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Philippine National Bank (PNB) Princess Antonette de Castro 5240466560287122

The document is a bills payment enrollment form from BPI Express Online dated 3/1/2019. It lists a payment reference number and account holder name. It provides spaces for signatures to enroll in bills payment for a Philippine National Bank account. It gives the client options to print and mail the form, print and submit it to their branch, or visit their branch to fill out and sign the form for processing.

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PrincessAntonetteDeCastro
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114 views1 page

Philippine National Bank (PNB) Princess Antonette de Castro 5240466560287122

The document is a bills payment enrollment form from BPI Express Online dated 3/1/2019. It lists a payment reference number and account holder name. It provides spaces for signatures to enroll in bills payment for a Philippine National Bank account. It gives the client options to print and mail the form, print and submit it to their branch, or visit their branch to fill out and sign the form for processing.

Uploaded by

PrincessAntonetteDeCastro
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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3/1/2019 BPI Express Online

BILLS PAYMENT ENROLLMENT FORM

3/1/2019 7:17:59 AM

Please enroll the following Payment Reference number/s:

Name : Princess Antonette Galvez De Castro


00000026540300
Account Number:

Company Name Account Name Acct/Ref No.

Philippine National Bank (PNB) Princess Antonette De Castro 5240466560287122

Important: Please affix all your possible signatures on the spaces provided below.

___________________________________ ___________________________________
EOL Client's Signature Over Printed Name EOL Client's Signature Over Printed Name

___________________________________ ___________________________________
EOL Client's Signature Over Printed Name EOL Client's Signature Over Printed Name

2. Please choose the method of enrollment most convenient to you:

1. Print, Sign and Mail to BPI

Steps:
1. Fill up the application form online.
2. Print the form and affix your signature on the space provided.
3. Mail the duly accomplished form to:

BPI Fulfillment Banking Group


9/F BPI Card Center
8753 Paseo de Roxas, Makati City 1200
Philippines

2. Print, Sign and Submit Form to Your Branch

Steps:
1. Fill up the application form online.
2. Print the form and affix your signature on the space provided.
3. Please submit the duly accomplished form to the branch where your account is based or to your branch of convenience (in the case of BPI Direct) for
processing of your enrollment.

3. Visit Your Branch

Steps:
1. Visit the branch where your account is based or your branch of convenience (in the case of BPI Direct).
2. Fill up the enrollment form available at the branch and sign the form in the presence of a branch personnel.
3. Submit the duly accomplished enrollment form for processing of your enrollment.

Submit & Print

https://secure1.bpiexpressonline.com/direct_signin.htm 1/1

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