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To Whom It May Concern,

I, Escobar Rose Marie and Pacis Arnold residing at Purok 2, Catalanacan ,Science City of Munoz, Nueva
Ecija, hereby authorize Julie Rose Escobar to request our birth certificate from the Philippine Statistics
Authority (PSA) on our behalf.

Julie Rose Escobar is authorized to obtain the birth certificate on the following conditions:

To present a valid identification card for verification purposes.


To sign any necessary documents required by the PSA.
To receive the birth certificate and any related documents on our behalf.
I understand that by issuing this authorization, I am legally permitting Julie Rose Escobar to act on our
behalf regarding the retrieval of our birth certificate from the PSA.

Attached to this letter is a photocopy of our valid identification card for verification purposes.

Thank you for your attention to this matter.

Sincerely,

Arnold C. Pacis

RoseMarie F. Escobar

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