AUTHORIZATION LETTER

Date: June 7, 2022

Philippine Statistic Office

Barnuevo Building, Badelles St. Extension,
Palao, Iligan City

To whom it may concern,

I, Estrella M. Chapa, herby authorized Abejoice C. Lig-ang, my granddaughter, to acquire a copy

of Certificate of No Marriage (CENOMAR) for my behalf because I will not be able to be
present in your office due to my health condition.

This Certificate of No Marriage (CENOMAR) will be used for my yearly PNP SURVIVOR-
Updating.

Attached here is the printed scans of valid IDs of both the authorized representative and the
document owner which are necessary to receive the delivered document and for verification
purposes. Listed below are the collector’s name and identity proof details for your reference and
verification process.

Collector’s Name: Abejoice Chapa Lig-ang

Collector’s Identity Type: PhilHealth
Collector’s Identity Number: 15-252267338-7
Collector’s Signature:

You may contact me for further queries via 09750863920.

I am hoping that my request will be granted by your good office. Thank you for your kind
consideration and understanding.

Yours sincerely,

Estrella M. Chapa
 APPENDIX

Valid ID of the Document Owner

Front and Back of {{ID Document 1}}:

{{PUT SCANS HERE}}

Valid ID of the Authorized Representative

Front and Back of {{ID Document 2}}:

{{PUT SCANS HERE}}

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