2. Please fill out the registration form. Express Online Registration Form For Clients Residing Outside The Philippines Important:   Printing, signing and mailing of registration form is needed to complete Express Online registration. Fields with * are required fields. a. Express Online User ID and Password Please input your preferred User ID and password for Express Online. *User ID 6-12 alphanumeric non-blank characters; case-sensitive *Password 6-12 alphanumeric non-blank characters; case-sensitive *Retype Password                 b. Personal Profile   *First Name (e.g Juan Pablo Anton) 1. Please ensure that the name encoded in this enrollment form matches the name you indicated when you opened your account. *Middle Name Please put NA if you do not have a middle name (e.g Reyes) 2. Please do not use nicknames, aliases, or initials. Names should also be completely spelled out. *Last Name (e.g Dela Cruz) ***Incomplete or unmatched names would lead to POSSIBLE DEACTIVATION of your Express Online access.  Suffix Jr. Sr. II III IV *Mother's Complete Maiden Name (e.g. Maria Reyes) *E-mail Address  *Telephone Numbers Residence   Office   At least one phone   number is required. Business   Mobile c. Account Information    Savings, Checking and Time Deposit Accounts         Account Numbers Type of Account   1 Savings Checking Time Deposit   2 Savings Checking Time Deposit   3 Savings Checking Time Deposit   4 Savings Checking Time Deposit                 Eligibility of Accounts: You can enroll your individual, sole proprietorship, or joint (and/or) accounts. The following accounts are not eligible for enrollment: Peso-Denominated, Passbook-Based Accounts Joint (and) accounts In Trust for (ITF) Accounts Corporate Accounts Power 5 - Bullet (Lump Sum Payment) TD Plus Tax-Free Repriceable BPI TD Plus Tax-Free Insta-Credit  You can enroll a total of 20 Savings Accounts, 20 Checking Accounts, and 20 Time Deposit Accounts.  Please enroll the settlement account of your Time Deposit to view amounts transferred between these accounts.               Consumer Loan Accounts            Account Numbers Type of Account 1  Auto Loan Housing Loan Others 2  Auto Loan Housing Loan Others               Important Reminders: You can enroll a total of 10 Auto Loan and 10 Housing Loan accounts for viewing in Express Online. Loan inquiry facility is only available to the principal borrower and co-maker.            Credit Cards, Express Cash and Express Money Order Cards            Customer or Card Number Type of Account 1 Credit Card  Express Cash Express Money Order 2 Credit Card  Express Cash Express Money Order 3 Credit Card  Express Cash Express Money Order 4 Credit Card  Express Cash Express Money Order               Important Reminders: You can enroll a total of 20 BPI Credit Card, Express Cash and Express Money Order Card accounts. Credit Card inquiry facility is only available to the primary account holder. Only Express Cash and Express Money Order Cards under your name are eligible for balance inquiry.            d. Enrollment of Third Party Accounts for Funds Transfer Transfer funds to the BPI, BPI Family Savings or BPI Direct accounts of your family members, relatives and/or friends. Account Name Account Number 1 2 3 4                Eligible Third Party Accounts for Funds Transfer Facility:  Express Teller Savings/Checking Accounts (Individual Account) Passbook Savings Account (Individual Account) Maxi Accounts for Individuals Platinum Savings/Platinum for Kids BPI Direct Savings and Checking Accounts Pangarap Savings     Important Reminders:  Maximum number of accounts that can be enrolled in one card number is 20 but up to a maximum of 140 accounts per client. "Accounts" include bills/merchants enrolled in bills payment, government institutions enrolled for payments, Express Cash/Express Money Order cards enrolled for reloading, prepaid mobile numbers enrolled in Express Prepaid and all your third party account enrollments. Third Party accounts can only be enrolled to ATM-based Peso accounts. These will be enrolled under the ATM-based accounts that you have enrolled.             e. Enrollment of Credit Cards and Loans Enrollment of credit cards or loans in the Bills Payment facility requires signature and documentation. Company Name       Account Name Reference Number (Loan Account #, Customer # or Credit Card #) 1 Please Select BPI Express Credit BPI Family Bank Housing Loan BPI Family Bank Auto Loan Other Bank's Credit Cards 2 Please Select BPI Express Credit BPI Family Bank Housing Loan BPI Family Bank Auto Loan Other Bank's Credit Cards 3 Please Select BPI Express Credit BPI Family Bank Housing Loan BPI Family Bank Auto Loan Other Bank's Credit Cards 4 Please Select BPI Express Credit BPI Family Bank Housing Loan BPI Family Bank Auto Loan Other Bank's Credit Cards                View List Of Merchants You Can Enroll In Bills Payment     Important Reminders:  Bills already enrolled in Express Teller (ATM) and Express Phone (89-100) are automatically enrolled in Express Online. For "Other Bank’s Credit Cards", you need to submit a photocopy of either the latest statement of account or thank you letter when your card application was approved. Maximum number of accounts that can be enrolled in one card number is 20 but up to a maximum of 140 accounts per client. "Accounts" include bills/merchants enrolled in Bills Payment, government institutions enrolled for payments, Express Cash/Express Money Order cards enrolled for reloading, prepaid mobile numbers enrolled in Express Prepaid and all your third party account enrollments. Credit Cards and Loans can only be enrolled to ATM-based Peso accounts. These will be enrolled under the ATM-based accounts that you have enrolled.             f. Enrollment of Express Cash/Express Money Order Cards for Reloading Enrol the Express Cash/Express Money Order cards you wish to reload to.  Card Number Cardholder's Name 1 2 3 4                Important Reminders:  Maximum number of accounts that can be enrolled in one card number is 20 but up to a maximum of 140 accounts per client. "Accounts" include bills/merchants enrolled in bills payment, government institutions enrolled for payments, Express Cash/Express Money Order cards enrolled for reloading, prepaid mobile numbers enrolled in Express Prepaid and all your third party account enrollments. Express Cash/Express Money accounts can only be enrolled to ATM-based Peso accounts. These will be enrolled under the ATM-based accounts that you have enrolled.             g. Enrollment of Prepaid Mobile Numbers for Express Prepaid Reloading Enrol your own or a third party's Globe Handyphone Prepaid Plus or Touch Mobile number to the Express Prepaid facility.  Prepaid Mobile Number 1 2 3 4                Important Reminders:  Maximum number of accounts that can be enrolled in one card number is 20 but up to a maximum of 140 accounts per client. "Accounts" include bills/merchants enrolled in bills payment, government institutions enrolled for payments, Express Cash/Express Money Order cards enrolled for reloading, prepaid mobile numbers enrolled in Express Prepaid and all your third party account enrollments. Prepaid mobile numbers can only be enrolled to ATM-based Peso accounts. These will be enrolled under the ATM-based accounts that you have enrolled.

I have read and fully understood the terms & conditions set forth in the Internet Banking Service Agreement. As such, I fully understand my rights and obligations as a client of BPI Express Online. I agree to be governed by the terms and conditions of the said Internet Banking Service Agreement. I likewise fully understand the rights and obligations of BPI Express Online as the provider of these online services. I am aware that BPI Express Online's rights and obligations shall commence only upon its approval and activation of my enrollment.