[Date]

[Name or Department]
[Company]
[Address]

Subject: LETTER OF AUTHORIZATION

To Whom It May Concern:

[This is a default, if you know the specific person to whom you should address
the letter to, use Dear Mr/Ms. _________]

I hereby give my consent and authorization to [COMPLETE NAME OF

AGENT], to act for and in my behalf in all matters necessary and relevant to
[state specific acts for which authorization is required EX: my application for
__________, renew my registration for _________, process my payment for ______,
accept/ collect/ pick up _________, etc. ]

This letter is being issued for the above-stated purpose and for whatever
legal purpose it may serve.

In case of any questions or concerns, I may be contacted directly at this

number [xx-xxxxxx] or reached through e-mail at [abc@sample.com].

Sincerely,

(Sgd.)

______________
Principal

Conforme:

______________
[Agent]

[use the details below if the document is required to be notarized,

or see “General Power of Attorney” under the Business Forms]
 ACKNOWLEDGMENT

Republic of the Philippines )

City of ) s.s.

BEFORE ME, this ____________ in the City of _____________, personally

appeared:

Name ID Type/No. Date and Place of Issuance

[Principal]
[Agent]
[Witnesses]

known to me to be the same person who executed the foregoing instrument

(Letter of Authorization) consisting of two (2) pages including this page, and who
acknowledged to me that the same is their free and voluntary act and deed.

IN WITNESS WHEREOF, I have set my hand and affixed my Notarial seal

on the day, year and place written.

Notary Public
Until_______________
PTR No. ___________
Issued at _________
On _____________

Doc. No. ___;

Page No. ___;
Book no. ___;
Series of 20__.