HOW DO YOU KNOW UNIONBANK?

I am an individual depositor with you Account#

My payroll is with you Account#

I hope to bank with you soon >>Proof of Income: Other Philippine bank credit cards, COE x ITR.
Lazada Mastercard CashBack Mastercard Miles+ Visa
MY PERSONAL INFORMATION
Online Shopping Made Easy Every Day Saving Made Simple Travel Without Boundaries
Name: First Middle Last
Get P6.00 Lazada Wallet Credits for every Earn Unlimited Savings with 1% Cash Back
P200 spend in Lazada on ALL Purchases! 1.5 Points for every P25 spend for Airline
tickets, Hotel & Lodging, and Overseas
Get P1.00 Lazada Wallet Credit for every No CAPS, No CATEGORIES, No
spend and 1 Point for everything else
Name on Card (21 characters only) P200 spend on other mechants CONDITIONS!

Convert points to cash OR convert points

to PAL Mabuhay Miles

Birthdate Place of Birth TIN / SSS Enjoy unlimited complimentary access at Club Manila Lounge at NAIA 1 and Pacific Lounge at NAIA 3

Home Address FEES AND CHARGES

Annual Fee Principal Supplementary Card Replacement P400 for every lost or damaged card.
Brgy City Province Zip Lazada Mastercard P3,000 P1,500 Sales Slip Retrieval P200 for every transaction slip requested.
CashBack MasterCard P3,000 P1,500 Returned Check P1,000 for every returned check.
Years of Stay Nationality Miles+ Visa P3,000 P1,500 Dispute P1,000 for every invalid dispute case.

Complete Mother's Maiden Name Interest 3.00% Monthly Effective Interest Rate (EIR) which is computed based on the unpaid balance from previous
statement. Payment of minimum amount due or any amount less than the total amount due from previous
YOU CAN REACH ME AT DELIVER CARD TO balance would automatically incur interest and/or other charges.
Late Payment P1,000
Home Mobile Office Home Credit Life Insurance P0.36 (U-Protect) or P0.55 (U-Secure) will be charged for every P100 Outstanding Balance
P200 Flat Service Fee will be charged per cash advance transaction. Finance Charge of 1.96% per month will also
*Leave an authorization letter & valid ID
Office Email Cash Advance be due on each cash advance from the date of the advance until date of repayment in full (including unbilled
if you will be unable to receive the card
personally.
Service charges). Cash Advance fee is considered in the derivation for Cash Advance EIR. Total Annual EIR for Cash
MY EMPLOYMENT INFORMATION Advance transaction is 23.48% for P5,000 and above transactions via ATM.
P500 automatically billed to the cardholder on cycle date, when total transactions and system generated
Overlimit
Company Name interest/charges exceed the credit limit.
P50 which covers the cost of processing of a refund request in Manager's Check as a result of cardholder's
Company Address Refund
overpayment.
Applicable to all pre-terminated Installment Transactions; P500 or 5% of remaining principal balance, whichever
Pre-Termination
Brgy City Province Zip is higher.
All charges made in currencies other than Philippines Peso (PhP) shall automatically be converted to the (PhP)
I have worked here for Source/s of Income Service Fee for billing currency on posting date at the prevailing exhange rate selected by Mastercard or Visa International. This
Foreign Currency will be based on the range of rates available in the wholesale currency markets or the government-mandated
My rank is Position Transactions rate if in effect. A 3% fee for Classic and Gold cards and 2% fee for Platinum cards will be added covering the cost
of processing transactions in foreign currencies.
My Gross Annual Income is roughly
REQUIRED IDs Any One: Current Passport, UMID, SSS, GSIS, PRC, Driver's License
I AM THE PRINCIPAL CARDHOLDER FOR THESE PHILIPPINE CREDIT CARDS For applicants without a UBP Any Two: Company ID, TIN, Voter's, Postal, Senior Citizen, GOCC, Philhealth
deposit account only. Foreigners: Mandatory ACR or DOLE ID for EMPLOYMENT
Bank Name Credit Limit

Card Number Expiry Date

✓ DATE
SIGNATURE OVER PRINTED NAME
Bank Name Credit Limit

Card Number Expiry Date PLEASE ALSO AFFIX YOUR NAME & SIGNATURE AFTER THE TERMS AND CONDITIONS.

REFERRED BY: ARLICE M ADVINCULA ICTSI BRANCH [email protected]

By signing below:
1. I/we authorize UnionBank of the Philippines (“Bank”) to notify me/us, through text or e-mail messages, of any and all reminders, notices, marketing
materials, promotions, loan offerings and all other Bank offerings and product updates. I/we understand that the Bank may use my/our personal information
to pre-qualify me/us for other product offerings. I/we confirm that I/we am/are solely responsible for the security of my/our cellphone and e-mail and thus
here by hold the Bank free and harmless from any and all damages, causes of action and liabilities if the information contained in the electronic or text
notification is, for whatever reason, by any means accessed by any person other than myself. I/we fully understand that the contact information provided
above shall be used by the Bank for any and all correspondences unless I/we otherwise notify the Bank.

