CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that _______________________________________, a senior citizen of

Barangay _________________________, Infanta, Pangasinan is __________________ and can’t
be transported to receive his/her pension.

This certification is issued upon the request of ___________________________ for

what ever legal purpose it may serve.

Given this ______ day of June, 2013 at Barangay _______________________________,

Infanta, Pangasinan.

RAMON M. ABELLA
President, ________________ SC Ass’n Punong Barangay

AUTHORIZATION

TO WHOM IT MAY CONCERN:

I, ___________________________________________, a Social Pensioner-claim holder

hereby AUTHORIZE ________________________________, my ________________________,
of legal age, and resident of Barangay ___________________________, Infanta, Pangasinan to
receive my social pension from the Department of Social Welfare and Development.

In witness, hereof, I have hereunto set my hand this __________ of ______________at

Brgy. Bayambang, Infanta, Pangasinan.

________________________________ ________________________________
Beneficiary Authorized Representative

____________________ JANICE OFALZA-GUNO, RSW

Beneficiary MSWDO