AUTHORIZATION LETTER

DATE : October 15, 2020

TO : The Director General

Food and Drug Administration
Civic Drive, Filinvest City, Alabang Muntinlupa

Dear Director General:

In accordance with Republic Act No. 9711 and other related issuances, BELA BEAUTY
AND WELLNESS PRODUCTS SHOP with business address at 1639 City and Land Mega
Plaza ADB Avenue corner Garnet Road, Ortigas Center, Pasig City 1600 hereby Angeline
E. Occiano as the account holder of eLTO and shall be responsible for all applications
submitted through the e-LTO system.

I hereby undertake and warrant that the data and information submitted in connection with
this application as well as other submissions in the future including variations are true,
correct, and reflect the total information available.

ANGELINE E. OCCIANO
Owner and Sole Proprietor

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

CITY OF ________________________)SS.

BEFORE ME, a Notary Public, for and in the City of Pasig, personally appeared:

NAME CTC/ID NO. DATE & PLACE ISSUED

_____________ ______________ ________________

Known to me and to me made known to be the same person who executed the foregoing instrument
and acknowledged to me that the same was his/her free and voluntary act and deed.

WITNESS MY HAND AND SEAL this ___________________in the City of ________________.

Doc No. _____:

Page No. _____:
Book No. _____:
Series of 2020