BSP Circular Letters BSP Circular Letter No. CL01092001BSP Circular Letter No. CL01092001 2001-01-09T00:00:00.000+08:00

To require all banks/NBQBs to submit to BSP, preferably in electronic copy, the duly accomplished revised bio-data sheet of all their directors/officers on or before 28 February 2001

Form No. NP08-KB Deadline: For DCB I/II & DTBNBFI: GL/SL System-1996 Seven (7) days after election/appointment (Revised 2000) or as changes occur. For DRB: Not later than ten (10) banking days after election/appointment or 30 days prior to intended opening date of bank/branch. Submission: Original-DCB I/II, DTBNBFI, DRB Duplicate-SRSO ______________________________ NAME OF BANK _______________________________________________________ ADDRESS BIOGRAPHICAL DATA _______________________________ NAME _______________________________ POSITION I hereby certify that the information contained in this document and its supporting schedule of my own knowledge is true and correct. ____________________ _____________________________ Date Signature of Officer/Director SUBSCRIBED AND SWORN TO BEFORE ME this ______ day of __________________, 20___ at ____________________________, Philippines, affiant exhibit to me his/her Community Tax Certificate No. ____________________, issued at ______________ on ________________, 20____. _____________________________ Notary Public Until December 31, PTR _________________________ Doc. No. ___________; Page No. ___________; Book No. ___________; Series of 2000. Page 1 of 13

BIOGRAPHICAL DATA ______________________________ NAME OF BANK _______________________________________________________ ADDRESS PERSONAL INFORMATION : SURNAME GIVEN MIDDLE NAME : TIN : UPDATED AS OF : OTHER NAMES USED, IF ANY : MANAGEMENT LEVEL : Director Officer DATE ELECTED / RE-ELECTED / APPOINTED / POSITION CHANGED : RESIDENCE ADDRESS : TELEPHONE NO. : E-MAIL ADD. : BUSINESS ADDRESS : TELEPHONE NO. : E-MAIL ADD. : CIVIL STATUS : Single Married Divorced/Separated Widow SEX : Male Female CITIZENSHIP : DATE OF BIRTH : PLACE OF BIRTH :

NAME TIN UPDATED AS OF EDUCATION AND TRAINING : Educational Attainment YEARS DEGREE/COURSE SCHOOL LAST ATTENDED GRADUATED/ATTENDED COLLEGE : POST GRADUATE : OTHERS : Training in Banking Other Related Fields NATURE/TITLE CONDUCTED BY YEAR TAKEN

NAME TIN UPDATED AS OF WORK EXPERIENCE : Present Position – This Institution NAME OF OFFICE POSITION DATE ASSUMED Present Position – Other Private Institution (Including Corporate Directorships) INDICATE IF OWNER/PARTNER NAME OF OFFICE POSITION DATE ASSUMED /STOCKHOLDER

NAME TIN UPDATED AS OF WORK EXPERIENCE : Present Positions – Government (Including Directorships in Government Corporate Institutions) INDICATE IF ELECTIVE OR APPOINTIVE AND NAME OF OFFICE POSITION DATE ASSUMED PART/FULL-TIME Past Positions – This Institution DURATION (YEAR) NAME OF OFFICE POSITION FROM TO

NAME TIN UPDATED AS OF WORK EXPERIENCE : Past Position – Other Private Institutions (Including Corporate Directorships) DURATION (YEAR) NAME OF OFFICE POSITION FROM TO Past Positions – Government (Including Directorships to Government Financial Institution) DURATION (YEAR) NAME OF OFFICE POSITION FROM TO

NAME TIN UPDATED AS OF FAMILY RELATIONS (Legitimate or Common-Law) : SURNAME GIVEN MIDDLE NAME OF SPOUSE : TIN : Employment (last 10 years) DURATION (YEAR) NAME OF OFFICE POSITION FROM TO NAME OF SURNAME GIVEN MIDDLE COMMON-LAW SPOUSE : TIN : Employment (last 10 years) DURATION (YEAR) NAME OF OFFICE POSITION FROM TO

NAME TIN UPDATED AS OF FAMILY RELATIONS (Legitimate or Common-Law) : First Degree Relatives by Consanguinity: Parents and Children of legal age; legitimate or illegitimate NAME OF OFFICE (Surname, Given, Middle) RELATIONSHIP First Degree Relatives by Affinity: Parents-in-law and Children-in-law or legal age NAME OF OFFICE (Surname, Given, Middle) RELATIONSHIP

NAME TIN UPDATED AS OF FAMILY RELATIONS (Legitimate or Common-Law) : Second Degree Relatives (of legal age) by Consanguinity: Grandparents, Grandchildren, Brothers and Sisters NAME OF OFFICE (Surname, Given, Middle) RELATIONSHIP Second Degree Relatives (of legal age) by Affinity: Grandparents-in-law, Grandchildren- in-law, Brothers-in-law and Sisters-in-law NAME OF OFFICE (Surname, Given, Middle) RELATIONSHIP

NAME TIN UPDATED AS OF FAMILY RELATIONS (Legitimate or Common-Law) : Third Degree Relatives (of legal age) by Consanguinity: Aunts, Uncles, Nieces, Nephews NAME OF OFFICE (Surname, Given, Middle) RELATIONSHIP Third Degree Relatives (of legal age) by Affinity: Aunts-in-law, Uncles-in-law, Nieces- in-law, Nephews-in-law NAME OF OFFICE (Surname, Given, Middle) RELATIONSHIP

NAME TIN UPDATED AS OF FAMILY RELATIONS (Legitimate or Common-Law) : Fourth Degree Relatives (of legal age) by Consanguinity: First Cousins, Granduncles, Grandaunts, Grandnephews, Grandnieces NAME OF OFFICE (Surname, Given, Middle) RELATIONSHIP Fourth Degree Relatives (of legal age) by Affinity: First Cousins-in-law, Granduncles-in- law, Grandaunts-in-law, Grandnephews-in-law, Grandnieces-in-law NAME OF OFFICE (Surname, Given, Middle) RELATIONSHIP

NAME TIN UPDATED AS OF OTHERS : Real Properties Owned ASSESSED FAIR MARKET APPRAISED KIND LOCATION DESCRIPTION VALUE VALUE VALUE Name/s of Bank/s where you have deposit, loans, etc … NAME / ADDRESS OF BANK/S NATURE OF ACCOUNT

NAME TIN UPDATED AS OF OTHERS : Have you ever been convicted, judicially or administratively of an offense or judicially declared insolvent, spendthrift, or incapacitated to contract? Yes No If yes, please state: PARTICULARS DATE INFORMATION NATURE OF OFFENCE COURT OF JURISDICTION FILED Schedule of business establishments where the directors/officers and their spouses and within the fourth degree relatives have equity interests (As of ________________). NAME OF PERTINENT NAME OF CORPORATION / STOCKHOLDERS, MEMBER CENTRAL PERCENT OF DATE ASSOCIATION / FIRM PARTNER, OTHERS INFORMATION FILED

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