Proxy Declaration

I,
Enter your full name.*
,of legal age, being a member of Shell Employees Savings and Loan Association, Inc. (“SESLA”) hereby appoint:
Proxy of choice*
- MILAGROS C. AZANZA
  President of the Board of Trustees
- ATTY. RUBIN G. CURA
  Corporate Secretary of the Board of Trustees
to represent me in my name, place and stead at the Annual or Special Meeting of the Members of SESLA and/or at any adjournments thereof for one year from the date of this proxy, to take part in any deliberation, vote on any resolution, and, generally, to exercise at said meeting all those same powers and rights which I would exercise if I were present in person at said meeting and to do any act in connection with the representation hereby authorized which may be necessary or useful therefore.
Signed in,
City*
City, on this
Date
Date Format: MM slash DD slash YYYY
Please enter your contact number or email address for verification purposes.*
Consent*
Please tick the checkbox if you agree*
I certify that the information provided herein are true and correct which may be validated by the association. I declare that these are voluntarily given by me for the exclusive use of the SESLA for the purpose of processing my proxy declaration to the association. I agree that the association may store my information until such time that I cease to be a member thereof which may be brought about by expulsion, resignation or death. I further give my consent to the sharing of the above information by the association to any of its affiliates, agents, representatives or assigns but only with respect to the furtherance of my membership in the said association. Other than that, the association must first obtain my consent before sharing my information to anybody else. I will abide by the rules of SESLA.

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