SAMPLE LETTER FOR WAIVING RIGHTS

FOR PPSTA-MAS DEATH BENEFIT

Date: ____________

Address in Abroad

To whom it may concern,

I ______Name of Assignor___________, presently residing at ___Address in

Abroad__do hereby waive my right over my share in the death benefit of my deceased
__Relationship__, ___Name of Deceased member_ from Philippine Public School
Teachers Association (PPSTA) in favor of my __Relationship__, ___Fullname of
Assignee___.

______________________
signature over printed name