[Date]

PHILIPPINE STATISTICS AUTHORITY

East Avenue, Diliman,
Quezon City

LETTER OF AUTHORIZATION

To Whom It May Concern:

This is to authorize [authorized person] of [address], to act on my behalf in requesting for

official copies of my birth certificate and to make other necessary arrangements in line
with such request.

Attached is the copy of my valid ID for identification purposes.

Thank you and hoping for your consideration.

Respectfully,

[Person authorizing]