DATA PRIVACY CONSENT FORM

By signing this consent form, I/we (as “Data Subject”) grant my/our d. to provide product related services and support, including,
free, voluntary and unconditional consent to the collection and without limitation, provision of processing or administrative
processing of all Personal Data (as defined below), and account or support or acting as an intermediary / nominee shareholder /
transaction information or records (collectively, the "Information") agent / broker / market participant / counterparty in connection
relating to me/us disclosed/transmitted by me/us in person or by with participation in various products (whether such products are
my/our authorized agent/representative/s to the information database offered or issued by DBP, DBP's affiliates, third parties or
system of the Development Bank of the Philippines (DBP) and/or any through other intermediaries, providers or distributors);
of its authorized agent/s or representative/s as Information controller,
by whatever means in accordance with Republic Act (R.A.) 10173, e. to fulfill domestic and foreign legal, regulatory, governmental,
otherwise known as the “Data Privacy Act of 2012” of the Republic of tax, law enforcement and compliance requirements [including
the Philippines, including its Implementing Rules and Regulations Philippine and/or foreign anti-money laundering, sanctions and
(IRR) as well as all other guidelines and issuances by the National tax obligations applicable to DBP and any of its affiliates and
Privacy Commission (NPC). subsidiaries, and disclosure to any domestic or foreign market
exchange, court, tribunal, and/or legal, regulatory, governmental,
I/we understand that my/our “Personal Data” means any information, tax and law enforcement authority (each, an "Authority")
whether recorded in a material form or not, (a) from which the identity pursuant to relevant guidelines, regulations, orders, guidance or
of an individual is apparent or can be reasonably and directly requests from the Authority] and comply with any treaty or
ascertained by the entity holding the information, or when put together agreement with or between foreign and domestic Authorities
with other information would directly and certainly identify an individual, applicable to DBP and/or and any of its affiliates and
(b) about an individual’s race, ethnic origin, marital status, age, color, subsidiaries, their agents or providers;
gender, health, education and religious and/or political affiliations, (c)
referring to any proceeding for any offense committed or alleged to f. to verify the identity or authority of my/our family members,
have been committed by such individual, the disposal of such friends, beneficiaries, attorneys, attorneys-in-fact, shareholders,
proceedings, or the sentence of any court in such proceedings, and (d) beneficial owners (if relevant), persons under any trust, trustees,
issued by government agencies peculiar to an individual which partners, committee members, directors, officers or authorized
includes, but not limited to, social security numbers and licenses. signatories, sureties, guarantors, other security and other
individuals, representatives who contact DBP or may be
I/we understand, further, that DBP shall keep the Personal Data and contacted by DBP (collectively, the “Related Person/s”) and to
Information and the business and/or transaction/s that I/we do with carry out or respond to requests, questions or instructions from
DBP (the “Business”) in strict confidence, and that the collection and verified representatives or other parties pursuant to DBP's then-
processing of all Personal Data and/or Information by DBP may be current security procedures;
used for any of the following purposes (collectively, the “Purposes”):
g. for risk assessment, statistical and trend analysis and planning
a. to make decisions relating to the establishment, maintenance or purposes, including to carry out data processing, statistical,
termination of accounts and the establishment, provision or credit, risk and anti-money laundering and sanctions analyses,
continuation of banking/credit facilities or financial products creating and maintaining credit scoring models, and otherwise
and/or services including, but not limited to, investment, trust, ensuring potential or ongoing credit worthiness of Data Subjects
insurance, loan, mortgage and/or other secured transactions, and Related Person/s, including conducting banking, credit,
financial and wealth management products and services, ATM, financial and other background checks and reviews, and
credit, debit, charge, prepaid or any type of card, and otherwise maintaining banking, credit and financial history of individuals
maintaining accurate "Know Your Customer (KYC)" information (whether or not there exists any direct relationship between the
and conducting anti-money laundering and sanctions, credit and Data Subject or Related Person/s, and DBP) and creating and
background checks; maintaining business development plans and activities for
present and future reference;
b. to provide, operate, process and administer DBP accounts and
services or to process applications for DBP accounts, products h. to monitor and record calls and electronic communications with
and/or services, including banking/financial transactions such as Data Subject/s and Related Person/s for record keeping, quality
remittance transactions and credit/financial facilities, subscription assurance, customer service, training, investigation, litigation
or proposed subscription of products or services (whether and fraud prevention purposes;
offered or issued by DBP or otherwise), and to maintain service
quality and train staff; i. for crime and fraud detection, prevention, investigation and
prosecution;
c. to undertake activities related to the provision of the DBP
j. to enforce (including without limitation collecting amounts
accounts and services including but not limited to transaction
outstanding) or defend the rights of DBP and/or any of its
authorization, statement printing and distribution, customer
affiliates and subsidiaries, its employees, officers and directors,
service and conduct of surveys, the provision of research
contractual or otherwise;
reports, offering documents, product profiles, customer profiling,
term sheets or other product related materials, administration of k. to perform internal management and management reporting, to
rewards and loyalty programs; operate control and management information systems, and to
carry out business risk, control or compliance review or testing,
internal audits or enable the conduct of external audits;.
 l. to enable an actual or proposed assignee of DBP, or participant At the same time, I/we agree that the Information shall be retained
or sub-participant or transferee of DBP's rights in respect of the by DBP for as long as necessary for the fulfillment of any of the
Data Subject to evaluate or consummate a transaction intended aforementioned Purposes, and shall continue to be retained for a
to be the subject of the assignment, transfer, participation or period of two (2) years notwithstanding the termination of any of
sub-participation; the above Purposes.

