Online Forms


Philequity Dollar Income Fund, Inc (PDIF) Account Opening Form
  Account Name
  Account Type
Individual
Joint
Others
  PERSONAL INFORMATION
  Last Name
  First Name
  Middle Name
  Mailing Address
  House/Bldg No.
  Street
  Barangay
  Subdivision/District
  Municipality/City
  Province
  Postal Code
  Secondary Address, if any
  House/Bldg No.
  Street
  Barangay
  Subdivision/District
  Municipality/City
  Province
  Postal Code
  OTHER PERSONAL INFORMATION
  Email
  Home Phone
  Mobile Phone
  Fax No
  Birthdate   ex. 05/07/1981
  Birthplace
  Nationality
  Gender
Male
Female
  Civil Status
Single
Married
Widowed
Separated
  Highest Education
  Level Attained
  Spouse's Name (Last, First, Middle)
  FINANCIAL/BUSINESS INFORMATION
  Employer
  Type of Organization
  Job Designation
  SSS/GSIS No
  TIN No
  Office Address
  Flor/Unit
  Building
  Number
  Street
  Municipality/City
  Postal Code
  Office Phone No
  Office Fax No
  Office Email
  Website
  Bank Account Details
  Bank/Branch
  Account Name
  Account No
  MARKETING INFORMATION
  I learned about Philequity from
Philequity Sales Officer or Agent
An existing investor of Philequity
A Family or friend
Advertisement
Talk/Seminar, specify:  
Others:  
  DECLARATION

1. I/We confirm that the information given in this form is correct and complete. I/We authorize PEMI to confirm this information from any source it may choose

2. Having read and understood the contents of this form and the Fund's prospectus, I/we hereby agree to abide by the terms and conditions of opening this account and investing in mutual funds.

3. I/We understand that the opening of this account may be delayed if not all requirements and supporting documents are submitted

4. I/We hold PEMI, its officers and representatives, free and harmless from any and all claims, liabilities, damages and suits of whatever nature arising out of or in connection to the opening of this account.

  FAX AND/OR EMAIL INSTRUCTIONS FACILITY (OPTIONAL)

1. I/we wish to send instructions regarding my account by

fax
email from this email account address:

2. I/we understand that by enrolling my/our account in this facility, I/we am/are authorizing Philequity Management Inc (PEMI) to process and treat all fax instructions bearing the signatures of the authorized signatories as well as email instructions from the email address indicated above (if email facility selected) as original documents

3. I/we understand that this facility is applicable only for additional investments and redemptions

4. I/we understand that it is my/our responsibility to ensure that fax and/or email instructions are transmitted to PEMI in a timely manner and in a form that is legible and which clearly states all relevant transaction information. I/we understand that PEMI will only process fax and email instructions that conform to these said characteristics. I/we hereby indemnify PEMI for not executing any fax or email instructions that contain illegible or incomplete data.

5. I/we undertake to keep PEMI indemnified at all times against and to save PEMI harmless from all actions, proceedings, claims, loss, damage costs and expenses which may be brought against it or suffered or incurred by it and which shall have arisen either directly or indirectly out of or in connection with its acceptance of fax/email instructions bearing the signatures of the authorized signatories and acting thereon.

6. I/we undertake to send to PEMI the original documents and duly accomplished transaction forms within two (2) weeks from the date of the transaction

7. I understand that, prior to acting on any fax/email instructions, PEMI reserves the right to require additional documents and/or original letters of instruction for some transactions, as determined appropriate by its Operations Group or as required by legislation and/or regulatory bodies