Date ____________________

LETTER OF AUTHORIZATION

I hereby authorized AILEEN S. JAVIER, to deposit/encash the check payable to may name with
details as follow:
BANK :______________________
Check No: ___________________
Amount :____________________
Date :_______________________

I hereby atleast that the above mentioned check is paid to me and that I am one and the same person
as endorsed and introduced by ____________________

I promise and bind myself to protect and insure the CAMALIG BANK INC.(A RURAL BANK).
Againts possible damage, legal suit or loss of money and I do hereby promise and bind my self to
compensate the CAMALIG BANK, INC. (A RURAL BANK), for any damage that may be
incurred under this particular request.

Thank you.

Signature ___________________
ID. No.

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