Waiver of Rights: I B P N O - 9
Waiver of Rights: I B P N O - 9
Waiver of Rights: I B P N O - 9
We are the surviving children and legal heirs of deceased CONCHITA DETABLAN
SALIGAN who died on September 20, 2017 at Corazon Locsin Montelibano Memorial Regional
Hospital, Bacolod City, Negros Occidental;
During her lifetime she was a registered member of Social Security System with No. 07-
32200893, and, as such, her legal heirs are entitled to her SSS Burial and Death Benefit Claims
and other claims relative to her death;
That upon her death, it was our uncle JOEMARIE GARDE DETABLAN, who shouldered
the funeral expenses of our said mother;
For reasons of gratuity and generosity, WE, GEMMA S. ORNILLO, GILBERT D. SALIGAN,
VICENTE D. SALIGAN JR., JOEL D. SALIGAN, and SHEILA MAE S. SALVACION, all of legal age,
Filipinos, and a residents of Brgy. Sara-et and Brgy. Aguisan, respectively, Himamaylan City,
Negros Occidental, hereby waive all our rights, interests and participation over SSS Burial and
Death Benefit Claims of the aforementioned deceased, in favor of my uncle JOEMARIE GARDE
DETABLAN;
The WAIVEE, JOEMARIE GARDE DETABLAN, hereby accepts and receives this WAIVER
OF RIGHTS made in his favor and hereby manifests his gratefulness for the latters’ generosity.
IN WITNESS WHEREOF we have hereunto set our hand this 25th day of OCTOBER 2017 at
Himamaylan City, Negros Occidental.
SUBSCRIBED AND SWORN TO before me this 25th day of October 2017 at Himamaylan
City, Negros Occidental, affiants exhibited to me their respective ID’s written below their names
as competent proof of their identities.