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APPLICATION FORM
TERM FACTOR RATE ADD-ON-RATE
3 0.3463382435 1.30%
6 0.1791689956 1.25%
12 0.0921374890 0.88%
18 0.0643601044 0.88%
24 0.0546696232 1.30%
SIGNATURE OVER
PRINTED NAME
By signing on this Balance Convert Application Form , I hereby agree to be bound by the Balance Convert Program Terms and Conditions.
This Program and the other requirements set forth herein as may be amended and supplemented by BDO from time to time and by the Terms
and Conditions governing the issuance and use of the BDO Credit Cards appearing in a separate document. In case of insufficient credit limit,
BDO has the sole discretion to approve only a portion of the amount applied for , without prior notification to the Cardholder. BDO shall have the
absolute and exclusive right to approve or reject applications for Balance Convert. If my Balance Convert application is approved , this shall
serve as my written authorization to BDO to avail the said program . I understand that in case of disapproval , BDO is under no obligation to
notify me of such disapproval and disclose the reasons thereof.
DATE RECEIVED
TIME RECEIVED
CREDIT LIMIT
MONTHLY AMORT
WITH OR WITHOUT
PAST DUE
SCORE
REMARKS
APPROVED BY ________________________________