Scribd Logo
Upload

Welcome to Scribd!

  • Proof of Claim

    Uploaded by

    SM CLARK PHILSYS
    14 views1 page
    This document is a proof of claim form from the Philippine Statistics Authority for an ePhilID. It certifies that an individual received their ePhilID on a given date in November 2022 in Angeles City, Pampanga, Philippines. It includes their signature and identifies the claimant or authorized person who received the ID on their behalf.

    Original Description:

    poc

    Original Title

    proof of claim

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a proof of claim form from the Philippine Statistics Authority for an ePhilID. It certifies that an individual received their ePhilID on a given date in November 2022 in Angeles City, Pampanga, Philippines. It includes their signature and identifies the claimant or authorized person who received the ID on their behalf.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    14 views1 page

    Proof of Claim

    Uploaded by

    SM CLARK PHILSYS
    This document is a proof of claim form from the Philippine Statistics Authority for an ePhilID. It certifies that an individual received their ePhilID on a given date in November 2022 in Angeles City, Pampanga, Philippines. It includes their signature and identifies the claimant or authorized person who received the ID on their behalf.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    REPUBLIC OF THE PHILIPPINES REPUBLIC OF THE PHILIPPINES

    PHILIPPINE STATISTICS AUTHORITY PHILIPPINE STATISTICS AUTHORITY


    PROOF
    PAMPANGAOFPROVINCIAL
    CLAIM OF EphilID OFFICE
    STATISTICAL PROOF
    PAMPANGAOFPROVINCIAL
    CLAIM OF EphilID OFFICE
    STATISTICAL
    PCN: _________________________ PCN: _________________________
    I, _________________________________________ I, _________________________________________
    of the City/Municipality of ____________________________ of the City/Municipality of ____________________________
    in the province of Pampanga, do hereby certify that: I have in the province of Pampanga, do hereby certify that: I have
    received the ePhilID belonging to myself authorized received the ePhilID belonging to myself authorized
    personon __________________ , personon __________________ ,
    BRGY. ANUNAS, ANGELES CITY BRGY. ANUNAS, ANGELES CITY
    at __________________________________________. at __________________________________________.
    In case of Authorized Person: In case of Authorized Person:
    This is to certify that I received the ePhilID of This is to certify that I received the ePhilID of
    NOV. 2022 NOV. 2022
    _____________________________________________on _____________________________________________on
    BRGY. ANUNAS, ANGELES CITY BRGY. ANUNAS, ANGELES CITY
    ____________________________. ____________________________.
    Relationship to owner:__________________________ Relationship to owner:__________________________

    ___________________________________________ ___________________________________________

    NOV. SIGNATURE
    2022 OVER PRINTED NAME OF CLAIMANT NOV. SIGNATURE
    2022 OVER PRINTED NAME OF CLAIMANT

    3 & 1 Bldg., Phase 1, Davsan Subd., Sindalan, City of San Fernando, Pampanga 3 & 1 Bldg., Phase 1, Davsan Subd., Sindalan, City of San Fernando, Pampanga
    Telephone/Telefax: (045) 901 4526 Telephone/Telefax: (045) 901 4526
    www.psa.gov.ph www.psa.gov.ph

    REPUBLIC OF THE PHILIPPINES REPUBLIC OF THE PHILIPPINES


    PHILIPPINE STATISTICS AUTHORITY PHILIPPINE STATISTICS AUTHORITY
    PROOF
    PAMPANGAOFPROVINCIAL
    CLAIM OF EphilID OFFICE
    STATISTICAL PROOF
    PAMPANGAOFPROVINCIAL
    CLAIM OF EphilID OFFICE
    STATISTICAL
    PCN: _________________________ PCN: _________________________
    I, _________________________________________ I, _________________________________________
    of the City/Municipality of ____________________________ of the City/Municipality of ____________________________
    in the province of Pampanga, do hereby certify that: I have in the province of Pampanga, do hereby certify that: I have
    received the ePhilID belonging to myself authorized received the ePhilID belonging to myself authorized
    personon __________________ , personon __________________ ,
    BRGY. ANUNAS, ANGELES CITY BRGY. ANUNAS, ANGELES CITY
    at __________________________________________. at __________________________________________.
    In case of Authorized Person: In case of Authorized Person:
    This is to certify that I received the ePhilID of This is to certify that I received the ePhilID of
    NOV. 2022 NOV. 2022
    _____________________________________________on _____________________________________________on
    BRGY. ANUNAS, ANGELES CITY BRGY. ANUNAS, ANGELES CITY
    ____________________________. ____________________________.
    Relationship to owner:__________________________ Relationship to owner:__________________________

    ___________________________________________ ___________________________________________

    NOV. SIGNATURE
    2022 OVER PRINTED NAME OF CLAIMANT NOV. SIGNATURE
    2022 OVER PRINTED NAME OF CLAIMANT

    3 & 1 Bldg., Phase 1, Davsan Subd., Sindalan, City of San Fernando, Pampanga 3 & 1 Bldg., Phase 1, Davsan Subd., Sindalan, City of San Fernando, Pampanga
    Telephone/Telefax: (045) 901 4526 Telephone/Telefax: (045) 901 4526
    www.psa.gov.ph www.psa.gov.ph

    You might also like