Fill - Free fillable Personal Account CIF Number Customer Type New Existing PDF form

Personal Account

Please write in BLOCK LETTERS and completely ﬁll out all details, placing NA if Not Applicable

Customer Type New Existing

Deposits Loans Others

Cards

CIF Number

(for bank’s use)

FINANCIAL INFORMATION (Refer to ‘Instructions’ for ‘List of Codes’ for ‘Source of Funds’ and ‘Nature of Work / Business’)

Source of Funds (Provide all applicable ‘Codes’)

Purpose of Remiance

If ‘Source of Funds’ is ‘Remittance’ or ‘004’, provide the

following additional information:

Country of Origin

CONTACT INFORMATION

Full Name

Last Name

First Name Middle Name Suﬃx

Home Address

Work / Business Address

Country Code Mobile Number

Personal Email AddressPersonal Mobile Number Home Landline Number

Country + Area Code Landline Number

Work / Business Email Address

Country + Area Code

Work / Business Landline Number

Landline Number Local

Unit No. Building / No. Blk. Street Subdivision / Village / Barangay

City / Municipality CountryProvince / State

Zip Code

Unit No. Building / No. Blk. Street Subdivision / Village / Barangay

City / Municipality CountryProvince / State

Zip Code

Permanent / Alternate Address (If applicable and for foreigners to provide an address in their country of citizenship)

Unit No. Building / No. Blk. Street Subdivision / Village / Barangay

City / Municipality CountryProvince / State

Zip Code

Same as Home Address

Date of Birth (mm/dd/yyyy) Gender

Male

Female

Civil Status

Single

Married

Separated

Divorced

Annulled

Widow/er

Country of Birth

Last Name First Name Middle Name

Mother’s Full Maiden Name

Citizenship (If ‘Others’, please indicate)

Filipino

Others

SSS / GSIS Number TIN

PERSONAL INFORMATION

Name of Primary Employer / Business

Nature of Work / Business (Provide all applicable ‘Codes’)

Gross Monthly Income (PHP)

Position / Job Title

For Government Employed

Owner / Director / Oﬃcer Non Oﬃcer

Elected / Appointee Others

For Private / Self-Employed NA

Please select

BDO Unibank, Inc. is regulated by the Bangko Sentral ng Pilipinas.

Tel. No.: (02) 8708-7087; Email: consumeraﬀairs@bsp.gov.ph.

The BDO, BDO Unibank, and other BDO-related trademarks are owned by BDO Unibank, Inc.

Personal Account

By signing, I hereby certify that the information given in this application is true and correct to the best of my knowledge and I conﬁrm that I have read in full

the Terms and Conditions of the General and Special Provisions on Deposits, the BDO ATM Debit Card Terms and Conditions, and the Terms and Conditions

of BDO Biometrics and have fully understood and agreed to be governed by the provisions thereof, as well as the rules and regulations of the Bank, Bangko

Sentral ng Pilipinas, Anti-Money Laundering Council, Bankers Association of the Philippines and the Bureau of Internal Revenue with respect to taxes imposed

on interest on deposits and bank commission/charges relative to the establishment of operations of the account/s opened.

I also hereby aﬃrm that the features, requirements, risks and beneﬁts of the Bank product(s) and services I am availing were fully disclosed and explained

clearly to me by the Bank. I further declare that I have fully understood and agree to be governed by the rules and regulations of the Bank product(s) and

services I am availing. I also acknowledge that I have read, understood, and agreed to the Terms and Conditions which were made available to me upon

account opening, and where copies were given upon request and posted in the Bank’s website at www.bdo.com.ph/CASA/T&C: (1) Terms and Conditions

Governing Deposit Accounts; (2) BDO ATM Debit Card Terms and Conditions; and (3) Terms and Conditions of BDO Biometrics

CONFORME

Signature

Date Signed

(mm/dd/yyyy)

CONSENT FOR THE ISSUANCE OF A BDO CREDIT CARD

By signing, I agree that this shall serve as my application for issuance of a BDO Credit Card and I undertake to submit documents as may be

deemed necessary by BDO. I authorize BDO to conduct random veriﬁcation with government agencies or third parties to establish authenticity of

the information declared and/or documents submied and hereby waive conﬁdentiality of the rules and laws as applicable. I understand that the

issuance of a BDO Credit Card shall be subject to credit evaluation and discretion of BDO.

