Professional Documents
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I, MARK ANTHONY B. BIÑAN, of legal age, single, Filipino, and a resident of Purok
Placida, Barangay Calumpang, General Santos City, hereby appoint, name, and constitute
GINA B. BIÑAN, of legal age, Filipino, married, and a resident of Purok Placida, Barangay
Calumpang, General Santos City, as my true and lawful attorney and representative to claim
from the Cashier of General Santos Doctors Hospital, Inc., the refund due me after payment of
my total bill from said hospital, and as well as sign any and all documents for the fulfillment of
said undertaking.
IN WITNESS WHEREOF, I hereby set my hand this ___ day of __________ 2021 in
General Santos City, Philippines.
GINA B. BIÑAN
Attorney-in-fact
VIN 6303-0047C-G0867GBB20002-1
_________________________ _______________________
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the City of General Santos, personally appeared the
above-named persons this ____ day of ____________ 2021, with competent evidence of
identity written below their names, known to me to be the same persons who executed the
foregoing Special Power of Attorney and they acknowledged to me that the same is their free
and voluntary act and deed.
This instrument is composed of one (1) page including the page where this acknowledgment is
written and signed by the parties.
WITNESS MY HAND AND SEAL on the date and at the place first above written.