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REPUBLIC OF THE PHILIPPINES)

CITY OF MAKATI )S.S.


AUTHORIZATION LETTER

I, ________________________________, Filipino of legal age, with address at _____________________________


_________________________________________________, after having sworn in accordance with law, hereby
depose and state:

1. That, as per the current General Information Sheet (GIS), I am an Officer of ____________________________
_______________________(“The Corporation”), a corporation duly organized and existing under and virtue of
the laws of the Republic of the Philippines with office address at
________________________________________________________________________
NOTE: Please attach a copy of the current GIS stamped received by the SEC

2. That the Corporation is the original owner of the product/s as follows:

Brand1 Model Serial Number Purchase location2 Purchase date

1 2
Sentry®Safe or Titan® Seller noted on invoice (e.g. Zenorex, Retail Banner and Branch)

3. In my capacity as an Officer of the Corporation, the following employee/s of the Corporation

NAME SIGNATURE
______________________________ _______________________________
______________________________ _______________________________
______________________________ _______________________________
are hereby appointed as official company representatives to handle any after sales matters regarding
Sentry®Safe or Titan® Products, including but not limited to requesting technical service, receiving master
codes and replacement keys. Any of these employees may also delegate to other persons individual tasks
by providing an authorization letter duly signed by them on company letterhead.

4. The foregoing statement is allowed under rules of the Corporation.

IN WITNESS WHEREOF, I have hereunto affixed my signature on this _________ day of ____________ , 20__
in the City of _______________.

_______________________________
[Printed Name]
[Position]

SUBSCRIBED AND SWORN TO before me this ____________________ at ____________________, affiant exhibiting


to me their ________________________ issued on _______________ and expiring on ______________________.

Doc. No. : _____ NOTARY PUBLIC


Page No.: _____
Book No.: _____
Series of 20____.

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