A1 - Customer Information
CIF Number Account Owner
(for internal use)
Business Owner / Officer / Signatory
I. CUSTOMER INFORMATION
Full Name Date of Birth
Last Name First Name Middle Name Suffix (mm / dd / yyyy)
/ /
Are you an existing BDO Customer? Yes No BDO Product Type Deposits Cards Loans Wealth Management Insurance
(If ‘Yes’, select the ‘BDO Product Type/s’ that you have.) Existing BDO customers only need to fill in the fields or inputs with Check Marks if there is information to update.
Otherwise, place NA or select the appropriate input.
II. CONTACT INFORMATION
Personal Mobile Number Personal Email Address Home Landline Number
Country Code Mobile Number Country Code Area Code Landline Number
Home Address
Unit No. Building / No. Block. Street Subdivision / Village / Barangay
City / Municipality Province / State Country Zip Code
Alternate Address (Do you have another home or address, including abroad? If ‘Yes’, provide below. If ‘No’, tick ‘Same as Home Address’) Same as Home Address
Unit No. Building / No. Block. Street Subdivision / Village / Barangay
City / Municipality Province / State Country Zip Code
Work / Business Email Address Work / Business Landline Number
Country Code Area Code Landline Number Local (if applicable)
Work / Business Address
Unit No. Building / No. Block. Street Subdivision / Village / Barangay
City / Municipality Province / State Country Zip Code
III. PERSONAL INFORMATION
Country of Birth
Gender Civil Status
Male Single Legally Separated Annulled
Female Married Divorced Widow/er
Citizenship (If ‘Others’, provide below)
TIN
Filipino Provide your Tax Identification Number
Others
IV. FINANCIAL INFORMATION (Refer to ‘Instructions’ for ‘List of Codes’ for ‘Source of Funds’ and ‘Nature of Work / Business’)
Provide all applicable ‘Codes.’
Sources of Funds (ex. 001, 002, 003) If a ‘Source of Funds’ is ‘Remittance’ or ‘004’, provide the following additional information:
What country does the remittance come from? What do you primarily use the remittance for?
Please select
Natures of Work / Business Provide all applicable ‘Codes.’ (ex. ABC, DEF, GHI) Name of Primary Employer / Business
Please select
Position / Job Title in Primary Employer / Business (Select one if you are ‘Employed’) Gross Monthy Income (PHP)
For Private / Self-Employed Owner / Director / Officer Non Officer / Employee Contractual / Part Time
For Government Employed Elected / Appointee Employee Contractual / Part Time
A2 - Regulations and Agreements
V. REGULATORY REQUIREMENTS
Political Relations and Affiliations Questionnaire
Do you have previous and current affiliation/dealings with the Government and/or relations to any government official in the Yes No
Philippines or another country? If ‘Yes’, accomplish ‘Form A6’
Foreign Account Tax Compliance Act (FATCA) Questionnaire (Refer to ‘Instructions’ for details on the ‘Substantial Presence Test’)
Are you obligated to pay taxes to the U.S. IRS because of your citizenship, residency, or other reasons such as meeting Yes No
the ‘Substantial Presence Test’? If ‘Yes’, accomplish ‘Form A7’
Online Gaming Questionnaire (Refer to ‘Instructions’ for details on ‘Online Gaming Business’)
Does your work / business provide service, process transactions, have transactions or related interests / relationships with any Yes No
business or service provider in the online gaming industry? If ‘Yes’, accomplish ‘Form A8’
Beneficial Ownership
Are you opening this account on behalf of someone else? Yes No
VI. DATA PRIVACY CONSENT
In compliance with the requirements of the Data Privacy Act, I hereby give my consent to the BDO Group, consisting of BDO Unibank, Inc. and its subsidiaries [the members of the BDO Group may be accessed at
https://www.bdo.com.ph/privacy-statement, to process, collect, store, my personal information or sensitive personal information obtained from me in the course of my transaction/s with the BDO Group. I understand and
agree that these information may be disclosed or shared by BDO Group to its members for know-your-client, cross-selling, marketing, or profiling (manual or automatic) 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 to third parties for
legitimate purposes, or to provide services to me or implement transactions which I may request, allow, or authorize.
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. Signature
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 the relevant member
of the BDO Group’s Data Protection Officer through the email address found at https://www.bdo.com.ph/privacy-statement. I further acknowledge
and understand that I may access and view the BDO Group’s Data Privacy Statement at https://www.bdo.com.ph/privacy-statement or obtain a copy
thereof from the office or branch of the relevant member of the BDO Group.
VII. 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 Signature
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 submitted 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.
VIII. CUSTOMER UNDERTAKING
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, understood, and agreed in full to the BDO Online Account Opening Service Terms and Conditions, Electronic Banking Terms and Conditions
of Use, 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 (the“BDO Terms and Conditions”) and have fully understood and agreed to be governed by the provisions thereof, Signature
as well as the rules and regulations of BDO, Bangko Sentral ng Pilipinas, Anti-Money Laundering Council, Bankers Association of the Philippines,
Philippine Deposit Insurance Corporation, 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 BDO product(s) and services I am availing were fully disclosed and
explained clearly to me by BDO. I further declare that I have fully understood and agree to be governed by the rules and regulations of the BDO
product(s) and services I am availing. I also acknowledge that the BDO Terms and Conditions were made available to me upon account opening, and
where copies were given upon request and posted in BDO’s website at bdo.com.ph/info/accounts. I agree that BDO may make amendments to the Date Signed
BDO Terms and Conditions by giving me notice by (i) exhibiting the same at any of BDO’s branches, (ii) publishing the same at BDO’s website or any (mm / dd / yyyy) / /
media, or (iii) such other manner BDO deems fit.
