June 08, 2023

The Regional Director

Philippine Statistics Authority
Regional Statistical Services Office XIII
Butuan City

Dear Ma’am:

I am authorizing Marisol T. Romo to secure (1) copy of Certificate of Live Birth with
the following facts of birth:

Name of the Child : Benje D. Acevedo

Date of Birth : December 04, 2006
Place of Birth : Banahao, Lianga, Surigao del Sur
Name of Mother : Jovel Tecson Degaman
Name of Father : Ronald Sinzo Acevedo
Purpose : School Requirements

I understand that the consent I requested is covered by the Republic Act No. 10173 of
the Data Privacy Act of 2012 and I have given my full consent in releasing the document
to my representative.
Thank you.

Very truly yours,

JOVEL D. ACEVEDO