CLASS B

LAND BANK OF THE PHILIPPINES

Mangatarem (Pangasinan) Branch

weAccess ENROLLMENT AND MAINTENANCE AGREEMENT FORM

(Viewing Facility)
X New Enrollment Update Enrollment Delete Enrollment

INSTITUTION PROFILE
Name of Institution Short Name
OLO ELEMENTARY SCHOOL OLO ES

Address ZIP Code Country

OLO CACAMPOSAN, MANGATAREM, PANGASINAN 2413 PHILIPPINES
No. Street Barangay/District Municipality/City Province
Contact Number Fax Number Tax Identification Number (TIN) Date of Incorporation

09956345414 448 - 597 - 044 - 000 01 - 01 - 2024

Area Code Telephone Number Ext. Area Code Telephone Number M M D D Y Y Y Y

BIR Registered Name Institution's Email Address1/ Client Type2/

OLO ELEMENTARY SCHOOL mangatarem1.olo101587@gmail.com

SUBSIDIARIES
INSTRUCTIONS INSTITUTION NAME TAX IDENTIFICATION NUMBER (TIN)
Add OLO ELEMENTARY SCHOOL 448 - 597 - 044 - 000
- - -

ACCOUNT ACCESS PROFILE

INSTRUCTIONS ACCOUNT TAG ACCOUNT NUMBER
Add OLO ELEMENTARY SCHOOL 4422 - 1015 - 49

- -

- -

- -

- -

CHARGES (if any)

Total Number of weAcess USB/flash disk: Total Billing:
Cost of weAccess USB/flash disk in excess of three (3)
Cost of weAccess USB/flash disk Replacement
Cost of weAccess vToken Application

ACKNOWLEDGMENT
This serves as our application to your LANDBANK weAccess Facility. I/We hereby acknowledge to have read, understood and agreed to be bound by
the Terms and Conditions of the LANDBANK weAccess facility.

MARIA CLARISSE B. CUARESMA 1/4/2024

Signature over Printed Name of Authorized Signatory/ies Signature over Printed Name of Authorized Signatory/ies Date

FOR BANK USE

SERVICING BRANCH/EO SYSTEMS IMPLEMENTATION DEPARTMENT
Reviewed by Verified by Approved by Checked by Enrolled by Date

Distribution Copy 1 - SID Copy 2 - Institutional Client Copy 3 - Depository Branch

Notes: (1) Please write "Not Applicable" or "N/A" for fields with no applicable data and/or "Nothing Follows" immediately after the last item.
(2) Please use additional sheets, if necessary.

1/
The designated email address where notices from the weAccess Facility shall be sent.
2/
e.g. GOCC, NGA, LGU, Private Corporation, Partnership, Cooperative, SME, Educational and Health Institution, Development Partnet, Religious and
Charitable Organization, Commercial/Universal Bank, Thrift Bank, Rural Bank, Other Financial Intermediary, NGO/People Organization/Association,
Micro-Enterprise, Sole Proprietorship
3/
The designated account description with a maximum of 15 alphanumeric characters (e.g. Payroll Account).
page 1
CLASS B
 CLASS B

