I, ___________________, of legal age, Filipino, married/single, and a resident of
____________________, hereby authorize my sister, Yolanda Paule, of legal age, Filipino, married, and a resident of _________________ to secure and claim civil registry documents from the Philippine Statistics Authority, specifically, one (1) copy of my Certificate of Live Birth showing the fact of my birth on (insert date of birth) to Spouses (insert name of father and mother). Any assistance to my duly authorized representative will be highly appreciated. Thank you.