AUTHORIZATION

TO WHOM IT MAY CONCERN,

This is to authorize Mr./Mrs. ESTILIO SR. NGA-EO to receive in my behalf my social

Name of Authorized Representative

pension stipend for the period of APRIL, MAY AND JUNE from the Department of Social Welfare and
Months covering the stipend

Development-Cordillera Administrative Region due to COUGH AND COLDS AND BODY ACHE.
(Reasons of inability to personally claim the stipend)

Given this 18th day of July, 2019 at Natubleng, Buguias, Benguet.

Republic of the Philippines

Cordillera Administrative Region
PROVINCE OF BENGUET
Municipality of Buguias

CERTIFICATION

TO WHOM IT MAY CONCERN,

This is to certify that Mr./Mrs. ANNIE G. NGA-EO cannot claim his/her my social
( Name of Social Pension Beneficiary)

pension due to COUGH AND COLDS AND BODY ACHE.

(Reasons of inability to personally claim the stipend)

Further certify that ESTILIO SR. NGA-EO is the one taking care of the senior citizen.
(Name of Authorized Representative)

This certification is issued to support the claim of Social Pension from the Department of Social

Welfare and Development-Cordillera Administrative Region

Issued this 18th day of July, 2019 at Natubleng, Buguias, Benguet.

DANNY SEBIO THELMA P. DANIGOS

Signature Over Printed Name of Punong Barangay Signature Over Printed Name of Concerned
Relative or Neighbor