2. Pursuant to Republic Act No. 9510 otherwise known as “the Credit Information System Act” and its Implementing Rules and Regulations, I/we acknowledge
that the Bank is mandated to submit or disclose my/our basic credit data to the Credit Information Corporation (CIC) as well as any updates or corrections
thereof, and share said basic data with other lenders authorized by the CIC, credit reporting agencies duly accredited by the CIC and financial service
providers. I/we consent to the processing, sharing and/or transferring of my/our Personal Data as this term is defined under Republic Act No. 10173 otherwise
known as the “Data Privacy Act of 2012”, its Implementing Rules and Regulations and all other issuances of the National Privacy Commission and hereinafter
referred to as the “Applicable Date Privacy Regulations”, or otherwise, relating to the loan/credit facilities that I/we are applying for and/or our account(s)
without need of notice, to (i) government regulatory agencies, credit information/investigation companies, financial institutions, credit bureaus, other banks,
credit card companies, loyalty program partners, consumer reporting or reference agencies such as Credit Card Association of the Philippines, Bankers
Association of the Philippines, Credit Information Corporation, and the Transunion Credit Bureau for the purpose of credit investigation, consumer reporting,
or for reports of my/our credit history and account updates; (ii) third persons, correspondent banks, service providers and entities, as the Bank deems
necessary, to enable the Bank to service my/our account/s and to provide all the existing features of my account/s, the Bank in the processing of my/our data,
including its collection, recording, organization, storage, management, protection, updating or modification, retrieval, consultation, use, consolidation,
blocking, erasure or destruction ; (iii) third parties engaged by the Bank or by its subsidiaries or affiliates for the purpose(s) of direct/ indirect marketing to
offer selected products and services which may interest me/us unless specifically instructed otherwise in writing; (iv) insurers, insurance brokers or providers
of deposit or credit protection or protection against all kinds of risk; or (v) such other persons or entities the Bank may deem as having authority or right to
such disclosure of information as in the case of regulatory agencies, governmental or otherwise, which have required such disclosure of information as in the
case of regulatory agencies, governmental or otherwise, which have required such disclosure from the Bank. I/we agree to hold the Bank, its affiliates,
subsidiaries and third party service providers free and harmless from any liability that may arise from, or in connection with, the collection, processing, use,
storage, updating and transfer/ disclosure/ sharing/ communication of my personal information pursuant to, and in compliance with the consent given by
me/us under this Agreement.

3. For Credit Cards:

a. I/We understand and accept that my failure to provide true, complete and correct information toUnionBank of the Philippines or its authorized
representative/s regarding my/our financial knowledge and experience may result in UnionBank of the Philippines’ inability to accurately determine the
appropriateness of a product and/or service for me/us given the limited information available. I/We understand that should my application be denied,
UnionBank of the Philippines or its authorized representative/s has no obligation to provide me/us with the reason for such rejection.
b. I/We hereby agree that depending on the assessment of my/our application, the Bank will only send me/us the Card/s I/we are qualified for.
c. I/We authorize UnionBank of the Philippines or its authorized representative to, pursuant to MORB Section 301 GRANT OF LOANS AND OTHER CREDIT
ACCOMMODATIONS as implemented by BIR Revenue Regulation RR-4-2005, conduct random verification with the Bureau of Internal Revenue in order to
establish authenticity of the Income Tax Returns (ITR), accompanying financial statements and such other documents/information/data submitted by me/us.
d. I/We hereby agree to be bound by the Terms and Conditions of credit card application promos (whenever applicable) and the Terms and Conditions
governing the issuance and use of the UnionBank Credit Card.

4. For Auto Loans:

a. I/We certify that the information provided in the application and all supporting documents are accurate and verifiable.
b. I/We authorize the Bank to conduct checking on the accuracy/correctness of all information including loan and deposit checkings contained in the
application form and all supporting documents.

For any concerns, you can contact us through our Customer Service Hotline at (+632) 841-8600 or through [email protected]. Union Bank
of the Philippines is supervised by the Bangko Sentral ng Pilipinas (BSP) with email address: [email protected] and contact number: (+632) 8708-
7087.
Concerns and complaints forwarded to the Bank shall be addressed and handled within (5) five banking days.

✓
SIGNATURE OVER PRINTED NAME DATE

REFERRED BY: ARLICE M ADVINCULA ICTSI BRACNCH EMAIL ADDRESS; [email protected]