CONSENT

I, _______________(NAME)_____________, of __________(ADDRESS)___________,
a beneficiary of OWWA RWO VIII’s (NAME OF PROGRAM AVAILED) , hereby
give my consent to deposit thru ___(NAME OF BANK)____ the available check under my
name for the program I availed.

Further, I also give consent to deduct the amount due for service charge for the transaction
made.

________________________________
SIGNATURE OVERPRINTED NAME

Date: ______________________