AUTHORIZATION Re: Service Application No, Date. ‘Manila Electric Company ROSARIO BUSINESS CENTER Gentlemen: {hereby authorize {0 act as ay representative in connection wit ny application for electric sencels at the "Application" an, for such purpose: 2. to execute orsign any and all ofthe flisving documents on my behalf: —— 3 ——=— 7 2+ 0 transact with your Company, submit any and al requied papers or documents and pay all necessary fees and deposits in connection with and to facilitate the processing of my ‘Application; AND, 3._ todo anyand allacts necessary fr the processing of my Application, By executing this Authoriation, | heréby afm and agree to be bound by the representations, ‘warranties and actions of my cepresentative and to comply withthe terms and conditions for the Provision of electric service a the address aforementioned. In case there are changes in the foregoing authorization, | undertake to immediately notify Meralco of any and all such change/s; and | will ‘defend, protect, indemnify and hold Meralco and its officers, Girectorsreresetaives and agents ee an harms rom, and against ay anal ey, ses liabilities, demands and claims of whatever ‘ature and kind, arising out of my failure to make such sattcation, For your reference, attached are photocopies of my 0 and that of my representative. v ——— Applicant Signature Over Printed Name =—=—__—_ Authorized Representative Signature Over Panted Name‘CUSTOMER'S SERVICE APPLICATION WARRANTY! ri gt v Paneln ng Authorized Representa, kung mayroon; Lokasyon ng Serbisyo (Service Address): Serblsy ng Kurynte/apikasyon Siang (Service Wayappliation Noy Sapariamagtanatbisangkasatngit, king inagaranti at snguoraako ay may laapatangtma pce ae bahay ne papkakaitn ng kyr taka ay may krapatang gman goasbigkuyente iltuutan to ang MERALCO na pumesok sa bing bahay/gul upag ayo /Tgay/ abi ang anumang ast paras serbsyong uryenteng aking kailangan; ANS urn na bindl madsdara, at alin agatanggl 2 papaya, ang MERALLO, ang mga ecko, ona erly, ahete oes representa its anumang kt, hat, demand ela ra inning isa gba to cai sa sing pagaay ao pag gant gating t-al,tsame na ang Dagpanakabi oat pagpapakinabangngsrbisyonghuryente; Ue sho tol peloton kalangan ang sgptel galing serbia, 86 6 g2 Ave toa pag pand ng arent o pags ng famnduan og sero og tyre a lan ng {ARES 2 Sapp, atapos kong ban rg auluangpauavang Mani etc Conga ona hee Keatovon to, ang pagabog sa Casone’'s Serie pation Waal nao pargyyrig ouren ge sumusunod + Kang may ng lapa/esal/dsna,hngsan eg serio huyete ay nally uring "alpatangal ang serisyo ng arent waasan ang iasunvan sa eso ngkuryente, 2 KAPB gout o pagtanggl ng sero nguyen ay ainsunods bats ltununn, 0 ayon 8 tos ng hukuman o sangay ng pamahalaan; Kung ay sku okitangan unchin ang kaigtasan ng mga tao; ‘Rargmay nati nana nguyen mula soaking bahay upeng igang seis ang lbang bahay (yng connection”, 5: Kung ang aking mero ng ryote ay pat nang walang pahintult od kaya ang nya ng huryente2y 'itpatpapurasaisng seri, Sang ang anuang popes, dokument ofaaloman aa aking iiiay 52 Meralco kavgnay 53 aking spkasyon sa serio nghuryente ay natgpuang mapaninang, hua o day; 7. Kung ako ay lumatag sa anumang mga gawa ra ipinagbabawalayon sa nassead sa Section da ng RA 7832.0 mas Klaas “Antiifeage Act of 884" ag implementing Rules and Regulations ito; & tang ako 9 shang spagbgy sa Masco ng nakalanang ppelesodlaman loo gang an at dlewarpung (£20) araw mula a araw na nabgyan ak mg sebisyo ng huryente okapog ining ‘ang mga tong Ateraleo; kaya 8. Kung ako ay lumabagakasundvan sa paghiteny ne sebisyo ng kuyente vg Mera. Xusongloo ang nigtsnngyong__arog buvang taong_se —— \AGOASA BaBhW Ni aNGALAN Nilagieansaharap nina eee {2s Peete massing agg had 2 et uns ay snare last ng Mpa Srnec nn a Mea ppp mags tb ob hm la oe enpom o Bamana telatvatonv ay t at my tag conto tenn eka pte ‘oepshor sega nog hrosan beso fanmpung‘DATA PRIVACY CONSENT STATEMENT 3) cts, an au Mana li Copy (VERALCO secs, cas, mpc, authored represntaies rien) a pt dee sha, ud, may, css, em, ers paces leh, ‘RrezssPrcessig) my Pesoal Clan xtc wih RA o.10173 Ta Dala Pardo 10'D og is implening rds and Praed oeai mers, Tes Fea Di ral usta osteo cnearaine patos es Fata ete Corp HERALCO, ts ci, ces, npn soi peseaes routes ica be folonng: ‘+ lmao gen when ephingse, ch nyse, aes, pore runt snl ates, Taxléenatzn Nubar (N), Sige auory occupy, ac, apical, des omy atin representa 6 sees od wien army pes patkip ino caer ener & Rimalon ode fe ween paps, oa esr aloe VA transactions, 8 Arye fomaton int poate anoint pose eed spt ccoas oe nformaton, ‘age that hese datas bused andr processed fr ny egiimal pup, incaing but noted othe along: Serine see pio it payne, caps ae opootond raion, updates, ets, ore concen, 5% Suny erconunis ingen of eee seize 25 uel as meando encoun! such 25 payment opens and eigiy rnd; Response tsar ng, cence or complént a te aay ee cess be acu tng beats rapenet har pct we phone cl, vale, traces. Rea vlieg he tess t MERALCO erect un eas nue {Peis of my nares andor at of het WERALCO custome + Canptance by MERALCO wis cigaten ude Is contac apa ans and ‘equation or pursuant awl odes of erent aos ore pble and sally orn ess cfemeenges a, websia, mobile see aan hat hve dnd cary unto WERALCU's Piva Pl, sain hgh soy, fo ily én erties hs cnn stein acarenen tren ose have obi pr conser ame etd senescent canto we, congy obese hone is fice bee dscosing fe 'nermation fo MERALCO andi proving his cnsentin ha beta they sion HERILCO, is ets, cies, employes autre resets er hd paris lo pocss hese ean dala fom {submis and th drain of yea sence core! wh WERALGO seh here ar unpaid bls, crags, deposi oehnds ube senice account adn case th eplicafon ous nol pored he dl shal be ted andr processed cyt tele (12) meths {ou ets pdng ob dats, ate oe ein links y eet regulon, Teeter, be personal ata shal be spose or dsc i aseae mares hal wld pretender ocesing, neutarzed acess, or dciosue to any oer paty ore publ vo v. : _heiet ieee Vt Poston ale