withdrawal slips authorized representative from LBP Servicing ATM ACCOUNT
may arise from any fraudulent transaction in the
containing signatures in ink or other means of Branch.
account or fraudulent account opened in my/our I/We acknowledge that the LBP ATM Card is
name. writing with a character of permanence which can and shall remain the property of the LBP, and is
In case I/We failed to claim my/our Statement/s
be verified by LBP shall be honored. subject to revocation and/or repossession by LBP
from the LBP Servicing Branch, the LBP
The Account shall be governed by the present and
8. Interbranch Withdrawal Servicing Branch shall send the unclaimed Bank upon notice for violation of any of the T&C stated
future rules and regulations of LBP, the Philippine
Interbranch withdrawal is allowed subject to Statement/s to my/our latest address. herein and for any other reason/s, which in the
Clearing House Corporation (PCHC), the
LBP’s existing policy. opinion of LBP, would prejudice my/our or LBP’s
Anti-Money Laundering Council, the Bangko The SOA shall be considered correct should LBP interests arising from the continued use of the
Sentral ng Pilipinas (BSP), and the applicable 9. Dormant Account not receive any written notice to the contrary ATM Card. I/We agree to return the Card to LBP
laws of the Philippines, as may be amended from The Account shall be considered DORMANT when within ten (10) calendar days after my/our receipt upon its request. I/We further agree that LBP may
time to time. it becomes inactive (no deposits or withdrawals) thereof and any claim against LBP shall be cause the ATM to retain the Card automatically at
for a period of two (2) years for Savings Account considered waived. any time and without notice to me/us.
I/We hold LBP free from any and all damages
and liabilities in complying with the requirements and one (1) year for Current Account.
16. Updating of Account 1. Personal Identification Number (PIN)
of the law, including the reporting requirement The Bank shall impose a monthly service charge I/We shall promptly notify LBP in writing of any Maintenance
to authorized agencies. on dormant account if the balance falls below the change in official mailing/e-mail address, contact My/Our PIN is/are strictly confidential and under
required minimum balance. number/s or source of funds whenever necessary, no circumstances be disclosed to any person.
2. Joint “AND” Account
and shall personally fill out a new Specimen All ATM transactions shall be made personally
By opening a joint “and” account, we warrant The Account may further be reported to the Signature Card as may be required by LBP. by me/us. Representatives are not allowed to
that we jointly own the account. Upon Treasurer of the Philippines as an unclaimed
withdrawal, all of our signatures are required 17. Anti-Money Laundering transact on my/our LBP ATM account.
balance under the Unclaimed Balances Law
in the withdrawal slip. (Republic Act No. 3936, as amended) where I/We warrant that the funds deposited are not In case I/we forget my/our PIN, I/we may request
it becomes inactive for ten (10) consecutive proceeds of any criminal or illegal activity. for a replacement from any LBP Branch. If,
Upon the death of one of us, the share of the
years. For the avoidance of doubt, accounts The Bank reserves the right to close my/our however, I/we believe that my/our PIN/ATM Card
deceased co-depositor may be withdrawn by the
subject to rollover may be considered inactive for Account without prior notice or consent if there has been compromised, I/we should immediately
legal heir/representative jointly with the surviving
purposes of the Unclaimed Balances Law even is reasonable ground to believe that the funds are report to any LBP Branch or Customer Care Help
depositor, subject to the requirements of the law
in cases where a previous authority to have it proceeds of a criminal or other illegal activity. Desk No. (02) 8-405-7000 (for Metro Manila
and that of the Bank.
automatically rolled over was issued to LBP for and 1-800-10-4057000 (for Provincial Toll
I/We hold LBP, its officers and employees free
3. Joint “OR” Account as long as no deposits or withdrawals have been Free) for tagging of the account and request for
and harmless from whatever liability that may
By opening a joint “or” account, we warrant made at the instance of the Depositor (other than replacement of my/our PIN/ATM Card subject to
arise should I/we and/or the Account be made
that we jointly own the Account and the Bank through the previous authority issued to LBP to fees.
subject to the applicable provisions of the
recognizes the existence of a survivorship effect automatic rollover).
Anti-Money Laundering Law, as amended, such I/We agree to hold LBP and its officers and
agreement between us. Either one of us may
10. Pledge or Assignment of Account as but not limited to transaction reporting, employees free and harmless from any and all
encumber, pledge or even withdraw the entire
The pledge or assignment of the Account or investigation, prosecution, asset preservation liabilities, claims, and demands of whatever
deposit without the knowledge, consent and
any amount therein shall be subject to the prior and/or forfeiture by applicable government nature in connection with or arising from any
signature of the other.
consent of LBP. LBP reserves the right to impose authority, as the case may be. unauthorized use of the ATM Card and/or
Upon the death of one of us, the surviving conditions for its consent as may be reasonable disclosure of my/our PIN to any person.
I/We hereby agree to hold LBP free and harmless
co-depositor may withdraw the balance of the under the circumstances.
from any and all damages and liabilities arising 2. Confirmed Loss/Stolen ATM Card
deposit subject to the requirements of the law and
11. Lien on the Account from technical errors committed by LBP in the I/We should immediately report the loss or
that of the Bank.
LBP shall have a lien and authority to debit processing of transactions except if the same is theft of my/our ATM Card and request LBP the
4. Deposits from my/our Account for the satisfaction of due to the gross negligence of LBP or any of its immediate blocking of the said ATM Card at
The Bank may credit to my/our Account any any obligation owed by me/us due to LBP, its employees. any LBP Branch or its Customer Care Help desk
cash and check deposit upon presentation of subsidiaries and affiliates (including but not No. (02) 8-405-7000 (for Metro Manila) and
18. Deposit Insurance
duly accomplished deposit slip and only after limited to any applicable service charges, fees, 1-800-10-4057000 (for Provincial Toll Free).
My/Our Account or Accounts shall be insured
its proper verification. Checks shall be accepted and penalties) without prior written notice. LBP will not be responsible for any loss incurred
against such risks and to such extent as may be
for deposit on collection basis and may by me/us before LBP’s receipt of my/our notice
12. Interest Rate prescribed under the applicable PDIC laws, rules
be withdrawn only when cleared through of loss or theft of my/our ATM card with specific
Subject to applicable withholding taxes, the and regulations, and any and all amendments
the clearing house. instruction to block/hold the Account.
Account shall earn interest at such rate which thereof that may be issued in the future.
In receiving items for deposit, LBP’s obligation LBP may compute based on its cleared balance My/Our request for ATM Card replacement may be
19. General/Special Power of Attorney
shall only be that of a collecting agent and LBP on a monthly or quarterly basis, at LBP’s option. allowed at any LBP Branch.
I/We agree to comply with the requirements of
assumes no responsibility beyond the necessary LBP may, from time to time, amend the applicable
LBP in the acceptance of special and general 3. Deposit via ATM
diligence in selecting correspondents. Until such interest rate without prior notice. The Account
powers of attorney or written authorizations I/We agree that the receipt electronically
time an actual payment shall have come to its shall not be entitled to interest where it is closed
issued in favor of other persons to act in generated at the time I/we made a deposit
possession, LBP reserves the right to charge prior to an interest crediting date.
my/our behalf. transaction shall be binding on LBP only when it
back the Account for any amount previously
credited. This reservation shall also apply to 13. Current Account has verified that the amount deposited is correct.
20. Closing of Account
checks drawn on LBP which are not paid because I/We accede to the electronic clearing of checks
I/We acknowledge that LBP has the right to close

