2 July 2019

BPI/MS Insurance
Dagupan, Pangasinan

Sir/Maam:

This is to authorize my brother, Ansary Pangader, to file a claim against the insurance policy of
my car with Plate No. _________ and covered by Policy No. PC781771.

The above person is also to authorize to sign any document that may be needed in relation to
my insurance claim.

Truly yours,

Atty. Abdul Najib P. Pangader, CPA, MBA

Insured