COMPANY LETTER HEAD

Date

(NAME OF EMB REGIONAL DIRECTOR)

Regional Director
ENVIRONMENTAL MANAGEMENT BUREAU -
REGION (#)
(Office Address)

SUBJECT : AUTHORIZATION

I, the undersigned, (NAME OF MANAGING HEAD), with the following ID’s

Gov’t ID # : _________________________
Company ID # : __________________________

Hereby authorized, (NAME OF PCO), with the following ID’s

Gov’t ID # : _________________________
Company ID # : _________________________

to act in all manners relating to the application, submission and processing in the EMB Online
services of our Company / Facility Name: (NAME OF ESTABLISHMENT) which is located at
(address of establishment).
Hoping for your kind consideration
Thank you very much.

Sincerely,

(NAME AND SIGNATURE OF MANAGING HEAD),

Managing Head
 GOVERNMENT ID, Managing Head

GOVERNMENT ID, Pollution Control Officer