Revised May 2022


LAND BANK OF THE PHILIPPINES
DEPOSIT ACCOUNT TERMS AND CONDITIONS
INDIVIDUAL AND SOLE PROPRIETOR
4. Cardholder’s Responsibilities withdrawals which shall be charged to my/our ADDITIONAL T&C FOR LANDBANK suspend, terminate or close the LVDC account
In order to help ensure security in ATM Card Account. Visa DEBIT CARD (LVDC) without LBP incurring any liability as a result
transactions and personal information, I/We thereof.
4. My/Our Account shall be subject to applicable 1. ATM Transactions
agree to strictly comply with the following security
service fee if it is closed within thirty (30) days I/We understand that the LVDC may be used Any and all taxes arising from payment of fees,
measures, as may be amended or supplemented
from opening date. to avail any of the applicable ATM services of charges and penalties shall be borne by me/us.
by LBP from time to time:
BancNet and Visa member banks. I/We also
• Sign on the signature panel at the back of the ADDITIONAL T&C FOR TIME DEPOSIT ACCOUNT I/We understand and agree that any successful
understand that LBP does not have any control
Card. transactions switched through the BancNet or
1. I/We agree that this deposit shall earn interest over the ATMs or the communication networks
• Nominate a Personal Identification Number Visa networks shall be subject to transactions
based on the rate specified in my/our Time of said member banks. Hence, LBP shall not be
(PIN) as soon as Card is received. fees as agreed by LBP and the networks
Deposit Certificate. held liable for any loss or damage which I/we may
• Keep Card Number, PIN and Card Security concerned.
incur as a result of my/our inability to use the
Code confidential 2. I/We must present the properly endorsed LVDC due to system breakdown or failure of the 7. Card Renewal
• Regularly change PIN especially when using certificate upon applying for withdrawal of my/our ATMs or the network’s communication facilities, The card shall be valid up to the “valid thru
the Card at other bank’s ATM, local or abroad. deposit and surrender the same upon repayment or unauthorized or fraudulent access or utilization date” indicated in the card. The card shall be
• Transact only in well-lighted or safe areas with of the amount. of the Card. automatically renewed by the LBP and can be
ATM.
• Do not entertain strangers offering assistance 3. In case of pre-termination, I/we shall give a claimed by me/us at the servicing branch of
2. Card Present Transactions (Point-of-Sale
while using an ATM. written notice to LBP seven (7) days prior to my/ account a month prior to expiration.
and Pre-authorization)
• Keep eyes on the Card when paying for our withdrawal. I/We understand that the card maybe transacted 8. Cardholder Complaints
purchases. through any of the POS terminal of the accredited Any complaint regarding the Card, Account,
4. Unless presented on the date of maturity for
withdrawal, LBP shall dispose of my/our deposit merchants of the BancNet (local) and Visa (local and/or the transactions using the card shall be
5. Unauthorized ATM Withdrawals and international) to pay for goods or services at communicated through the LBP’s Customer Care
in accordance with the Time Deposit Renewal
Loss incurred by me/us from the use of my/our retailers or suppliers who accept it. I/We hereby Hotline or its servicing branch. In case of dispute,
Instructions I/we signed upon placement.
ATM Card found to have been compromised at authorize LBP to debit from the account the I/we shall attach the duly accomplished Client
any ATM, shall be restituted after investigation 5. Other T&C applicable to Time Deposit Account amount of every successful transaction. Hence, Complaint Form (CCF) if transaction is routed to
has been made by LBP which will show that a are incorporated in the certificate. LBP shall not be held liable for any unauthorized BancNet Switch and Transaction Dispute Form
restitution should be made by LBP. or fraudulent utilization of the Card, or for any (TDF) if transaction is routed to VisaNet.
ADDITIONAL T&C FOR LANDBANK e-BANKING
defective products or service purchased through
In no case, however, shall the loss arising from FACILITIES & SERVICES 9. Amendments/Revision
the use of the Card or for any dispute between
unauthorized withdrawals be restituted when, I/We agree that LBP shall have the right to add,
By maintaining my/our Account or Accounts me/us and the establishment.
for any reason whatsoever, I/we have voluntarily revise, or amend, in whole or in part, these T&C,
