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Merchant Name

Transaction Type

Payment Option

Transaction Amount

PhP 0.00

Transaction Fee

PhP 0.00

Total Amount

PhP 0.00

I certify that I am at least 18 years old and have read, understood, and agreed to the Terms and Conditions.

To authorize this transaction, please enter the following and click your PIN on the PIN PAD

LANDBANK/OFBank Account Number	* * * * * * -
Email
Mobile	*******
One-Time Password
Joint Account Indicator (JAI)	Invalid Joint Account Indicator(JAI)