AUTOMATIC DEBIT AGREEMENT TERMS AND CONDITIONS

Automatic Debit Agreement

CARD HOLDER INFORMATION

IT'S SIMPLY YOUR UNIVERSE.
1. For purposes of this Automatic Debit Agreement, the words Credit Card Number
“I”, “we”, “me” and “my” shall refer to the Subscriber while the
words “you” and “your” shall refer to Smart Communications,
Inc. (“SMART”).

2. My enrollment to the Automatic Debit Agreement (“ADA”)

Card Expiry Date
✔ Application Type New Application Additional Line Plan Renewal Multiple Application, Qty:

shall take effect upon approval of the issuing bank or

acquiring bank, and SMART.

3. Upon the approval of my enrollment to the ADA, I hereby

SMART ACCOUNT INFORMATION
✔SIM-Only Plans
authorize SMART to automatically charge my total account
balances to my enrolled credit card, on a monthly basis.
PLAN 599 PLAN 999 PLAN 1499 PLAN 1999 PLAN 2499
Provided that, in case the credit card billing charge submitted Commitment
by SMART to the issuing bank or acquiring bank is rejected or Period 12 months
I/We affirm that the above given information are true and correct and hereby authorize SMART
declined for any reason whatsoever, SMART may still attempt Communications, Inc. to verify such information from whatever sources it may consider
to submit the same billing charge to the issuing bank or appropriate. By signing below, I/We signify agreement to the Automatic Debit Agreement
20 GB 40 GB 60 GB
UNLI
Terms and the Supplemental Terms set forth in this Application Form.
acquiring bank until the total account balance for the next
billing period becomes available. Data 5 GB
UNLI 5G for 12 Months 4G/5G
4. Balances that are still outstanding prior to my application for
enrollment to the ADA may be charged by SMART to my
credit card upon approval of my ADA enrollment. Cardholder’s signature over printed name Date (MM-DD-YYYY) Calls Unli AllNet** Mobile Calls and Landline Calls

5. In the event that the credit card billing charge submitted by Texts Unli AllNet**
SMART to the issuing bank or acquiring bank is rejected or
declined for any reason or whatsoever, I shall settle my
Subscription Netflix Mobile Plan
outstanding balance directly with SMART or through Subscriber’s signature over printed name Date (MM-DD-YYYY)
SMART’s accredited payment channels.

6. I understand that in case of changes in my credit card SUPPLEMENTAL TERMS TO THE AUTOMATIC DEBIT AGREEMENT
✔Device Plans
number brought about by cases, such as, but not limited to, This undertaking is only applicable when enrollment to Automatic Debit Agreement is a PLAN 599 PLAN 999 PLAN 1499 PLAN 1999 PLAN 2999
lost credit card, upgrade and/or card renewal, I shall be pre-requisite to the approval of the Postpaid Line application and when Automatic Debit
Agreement is required for the duration of the contract period, as stated in the
Commitment
required to submit a new ADA Enrollment Form indicating subscription contract.
Period 24 months
these changes. I understand that in case of changes in my
I undertake to pay SMART in advance the cash-out requirement for my New Line
credit card expiry date, brought about by cases, such as, but
not limited to card renewal, I shall be required to report the
Application in the event of any of the following:
• When my enrollment to Automatic Debit Agreement is disapproved by the credit
Data 2.5 GB 5 GB 10 GB 15 GB 30 GB
new expiry date of my enrolled credit card to your customer card company; or
• When my enrollment to Automatic Debit Agreement is cancelled through any means 25 Mins PLDT Calls 50 Mins PLDT Calls 100 Mins PLDT Calls 150 Mins PLDT Calls 300 Mins PLDT Calls
service. In case I fail to report the new credit card expiry date and for whatever reason within my contract period.
and my enrolled credit card is already expired, SMART shall Calls
endeavor to try to update the new expiry date to be able to Unli AllNet** Mobile Calls
continue the submission of my billing charge to the issuing
bank or the acquiring bank. Provided however, that, I shall be
Texts Unli AllNet**
held liable for any inconvenience or delay of my payments
should the credit card company decline the transaction due Multiple Application Waiver Form
to the changes in my credit card number and/or credit card