Add
Delete

Aglayan GOCC 0
Agoo NGA 1
Alabang Business Center LGU 2
Alabel Private Corporation 3
Alaminos Partnership 4
Alicia Cooperative 5
Allen EO SME 6
Almanza Educational and Health Institution 7
Angeles Development Partner 8
Antipolo Religious and Charitable Organization 9
Antique Commercial/Universal Bank
Apalit Thrift Bank
Aparri Rural Bank
Araneta Center EO
Atimonan (Quezon)
Aurora (Zamboanga Del Sur) Other Financial Intermediary
Baclaran NGO/People Organization/Association,
Bacolod City Micro-Enterprise
Baguio Sole Proprietorship
Baguio Naguilian
Bais
Bajada
Balagtas
Balamban
Balanga
Balayan
Baler
Baliuag
Bambang
Bangued
Banilad EO
Bansalan
Bantayan (Cebu)
Barili
Basco
Basilan
Bataan Capitol
Batac
Batangas City
Batangas City PPA EO
Batasan
Bauan (Batangas)
Bayawan
Baybay
Bayugan
Bicutan DOST
Binalonan EO
Biñan
Binangonan
Binondo
Bislig
 CLASS B
Boac
BOC EO
BOC POM Tellering Booth
BOC MICP
Bogo
Bolinao
Bongao
Bonifacio Global City
Bontoc
Borongan
Brooke's Point
BSP Servicing Unit
Buendia
Buguias
Buluan
Butuan
Buug
Cabadbaran
Cabagan
Cabanatuan Maharlika Highway
Cabanatuan Nueva Ecija
Cabarroguis
Cabuyao
Cadiz
Cagayan de Oro City PPA EO
Cainta
Calamba
Calamba EO
Calamba (Misamis Occidental)
Calapan
Calasio
Calbayog
Caloocan EO
Caloocan
Calumpang EO
Camiguin
Camiling
Camp Aguinaldo
Camp Crame
Candelaria
Candon
Capas
Capistrano
Carcar
Carigara
Carmen
Carmen Cagayan de Oro
Cash Department
Cataingan (Masbate)
Catanauan (Quezon)
Catarman
Caticlan
Catbalogan
Cauayan (I)
Cavite City
Cebu Mango Avenue
Cebu-Osmeña Blvd.
Cebu-Toledo
Clark
Claver (Surigao Del Norte)
COA
 CLASS B
Commonwealth
Consolacion
Concepcion (Tarlac)
Coron
Cotabato
Cotabato City Hall EO
Cubao
Culasi
Daet
Dagupan
Dagupan Caranglaan
Dalaguete EO
Danao
Dapitan
Daraga
Dasmariñas
Dau
Davao (Recto)
DECS EO
Digos
Dinagat
Dinalupihan
Dipolog
DOLE EO
Don Carlos
DOTC
Dumaguete
East Avenue
EDSA Congressional
EDSA Greenhills
EDSA-NIA Road
Elliptical Road
El Salvador City
España
Estancia (Iloilo)
Fort Bonifacio
FTI
G. Araneta
Gaisano (Iloilo)
Gapan
Gen. Santos (Gaisano) EO
Gen. Santos (Highway)
Gen.Santos (Pioneer)
Gingoog
GMA (Cavite)
Goa
GSIS
Guadalupe
Guagua
Guihulngan
Guimaras (Jordan)
Guimba
Guiuan
Gumaca
Hernaez EO
Hilongos (Leyte)
Iba
Ilagan
Iligan
Iloilo
Imus
 CLASS B
Infanta
Intramuros-BIR Tellering Booth
Intramuros
Ipil
Iriga
Irosin
Island City Mall EO
Isulan
J.P. Rizal
Janiuay
Jagna (Bohol)
Jaro
Jolo
Kabacan
Kabankalan
Kalibo
Kapatagan (Lanao Del Norte)
Katipunan
Kidapawan
Kidapawan EO
Koronadal
Koronadal Highway
La Trinidad
Labo
Lagawe
Laoag
Lapu-lapu
Lapu-Lapu EO
Las Piñas
Lebak
Legazpi
Lemery
Ligao
Liloy