m. to comply with contractual arrangements or to support Further, I/we understand that, with respect to my/our submission,
initiatives, projects and programs by or between financial collection and processing of the Personal Data of Related
industry self-regulatory organizations, financial industry bodies, Person/s, it is my/our duty and responsibility: (i) to inform said
associations of financial services providers or other financial Related Person/s of the Purpose/s for which his/their Personal
institutions (each, an "Industry Organization"), including assisting Data have been submitted, collected and processed by DBP, (ii) to
other financial institutions to conduct background or credit obtain consent from the said Related Person/s for the collection
checks or collect debts; and processing of his/their Personal Data/Information in
accordance with the Data Privacy Act of 2012, and (iii) to inform
n. to manage DBP's relationship with the Data Subject, which may DBP that such consent from said Related Person/s have been
include providing information about the Data Subject or a obtained.
Related Person/s, to DBP and any of its affiliates and
subsidiaries I/we hereby acknowledge that I/we have been provided with the
written notification below on my/our rights as a Data Subject (each,
o. for marketing to me/us and to individuals with similar profiles, a “Right”, collectively, the “Rights”) in accordance with the Data
attributes or behavior, banking, financial, credit, investment, Privacy Act of 2012, to wit:
trust, insurance, loan, mortgage, and wealth management
related products or services, conducting market, product and i. to be informed whether Information and/or Personal
service research, and designing or refining any products or Data is being or has been processed.
services including by conducting data analysis, and surveys, by
various modes of communication including mail, telephone call, ii. to require DBP to correct any Information and/or
SMS, fax, electronic mail, internet, mobile, social media, chat, Personal Data relating to the Data Subject which is
biometric, and other technological tools and development; inaccurate;

p. to comply with any obligations, requirements, policies, iii. to object to the processing of the Information and/or
procedures, measures or arrangements for sharing data and Personal Data in case of changes or amendments to
information within DBP and any of its affiliates and subsidiaries the Information and/or Personal Data supplied or
,and any other use of data and information in accordance with declared to the Data Subject;
any DBP programs for compliance with tax, sanctions or
prevention or detection of money laundering, terrorist financing iv. to access the Information and/or Personal Data;
or other unlawful activities; and,
v. to suspend, withdraw or order the blocking, removal or
q. any other transactions and/or purposes analogous or relating destruction of the Data Subject's Personal Data from
directly thereto. DBP's information database system.

I/we acknowledge, further, that if I/we was/were to exercise any of the Rights enumerated above, DBP reserves its right to re-evaluate
and/or terminate its Business with me/us as well as any of the Purposes and/or DBP services/products for which the Information and/or
Personal Data has been collected and processed.

I/We have read and understood the above and hereby consent to, agree on, accept and acknowledge these terms of consent for
myself/ourselves and/or as agent/s for and on behalf of the principal/s I/we represent by signing below

Signed in Makati City on ________, 201__

/
__________________________ For inquiries or complaints, you may contact the
Signature over Printed Name Development Bank of the Philippines (DBP), Attention
to: the DBP Data Protection Officer or the DBP
or Customer Experience Management Department,
Sen. Gil J. Puyat Ave. cor. Makati Ave., Makati City,
_________________________ Philippines, Telephone No. (02) 818-9511 to 20/818-
Company Name 9611 to 20, email: info@dbp.ph.

By:

__________________________
Authorized Signatory
Signature over Printed Name
SCL 06317
(UNIVERSAL) (Rev 0 – ddmmyy)