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Account Management Form

Ana Rebecca Ensomo is requesting to change her Maya-registered mobile number from 09182518028 to 09914735746 because she lost her phone/SIM. She provides her date of birth and signs the form, along with the date, to process the change. The form allows account owners to change mobile numbers, reactivate dormant accounts, fix duplicate accounts, or transfer balances between accounts with reasons for the requests.

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Ana Rebecca Ensomo
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322 views1 page

Account Management Form

Ana Rebecca Ensomo is requesting to change her Maya-registered mobile number from 09182518028 to 09914735746 because she lost her phone/SIM. She provides her date of birth and signs the form, along with the date, to process the change. The form allows account owners to change mobile numbers, reactivate dormant accounts, fix duplicate accounts, or transfer balances between accounts with reasons for the requests.

Uploaded by

Ana Rebecca Ensomo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

ACCOUNT MANAGEMENT FORM

Account Owner's Name: Date of Birth (DD/MM/YYYY):

Ana Rebecca Ensomo 01/08/1990


Please choose a request below and fill out the details

Change Maya-Registered Mobile Number Reason for Changing:

Maya-Registered Mobile Number:


09182518028 Lost Phone/SIM
Stolen Phone/SIM

New Mobile Number: 09914735746 Disconnected/Defective SIM


Changing Mobile Number
Others, pls specify ____________________

Reactivate Account Reason for Reactivation:


Dormant Account*
Maya-Registered Mobile Number: Lost Phone/SIM
Stolen Phone/SIM

*For dormant accounts, please make sure you have cashed in at least P200.00 to your Maya account
*For lost or stolen phone/SIM, please make sure you have regained access to your Maya account

Fix a Duplicate Account

Account(s) to be Cancelled: Account to be Retained:

Reason for Having More Than 1 Account

Transfer of Balance Reason for Transfer


Voluntarily Closed Account
Source Maya Wallet Number: Duplicate Account
Deceased Account Holder
Target Account Holder's Name:

Target Maya Wallet Number:

Amount to be Transferred:

Ana Rebecca Ensomo


Account Owner's Signature Over Printed Name Date Signed

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