Letter of Authorization from Utility Bill Owner

Date:

The Manager
Republic Bank Limited

Dear Sir/Madam,

I, ………………………………………………………….. confirm that ………………………………………………………….. is my

(Name of person on utility bill) (Account holder)

………………………………….. and resides at the address stated on the attached …………………….. utility bill in
(relationship) (Type of Bill)

my name for the past …………………. years/months.

Yours truly,

………………………………………………..
NAME:

ID/DP/PP #