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Psa Authorization Letter

Marlyn Valdez Bernal authorizes Brix Ian B Ramos to apply for and collect her PSA birth certificate on her behalf because she is unable to do so herself due to a medical condition. The birth certificate for Marlyn Valdez Bernal will be used for medical purposes.
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0% found this document useful (0 votes)
216 views1 page

Psa Authorization Letter

Marlyn Valdez Bernal authorizes Brix Ian B Ramos to apply for and collect her PSA birth certificate on her behalf because she is unable to do so herself due to a medical condition. The birth certificate for Marlyn Valdez Bernal will be used for medical purposes.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

AUTHORIZATION LETTER

September 14, 2023

Philippine Statistics Authority


PSA 47 Gordon Ave,
Olongapo, 2200 Zambales

To whom it may concern,

I, MARLYN VALDEZ BERNAL, authorize BRIX IAN B RAMOS to apply and collect
my PSA Birth Certificate for my behalf. I’m not able to get or pick up my PSA Birth
certificate because of my medical condition.
1. Birth Certificate MARLYN VALDEZ BERNAL
The above-mentioned PSA-certificate will be used for medical purposes.
Thank you.

MARLYN BERNAL
Signature

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