Exhibit 1
:
& Land Bank Cash Card Enrollment Form
Branch wo. tes
Di a me
‘Name of Agency/Purchaser:
Address: wii
Last Name
First Name
Middle Name
Name to Appeer on Card (sume with the ID present with mamsiam of 23 charactor) | Liens
i eles eles ad 1
Home Address:
ip Cade
CCootact Number: = ees
Wie
Date of Bint Mother's Maiden Nome:
Fini Nene ame“ Name
[Name of Employerempany/Bosines/ School:
‘Type of ID presente: ID Number: TIN:
‘Ani existing ecusnnt with LBP? [J Yes] No yes, pl specify Acconnt No.
Cendholder Signature Date signed
FOR BANK USE
Reviewed/Checked oy:
‘Cash Card/Account Number:
Name: taleltemr a :
Cash Card/Account Number:
Cash Card PIN
Cesh Card Released by: PIN Mailer Released by: Approved by: Mailer Roceived by:
‘Amount Received P.
Payment for: (1 Initial Card Cost [—] Reactivation [71 Replacement
| Authorized Signatory:
aTERMS AND CONDITIONS
1. The Card, LANDBANK Cash Card isa card with stored value also known as @ PREPAID DEBIT card. Itis non-
interest beering account.
Gard Value, The stored value in the PREPAID DEBIT card expressed in Philippine currency.
Validity and Renewal. Uniess eater terminated by |ANOBANK cr retumed by the cardholder, the card is valid
from date of issuance/renewal and shell be deactvalad end of the third year. The cardholder may request for
reactivation by visiting his/her branch of account orth phone banking facity subject to existing policies on client
identification. I no request for reactivation is submitte dcalledin after one (1) year from date of deactivation and
the card value becomes zero, the card shell be closec, Renewal raquast at the branch of acoounticard purchase
‘hall be subject lo banking polices. Approval thereof shall, in all cases, be atthe sole dsoration of LBP.
4. Point of Sale. The card is honored in any estabiish:nent with Exoressnet logo. LBP shall not be lable fo the
cardholder if, fr any reason, the card is not honored,
5, Withdrawals, The carcholder can withdraw from ary LBP or ExpressNet, Megalink, BancNet member bank’s
ATM,
6. Loss of the Card. The cardholder is responsible for the card PIN's confidentiality, In case of lossfthet, the
cearcholder shall immectataiy cal LBP (pbone bankirg or branch of account) to report the losstheft. LBP will
‘endeavor to block transactions after the report. Hownver, loss from unblocked transactions after the report and
before LBP can implement complete blocking shall be for the account ofthe cardholder,
7. Replacement of Card. LBP wil replace a card with inherent cefect in the magnetic stripe at no cost
Replacements cue to lossthelt, wear and tear shell be subject to replacement f2e. The cardholder must
‘surrender the damaged carci or submit an affdevit o' loss. The replacement card mey be olaimad after five (5)
banking days from receipt ofthe request and compliance with requirements.
8. Service Charges and Other Fees. LB? may increas or impose acaitional chargestfoss in providing this servic.
‘The cardholder agrees to pay the inersase andlor adkitional cherpes/fees that may be imposed in the futur.
9. Perforation of Unclaimed Card. A card that remains unclaimed tity (30) calendar days from date of receipt by
{he issuing oranch shai be perforated for secunty reax ons, Purchase of a new card shall bs required. .
10. Limitations: on Liability. LBP is not liable for any loss or damage of whatever nature in connection with the use
‘ofthe card such as, bu nol imited to, the following insiances:
8, isruption, failure or delay relating fo or in conne tion with the ATM and Pointof-Sale (POS) functions ofthe
cord due to circumstances beyond the contol of | BP;
b. fortutous events and forve majeure such as, bt not limited to, prolonged power outages, breakdown of
ccompiters and communication facies, typhoons, foods, public disturbances and other similar or related
3388;
c. fogs of damage which the cardholder may suffer arising out of any unauthorized uilization of the card die to
thet o- dsclosure of PIN oF violation of other mee-sures with or without the carcholder’s participation;
‘4. inaccurate, incomplete or delayed information raesived dus to cisruption or failure of any communication
facilities used for the card; and
‘6. indirect, incidental or consequential ioss, loss cf profit or damage thal the cardholder may suffer or has
suffered by reason ofthe use of feilurainebilty te use the card under the terms hereot.
14. imsurance, THE CASH CARD FUND IS NOT INSUR/=D WITH POIC.
42. Escheat. Laws on unclaimed belanoss apply.
43. Rules and Regulations. The cardholder agrees to be bound by the rules, regulations and officiel issuances
‘pplicable fo this service now existing or which may hereinafter be issued, as well as, such other terms and
‘conditions governing the uss ofthis service.
414. Agroemen: to the Terms and Conditions. The cerholder’s signature herein or the carcholder’s receipt of the
‘card from the purchaser constitutes the cardholder's agreement to the above terms and conditions,
Cardholder's/Purchaser’s signature: 0 at