✔Choose your Device Choose your Device Claiming Option

expiry date which are not reported to you.
This is to declare that I have read and accepted the
7. I understand that in case of changes in my mobile number or Subscriber’s Declaration and hereby consent/acknowledge Phone / Device One-time Cash-out Pick-up from This Store: Pick-up from Other Store Branch:
that my acceptance will carry over/cover all
account number brought about by cases, such as, but not
limited to, change in ownership or account migration to or
from any of the SMART Postpaid services, I shall be required
applicable line applications herewith.
Free
Device Amortization ✔ Direct Delivery (Shipping Address):

to submit a new ADA Enrollment Form indicating these

changes.
*Signature is best enjoyed in 4G/LTE-powered areas, and ** AllNet: Smart/Sun/TNT/Globe/TM/DITO/other mobile
8. I understand that at any time, SMART may initiate the
cancellation of my enrollment to the ADA, for any reason
✔ Signature Plans+ in 5G-powered areas with a Smart 5G-certified phone

whatsoever. In case of such cancellation, or any other

cancellation for any reason whatsoever, I shall pay my bills
directly to SMART or through SMART’s accredited payment
Subscriber’s signature over printed name
✔ Package Summary Particulars Amount (in PHP)
Chosen Plan
channels. Any amount due prior to the effective date of
such cancellation shall still be due and demandable and may
still be submitted by SMART to the issuing bank or acquiring
✔ TOTAL MONTHLY FEE
bank for approval prior to the effective date of the
Date (MM-DD-YYYY) Commitment Period Promo Availed

✔
cancellation.
Acknowledged:
9. I fully understand that my enrollment to the ADA may entitle The Smart representative has shown me how to set-up and use
Plan :
my account to exemptions from the pre-redirection and the GigaLife App to manage my Signature plan.
redirection services even when my usage has exceeded the Device : Subscriber’s Name and Signature
assigned credit limit for my account. Mobile No. :

I undertake to have read, understood and agreed to the Terms

Plan : Stream easy and charge your entertainment subscription to your monthly bill. Ask us how.
and Conditions governing the Automatic Debit Agreement
(ADA) as evidenced by my signature in this Application Form. Device : NETFLIX Apple Music Spotify
Mobile No. : PHP 149 Mobile / PHP 369 Basic / PHP 129 PHP 149 Spotify Premium / PHP 189
PHP 459 Standard / PHP 549 Premium Individual Premium Duo / PHP 214 Premium Family
Date of Application:
Subscriber’s Declaration b. The continuous improvement of the Service

For New Application/Information Update SMART may collect, use, process, and analyze how I use the Service in order to understand my needs and preferences.
SMART’s analysis may include maintaining a record of the products and services that I avail (such as the volume and
My signature below signifies that:
frequency of my use of its SMS, voice, and data services) and my historical locational information (based on the places
1. All information that I have stated in this application, including all supporting documents that I have where I may have used the products and services). SMART also analyzes other activities such as when I participate in
submitted, are true and correct. I have voluntarily provided this information and supporting documents to Smart SMART’s market research initiatives, when I visit and transact in SMART stores, and when I visit and use SMART websites
PERSONAL INFORMATION WHERE CAN WE CONTACT YOU? Communications, Inc. (“Smart”) facilitate the processing and evaluation of this application for Smart Signature Subscription and mobile apps.

✔Full Name (Last Name and Suffix, First Name, Middle Name)
My contact details shall be used subject to the Subscriber’s Declaration.
(the “Service”).

2. I acknowledge that SMART will require the validation of my identity and my credit history in order to evaluate
I understand that SMART does so to serve me better, improve the Service for my benefit, and to gain a better insight of
the kinds of offers that would be relevant to my preferences.

✔
my application for the Service. I therefore authorize the following:

Office/Business Number
(Area Code + Number + Local)
✔ E-mail Address
(Mandatory to activate your account.)
a. For SMART to obtain relevant information about myself and my credit information from my declared
employer or business, and from the banks, credit card companies, and other financial institutions and service providers
with whom I have existing accounts, as evidenced by the supporting documents I have submitted together with my
c. The management of the security of its business operations

SMART may process my personal data to conduct IT security operations, to manage its assets, to ensure my fair use of its
products and services, and for business continuity, disaster recovery, and audit purposes.
application; and
9. I consent to SMART’s processing of my personal data as I avail of its products and services so that SMART may

✔ b. For SMART to obtain from my declared employer or business, and for the banks, credit card companies, be able to create and offer better products and services for me, including through direct marketing. I understand that

✔
SMART carries out the following processing activities based on my consent.

