Affidavit of Authorization

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AFFIDAVIT OF AUTHORIZED REPRESENTATIVE

KNOW ALL MEN BY THESE PRESENTS:

We, HERMENIA GARGAR ALICAYA, legal age, Filipino, married, a resident of P-2, Dona Helen, Province of Dinagat
Islands, after being duly sworn to in accordance with the la, hereby depose and state that:

1. That I am the authorized representative of my son HERMELITO GARGAR ALICAYA, with cellphone
number 09093871493 (hereafter referred as ‘principal’) to claim, receive of the UNCONDITIONAL CASH TRANSFER (UCT)
benefits from the Department of Social Welfare and Development (DSWD).

2. I acknowledge that a special power of attorney to be issued by the principal in my favor is necessary to
give my appointment any legal effect

3. I am executing this affidavit of authority reprehensive for the purpose of obtaining provisional
authority to transact UNCONDITIONAL CASH TRANSFER (UCT) for and in behalf of the principal until such time as a
special power of attorney is issued in my name

HEREBY GRANTING and GIVING unto our said attorney-in-fact full authority to do all that is necessary in or about
the premises, as fully to all intents and purposes as we might or could lawfully do if personally present and hereby
ratifying and confirming all that our said attorney in fact or her substitute shall do or cause to do done under and by
virtue of these presents.

IN WITNESS WHEREOF, we have hereunto affixed our hands this 25th day of February 2020, at San Jose, Province of
Dinagat Islands, Philippines.

HERMELITO GARGAR ALICAYA


Principal

Confirm by.

HERMENIA GARGAR ALICAYA


Attorney-in-fact

Signed in the presence of:


______________ _________________________

REPUBLIC OF THE PHILIPPINES )


CITY OF SURIGAO )S.S
X------------------------------------------/

Before me this _________ , personally appeared: the above named persons with their competent proof of
identify, known to me and to me known to be the same persons who executed the foregoing instrument and
acknowledged to me that the same is their own free act and deed.

WITNESS MY HAND SEAL on the date place above written.

ATTY. MARIO P. MENIL


Notary Public for Surigao City and Surigao del Norte
Until December 31, 2020
IBP Lifetime Member No. 013904
PTR No. 1361208, Jan. 2, 2020
Roll of Attorney No. 47869, 3/20/2003
MCLE Compliance No. VI-0015479 valid until April 2020
Ground Floor, Del Castillo Building Rizal Street, Surigao Cit

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