Proxy Forms 2021 1

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Bureau of Jail Management and Penology

Savings and Loan Association, Inc.

KNOW ALL MEN BY THESE PRESENT

The undersigned, a member of BJMP Savings and Loan Association Inc. (BJMPSLAI), Savings and
Loan association that is duly organized and existing under the laws of the Philippines, hereby makes, constitute, and
appoints

____________________________________
(Name of Proxy)

To be my true and lawful attorney, agent or proxy, for and in his name to participate in the discussion of the proposed
amendment of the Articles of Incorporation and By-Laws In was duly approved by the Board of Trustees through a
resolution, further, the authority to ratify said proposed Articles of Incorporation and By-Laws during the special
meeting duly called for such purpose on April 17, 2021. Heretofore ratifying and confirming all my attorney, agent, or
proxy may lawfully do or cause to be done by virtue hereof.

Witness the hand of the undersigned, this ____ day of _____, 2021

Name: ______________________________________Signature: ______________Rank: ______________________

Region: _________ Unit Assignment: _________________

SUBSCRIBED AND SWORN to before me this ___ day of ____ 2021 at __________________________, Philippines
(Attached SCAN copy of BJMP ID)

___________________________
(Corporate Secretary)

Bureau of Jail Management and Penology


Savings and Loan Association, Inc.

KNOW ALL MEN BY THESE PRESENT

The undersigned, a member of BJMP Savings and Loan Association Inc. (BJMPSLAI), Savings and
Loan association that is duly organized and existing under the laws of the Philippines, hereby makes, constitute, and
appoints

____________________________________
(Name of Proxy)

To be my true and lawful attorney, agent or proxy, for and in his name to participate in the discussion of the proposed
amendment of the Articles of Incorporation and By-Laws In was duly approved by the Board of Trustees through a
resolution, further, the authority to ratify said proposed Articles of Incorporation and By-Laws during the special
meeting duly called for such purpose on April 17, 2021. Heretofore ratifying and confirming all my attorney, agent, or
proxy may lawfully do or cause to be done by virtue hereof.

Witness the hand of the undersigned, this ____ day of _____, 2021

Name: ______________________________________Signature: ______________Rank: ______________________

Region: _________ Unit Assignment: _________________

SUBSCRIBED AND SWORN to before me this ___ day of ____ 2021 at __________________________, Philippines
(Attached SCAN copy of BJMP ID)

___________________________
(Corporate Secretary)

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