March 27, 2023

To whom it may concern:

I, Jenina D. Sadiwa, 29 years old, a resident of Barangay Tempra Guilig, San Fabian,
Pangasinan, hereby authorize Mrs. Monica Hazel E. Agsunod to submit my Philhealth
Member Registration Form , including signing of all the documents relating to this
matter.
I appreciate your assistance. If any clarification is required please contact me on my
contact number (09674034326).

Sincerely:

JENINA D. SADIWA
 March 27, 2023

To whom it may concern:

I, Rogelio M. Sadiwa Jr., 32 years old, a resident of Barangay Tempra Guilig, San
Fabian, Pangasinan, hereby authorize Mrs. Monica Hazel E. Agsunod to submit my
Philhealth Member Registration Form , including signing of all the documents relating to
this matter.
I appreciate your assistance. If any clarification is required please contact me on my
contact number (09271741158).

Sincerely:

ROGELIO M. SADIWA JR.