PFF003 SpecimenSignatureForm V07
PFF003 SpecimenSignatureForm V07
PFF003 SpecimenSignatureForm V07
(V07, 01/2019)
SPECIMEN SIGNATURE FORM
INSTRUCTIONS
1. Accomplish this form in one (1) copy.
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. 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.
EMPLOYER/BUSINESS NAME Pag-IBIG EMPLOYER/HOUSEHOLD
EMPLOYER ID NO.
MIRIAM COLLEGE FOUNDATION, INC.
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) NAME (Last Name, First Name, Name Extension, Middle Name) NAME (Last Name, First Name, Name Extension, Middle Name)
LAPUS, ROSARIO ORETA RACHO, NOEL CASTILLO CASTRO, MARIE JEANETTE IMPRESSO
OFFICIAL DESIGNATION OFFICIAL DESIGNATION OFFICIAL DESIGNATION
PRESIDENT HR DIRECTOR COMPENSATION & BENEFITS OFFICER
SPECIMEN SIGNATURES
1. 1. 1.
2. 2. 2.
3. 3. 3.