Share

Employment and School Certification

GSIS outline for certificate of employment

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: ,

/.-;;'

r

. UndcrwritingPorm

.. -.
','

.

,.. Serle. ofl004.

"

. ".

No.

.
-.

,.."-CERTIFICATION ·OFAVAILABI.LITYOF FUNDS
'.
. .

. , hereby'

,

l'

"

ctJrtify that funds:;:are .avanable to' pay prermums-on

" lnsurance qovsr;· for, the folfowfirg, pol/oJe,elbfl/e:

I

. ,

Is further 'certified .that we:shall.· effect' pay·men~ of ~tie.above.',mentlcinecJ .Insurance' policies/bills -on a',ICASH-AND CARRY' basis,

tt

~ or wjthln the prescribed, sixty(~O) days from ,Inception 'or from the

date. of receipt of the' 'blU, whichever Is- lat~t. As ernbodled under
~ectiOri 7.7, lnsurance Code,'uno ,policy or contract of .lnsurancs
Issued by an lnsurance company' Isvaild"and ·blndlng unl~'ss and until
the premium: thereof has b~en paid." 'Therefore, non-payment of the,

premium' within the prescribed period wllfcause the ·GSfS to cancel, .
'. the pollcy.wtthout prior notice. f
"

:-!:

Done' this ...;,.._ day of __ , , 2004, ·In the City of Pasay,
..;.,..
.. _
: __
. Philippines.
,

-_•...•.•.•.--.--.......----------_ ..---- .•.

(Authorized Signatory), .

....

~
....
--

.,

f

•. _.,j_O"""-"

-,-

..-r-.-~_
_:

(Office)

"

j
,.: .
,~

••••

.l\.
..
"

."

,

..

·
••

-ft, ...••..
• -..----

Address/Tet. No,

"

.~
.

..

I

~
.

I~

--.:. ..---
 
Page of
Share