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: Page | of 1 img015 jpg ‘age Eo) Gi AVOIW HOMEOWNERS ASSOCIATION INC. 2° floor Clubhouee, Xevera Subdivision, Calfbutbut, Bacoler, Pampangs ‘THE ASSOCIATION'S SECRETARY ‘The Xevera Homeowners Association Knic., (Bacolor) Ma’am/Sir, 1,_ftay Ano A. Cuxnty ~ Bac (omeowner/otticial assignee name) hereby osignate, authorize and act in my behalf, Mr/Ms. Emmanuelle N- Guar as my proxy in the enaual meeting on January 08, 2018 for the purpose of electing te new set of boat! of directors for the year 2018 of the Xovera Hameowners Association Ine Any privileges and/or rights in the said act proxy or authorized representative. are expected to be fairly given to my Attached herewith our photocopies of identification card for your further verification, Signature over printed name BLK: _7Y LOT Of. Contact No:_OG#9 497 264 Proxy Name & Signature: _ Contact No: ACKNOWLEDGEMENT 1, the inewnbent association's secretary of this subdivision hereby acknowledged that documents provided by the above-mentioned proxy were screened, verified and found cleared and met all the requirements fo be eligible to vote in the coming 2018 elections Duly approved: SecetiaeaeeLeeageeeeege eee Date: Association's Secreidry Seeeeeeeeeee ee time:/imail onncle cam) feneimailesintic’ Ae/k=cmail main.en IOCYEmijAi4 O/mends.. 05/01018 img015.ipg Page 1 of Der HOMEOWNERS ASSOCIATION INC. 2 floor Clubhouse, Xevera Subdivision, Calbutbut, Bacolor, Pampanga Jonwary ©, 204 Dats THE ASSOCIATION'S SECRETARY The Xevera Homeawnsrs Association Ine, (Becolor) MavamiSir, 1 fray Ano Ni. Gwinh- aS (romeownerotticil assignee name) hereby designate, autiidrize and act in my behalf, MrJMs._ Carlo Yu as my proxy in the animal meeting on January 08, 2018 for the purpose of electing the new set of board of directors for the year 2018 of the Xevera Homeowners Association Ine, Any privileges and/or rights in the said activity are expested to be fairly given to my proxy or authorized representative. Attached herewith our photocopies of identification card for your further verification, Signature over prinied name BLK: _7 Lor. + “pF Contact No: 0499 997-2%Y Proxy Namo & Signature: Contact No: ACKNOWLEDGEMENT LE the incumbent association's secretary of this subdivision hereby acknowledged that documents Provided by the above-mentioned proxy were screened, verified andl found cleared ard met all the ‘requirements 10 be eligible to vate in the coming 2018 elections. Duly approved: Date: _ Association's Secretary

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