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Special Power of Attorney: Know All Men by This Presents
Special Power of Attorney: Know All Men by This Presents
That I, JERRY B. PASIAN of legal age, Filipino, married, with present residence at
530 Evermeadow Road, SW Calgary, Alberta, Canada, do hereby NAME, CONSTITUTE
AND APPOINT my sister in law MARY GRACE A. BAGSANG-LEM-EW, of legal age,
Filipino, married, and with residence at P339 Poliwes, Baguio City, to be my true and
lawful Attorney-in-Fact, for me and in my name, place and stead to do and perform all
of any of the following:
2. That she may sign any documents regarding said policy and to accept the
cheque/cash proceeds in my behalf;
JERRY B. PASIAN
PRINCIPAL
PHILHEALTH I.D No.:04-0025072339-5
_____________________________ _____________________________
Witness Witness