with LBP, I/we am/are eligible to enroll my/our
or thru negligence disclosed my/our PIN and/or 3. Card-Not-Present Transactions and the features/functionalities of the LVDC. Such
Account or Accounts with LANDBANK e-Banking
gave my/our ATM Card to or is in the possession (Online Payment, Mail Order/Telephone Order amendments and revision shall be in effect and
facilities and services such as iAccess, Phone
of another person. and Recurring Payment) shall be binding on me/us from such time that
Banking, Mobile Banking, etc., subject to the
I/We understand that the LVDC may be used the same is announced, published, posted in
ADDITIONAL T&C FOR LANDBANKPISO laws, rules, regulations and official issuances
for debit transactions through any of the conspicuous places within the premises of the
(PERANG INIMPOK SAVINGS OPTION) ACCOUNT applicable to the e-Banking Facilities, and any
web-based/remote applications which may LBP.
or all amendments thereof that may be issued
1. Foreign Remittances and Transactions be offered by BancNet or Visa or any of their
in the future. All existing T&C of the deposit accounts not
I acknowledge that this my PISO Account shall not participating merchants. I/We further understand
be used for foreign remittances and transactions I/We understand that upon enrollment in the that LBP authorizes debit from the account after inconsistent with the provisions stipulated under
ebanking facility (iAccess and MBA), I/we have verifying the withdrawable balance, card number, the foregoing additional T&C shall remain in force
2. Closing of Account and effect.
the capability to immediately lock my/our ATM expiry date and the Card Verification Value (CVV).
I acknowledge that LBP has the right to close my/ Card/account through Mobilock in order to Hence, LBP shall not be held liable for any
our PISO Account at its sole discretion, without prevent or stop unauthorized transactions on unauthorized or fraudulent utilization of the Card I/We hereby read, understood and agreed to
need of prior notice, at any time, if the deposit my/our ATM and Point of Sale (POS), excluding or for any defective products or service purchased be governed by the foregoing T&C and the
account balance is P1.00 and below and without transactions made through LANDBANK iAccess through the use of the Card or for any dispute attached Deposit Account Information.
financial transaction for up to one hundred eighty and Mobile Banking Application, if based on my/ between me/us (as cardholder) and the merchant.
(180) days. Where an Account is opened jointly with
our knowledge or belief that the same becomes
4. Access to ATM/POS located outside the another, my/our rights and obligations
3. ATM Card compromised or subject of cyber-threat.
Philippines, and Web-based application owned therein shall be jointly and not solidary.
I acknowledge that the ATM card issued for the I/we understand that I am/we are capable to by Foreign merchants
PISO Account is non-transferable
unlock my/our ATM Card account after I/we have I/We understand that LVDC is a peso current/
4. Maximum Outstanding Balance proven that the same is no longer compromised savings account maintained with the LBP. It
I acknowledge that if my PISO Account deposit or subject of cyber-threat. bears the Visa logo which can be used to avail
exceeds the maximum outstanding balance, the of or to make ATM purchases/transactions ____________________________________________
I/We agree that I am/we are responsible in
same shall be automatically put on-hold and through any of the Visa member banks and
protecting my/our account/card information Signature Over Printed Name
tagged as “Hold All Fund”. accredited merchants located at the countries
and should not disclose to anyone the iAccess
outside the Philippines. That any withdrawal/
In such case, I agree to visit the servicing Branch username, password, One-Time-Password
purchase transacted by me/us outside the
for the conversion of my PISO Account to a regular (OTP), CVV, cash code, mobile number, email ___________________________________________
Philippines through the use of any of the network
deposit account, subject to the submission of the address, and other information pertaining to my
channels shall constitute disbursement from Date
required information and/or other documents. account/card, to mitigate the risk that my/our
said account in the Philippines and a remittance
account/card will be compromised or subject of
5. Fees and Charges to the acquiring banks/merchants where the
