DATE :

TO : TREASURY DEPARTMENT
AVENTUS MEDICAL CARE INC.

RE : AUTHORIZATION LETTER AND REQUEST TO DEPOSIT

Dear Gentlemen;

This is to authorize AVENTUS MEDICAL CARE INC. to RECEIVE and DEPOSIT my check in payment for my
services rendered to AVENTUS. This letter of authorization and advice is being executed for the reason
that I cannot personally get my professional fee to their office.
Details of my personal account are as follows:

1. BANK NAME/BRANCH : BANK OF THE PHILIPPINE ISLANDS - MAIN

(Note: Finance accommodates checks deposit to BDO, BPI, Metrobank, Unionbank only except cash card account)
2. ACCOUNT NAME : EZEKIEL TABAMO ARTETA
3. ACCOUNT NUMBER : 0019-6211-89
4. ACCOUNT TYPE : SAVINGS

Attached herewith is the photocopy of my legal ID (SSS/Driver’s License/PRC/Passport).

For any further queries, kindly reach me through the following.

 EMAIL ADDRESS : ezearteta03@gmail.com
 TELEPHONE NUMBER : (02) 843 6552
 MOBILE NUMBER : 0927 709 9302

Effective date of this authorization and advice covers period from____________, 2016
to____________, 2016.

Thank you.

Truly yours,

PRINTED NAME/SIGNATURE

IMPORTANT NOTE:
1. Fill out the needed information properly and accurately.
2. Email/Submit requirements to AVENTUS Treasury Dept. thru Ms. Ma. Vicky Monsayac
(mvmonsayac@aventusmedicalcare.com); Ms. Leah Pundan (lpundan@aventusmedical.com)
3. Only complete requirements will be accommodated.
4. Deposit will be made on the next business day after release day.