Bangko Sentral Registration Document (BSRD) and Bank Certification of Inward Remittance (CIR) of Foreign Exchange for Special Investor's Resident Visa (SIRV) Applicants

March 20, 1998 BSP CIRCULAR LETTER TO : All Authorized Agent Banks (AABs) SUBJECT : Bangko Sentral Registration Document (BSRD) and Bank Certification of Inward Remittance (CIR) of Foreign Exchange for Special Investor's Resident Visa (SIRV) Applicants For purposes of compliance with the requirement for inward remittance of foreign exchange for issuance of SIRV, AABs shall duly accomplish Item I (CIR) of the attached BSRD form in the issuance of subject CIR. The original of the form with Item I (CIR) duly accomplished and notarized shall be submitted by the applicant to the One-Stop Action Center Board of Investments (OSAC-BOI) at the BOI Building, Gil J. Puyat Avenue, Makati City, copy to be immediately furnished by the bank concerned to the Direct Equity Investment Division of the Foreign Exchange Department (FED), this Bank, either by Fax or personal delivery. The foreign investment funded by the foreign exchange under said bank CIR, if eligible under existing BSP rules, shall be registered by the BSP thru the Deputy Director, FED or higher-ranked BSP Officer who shall sign at the designated space at the bottom of said form, and the form as thus signed shall be considered as a duly issued BSRD for purposes of CB Circular No. 1389, as amended. Changes in the investment/conversion to another investment type and repatriation of capital/outward remittance of profits thereon shall be indicated at the back of the original of said form duly noted/certified by BSP/Bank Officer concerned, and reported to the BSP and OSAC-BOI in accordance with existing rules. This Circular-Letter shall take effect immediately. (SGD.) EDGARDO P. ZIALCITA Deputy Governor BSP-FED-TIG Form No. 98-1 BANGKO SENTRAL REGISTRATION DOCUMENT (BSRD) ( For Special Investor Resident Visa (SIRV) Applicants ) I. CERTIFICATION OF INWARD REMITTANCE (CIR) To The Bangko Sentral ng Pilipinas (BSP) : This is to certify that this Bank received an inward remittance of foreign exchange, details of which are as follows: 1. Name of Visa Applicant-Foreign Investor ___________________ 2. Nationality of Applicant ___________________ 3. Name of Remitter ___________________ 4. Country Source of Remittance ___________________ 5. Name of Beneficiary ___________________ 6. Remittance Reference Number ___________________ 7. Foreign Currency Name ___________________ 8. Amount of Foreign Currency ___________________ 9. US$ Equivalent (if currency remitted is other than US$) ___________________ 10. Date Remittance Received ___________________ 11. The remittance was converted to pesos with this Bank as follows (fill up, if applicable): ___________________ a) Amount of Peso Proceeds ___________________ b) Rate of Conversion ___________________ c) Date Converted to Pesos ___________________ d) Date Deposited in Peso Account with this Bank ___________________ e) Name of Depositor and Account Number ___________________ I further certify that the said peso amount remains deposited in said account with this Bank as of this issue date and the written permission of the depositor has been secured for this disclosure of deposit. Issued this __________________________ (Date of this Certification) ________________________ _________________________________ Name of Bank Affiant's Signature Over Printed Name & Position in Bank SUBSCRIBED AND SWORN to before me, this ____ day of ______, 1998, affiant exhibiting to me his/her Community Tax Certificate No. ________ issued at _______ on ____. Doc. No. __________ Book No. __________ NOTARY REPUBLIC Page __________ Series of __________ II. BSP REGISTRATION Based on the above CIR, and, where applicable, other supporting documents, the foregoing inward remittance is hereby registered as foreign investment in peso bank deposit, in accordance with existing rules, with details as follows: BSRD No. _____________ Amount Registered (PHP) ____________ Date of Registration _____________ Amount of FX Funding ____________ Name of Investor _______________ Registered by: _________________________ Name & Position of BSP Officer A. Changes in the Investment To : Investment Type/Other Noted by BSP Date Particulars * No. of Shares Investee-Firm Officer ___________ ___________ ___________ ___________ __________ ___________ ___________ ___________ ___________ __________ ___________ ___________ ___________ ___________ __________ ___________ ___________ ___________ ___________ __________ ___________ ___________ ___________ ___________ __________ B. Record of FX Repatriation/Outward Remittance of Profits 1. Repatriation Certified by Date of Remitting Bank Remittance No. of Shares Investee-Firm Amount (US$) Officer ___________ ___________ ___________ ___________ __________ ___________ ___________ ___________ ___________ __________ ___________ ___________ ___________ ___________ __________ ___________ ___________ ___________ ___________ __________ ___________ ___________ ___________ ___________ __________ 2. Profits/Dividends/Interests Certified by Date of Remitting Bank Remittance Year Earned Investee-Firm Amount (US$) Officer ___________ ___________ ___________ ___________ __________ ___________ ___________ ___________ ___________ __________ ___________ ___________ ___________ ___________ __________ ___________ ___________ ___________ ___________ __________ ___________ ___________ ___________ ___________ __________ * Indicate if in LS (Philippine Stock Exchange (PSE) Listed shares), NLS (Non-PSE-Listed Shares of Corporations), TB (Treasury Bills), CRE (Condominium or Real Estate), Others (specify). For NLS and Others, indicate industry category: Financial Institutions, Public Utility, CRE, Commercial Papers, Manufacturing, Services, Construction, Mining, or Agriculture/Fisher/Forestry.