13 June 2023

MARITES D. LIWANAG
DSWD REGION III FIELD OFFICE
DSWD AICS focal Person

Attn: DSWD Region 3, Baler Extension Office

Dear Ms Marites Liwanag,

Greetings from ACT Teachers Party-List!

This Representation endorses PURISIMA S. LUMASAC, 63 years old, a resident of Purok

6, Brgy. Suklayin, Baler, Aurora. She was diagnosed with hyperthyroidism and advised
to undergo for general check-ups and Diagnostic tests. She can provide the necessary
documents that you will require. We are appealing, that she be given a financial
assistance amounting to P10,000.00 to defray her medical and Laboratory expenses.
Thank you so much for your assistance.

Patient's Info:
First Name: PURISIMA
Middle Name: SANTIAGO
Last Name: LUMASAC
Age: 63
Birthdate: APRIL 24, 1960
Address: PUROK 6, BRGY. SUKLAYIN, BALER, AURORA
Contact person: BASANIO S. LUMASAC
Contact #: 09078002401
Diagnosis: HYPERTHYROIDISM
Monthly Household Income: 5,000.00 (RETIRED TEACHER, DI PA NAGSISIMULA ANG
PENSION)
Hospital (complete name): PREMIERE GENERAL HOSPITAL (BALER)
Assistance Needed: CASH ASSISTANCE for General Check ups, Medical Procedures and
Medicines

Endorsed By;

Aurora Santiago
Social Welfare Officer of ACT Teachers Partylist
For Region III
santiago66au@gmail.com
09399014033

Cynthia M. Vargas
Chief Of Staff of Cong. FRANCE L. CASTRO
---
Office of Representative France L. Castro
ACT Teachers Party-List
Office Address: Rm 511 South Wing, House of Representatives, Batasan Hills, Quezon City, Philippines 1126
Tel. +632-9316193 +632-9315001 loc. 7289
Email rep.france.castro@gmail.com