AUTOMATIC DEBIT AGREEMENTAPPLICATION FORM

Credit Card Number

Please attach the front copy of the credit cardbeing enrolled in this facility

Card Expiry Date

SUPPLEMENTAL TERMS TO THE AUTOMATIC DEBIT

I/We a�rm that the above given information are true and correct and hereby authorize SMART Communications, Inc. to verify such information from whatever sources it may consider appropriate. By signing below, I/We signify agreement to the Automatic Debit Agreement Terms and the Supplemental Terms set forth in this Application Form.

Cardholder’s Signature Over Printed Name Date

Subscriber’s Signature Over Printed Name Date

I undertake to pay SMART in advance an amount equivalent to three (3) months of my monthly service fee in the event of any of the following:

• When my enrollment to Automatic Debit Agreement is disapproved by the credit card company; or

• When my enrollment to Automatic Debit Agreement is cancelled through any means and for whatever reason within my contract period.

1. For purposes of this Automatic Debit Agreement, the words “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 enrolment to the Automatic Debit Agreement (“ADA”) shall take e�ect upon approval of the issuing

bank or acquiring bank, and SMART.

3. Upon the approval of my enrolment to the ADA, I hereby authorize SMART to automatically charge my

total account balances to my enrolled credit card, on a monthly basis. Provided that, in case the credit

card billing charge submitted by SMART to the issuing bank or acquiring bank is rejected or declined for

any reason whatsoever, SMART may still attempt to submit the same billing charge to the issuing bank

or acquiring bank until the total account balance for the next billing period becomes available.

4. Balances that are still outstanding prior to my application for enrolment to the ADA may be charged by

SMART to my credit card upon approval of my ADA enrolment.

5. In the event that the credit card billing charge submitted by SMART to the issuing bank or acquiring

bank is rejected or declined for any reason or whatsoever, I shall settle my outstanding balance directly

with SMART or through SMART’s accredited payment channels.

6. I understand that in case of changes in my credit card number brought about by cases, such as, but

not limited to, lost credit card, upgrade and/or card renewal, I shall be required to submit a new ADA

Enrolment Form indicating these changes. I understand that in case of changes in my credit card

expiry date, brought about by cases, such as, but not limited to card renewal, I shall be required to

report the new expiry date of my enrolled credit card to your customer service. In case I fail to report

the new credit card expiry date and my enrolled credit card is already expired, SMART shall endeavor

to try to update the new expiry date to be able to continue the submission of my billing charge to the

issuing bank or the acquiring bank. Provided however, that, I shall be held liable for any inconvenience

or delay of my payments should the credit card company decline the transaction due to the changes

in my credit card number and/or credit card expiry date which are not reported to you.

7. I understand that in case of changes in my mobile number or 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 to submit a new ADA Enrolment Form indicating these changes.

8. I understand that at any time, SMART may initiate the cancellation of my enrollment to the ADA, for any

reason 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 channels. Any amount

due prior to the e�ective date of such cancellation shall still be due and demandable and may still be

submitted by SMART to the issuing bank or acquiring bank for approval prior to the e�ective date of the

cancellation.

9. I fully understand that my enrolment to the ADA may entitle my account to exemptions from the

pre-redirection and redirection services even when my usage has exceeded the assigned credit limit

for my account.

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

Automatic Debit Agreement (ADA) as evidenced by my signature in this Application Form.