Republic of the Philippines

Region XI
City of Mati Division
CULIAN INTEGRATED SCHOOL

AUTHORIZATION LETTER

I hereby authorize the bearer of this letter, LEONIDA C. UMACOB-

MT1 to request and claim the AUTHENTICATED BIRTH CERTIFICATE of
my son/ daughter; ___________________________________ , Grade ________
of Culian Integrated School. The said document will be used for the taking of
Philippine Education Placement Test.

__________________________ ____________________
Parent’s signature Date

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Republic of the Philippines

Region XI
City of Mati Division
CULIAN INTEGRATED SCHOOL

AUTHORIZATION LETTER

I hereby authorize the bearer of this letter, LEONIDA C. UMACOB-

MT1 to request and claim the AUTHENTICATED BIRTH CERTIFICATE of
my son/ daughter; ___________________________________ , Grade ________
of Culian Integrated School. The said document will be used for the taking of
Philippine Education Placement Test.

__________________________ ____________________
Parent’s signature Date