Board of
Directors

Dr. Rafaelita P. Pelaez

Chairman

Wilhelmino R. Mendoza

President and CEO

Dr. Mariano M. Lerin

Non-Executive Director

Dr. Alain Marc P. Golez

Executive Director

Dr. Gervacio I. Piator

Independent Director

Atty. Earl Anthony C. Gambe

Independent Director

Mr. Jaime Rafael U. Paguio

Director

Atty. Jairo M. Ladera

Corporate Secretary

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BUSINESS ACCOUNT REGISTRATION

AUTHORIZED REPRESENTATIVE

PROFILE DETAILS (Authorized Representative)

BENEFICIAL OWNER

AGREED AND UNDERTAKING

By signing below, I hereby certify that:

1.) The information I have provided is/are all correct, complete and updated.

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