CERTIFICATION OF NON-ADVANCEMENT OF MATERNITY BENEFIT

This is to certify that Ms. Lorlie B. Sosa, who was employed by this company from <<January 1,
2000>> to <<December 31, 2000>>, did not received any advance payment of her SSS maternity
benefit from this company.

This certification is issued upon the request of Ms. Sosa for the purpose of complying with the
documentary requirements of the SSS for her maternity benefit claim.
Issued this ** day of August, 2019.

<<Signature of Authorized Company Representative>>

<<Authorized Company Representative>>

<<Designation/Position>>