BDO Unibank, Inc. is regulated by the Bangko Sentral ng Pilipinas.
Tel. No.: (02) 8708-7087; Email: consumeraffairs@bsp.gov.ph. REVISED AS OF MAY 2022
The BDO, BDO Unibank, and other BDO-related trademarks are owned by BDO Unibank, Inc.
Account Number Date Opened (mm/dd/yyyy) Residency Biometrics RC NLDS
Resident Face N
/ /
Non-resident Finger H
ID 1 ID 2
FOR I NT ER NA L US E O NLY
Type of ID ID Number Type of ID ID Number
Walk In Referred By (please indicate below) Verified By Approved By
Name and Signature Name and Signature
Courtesy Call / Remarks
Instruction Sheet
GE NERAL INSTRUCTIONS
1. These instructions are provided to guide you in filling up ‘Form A1-A2’, 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 FUN DS
Indicate all relevant sources of funds. Refer to the descriptions and codes below for your entry. You may input multiple codes where applicable. (ex. 001, 002, 003)
001 Employed - Fixed Income 005 Pension 009 Investment / Dividend Income
002 Employed - Variable Income 006 Personal Savings / Retirement Proceeds 010 Rental Income
003 Self-Employed - Business Income 007 Allowance 011 Sale of Asset / Property
004 Remittances 008 Inheritance 012 Other Sources (Lottery, Donations, Tax Refunds, and Insurance/Legal Claims)
N AT U RE OF WORK / B US I N ES S
Indicate all relevant industries where you derive your income or assets from. Refer to the general categories and specific codes and descriptions below for
your entry. Notes on entries can be found at the back of this Instruction Sheet. You may input multiple codes where applicable. (ex. ABC, DEF, GHI)
Professional, Scientific, and Technical Services Information and Communication
ACT Accounting / Auditing / Tax Practice Services COM Information / Comunication / Telecommunication
LEG Legal Services PUB Publishing / Printing
ANE Architecture / Engineering ICT Robotics / AI / Cloud / Data Engineering / Software
Development / Cybersecurity
ADV Advertising / Marketing
Manufacturing
SVC Other Professional Services / Consultancy / Coaching
MFG Manufacturing / Packaging
Finance and Insurance
MFF Manufacturing / Trading of Firearms and Ammunition
PWN Pawnshop
Dealerships, Trading, Selling and Repair Services
LDG Lending
ART Art / Antiques Dealership
MSE Money Service Business - Electronic Money Issuer
CAR Car / Boat / Plane Dealership
MSV Money Service Business - Virtual Currency Exchange
JEW Jewelry / Precious Metals / Precious Stones Dealership
MSR Money Service Business - Remittance Transfer Company
WRT Wholesale / Retail Trade (Distribution & Sales) / E-Commerce / Online Selling
MSF Money Service Business - Foreign Exchange Dealer / Money Changer
REP Repair Services
BAN Banking
Transportation and Storage
INS Insurance
TRN Transportation (Land, Sea and Air)
SBD Securities Broker / Dealer
SHI Shipping / Cargo / Storage
Construction and Civil Engineering
SEA Seaman / Seafarer
CON Construction and Civil Engineering
Agriculture, Forestry, and Fishing
Real Estate Brokerage and Sales
AGR Agriculture / Fishing
REL Real Estate Brokerage and Sales
FOR Forestry
Media, Arts, Sports and Recreation
Mining and Quarrying
MED Media
MIN Mining / Quarrying
ENT Arts / Entertainment / Recreation
Electricity, Oil and Gas
SPO Sports / eSports
UTL Electric Utilities
GAM Gambling / Casino / eGames
OIL Oil / Gasoline
Healthcare and Social Work
Water Supply, Sewerage and Waste Management
HEA Healthcare (Doctor, Dentist, Nurse, Psychiatrist and others)
WAT Water Supply / Sewerage / Waste Management
SOC Social Work / Non-Government and Non-Profit Organizations
Public Administration and Peace and Order
Education
MIL Peace and Order (Military, Police, Fireman, Jail Warden and Others)
EDU Education / Online Education
PAD Public Administration / Government
Accomodation and Food Services
Embassises and Diplomatic Services
AFS Hotel / Accomodation / Restaurant / Food Services
EMB Embassies / Diplomatic Services
Administrative and Other Support Service Activities
Other Service Activities
TRA Travel / Travel Agencies
OTS Other Service Activities (Hairdresser, Manicurist, Masseuse and others)
AGY Employment Agency / Human Resources
RLG Religious Organization
BPO Business Process Outsourcing
Special Nature of Work / Business
SEC Security Agency / Services
DFP Designated Non Financial Business And Professions (DNFBP)1
Private Household and Household Staff
OGB Direct OGB / POGO Licensee and Authorized Gaming Agent2
HOU Private Household / Household Employee / Household Staff
OGI Indirect OGB / POGO Allied Service Provider
Instruction Sheet
N OT ES ON NAT URE OF WO R K / B US I N ES S
1
Designated Non-Financial Business and Professions (DNFBP)
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.
4. Real Estate Brokers and Developers;
5. Offshore Gaming Operators (OGO) and Offshore Gaming Operator Service Provider (OGO SP)
2
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 Software 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 betting 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.
O N T HE FOREIGN ACCO UN T TAX CO M PL I AN C E ACT ( FATCA) A ND ‘ SU B STA NT I A L PR E S E NCE T E ST ’
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.
BDO Unibank, Inc. is regulated by the Bangko Sentral ng Pilipinas.
Tel. No.: (02) 8708-7087; Email: consumeraffairs@bsp.gov.ph. REVISED AS OF MAY 2022
The BDO, BDO Unibank, and other BDO-related trademarks are owned by BDO Unibank, Inc.
