SUBMISSION OF E-MAIL ADDRESSES AND CELLULAR PHONE NUMBERS

(for Corporations)

Corporate name: _______________________

SEC registration number: _______________________

Official electronic mail address: _______________________

Official cellular phone number: _______________________

Alternate electronic mail address: _______________________

Alternate cellular phone number: _______________________

AUTHORIZATION

I, _______________________, the duly elected Corporate Secretary of _______________________, (hereinafter “the

Corporation”), a corporation duly organized and existing under the laws of the Philippines, with office address
at _______________________, and SEC Registration Number _______________________, hereby authorize the Securities and
Exchange Commission of the Philippines to send notices, letter-replies, orders, decisions, and/or other
documents emanating from the Commission through the Corporation’s electronic (“e-mail”) addresses
_______________________ / _______________________, and cellular phone numbers _______________________ /
_______________________ for the purpose of complying with the notice requirement of administrative due process.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this __________________ day of
____________________ at ________________________________.

_______________________
Corporate Secretary

SIGNED IN THE PRESENCE OF:

___________________________________ ________________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )

______________________________________ ) S.S.

BEFORE ME, a Notary Public for and in the City of _____________________, this ______ day of
_______________________ personally appeared _______________________ who presented to me her UMID with
_______________________ who was identified by me through the competent evidence of identity to be the same
persons described in the foregoing instrument, who acknowledged before me that her signature on the
instrument was voluntarily affixed by her for the purposes stated therein, and who declared to me that she has
executed the instrument as her free and voluntary act and deed.

This instrument refers to the SUBMISSION AND AUTHORIZATION consisting of one (1) page, including
this page, and signed by the persons executing this instrument and sealed with the notarial seal.

WITNESS MY HAND AND SEAL on the date and place first above written.

Doc. No.: ________;

Page No.: ________;
Book No.: ________;
Series of 2021.