Signature

DATA PRIVACY CONSENT

SignatureIn compliance with the requirements of the Data Privacy Act, I hereby give my consent to BDO Unibank, Inc. (“BDO”) to process, store, disclose

or share my personal information or sensitive personal information obtained from me in the course of my transaction/s with BDO. I conﬁrm that I

understand and agree that these information may be disclosed or shared by BDO to its subsidiaries (BDO, and its subsidiaries collectively referred

to as “BDO Group”) for cross-selling purposes to oﬀer and provide new or related products and services of the BDO Group. Further, I hereby

give my consent to any member of the BDO Group to process, collect, use, store, share or disclose my personal information or sensitive personal

information among themselves, or to third parties.

I conﬁrm that I understand and agree that my information may continue to be processed, collected, used, stored, or disclosed for ten (10) years from

my last transaction date with any member of the BDO Group or until the expiration of the retention limits set by applicable laws, whichever comes later.

I hereby acknowledge and understand that should I wish to withdraw my consent to receive information about new or related products and

services of the BDO Group, or to access, update, or correct certain personal data as set out in this form, I may communicate directly with BDO’s Data

ProtectionOﬃcer through data_protection_oﬃcer_bdounibankinc@bdo.com.ph. I further acknowledge and understand that I may access and view

BDO’s Data Privacy Statement at hps://www.bdo.com.ph/privacy-statement or obtain a copy thereof from BDO’s branch oﬃce.

Beneﬁcial Ownership

Are you opening this account on behalf of someone else or a third party?

If ‘Yes’, accomplish the ‘Beneﬁcial Owner Information Sheet’

Purpose of Account Opening

Allowance Payroll Savings Business Checking Investment Payments

FOR BANK’S USE ONLY

ATM Card Received By

Signature Date (mm/dd/yyyy)

ATM Card Released By

Signature Date (mm/dd/yyyy)

ATM Card Number

Primary ID

Type of ID ID Number

Date Opened (mm/dd/yyyy)Account Number Residency

Resident

Non-resident

Biometrics

Face

Finger

NLDS

Secondary ID

Type of ID ID Number

Name to Appear on Card (if ‘With Name’)

For Issuance

ATM

Passbook

ATM & Passbook

Checkbook

REGULATORY REQUIREMENTS

Veriﬁed By

Name and Signature

Walk In Referred By (please indicate below)

Name and Signature

Approved By

Are you related to or aﬃliated with a Government Oﬃcial in the Philippines or in another country?

If ‘Yes’, accomplish the ‘Political Exposure Form’

Political Relations and Aﬃliations Questionnaire

Yes

Are you obligated to pay taxes to the U.S. IRS because of your citizenship, residency, or other reasons such as meeting

the ‘Substantial Presence Test’?

FATCA Questionnaire (Refer to ‘Instructions’ for details on the ‘Substantial Presence Test’)

Yes No

If ‘Yes’, accomplish the ‘FATCA Due Diligence Form’

Instruction Sheet

GENERAL INSTRUCTIONS

1. These instructions are provided to guide you in ﬁlling up the Account Opening Form, speciﬁcally where ‘Codes’ are necessary.

2. Provide accurate and detailed information to ensure regulatory compliance and determine the applicability of due diligence, where necessary.

SOURCE OF FUNDS

Indicate all relevant sources of funds that you intend to deposit or transfer into the new account. Refer to the descriptions and codes below for your entry. You

may input multiple codes where applicable. If your ‘Source of Funds’ is not among those listed below, write down the exact source in the provided ﬁeld.

007

008

009

010

011

012

Allowance

Inheritance

Investment / Dividend Income

Rental Income

Sale of Asset / Property

Others

(Please indicate in ‘Source of Funds’ field)

Employed - Fixed Income

Employed - Variable Income

Self-Employed - Business Income

Remiances

Pension

Personal Savings / Retirement Proceeds

001

002

003

004

005

006

Indicate all relevant industries where you derive your income or assets from. Refer to the descriptions and codes below for your entry. You may input multiple

codes where applicable. If your ‘Nature of Work / Business’ is not among those listed below, write down the exact industry in the provided ﬁeld.