a cyberthreat or unauthorized transaction which
I acknowledge that all other applicable fees and withdrawal/purchase transaction was effected, ____________________________________________
may result to unauthorized purchase of goods/
charges for ATM account shall be applied to this and shall, therefore be subject to the applicable
services, fund transfer from my/our account, Signature Over Printed Name
PISO Account. laws, governing rules and regulation of both
cardless withdrawal, and bills payment through
the Philippines and the country where the
In the event of any inconsistency between the the e-banking channels/internet.
withdrawal/purchase transaction was made.
Additional Terms and Conditions LANDBANK Hence, I/We acknowledge that I/we am/are solely ____________________________________________
PISO (BDA) Account and existing Terms and Cash withdrawals/purchase transactions outside
responsible for any transaction (such as bills
Conditions for LANDBANK Deposit Account, the the Philippines using the Card shall be in the Date
payment, withdrawals, purchase of goods, fund
former shall prevail. original currency which is subject to maximum
transfer) arising from cyber-threat incidents and
amount imposed by the LBP and the institution
ADDITIONAL T&C FOR E.A.S.Y. hold the Bank, it’s officers and employees free
which owns the ATM/POS/web-based Account Number:
SAVINGS PLUS (ESP) from any and all liabilities and losses that may
application. Each successful transaction is
1. I/We agree to maintain a monthly ADB equal
be incurred due to the disclosure and sharing of
subject to transaction fees as determined by - -
personal/ confidential information to a third party
the LBP and Visa. The transaction amount and
to the prevailing amount set by LBP otherwise, whether or not authorized.
the applicable transaction fee are subject to Distribution: 1 - Branch’s copy 2 - Client’s copy
applicable service fee shall be automatically
I/We understand that LBP may send or foreign exchange rate prevailing at the time of the
debited from my/our Account at the end of the
communicate with me/us via text messages transaction.
month.
(SMS) through my/our SMS-enables mobile
5. Visa member Banks and Accredited Merchants
2. The Bank shall accrue interest earnings daily phone, email messages and/or other electronic
LBP has an agreement with Visa for its card
based on my/our available balance and the alerts, reminders, and/or notices from
issuing scheme whereby the LVDC bearing the
applicable tiered interest rate to be credited to time-to-time concerning matters relating to my/
Visa label shall be honored by all Visa member
my/our Account at the end of the month. If my/ our Account by the use of any mobile number
banks and accredited merchants worldwide
our end-of-day available balance falls below the and/or email address which I/we provided to LBP.
at all times. However, LBP shall not be liable,
minimum tiered ADB, interest earnings shall be
I/We hereby acknowledge and accept that each if for any reason, such Visa member banks or
computed based on the interest rate for regular
SMS or email may be sent to me/us may include accredited merchants do not honor the card or its
Savings Account. However, if my/our end-of-
my/our name and information pertaining to my/ transaction.
day available balance falls below the required
minimum balance for regular Savings Account to our Account. Likewise, I/we fully understand
6. Fees and Charges
earn interest, my/our Account shall not earn any that in communicating to me/us through SMS/
LBP may, upon posting prior notice, impose
interest at all. Email, LBP will, in no case, ask from me/us any
reasonable fees, charges and penalties for the
information about my/our account. Hence, I/
used/mishandled account. I/We hereby authorize
3. I/We may deposit any additional amount to my/ we acknowledge that it is my/our responsibility
LBP to debit from my/our Account the amount of
our Account after account opening. However, I/ to ensure the security of my/our mobile phone
such fees, charges and penalties without need for
we are allowed only two (2) withdrawals of any as well as my/our personal email address and
further notice or demand. In case of insufficient
amount on my/our ESP Account during a calendar to inform LBP of any changes to my/our mobile
funds in the said account to cover the applicable
month. Service fee shall apply to succeeding number and email address in a timely manner.”
fees, charges and penalties, LBP has the right to
Revised May 2022
DATA PRIVACY CONSENT FORM FOR DEPOSITORS

