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SIGNATURE CARD IDs Presented

CANTILAN BANK, INC.


A. Name________________________ B. Name________________________
___________________ Branch
______________________________ ______________________________
ACCOUNT
NUMBER
- - - 1X1 IF MINOR
Name of Guardian Guardian’s Contact No.
Date Opened ID Picture
_______________ New Updating
ACCOUNT NAME ( Last Name, First Name, Middle Name or Company Name) Guardian’s Address Relation to Minor

PRESENT ADDRESS( No.,Street, Purok, Barangay, City/Municipality, Province) Mobile Phone No. BENEFICIARY
Name ( Last Name, First Name, Middle Name) Relation to Depositor Contact No.

KIND OF ACCOUNT
Beneficiary’s Nature of Work
Checking Savings ATM MF Salary SSC TD PTD _____ Employed Self-employed Student Others_______
TYPE OF ACCOUNT
Individual Joint Proprietorship Partnership Corporation
CONDITIONS UNDER WHICH THE ACCOUNT IS OPENED
SIGNATURE (3 specimen)
Please recognize ANY ONE ANY TWO ALL of the following authoized signatures in
I/We hereby agree to be governed by the General Terms and Conditions, which is
the payment of funds or in all transactions pertaining to this account.
stated in the Customer Information Sheet, governing the establishment and
operation of the account indicated on the face of this card and by the applicable
A. ____________________________ B.____________________________ rules and regulations of Cantilan Bank, Inc., Bangko Sentral ng Pilipinas and the
(Printed Name) (Printed Name)
Bankers Association of the Philippines, as well as any subsequent amendment or
change thereto.
(1)____________________________________ (1)___________________________________
I/We hereby acknowledge receipt of the Terms and Conditions of Cantilan Bank,
Inc. governing the establishment and operation of the account indicated on the
face of this card.
(2)____________________________________ (2)___________________________________
I/We hereby instruct Cantilan Bank, Inc. to recognize the signatures on the face of
this card in all transactions pertaining to this account.
(3)____________________________________ (3)___________________________________

Signatures Authenticated by: Approved by:


__________________________ ________ __________________________ ________
_________________________________ _________ _________________________________ _________ Signature Date Signature Date
(PRINTED NAME & SIGNATURE) Date (PRINTED NAME & SIGNATURE) Date

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