LAND BANK OF THE PHILIPPINES

#REF! Branch

Name of Institution Short Name

#REF! #REF!
USER PROFILE
Name
First Name Middle Name Last Name

Address ZIP Code Country

No. Street Barangay/District Municipality/City Province

User ID Position/Designation Gender Date of Birth Date of Birth E-mail Address
- -
M M D D Y Y Y Y
vToken ID Contact Number/s Civil Status Tax Identification Number (TIN)
NA Landline Mobile Single Divorced - - -

Challenge Questions Married Separated FOR BANK USE ONLY

1. Mother's Complete Maiden Name Widowed Internet Password Mailer ID
2. Name of High School - - -
3. Grandfather's Name
INSTRUCTIONS USER TYPE1/ ACCOUNT NUMBER ACCESS RIGHTS (pls. check applicable modules)
Account Information Fund Transfer Current Account Services
Add Authorizer - - ATM Payroll Bills Payment Report
Remittance Fund Management2/ Loan Profile
ACIC File Upload ECNOW Access

INSTRUCTIONS USER TYPE1/ ACCOUNT NUMBER ACCESS RIGHTS (pls. check applicable modules)
Account Information Fund Transfer Current Account Services
- - 1 ATM Payroll Bills Payment Report
Remittance Fund Management2/ Loan Profile
ACIC File Upload ECNOW Access
INSTRUCTIONS USER TYPE1/ ACCOUNT NUMBER ACCESS RIGHTS (pls. check applicable modules)
Account Information Fund Transfer Current Account Services
- - ATM Payroll Bills Payment Report
Remittance Fund Management2/ Loan Profile
ACIC File Upload ECNOW Access

INSTRUCTIONS USER TYPE1/ ACCOUNT NUMBER ACCESS RIGHTS (pls. check applicable modules)
Account Information Fund Transfer Current Account Services
- - ATM Payroll Bills Payment Report
Remittance Fund Management2/ Loan Profile
ACIC File Upload ECNOW Access

INSTRUCTIONS USER TYPE1/ ACCOUNT NUMBER ACCESS RIGHTS (pls. check applicable modules)
Account Information Fund Transfer Current Account Services
- - ATM Payroll Bills Payment Report
Remittance Fund Management2/ Loan Profile
ACIC File Upload ECNOW Access

INSTRUCTIONS USER TYPE1/ ACCOUNT NUMBER ACCESS RIGHTS (pls. check applicable modules)
Account Information Fund Transfer Current Account Services
- - ATM Payroll Bills Payment Report
Remittance Fund Management2/ Loan Profile
ACIC File Upload ECNOW Access

ACKNOWLEDGMENT
This serves as our application to your LANDBANK weAccess Facility. I/We hereby acknowledge to have read, understood and agreed to be bound by
the Terms and Conditions of the LANDBANK weAccess facility.

Signature over Printed Name of User Signature over Printed Name of Authorized Signatory Date

FOR BANK USE

SERVICING BRANCH/EO SYSTEMS IMPLEMENTATION DEPARTMENT

Reviewed by Verified by Approved by Checked by Enrolled by Date

Distribution Copy 1 - SID Copy 2 - Institutional Client Copy 3 - Depository Branch

Notes: (1) Please write "Not Applicable" or "N/A" for fields with no applicable data and/or "Nothing Follows" immediately after the last item.
(2) User ID must be composed of 6-8 alphanumeric characters, letters using upper cases only. The number zero should be written as "Ø"
to differentiate from the letter "O".
(3) Vtoken ID must be composed of 8 alphanumeric characters. The number zero should be written as "Ø" to differentiate from the letter "O".
1/
Authority of the designated user.
2/
Fund Management includes Auto Crediting, Auto Debiting and Fund Sweeping Modules. page 3