Gamitin lamang kung ang tatanggap ng passport ninyo ay isa sa mga sumusunod:

magulang, asawa, kapatid, o anak (na edad 18 or pataas).

LETTER OF AUTHORITY

This is to authorize _________________, or ______________________, to receive my Philippine

ePassport on my behalf.

Attached are proof of the identities of the parties and the specific passport for claiming referred to
above:

1. Original receipt issued by the Department of Foreign Affairs (DFA);

2. Original and photocopy of valid ID of the undersigned; and
3. Original and photocopy of valid ID of authorized representative.

Thank you for your consideration.

Sincerely,

________________________________

NAME AND SIGNATURE OF PASSPORT APPLICANT

Date: __________________________

................................................................................................................................................................
KATUNAYAN NG PAGPAPAHINTULOT

Pinapahintulutan ko ang aking __________________ / ____________________ na si

_________________________________ / ____________________________ na tanggapin sa aking
ngalan ang aking Philippine ePassport.

Bilang katunayan ng aming pagkakakilanlan at sanggunian sa nabanggit na pasaporte, nakalakip ang

mga sumusunod:

1. Orihinal na resibo mula sa Kagawaran ng Ugnayang Panlabas (DFA);

2. Orihinal at photocopy ng valid na ID ng aplikante; at
3. Orihinal at photocopy ng valid ID ng taong pinahihintulutan.

Maraming salamat.

Sumasainyo,

________________________________
PANGALAN AT LAGDA NG APLIKANTE NG PASAPORTE

Petsa: __________________________