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Get PH Pag-IBIG HQP-PFF-003 2019-2024

SPECIMEN SIGNATURE FORM HQP-PFF-003 V07 01/2019 INSTRUCTIONS 1. Accomplish this form in one 1 copy. Should there be any revocation of the authority of the officials named in this form secure and submit duly accomplished Employer s Change of Information Form ECIF HQP-PFF-106 and new Specimen Signature Form to any Pag-IBIG Branch. 2. Type or print all entries in BLOCK and CAPITAL LETTERS* 3. Please refer to the table below for the List of Authorized Signatories to certify and/or sign documents in all business transaction with the Fund* 4. EMPLOYER/BUSINESS NAME Pag-IBIG EMPLOYER/HOUSEHOLD EMPLOYER ID NO. The following are hereby authorized to certify and/or sign documents in all business transactions of our company/business with the Fund AUTHORIZED SIGNATORY/IES NAME Last Name First Name Name Extension Middle Name OFFICIAL DESIGNATION PERSON GRANTING AUTHORITY DATE AUTHORITY GRANTED SIGNATURE OVER PRINTED NAME DESIGNATION/POSITION LIST OF SIGNATORIES FOR PERSON GRANTING AUTHORITY 1. For Single Proprietorship Owner 5. For Trade Association President or Chairman of the Board 2. For Partnership Managing Partner 6. For Household Employer Any immediate members of the family 18 years old and 3. For Corporation President Chairman or Corporate Secretary above or occupants of the house who are directly and regularly provided service by 4. For Cooperative Chairman or Corporate Secretary the Kasambahay. NOTE In case the signatory for the Person Granting Authority shall be other than those listed above a supporting document designating the authorized signatory shall be attached to the SSF i*e* SPA Authorization Letter etc*. EMPLOYER/BUSINESS NAME Pag-IBIG EMPLOYER/HOUSEHOLD EMPLOYER ID NO. The following are hereby authorized to certify and/or sign documents in all business transactions of our company/business with the Fund AUTHORIZED SIGNATORY/IES NAME Last Name First Name Name Extension Middle Name OFFICIAL DESIGNATION PERSON GRANTING AUTHORITY DATE AUTHORITY GRANTED SIGNATURE OVER PRINTED NAME DESIGNATION/POSITION LIST OF SIGNATORIES FOR PERSON GRANTING AUTHORITY 1. For Single Proprietorship Owner 5. For Trade Association President or Chairman of the Board 2. For Partnership Managing Partner 6. For Single Proprietorship Owner 5. For Trade Association President or Chairman of the Board 2. For Partnership Managing Partner 6. For Household Employer Any immediate members of the family 18 years old and 3. For Corporation President Chairman or Corporate Secretary above or occupants of the house who are directly and regularly provided service by 4. For Household Employer Any immediate members of the family 18 years old and 3. For Corporation President Chairman or Corporate Secretary above or occupants of the house who are directly and regularly provided service by 4. For Cooperative Chairman or Corporate Secretary the Kasambahay. NOTE In case the signatory for the Person Granting Authority shall be other than those listed above a supporting document designating the authorized signatory shall be attached to the SSF i*e* SPA Authorization Letter etc*. .

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