Limay (Bataan)
Lingayen
Lipa
Lopez (Quezon)
LTO EO
Lucban
Lucena
Luna
LWUA EO
Maasin
Maigo (Lanao Del Norte)
Makati Atrium
Makati Business Center
Makati City Hall
Malabon
Malacañang
Malacañang EO
Malaybalay Highway
Malita
Malolos Highway
Malolos Plaza
Mamburao
Mandalagan EO
Mangaldan EO
Mandaluyong City Hall EO
Mandaue
Mandaue EO
 CLASS B
Mangatarem (Pangasinan)
Manolo Fortich
Maramag
Marawi
Marcos Highway
Marikina
Mariveles
Masbate
Masinloc (Zambales)
Mati
Matina
Meycauayan
Midsayap
Moalboal
Molave
Mulanay
Muñoz
Muñoz Science City
Muntinlupa
Nabunturan
Naga
Naga City (Cebu)
Naga Rotunda
Nagcarlan
NAIA Arrival EO
NAIA Terminal III EO
NAIA-BOC
NaPoCor EO
Narvacan
Nasugbu
Naval
Navotas
North Avenue
Novaliches
Odiongan
Olongapo
Ombudsman EO
Ormoc
Oroquieta
Ortigas Center EO
OWWA EO
Ozamiz
Palayan
Pagadian
Panabo
Paniqui
Parang
Pasay
Paseo de Roxas
Paseo de Sta. Rosa EO
Pasig C. Raymundo
Pasig Capitol
Pasig City Hall EO
Pasong Tamo
Passi
Pateros
PCSO EO
Peza Taguig EO
Pili
Pinamalayan (Mindoro)
Plaza Independencia
 CLASS B
Plaza Libertad
Polangui
Polomolok
Polomolok DOLE Phils. EO
Puerto (CDO)
Puerto Princesa
Puerto Princesa EO
Pulilan
Quezon Avenue
Quezon City Circle
Quezon City Hall
Quezon (Bukidnon)
Romblon Branch
Rosario (Batangas)
Rosario Cavite (CEZ)
Rosary Heights
Roxas (Capiz)
Roxas (Isabela)
Roxas (Mindoro) EO
Roxas Blvd. (Libertad)
Sablayan EO
Sagay
Samal Island
San Andres (Catanduanes)
San Carlos (NO)
San Carlos (Pangasinan)
San Fernando (LU)
San Fernando (Pampanga)
San Francisco
San Ildefonso
San Isidro (Isabela)
San Isidro (NE)
San Jose (Mindoro)
San Jose City (NE)
San Jose del Monte
San Juan (Batangas)
San Juan (So. Leyte)
San Juan
San Mateo (Isabela)
San Nicolas
San Pablo (Laguna)
San Pedro (Davao)
San Pedro (Laguna)
Sanchez Mira
Santiago
Sara
Senate EO
Shaw Boulevard
Silay EO
Sindangan
Siniloan
Sipalay
Sipocot
Siquijor (Larena)
Sogod
Solano
Sorsogon
South Harbor
South San Fernando (LU)
Sta. Cruz (Laguna)
Sta. Cruz Capitol
 CLASS B
Sta. Maria
Sta. Rosa
Sto. Tomas (Batangas) EO
Subic
Sucat
Supreme Court EO
Surallah
Surigao
Tabaco
Tabuk
Tacloban
Tacloban Real
Tacurong
Taft Avenue
Tagaytay
Tagbilaran
Tagudin EO
Taguig City Hall
Tagum
Tagum EO
Talavera
Talibon
Tanauan
Tanay
Tandag
Tangub
Tarlac
Taytay
Tayug
Tayuman
Tigaon EO
Toril EO
Trece Martires
Tuao
Tubigon
Tubod
Tuguegarao (Capitol)
Tuguegarao
Tupi (South Cotabato)
Umingan (Pangasinan)
U.N. Avenue
UP Diliman EO
UP Los Baños
UP Miag-ao
Urdaneta
Valencia
Valenzuela
Velez
Victorias
Vigan
Villamor Airbase EO
Virac
Wao
West Avenue
West San Fernando (Pampanga)
WMSU EO
YMCA
Zamboanga Main
Zamboanga Veterans
 CLASS B

