Scribd Logo
Upload

Welcome to Scribd!

  • SPA Form For SSS

    Uploaded by

    姆士詹
    2K views1 page
    Gladies Desesto Rioferio appoints Alpha Fe Omega as her attorney-in-fact to receive her Philhealth benefits from Compostela Valley Provincial Hospital, receive and deposit any cash or checks due to her, and sign any documents necessary to carry out these tasks. The special power of attorney grants Alpha Fe Omega full authority to act on Gladies' behalf regarding these matters and confirms that any actions taken by the attorney-in-fact are valid as if Gladies had performed them herself.

    Original Description:

    SSS prescribed form for claiming title

    Original Title

    SPA form for SSS

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Gladies Desesto Rioferio appoints Alpha Fe Omega as her attorney-in-fact to receive her Philhealth benefits from Compostela Valley Provincial Hospital, receive and deposit any cash or checks due to her, and sign any documents necessary to carry out these tasks. The special power of attorney grants Alpha Fe Omega full authority to act on Gladies' behalf regarding these matters and confirms that any actions taken by the attorney-in-fact are valid as if Gladies had performed them herself.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    2K views1 page

    SPA Form For SSS

    Uploaded by

    姆士詹
    Gladies Desesto Rioferio appoints Alpha Fe Omega as her attorney-in-fact to receive her Philhealth benefits from Compostela Valley Provincial Hospital, receive and deposit any cash or checks due to her, and sign any documents necessary to carry out these tasks. The special power of attorney grants Alpha Fe Omega full authority to act on Gladies' behalf regarding these matters and confirms that any actions taken by the attorney-in-fact are valid as if Gladies had performed them herself.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Special Power Of Attorney

    KNOW ALL MEN BY THESE PRESENTS:

    I, GLADIES DESESTO RIOFERIO, married, of legal age, Filipino, and a resident of


    Davao City, Philippines, by these presents do hereby NAME, APPOINT, and CONSTITUTE,
    ALPHA FE OMEGA, single, of legal age, Filipino and a resident of Davao City, to be my/our true
    and lawful Attorney-In-Fact, to do and perform, for and in my/our behalf, and for my/our benefit,
    any and all of the following acts and deeds, to wit:

    1.) To receive, sign, and collect my Philhealth share from Compostela Valley Provincial
    Hospital in Monte Vista.

    2.) To receive cash or receive, sign or deposit any check and/or any and all benefits due
    unto me of any kind from the abovesaid office.

    3.) To sign, execute, process, transact, process, receive any and all documents, papers, or
    instruments and to perform any act related and/or necessary in pursuance of the
    abovementioned authorities.

    HEREBY GIVING AND GRANTING unto my/our aforesaid attorney-in-fact full power
    and authority to do and perform all of the above and all such others which I/we may lawfully do or
    perform at or about the premises if actually present and hereby CONFIRMING AND
    RATIFYING all that my/our aforesaid attorney-in-fact may lawfully do within the scope of the
    authority granted by these presents, unless sooner revoked and or cancelled for cause.

    IN WITNESS WHEREOF, I have hereunto set my hand this ______________________


    in the City of Davao, Philippines.

    GLADIES D. RIOFERIO ALPHA FE OMEGA


    Principal Attorney-in-Fact
    PRC No. 0119510

    REPUBLIC OF THE PHILIPPINES)


    CITY OF DAVAO )S.S

    ACKNOWLEDGEMENT

    BEFORE ME, a Notary Public for and in the City of Davao, Philippines, personally
    appeared the above signatories exhibiting to me their respective competent evidences of identity first
    written above below their names, and who represented themselves to be the same persons who
    executed the foregoing Special Power of Attorney and they acknowledged to me that the same is
    their free act and deed.

    This instrument relates to a SPECIAL POWER OF ATTORNEY consisting of one (1)


    pages, including the page on which this acknowledgment is written, signed by the parties as well as
    their instrumental witnesses on each and every page hereof.

    WITNESS my HAND and SEAL this ___________________at Davao City, Philippines.

    Doc. No. _____;


    Page No. _____;
    Book No. _____;
    Series of 2017.

    You might also like