The undersigned member of ESS PTA , INC.

, a corporation organized and existing under the laws of the

Philippines, does hereby nominate, constitute, and appoint _____________ or ______________, as its
attorney and proxy to represent it and vote at the annual membership meeting on August 2018, as fully
to all intents and purposes as the undersigned might or could do if personally present, hereby ratifying
and confirming any and all matters which may lawfully come before said meeting or any adjournment or
adjournments thereof.

In case of the non-attendance of the said attorney and proxy above-named at the meeting, the
undersigned authorizes the Chairman of the meeting, to exercise all rights as its attorney and proxy at
such meeting which includes the election of PTA officers for SY 2018-19

Dated, this __ day of ________ 2018

[Name of Member]

By:

[Name of the Student Year and Section)

Witnesses:
________________________ _______________________