✔
and other financial institutions and service providers, which I have identified and authorized to release, my information as

Nickname Birthday (MM-DD-YYYY) Mobile Number

✔ Home Number
(Area Code + Number + Local)
may be necessary for the evaluation of my application, and for SMART to verify relevant information concerning myself
or my subscription with them.

3. As an alternative to submitting financial documents together with my application, I acknowledge that I have
a. Send me offers, recommendations and promotions

SMART processes my usage profile to send me customized offers and promotions through my contact details using

✔Mother’s Maiden Name (Last Name, First Name, Middle Name)

the following options available to me for SMART to validate my credit worthiness:

Option 1:
If I am also a Postpaid Subscriber of PLDT I may choose to allow SMART to confirm whether my postpaid account with PLDT
channels such as SMS, voice calls, and e-mail. This includes location-based offers that are exclusively available in areas
that I may frequent.

b. Elaborate my usage profile

is in good credit standing (i.e., up to date on payments for at least 7 months).
In case we can’t reach you, who else can we contact for SMART may obtain personal information about me from third-party sources such as its subsidiaries, affiliates, and
business partners, to whom I have also given my consent for them to share my information. I acknowledge that SMART
application evaluation? Option 2:
a. I may choose to allow SMART to share ALL of the following personal data with TransUnion Information creates this enhanced usage profile about me solely to get a deeper understanding of my preferences so that I may

✔ Solutions, Inc. (“TU”), a private credit bureau operating in the Philippines, to compute for my credit score: receive even better targeted product recommendations, special offers, and promotions.

✔Home Address (Unit/House No., Street, Barangay, City, Province, Zip Code)
Complete Name
• Complete Name
• Address
I acknowledge that I can choose to object to and withdraw my consent from any of these processes at any time through
https://smart.com.ph/privacy.

✔Contact Number
✔ Relation
• ID number and ID Type (driver’s license, passport, company ID, etc.)
• Date of Birth
• Phone number and type
• Gender
10. I acknowledge that SMART will keep all information pertaining to my account, including all personal data
about myself, for as long as I continue to use SMART’s products and services, and for a maximum of twelve (12) years
after.
• Civil status

✔
In the event that my application is not approved by SMART, I acknowledge that I have the option to ask for the return of
any information and documents I have provided. Should I fail to exercise my option within the retention period, the
I certify that I have secured the permission of my secondary contact b. I acknowledge that my credit score shall be used by SMART solely to evaluate my application for the Service.
SMART shall securely delete my personal information.
person to receive calls on my behalf should I be unavailable or unreachable.
✔
c. I acknowledge that choosing the option to have TU generate my credit score does not guarantee that my
application will be approved, nor will it foreclose the possibility of SMART requiring the submission of financial documents 11. I acknowledge that I am afforded certain rights in relation to my personal data under the Data Privacy Act
of 2012 (Republic Act No. 10173), and that I am entitled (in the circumstances and under the conditions, and subject to the
Nearest Landmark or pay any advance cash out such as when I have a low credit score.
exceptions, set out in applicable law) to:
(Must be a permanent structure, easy to find, and well-known in the location)
WORK INFORMATION d. I acknowledge that TU has the sole control of the algorithm it uses to generate my credit score.
a. Request access to the personal data that SMART processes about me.
e. In order for TU to provide quality credit reports and scores to its members by enriching its database, I also

✔ Office/Business Name
acknowledge that I have the option to allow SMART to share the following personal data and account data to TU on a
monthly basis, as part of SMART’s contribution as a member of TU’s private Credit Bureau:

Personal Data
b. Request a rectification of my personal data.

c. Request the erasure of my personal data.

• Full name (first name and last name) d. Request the restriction of the processing of my personal data.

