THE UNDERSIGNED….

I MOST RESPECTFULLY REQUEST APPROVAL OF MY APPLICATION FOR TOTAL PERMANENT PHYSICAL

DISABILITY CATEGORY P-4, AS PERMITTED UNDER SEC 37 OF RA 6975, AFTER HAVING BEEN DIAGNOSED
AS HAVING HEPATIC ENCEPHALOPATHY/TYPE 2 DIABETES MELLITUS AS EVIDENCED BY MY MEDICAL
CERTIFICATE ISSUED BY _________________.

MUCH AS I WOULD LIKE TO CONTINUE SERVING THE PHILIPPINE NATIONAL POLICE, THE SYMPTOMS OF
MY ILLNESS SUCH AS RECURRING DIZZINESS AND CHRONIC SEVERE PAIN IN DIFFERENT PARTS OF MY
BODY GREATLY HAMPERS MY ABILITY TO DELIVER THE SERVICES REQUIRED OF A POLICE OFFICER.

IT IS IN THIS REGARD THAT I FERVENTLY PRAY THAT THIS APPLICATION BE GIVEN THE MOST FAVORABLE
CONSIDERATION SO I MAY BE ABLE TO UNDERGO AN INTENSIVE MEDICAL INTERVENTION AS REQUIRED
BY MY PRESENT CONDITION.