AUTHORIZATION LETTER

University of Pangasinan – PHINMA Education Network

Dagupan City
Philippines

Dear Sir/Ma’am:

This is to authorize ____ to process and claim documents on my behalf. Below

are the following papers that I want to request. I will not be able to process
them because I am outside the country.

My information is as follows:

Full Name:
Date of Birth:
Course Taken: BACHELOR OF SCIENCE IN NURSING (BSN)
Date of Attendance:
Date of Graduation:

Requesting for:

 Nursing Transcript(s) that reflect a posted degree

 Educational Breakdown Form
 Related Learning Experience (RLE)
 Complete record of my clinical cases (actual and assisted, cord
dressings, major and minor procedures) reflecting exact dates,
locations procedures performed and instructor signatures etc.
 Academic calendar which reflects exact dates each semester, all
holidays and all breaks beginning and end.
 Registration Forms
Enclosed is a copy of my PRC license and ID of my representative for your
perusal.

Thank you for your kind consideration.

Sincerely,