✔ Office/Business Address
(Unit/Bldg. No., Street, Barangay, City, Province, Zip Code)
• ID number, and ID Type (driver’s license, passport, company ID, etc.)
• Address and address type (business or residential)
• Date of birth
• Phone number and type (business or residential)
e. Request portability of my personal data.

When the processing of my personal data is based on my consent, I acknowledge that I have the right to withdraw such
• Gender consent at any time by contacting SMART’s Data Privacy Officer, or by accessing https://apps.smart.com.ph/privacy. I

✔ • Civil status understand that this will not affect the lawfulness of the processing that was carried out before I withdrew my consent or
Gender SMART’s right to continue parts of the processing based on legal bases other than my consent. If SMART is unable to

✔ Account Data provide me with another legal basis justifying the processing of my personal data, SMART will stop the processing and
delete my personal data.
Male Female ID No. • Account number
• Account status (Active, Redirected, Temporary Disconnected, etc.)
• Account activation date I acknowledge that I may learn more about my privacy rights by visiting https://smart.com.ph/Corporate/privacy.
• Latest payment amount

✔ Civil Status ✔ Select ID Type below:

TIN ID Company ID ✔ Current Job Title ✔ Monthly Income
• Credit limit amount
• Outstanding balance
• Interest and fees (if applicable)
If I believe that my data privacy rights have been violated, I may get in touch with SMART’s Data Privacy Officer through
the contact details provided below. In some instances, I understand that SMART may request for supporting documents
or proof before it effects any requested changes to my personal data.
Single Married • Number of days past due (if applicable)
• Total amount overdue (if applicable) Smart Communications, Inc.
Length of Service with Current Employer/Business: Data Privacy Office

Others SSS ID f. I understand that the personal data sharing to TU is done by SMART with both parties acting as a personal 6799 Ayala Ave., Makati City, 1226, Philippines
Email: dataprivacyoffice@smart.com.ph
information controller. Hence, the personal data disclosed by SMART to TU will be governed by TU’s Terms and

✔ OTHER GOVERNMENT IDs ✔ Years

✔ Months Conditions and Privacy Policy (and not that of SMART’s) to the extent that the processing is solely under the control of TU.
For more information, I may refer to https://www.transunion.ph or contact dataprivacyph@transunion.com in case I have
questions or concerns regarding TU’s personal data processing purposes and activities and my rights as data subject in
I have read and understood the Terms and Conditions found on the SMART’s website
www.smart.com.ph/Corporate/terms/postpaid, and I shall strictly comply and abide by these terms and conditions
Citizenship
✔ relation thereto. relating to my use of the SMART’s services, and any future amendments to these same terms.
(Pls. specify: ) Start Date of Employment/Business (mm/dd/yyyy) 12. I acknowledge that my subscription has a commitment period or contract term (the “Term”). I understand that
4. I acknowledge that SMART may temporarily park my service application in cases when:
should I wish to downgrade my plan within the Term, I will be required to pay for any of the following applicable
a. My preferred service is currently unavailable. I understand that I may choose to wait up to a maximum of 30 fees based on the package I availed:
days for my preferred service to become available. If, after the prescribed 30 days, my preferred service is still unavailable,
my service application shall automatically be cancelled, unless I update my application and avail a different service type; a. Pre-Termination Fee equal to my Monthly Service Fee (MSF) multiplied by my remaining months in contract

b. SMART requires additional supporting documents to be submitted. I understand that my service application b. Total remaining device amortization

For Plan Renewal (To be accomplished by Sales Representative) Applicable for New Application and Plan Renewal shall not be processed until these supporting documents are submitted by me. If I am unable to submit these additional
documents within 30 days, my service application shall automatically be cancelled; and c. Outstanding balance

c. I have unpaid balances due to SMART. I understand that my service application shall not be processed until I 13. I also understand that should I wish to terminate my plan within the Term, I will be required to pay for any of the
have settled all unpaid balances. If I am unable to settle payment for these unpaid balances within 30 days, my service following applicable fees based on the package I availed:
Out-of-contract Your validated e-mail address will be automatically enrolled to application shall automatically be cancelled.
a. Pre-Termination Fee equal to my Monthly Service Fee (MSF) multiplied by my remaining months in contract
eStatements and other Smart Signature service notifications. I acknowledge that SMART may contact me for updates or reminders within the 30 days that my service application is
temporarily parked. I also acknowledge that SMART may use my parked service application for further analysis within the b. Total remaining device amortization
Early Retention (Remaining Months: ) Please download the GigaLife App to easily view your billing same 30-day period, solely for SMART to plan for future growth, increase its areas of serviceability, and improve its
installation services. c. Outstanding balance

