Specimen Signature Form/Consent Form
NAME:
First/Given Name
Angelo
Middle Name/Initial
Last/Family Name
Villanueva
SPECIMEN SIGNATURE
Kindly affix three (3) specimen signatures below:
Undertaking:
1. The party whose specimen signature appears herein consents
to and conforms to the terms and conditions of the Field
Debt Collector Agreement (Kindly double check the title of the
agreement)
2. The party whose specimen signature appears herein
consents that it will be used as electronic signature in the
main Field Debt Collector Agreement where this addendum is
attached
3. The party adopts this signature as his/her signature true and
genuine electronic signature, with the intention of
conforming to the Field Debt Collector Agreement.
4. The party whose specimen signature appears herein fully
understands the Field Debt Collector Agreement and the
annexes thereto, including the contents of this document.
Signed on/at:
Date:
Place:
IDENTIFICATION
Please forward photocopies of 2 IDs
The specimen signature sheet will be added as an addendum to the
main contract executed by and between Flexi Finance Asia Inc and
the Field Debt Collector whose name and circumstances appear
herein.