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Embassy of the Republic of the Philippines

No. 1, Jalan Changkat Kia Peng,


Kuala Lumpur,
50450,
Wilayah Persekutuan Kuala Lumpur.

AUTHORITY PASSPORT COLLECTION

To whom it may concern,

I, Luzminda Francisco Into, citizens of the Philippines specifically Zamboanga City with a Passport
Registered No. P4997165A currently residing in Kampung Ipil, Jalan Kastam Baru, Lahad Datu, Sabah
wish to collect the new issuance of my passport in possession of your embassy.

In light of the current situation, I cannot be physically there to collect the document(s) as I am residing
in East Malaysia. I would like to authorise my son, whose details are provided below, to collect the
document(s) on my behalf as he currently in West Malaysia. I therefore request you to please allow
for handling over the above mentioned document(s) to the person I authorize.

I hereby confirm that the details provided below are correct and true and I take full responsibility for
any loss or damage.

Sincerely,

Luzminda Francisco Into

Details of Authorized Person:

Name : TOMAS CEASAR WONG CHIEN SHIUNG

Address : E-10-37, Urbano Utropolis, Block E, Level 10, Unit 37,


Jalan Kontraktor U1/14, Seksyen U1, 40150, Shah
Alam, Selangor

Malaysian Identification Number : 930630125897

Relationship with Applicant : Biological Son

Occupation : Education Consultant

Occupation Address : Raffles College of Higher Education, No. 62, Jalan


Damai Off, Jalan Ampang, 55000, Kuala Lumpur

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