statements and to conveniently manage your account. 5. I acknowledge that SMART shall send my Statement of Account (“SOA”) for the Service three (3) calendar days
after the Statement Date via electronic mail, through the email address I specified in the application. I agree to hold SMART
Name of Subscriber free and harmless from any liability for my failure to receive the SOA despite it being sent to the designated email address.
I understand that I will no longer receive a printed copy of my SOA unless I have stated otherwise by indicating my
d. Unbilled charges
14. I have read and understood the Postpaid Terms and Conditions found on SMART’s website
www.smart.com.ph/Corporate/terms/postpaid and the Smart Signature Terms of Use found on SMART’s website:
www.smart.com.ph/Postpaid/signature-terms (collectively the “T&Cs”). I undertake that I shall strictly comply and abide

✔
preference for SOA delivery in my application. by the T&Cs and any of its future amendments.

**Acknowledgement and Consent**

Mobile No. Consent to take photos 6. I acknowledge that there are some instances where SMART may be required to disclose my personal data as part
of its regular business operations and for the provision of its products and services. I understand that my personal data may
be disclosed to:
I have read and understood this Subscriber Declaration, and the purposes for which my personal data shall be
I allow the Sales Representative, , a. SMART’s service providers, contractors, and professional advisers who help SMART provide its products and processed.
services. This includes partner companies, organizations, or agencies, and their sub-contractors. For example: SMART’s
to take a picture of my requirements and for the Company to maintain couriers for bill delivery and customer contact centers providing pre- and post-sales hotline operations;
If you chose Option 1: I allow SMART to validate my credit worthiness with PLDT to determine whether my postpaid
Account No. b. SMART’s subsidiaries and affiliates with whom I have also signed-up with. I understand that this is done only account with PLDT is in good credit standing (i.e., up to date on payments for at least 7 months). (OPTIONAL)
said records in order to process my Postpaid application. for the improvement of their respective business and operations. For example: SMART may share information related to
my use of its products and services with its subsidiaries and affiliates so that they can create new offers that bundle their
products and services into a single subscription for my benefit; and If you chose Option 2: I consent to the disclosure of my Personal Data to TransUnion Information Solutions, Inc., for
purposes of computing my Credit Score. (OPTIONAL)
c. Other companies to whom I may have also given consent my consent for SMART to share my information
Plan Description with. For example, when I sign-up for products and services offered by other companies, they may request for
(To be filled out by the Sales Representative) information from SMART in order for them to validate my identity. If you chose Option 2: I consent to the monthly disclosure of my Personal Data and Account Data to TransUnion
Information Solutions, Inc., as part of SMART’s contribution as a Bureau Member. (OPTIONAL)

✔
I acknowledge that a complete list of these third parties may be accessed through
https://smart.com.ph/Corporate/privacy#affiliates.
FULL NAME :
Date Time
Contract End Date
7. I acknowledge that SMART processes and discloses my personal data to law enforcement and government
agencies, in cases when SMART is required to do so for purposes such as:
✔
SIGNATURE

DATE
:

New Contract Start Date

Smart Branch a. Assisting public authorities by generating, for instance, statistical insights based on my usage of SMART
network and facilities, for public planning for healthcare, disaster management, and other similar initiatives; and ✔
b. Complying with relevant laws and regulations and other lawful orders and processes.

Source of Application: Inbound Outbound 8. I acknowledge that SMART shall process my personal data based on its legitimate interests to function
effectively as a business, and that this is only done when such legitimate interests cannot be overridden by my fundamental
rights or freedoms. Such interests, include, among others:
New Contract End Date a. The continuous improvement of SMART’s business and operations

SMART analyzes my use of its network and services to help in managing my account, provide customer care activities,
Sales Representative’s Name investigate and resolve service-related requests and concerns I may have, monitor the quality and security of its network,
train its staff, and plan for future growth.