I/We authorize Land Bank of the Philippines, its subsidiaries, agents, representatives, and outsourced service
providers (“Bank”), to collect, process, update or disclose personal information about me/us in accordance with
the Data Privacy Act, its Implementing Rules and Regulations (IRR), Bank’s Data Privacy Statement, and bank
secrecy laws, to verify, my/our personal information from any person or entity that the Bank may deem necessary
including, but not limited to, credit bureaus, financial institutions, and government authorities, to establish, confirm,
review or update my/our record, manage my/our account and/or services provided to me/us, to conduct customer
risk, capacity and suitability assessment, product development and audit, to market its products and services, and
other legitimate business purposes, and to comply with its reporting obligations under applicable laws, rules and
regulations.
I/We agree to hold the Bank and the persons or entities from whom it may obtain, or with whom it may disclose
or verify my/our personal information free and harmless from any liability arising from the use of any such
information.
I/We confirm that I am aware that under the Data Privacy Act, I have (a) the right to withdraw the consent hereby
given or to object to the processing of my personal information provided there is no other legal ground or overriding
legitimate interest for the processing thereof; (b) right to reasonable access, (c) right to rectification, and (d) right
to erasure or blocking of my personal information subject, however, to the conditions for the legitimate exercise of
the said rights under the Data Privacy Act and its IRR, and subject further to the right of the Bank to terminate the
product or service availed by me should I withdraw my consent or request the removal of my personal information.

N A T U
G
R
I
S

E * V
D *

E
E

___________________________________________________
R I F I

Signature over Printed Name

You might also like