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  • Sample Template For PSA or NSO

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    Joemark Colobong
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    Lornalyn D. Santiago authorizes the teacher/adviser of her son Joemark M. Colobong to claim the birth certificate of her son James D. Santiago from the Philippine Statistic Authority. Santiago is unavailable due to a conflict in her schedule. She has attached her valid ID as proof of consent and requests the bearer also show valid ID for verification. She provides her contact information for any questions regarding the transaction.

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    Sample Template for PSA or NSO

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    Lornalyn D. Santiago authorizes the teacher/adviser of her son Joemark M. Colobong to claim the birth certificate of her son James D. Santiago from the Philippine Statistic Authority. Santiago is unavailable due to a conflict in her schedule. She has attached her valid ID as proof of consent and requests the bearer also show valid ID for verification. She provides her contact information for any questions regarding the transaction.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    109 views1 page

    Sample Template For PSA or NSO

    Uploaded by

    Joemark Colobong
    Lornalyn D. Santiago authorizes the teacher/adviser of her son Joemark M. Colobong to claim the birth certificate of her son James D. Santiago from the Philippine Statistic Authority. Santiago is unavailable due to a conflict in her schedule. She has attached her valid ID as proof of consent and requests the bearer also show valid ID for verification. She provides her contact information for any questions regarding the transaction.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    LORNALYN D.

    SANTIAGO
    Barangay Barcelona, Solsona
    Ilocos Norte, 2910

    September 13, 2022

    Philippine Statistic Authority


    Barangay 14, Laoag City
    Ilocos Norte, Philippines

    To Whom It May Concern:

    I, LORNALYN D. SANTIAGO, do hereby authorize the teacher/adviser of my son, Mr.


    JOEMARK M. COLOBONG, to claim the PSA birth certificate of my son JAMES D.
    SANTIAGO as I am unavailable due to conflict of schedule.

    Attached herewith is my valid ID as proof of my consent on this matter. The bearer will
    also show his valid ID for verification purposes.

    Thank you very much and looking forward to your consideration. For concerns and
    questions regarding the transaction, you may contact me at
    ________________________.

    Sincerely,

    LORNALYN D. SANTIAGO
    Signature Over Printed Name

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