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CLASS D

Exhibit 11
REQUEST FOR weAccess
USER ID ACTIVATION / USER ID UNLOCKING / PASSWORD RESETTING
LANDBANK (Branch Name)

This is to authorize the following request/s to be effected in our weAccess credentials:


Name of Enrolled Institution: ______________________________
HYPERLINK TECHNOLOGY COMPUTER CENTER
REQUEST/S TO BE ACCOMPLISHED BY A
(Please put a check () mark on the LANDBANK BRANCH PERSONNEL
USER NAME USER ID USER SIGNATURE corresponding box below)
Activate Unlock Reset
New Internet Password Mailer ID3
User ID1 User ID2 Password1,2

HYPERLINKtcc2020 Hyperlink2020 /

Noted by: 4

__________________________________________________________
Precious Dianne Bardon-Mempin
Institution’s Authorized Signatory (Signature over Printed Name)
1
If the User ID is inactive but the user requests for password resetting, user should request for both ACTIVATION and PASSWORD RESETTING. Both boxes should be
checked.
2
If the User ID has been locked due to incorrect password, the user should request for both UNLOCKING and PASSWORD RESETTING. Both boxes should be checked.
3
For LANDBANK Branch: Please enter the user’s new Internet Password Mailer ID for resetting of password prior to submission of the form to Customer Care Center.
4
Request for Resetting of Password must be noted by an Authorized Signatory.

FOR LANDBANK BRANCH USE ONLY FOR CUSTOMER CARE CENTER (CCC) USE ONLY
Signature Verified By5 / Approved By5 / Request Applied By5 Authorized By5 Fill-out the ff. information upon notification to
Date Date (CCC Maker) (CCC Authorizer) Branch Personnel of the successful password
resetting and release of password mailer:
Date Time Branch CCC Agent
Personnel In-Charge5

5
Signature over printed name inside the box.

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