April 23, 2019

Dear ____________________________________;

This is to authorize _____________________ to process and receive my

Transcript of Records, and Transfer Credential from University of St. La Salle -
Bacolod City. He is further authorized to sign any paper or document for and in
my behalf relative with this authorization.

Attached herewith is a photocopy of my Unified Multi – Purpose ID with

___________________.

I can be reached via email at __________________ or via mobile phone at

__________________ if there are any concern or clarification regarding this
matter.

Thank You.

Respectfully Yours,

Godelieve D. Dulay