BANCO DE ORO - EPCI, INC.

NAME

12 ADB AVENUE ORTIGAS CENTER MANDALUYONG CITY

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
________________________ No. ____________________, issued at _______________
on _____________________, 20____.

____________________________
NOTARY PUBLIC
Until December 31,
PTR ________________________

Doc. No. __________;

Page No. __________;
Book No. __________;
Series of 2007.
 I. PERSONAL INFORMATION
Surname Given Middle
NAME:
TIN:
UPDATED AS OF: MANAGEMENT LEVEL: Officer

OTHER NAMES DATE ELECTED/RE-ELECTED/

USED, IF ANY: APPOINTED/POSITION CHANGED:

RESIDENCE
ADDRESS:
TELEPHONE NO.: E-MAIL ADDRESS:
BUSINESS
ADDRESS: BANCO DE ORO - EPCI, INC. 12 ADB AVENUE ORTIGAS CENTER MANDALUYONG CITY
TELEPHONE NO.: 7026000 E-MAIL ADDRESS: N.A.
CIVIL STATUS: SEX:
CITIZENSHIP: FILIPINO
DATE OF BIRTH: PLACE OF BIRTH:

II. EDUCATION AND TRAINING

HIGHEST EDUCATIONAL ATTAINMENT

DEGREE/COURSE SCHOOL YEARS GRADUATED/ATTENDED
COLLEGE:

POST GRADUATE:

OTHERS:

TRAINING IN BANKING OTHER RELATED FIELDS

NATURE/TITLE CONDUCTED BY YEAR TAKEN
NAME: , >>> 0

III. WORK EXPERIENCE

PRESENT POSITION - THIS INSTITUTION
NAME OF OFFICE POSITION DATE ASSUMED
BANCO DE ORO-EPCI, INC.

PRESENT POSITION - OTHER PRIVATE INSTITUTION (INCLUDING CORPORATE DIRECTORSHIPS)

INDICATE IF
OWNER/PARTNER/
STOCKHOLDER
NAME OF OFFICE POSITION DATE ASSUMED
PRESENT POSITION - GOVERNMENT (INCLUDING DIRECTORSHIPS IN GOV'T CORPORATE INSTITUTIONS)

INDICATE IF
ELECTIVE OR
APPOINTIVE AND
PART/FULL-TIME
NAME OF OFFICE POSITION DATE ASSUMED

PAST POSITIONS - THIS INSTITUTION

DURATION (YYYY/MM/DD)
NAME OF OFFICE POSITION FROM TO
BANCO DE ORO
PAST POSITIONS - OTHER PRIVATE INSTITUTIONS (INCLUDING CORPORATE DIRECTORSHIPS)
DURATION (YYYY/MM/DD)
NAME OF OFFICE POSITION FROM TO

PAST POSITIONS - GOVERNMENT (INCLUDING DIRECTORSHIPS TO GOV'T FINANCIAL INSTITUTION)

DURATION (YYYY/MM/DD)
NAME OF OFFICE POSITION FROM TO
NAME: , >>> 0

III. FAMILY RELATIONS

Surname Given Middle

NAME OF SPOUSE:

TIN:

SPOUSE'S EMPLOYMENT (LAST 10 YEARS)

NAME OF OFFICE POSITION DURATION (YYYY/MM/DD)

Surname Given Middle

NAME OF COMMON-
LAW SPOUSE:
TIN:

EMPLOYMENT (LAST 10 YEARS)

NAME OF OFFICE POSITION DURATION (YYYY/MM/DD)
NAME:, >>> 0

III. FAMILY RELATIONS

FIRST DEGREE RELATIVES BY CONSANGUINITY: PARENTS AND CHILDREN OF LEGAL AGE; LEGITIMATE OR ILLEGITIMATE
SURNAME GIVEN MIDDLE RELATIONSHIP

First Degree Relatives by Affinity: Parents-in-Law and Children-in-Law of legal age

SURNAME GIVEN MIDDLE RELATIONSHIP
Second Degree Relatives (of legal age) by Consanguinity: Grandparents, Grandchildren, Brothers and Sisters
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
SURNAME GIVEN MIDDLE RELATIONSHIP
NAME:, >>> 0

IV. OTHERS

HAVE YOU EVEN BEEN CONVICTED, JUDICIALLY OR ADMINISTRATIVELY OF AN OFFENSE OR JUDICIALLY DECLARED
INSOLVENT, SPENDTHRIFT, OR INCAPACITATED TO CONTRACT?
DATE
INFORMATION
PARTICULARS (NATURE OF OFFENSE) COURT OF JURISDICTION FIELD

SCHEDULE OF BUSINESS ESTABLISHMENTS WHERE THE DIRECTORS/OFFICERS AND THEIR SPOUSES AND WITHIN THE
FOURTH DEGREE RELATIVES HAVE EQUITY INTERESTS.
NAME OF PERTINENT PERCENT OF
STOCKHOLDERS, MEMBER HOLDING TO
NAME OF CORPORATION / ASSOCIATION / FIRM CENTRAL PARTNER, OTHERS TOTAL EQUITY