Date: April 11,2023

Authorization Letter

This letter serves to authorize Mr/Ms with to collect my /

our CENOMAR from the courier of Philippine Statistics Authority (PSA) on our/my behalf.

My/Our CENOMAR details are as follows:

Name in CENOMAR CENOMAR Reference

The authorized person’s photo ID is attached and his signatures are attested hereunder:

Authorized by:

(Name) (Signatures) Cell No.

Authorized Person’s Name:

(Name) (Signatures) (Date)

Note: By signing this authorization letter, you absolve Courier of Philippine Statistics Authority
(PSA) of any responsibilities once the passports have been delivered and are in the possession of
the person authorized to act on your behalf.