Spa_claiming Of Fund

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THIS PRESENTS: 1. That I, ____ (name of sister of CARMEN), Filipino, of legal age, residing at _________ ADDRESS was employed from Philippine Amusement and Gaming Corporation (PAGCOR) from March 2005 to June 2009; 2. That during said employment, PAGCOR grants provident fund to its qualified employees as a benefit in case of retirement and/or separation from service/employment; 3. That as a former qualified employee of PAGCOR, I have accumulated fund from the Provident Office of the PAGCOR; 4. That a check, issued by PAGCOR thru its Provident Office, payable to me as my provident fund refund is already available for pick-up; 5. That in view of the fact that I cannot visit PAGCOR office to receive said check because of the work load and the time demand by my master studies, I have authorized MR. CONRAD V. BADRE, a PAGCOR employee, former officemate and good friend of mine, to be my true and lawful attorney-infact, for me and in my name, place and stead, to represent me and giving him full power specifically to receive the said check, in accordance with law.

IN WITNESS WHEREOF, I have hereunto set my signature this ___th day of October 2012 at the City of Makati.

JERRWIN Y. BANDONGSKI Principal Conforme:

NAME OF PERSON WHO WAS AUTHORIZED Attorney-in-fact Signed in the presence of: _____________________________

______________________________

ACKNOWLEDGEMENT Republic of the Philippines) _________________________) S.S BEFORE ME, a notary for and in the City of Makati, personally appeared: Name CTC/Driver’s License No. Date/Place Issued NAME OF SISTER OF CARMEN ______________________ _______________ NAME OF PERSON WHO WAS GIVEN AUTHORITY ___________________ _______________ known to me and to me known to be the same persons who executed the foregoing Special Power of Attorney and acknowledged to me that the same is their free and voluntary act and deed. WITNESS MY HAND AND SEAL, on the date and place first above written.

Doc. No.______; Page No. ______; Book No.______; Series of 20___.