Regional Director ENVIRONMENTAL MANAGEMENT BUREAU - REGION [ NUMBER ] [EMB REGIONAL OFFICE ADDRESS]
SUBJECT : AUTHORIZATION
I, the undersigned, _______________________________ with the following ID’s
Gov’t ID # : _____________________ , Company ID # : ______________________ , Hereby authorize MR/MRS. _________________________________ with the following ID’s Gov’t ID # : _____________________ , Company ID #: ______________________, to act on my behalf in all manners relating to the application, submission and processing in the EMB Online services of our Company / Facility Name : ______________________________ which is located in ______________________________________________. Any and all acts carried out by Mr./Mrs. _________________________________________ on my behalf shall have the same effect as acts of my own. Hoping for your kind consideration Thank you.
[ Signature over Printed Name ]
Senders Name Contact Number Photocopy of Senders ID attachment SENDERS GOVERNMENT ID SAMPLE