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Spa Gsis Claim
Spa Gsis Claim
We, ROSEAGARIN, all of legal ages, all married, American citizens and
and Canadian citizens, residents of San, Jose y, do hereby appoint, name and
constitute, MMBA, Filipino citizen and a resident of Brgy. 2e, Philippines, to be
our true and lawful Attorney-in-Fact to do and execute the following acts in our
name on our behalf to wit:
1. To process, claim and receive all benefits owing to our late father,
ALFREA from Government Service Insurance System (GSIS);
2. To transact, follow-up, and sign all papers regarding said claim;
3. To sign any document in our behalf, in connection hereto; and
4. To do all acts necessary to be done.
______________________ ________________________________
ROSG MARLOAGA
ID#: B40008 DL#: H0004
________________________________ _____________________
ANTONIRIAGA DOLOARIN
DL#: MA-DA-\3DL DL#: -*427BU
Principals
I accept:
MMBA
UMID#: 0001-2
Attorney-in-Fact
____________________________ ________________________
WITNESS MY HAND AND SEAL, on the day, year and place first above-
written.