000
001 01 01 GOCC
002 02 02 NGA
003 03 03 LGU
004 04 04 Private Corporation
005 05 05 Partnership
006 06 06 Cooperative
007 07 07 SME
008 08 08 Educational and Health Institution
009 09 09 Development Partner
010 10 10 Religious and Charitable Organization
011 11 11 Commercial/Universal Bank
012 12 12 Thrift Bank
013 13 Rural Bank

014 14 Other Financial Intermediary

015 15 NGO/People Organization/Association
016 16 Micro-Enterprise
017 17 Sole Proprietorship
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 CLASS B
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 CLASS B
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 CLASS B
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 CLASS B
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 CLASS B
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 CLASS B
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 CLASS B
LAND BANK OF THE PHILIPPINES
Mangatarem (Pangasinan) Branch

New Enrollment Update Enrollment X Delete Enrollment

Name of Institution Short Name
OLO ELEMENTARY SCHOOL OLO ES

USER PROFILE
Name
MARIA CLARISSE BONDOC CUARESMA

First Name Middle Name Last Name

Address ZIP Code Country

AGTUCA ROAD, OLO CAGARLITAN, MANGATAREM, PANGASINAN 2413 PHILIPPINES
No. Street Barangay/District Municipality/City Province

User ID Position/Designation Gender Date of Birth E-mail Address

MCbC1984 School Principal I Female 12 - 4 - 1984 maria.bondoc@deped.gov.ph

M M D D Y Y Y Y

Contact Number/s Civil Status Tax Identification Number (TIN)

Landline Mobile
09956345414 Single Divorced 942 - 190 - 281 - 000

Challenge Questions x Married Separated FOR BANK USE ONLY

1. Mother's Complete Maiden Name Thelma C. Doldol Widowed Internet Password Mailer ID
2. Name of High School Urbiztondo National High School - - -
3. Grandfather's Name Jose A. Doldol

INSTRUCTIONS USER TYPE1/ ACCOUNT NUMBER ACCESS RIGHTS (pls. check applicable modules)
✘ Account Information Fund Transfer Current Account Services
Add Maker 4422 - 1015 - 49 ATM Payroll Bills Payment Report
Remittance Fund Management2/ Loan Profile
ACIC File Upload

INSTRUCTIONS USER TYPE1/ ACCOUNT NUMBER ACCESS RIGHTS (pls. check applicable modules)
Account Information Fund Transfer Current Account Services
- - ATM Payroll Bills Payment Report
Remittance Fund Management2/ Loan Profile
ACIC File Upload
INSTRUCTIONS USER TYPE1/ ACCOUNT NUMBER ACCESS RIGHTS (pls. check applicable modules)
Account Information Fund Transfer Current Account Services
- - ATM Payroll Bills Payment Report
Remittance Fund Management2/ Loan Profile
ACIC File Upload

INSTRUCTIONS USER TYPE1/ ACCOUNT NUMBER ACCESS RIGHTS (pls. check applicable modules)
Account Information Fund Transfer Current Account Services
- - ATM Payroll Bills Payment Report
Remittance Fund Management2/ Loan Profile
ACIC File Upload

INSTRUCTIONS USER TYPE1/ ACCOUNT NUMBER ACCESS RIGHTS (pls. check applicable modules)
Account Information Fund Transfer Current Account Services
- - ATM Payroll Bills Payment Report
Remittance Fund Management2/ Loan Profile
ACIC File Upload

INSTRUCTIONS USER TYPE1/ ACCOUNT NUMBER ACCESS RIGHTS (pls. check applicable modules)
Account Information Fund Transfer Current Account Services
- - ATM Payroll Bills Payment Report
Remittance Fund Management2/ Loan Profile
ACIC File Upload

ACKNOWLEDGMENT
This serves as our application to your LANDBANK weAccess Facility. I/We hereby acknowledge to have read, understood and agreed to be bound by
the Terms and Conditions of the LANDBANK weAccess facility.

MARIA CLARISSE B. CUARESMA 1/4/2024

Signature over Printed Name of User Signature over Printed Name of Authorized Signatory Date

FOR BANK USE

SERVICING BRANCH/EO SYSTEMS IMPLEMENTATION DEPARTMENT

Reviewed by Verified by Approved by Checked by Enrolled by Date

Distribution Copy 1 - SID Copy 2 - Institutional Client Copy 3 - Depository Branch

Notes: (1) Please write "Not Applicable" or "N/A" for fields with no applicable data and/or "Nothing Follows" immediately after the last item.
(2) User ID must be composed of 6-8 alphanumeric characters, letters using upper cases only. The number zero should be written as "Ø"
to differentiate from the letter "O".

1/
Authority of the designated user.
2/
Fund Management includes Auto Crediting, Auto Debiting and Fund Sweeping Modules. page 2