HaP-PFF-003 (08, 0712020) SPECIMEN SIGNATURE FORM INSTRUCTIONS 1. Accomp hs am in one (1 copy 2 Type of pant a ernes ih BLOCK aha CAPITAL LETTERS. 5 Please eft othe aie below Me List of Authorized Signo fo ety and sign documents on vous business transaction win he Fund. ease you have aerent ‘uoted sgnateryes depenang on he ype of document please spect oF indctain te “Type of Document porta. 4. Incase of revocation of he auton of te oftcals names in his fon secure an suBmEdly accomplished Erpoyer's Change of ormatin Form (ECIF, HOP-PFF-106) and ‘ow Speen siynaure Fam to afy Pags6IG Brac ‘CHECK APPROPRIATE BOX FOR AUTHORIZED SIGNATORY new 1D Avorn G1 chancemmePLacemenT EMPLOVERIBUSINESS NAME Pax I8IG EMPLOYERIHOUSEHOLD EMPLOYER ID NO. ENPLOVERTGUSINESS ADDRESS ‘The tollowing ae hereby authorized to certy and/or sign documents on vanous business transactions of our comy withthe Fund: THAME (as None, Fs Ane, Name Exrson Mate Nae) NAME (as none Fst Mae, Hane Exes, ane) THAME (as None Fst ane, ane Ener, Made Nae) “OFFIGIAL DESIGNATION ‘OFFICIAL DESIGHATION ‘OFFICIAL DESIGNATION TYPE OF DOGUMENITIS TO BE SIGNED ONLY TYPE OF DOGUMENTIS TO BE SIGNED ONLY TYPE OF DOGUMENTIS TO BE SIGNED ONLY rappteane) er appncane) (appicane) 3 3 3 PERSON GRANTING AUTHORITY DATE AUTHORITY GRANTED ‘SIGATURE OVER PRINTED NAME DESIGNATIONPOSITION LIST OF SIGNATORIES FOR PERSON GRANTING AUTHORITY ‘6. For Household Employer - Any mediate members ofthe family, 18 years old and ‘above or occupants hous who are recy anc reguayPiowdod Serco by the Kasambahay. 7. For Government Agency OficelUnt- Head othe AgencyOfielUt ors equivalent NOTE: Incase tho signatory forthe Person Granting Auorty shall be oer than thse ised above, 4. For Single Propitersip - Owner supporting document designating the authorized signatory shall