NATURE OF WORK / BUSINESS

As covered persons, the following Designated Non-Financial Businesses and Professions (DNFBPs) are required to declare their

engagement as a DNFBP and submit the Certiﬁcate of Registration issued by the AMLC:

1. Dealers of jewelry, precious metals, and precious stones

2. Company service providers which, as a business, provide any of the following services to third parties: (a) acting as a formation

agent of juridical persons; (b) acting as (or arranging for another person to act as) a director or corporate secretary of a company,

a partner of a partnership, or a similar position in relation to other juridical persons; (c) providing a registered oﬃce, business

address or accommodation, correspondence or administrative address for a company, a partnership or any other legal person or

arrangement; and (d) acting as (or arranging for another person to act as) a nominee shareholder for another person; and

3. Persons, including lawyers and accountants, who provide any of the following services: (a) managing of client money,

securities or other assets; (b) management of bank, savings, securities or accounts; (c) organization of contributions for

the creation, operation or management of companies; and (d) creation, operation or management of juridical persons or

arrangements, and buying and selling business entities.

Designated Non-Financial Business and Professions (DNFBP)

Online Gaming Businesses (OGB)

As covered persons, Online Gaming Businesses with ‘Direct engagement’ and ‘Indirect engagement’ to Online Gaming are

required to declare their engagement in the industry and submit the required documents from PAGCOR, as needed.

‘Direct engagement’ in Online Gaming refers to oﬀshore entities with a Philippine Oﬀshore Gaming license granted by

PAGCOR to primarily engage in Online Gaming, while ‘Indirect engagement’ in Online Gaming refers to Philippine entities

or persons accredited by PAGCOR to provide allied support services and / or components of oﬀshore gaming operations to

Philippine Oﬀshore Gaming Operators (POGOs) such as Customer Relations, Strategic Support, Information Technology,

Gaming Soware Platforms, and Live Studio and Streaming Providers.

Business Process Outsurcing Providers (BPOs) that are servicing legitimately licensed gaming operators abroad and do not

in any way handle being but purely product marketing and customer relations and are not servicing any of PAGCOR POGO

licensees and have at least 90% Filipino workforce are also classiﬁed as having an ‘Indirect Engagement’ in Online Gaming.

Administrative / Support

Advertising / Marketing

Accommodation / Food

Agriculture / Fishing

Employment Agency

Art / Antiques Dealer

Banking

Car / Boat / Plane Dealer

Communication / Information

Construction

DNFBP

(See details below)

Education

Embassies

Entertainment / Arts / Recreation

Finance and Insurance

(Non-banking)

Forestry / Mining / Quarrying

Gambling

Healthcare

Private Household

Manufacturing

Military

Online Gaming

(See details below)

Other Service Activities

Public Administration (Government)

ADM

ADV

AFS

AGR

AGY

ART

BAN

CAR

COM

CTN

DFP

EDU

EMB

ENT

FIN

FMQ

GAM

HEA

HOU

MFG

MIL

OGB

OTS

PAD

PUB

PWN

REL

REP

RLG

SOC

SVC

TRA

TRN

UTL

WAT

WRT

Publishing / Printing

Pawnshop

Real Estate (Development and Sales)

Repair Services

Religious Organization

Social Work / NGOs

Professional Services

Travel

Logistics, Transportation and Storage

Utilities (Electricity, Gas and Water)

Water Supply / Waste Management

Wholesale and Retail Trade

ON THE FOREIGN ACCOUNT TAX COMPLIANCE ACT (FATCA) AND ‘SUBSTANTIAL PRESENCE TEST’

An individual will be considered a United States resident for tax purposes if they meet the Substantial Presence Test for the calendar

year. To meet this test, the individual must be physically present in the U.S. on at least:

1. 31 days during the current year, and

2. 183 days during the 3-year period that includes the current year and the 2 years immediately before that, counting: (a) All the days

the individual was present in the current year; (b) 1/3 of the days the individual was present in the ﬁrst year before the current year;

and (c) 1/6 of the days the individual was present in the second year before the current year.

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Fillable Personal Account CIF Number Customer Type New Existing

Fill Online, Printable, Fillable, Blank Personal Account CIF Number Customer Type New Existing Form

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