Category: Authorization Letter

Clearance Authorization Letter

April 22, 2007

National Bureau of Investigation
NBI Building, Taft Avenue, Ermita,
Manila, Phillipines

To Whom It May Concern:

I hereby authorize, my sister, Renalyn Mhay G. Santos, to claim my NBI Clearance from your good office on my behalf

My sister will present her two (2) ID cards for identification purposes.  She also brings my ID card for verification.

Thank you and more power.

Sincerely yours,

Daniel G. Santos

Sample Medical Records Authorization Letter

September 11, 2001

Dr. Rose Marie R. Medina
Mary Hill Clinic
Balanga City, Bataan

Dear Dr. Medina:

I, Analyn M. Santos, would like to authorize my sister, Kimberly M. Santos to get my personal medical records from your clinic. These records include CT scans, X-ray, and MRI scans. I will be using these records for employment purposes.

My sister will present her ID cards for identification.

Thank you very much!

Sincerely yours,

Analyn M. Santos

Authorization Letter – Withdraw Money

August 15, 2008

Ross Ann L. de Mesa
Bank Manager
Land Bank Philippines Inc.
Balanga City, Bataan

Dear Ms. de Mesa:

I, MELVIN R. HERRERA, authorized my wife, MELISSA F. HERRERA, to withdraw money from my account number 02-2148451 an amount of five thousand pesos only (Php 5,000.00) in my behalf.

At present I am in business trip. I hope for your kind consideration.

Thank you and more power!

Very truly yours,


Authorization Letter – Transcript of Records

June 25, 2000

Asia Pacific College Registrar
Balanga City, Bataan

To Whom It May Concern:

I, Michael S. Austria, authorize my cousin, Ms. Jennifer M. Austria to apply for and pick my transcript of records from your good office.  Along this letter are my valid IDs and my student’s record for your verification.

Also, she brings her cards for identification. I hope for your kind consideration.

Thank you very much.

Sincerely yours,

Michael S. Austria

Authority to Debit Letter

October 14, 2009

Authority to Debit

In connection with the loan account of SPS BERNARDO L. MANZANO and ALYLUZ S. MANZANO (the loan), we hereby authorize you to debit our SA/CA No. 01542147652 maintained at Bulacan Branch, for any and all amounts related/incidental to my/our loan, such as, but not limited to, the principal, interest, penalty, insurance premium, and other charges due thereon.

Any payments I/we make via auto debit shall be automatically reflected in my/our loan account statement.

I/we understand that this arrangement shall be automatically implemented by your system and to avoid any inconvenience on my/our part, I/we shall inform you in writing at least seven (7) banking days before my/our due date of the following:

1.    Pretermination of the loan;
2.    Change in my/our deposit account number;
3.    Change in mode of payment; and
4.    Any other changes that may affect this arrangement

This authority shall remain valid and irrevocable for as long as my/our loan, including the renewal, extension, or restructuring thereof, remains unpaid.


Authorization Letter – Pag-ibig Loan Application

August 31, 2009

Home Development Mutual Fund
Balanga City, Bataan

To Whom It May Concern:

I, Lorna D. Ridges hereby authorize the bearer of this letter, Ms. Jerrah   Santos of ADF Corporation to act on my behalf in all manners relating to my Pag-ibig loan application as well as the signing of documents relating to this matter.

Also, I have enclosed my company ID for verification.  Ms. Santos brings her identification card for your reference.

I hope for your usual understanding.

Thank you.


Lorna D. Ridges

Collect Documents Authorization Letter

December 12, 2001

Mr. Reynato Watanabe
ACRES Records Department
San Fernando, Pampanga

Dear Mr. Watanabe:

Please authorize my mother, Erlinda M. Santos to get the following documents in your office:

-    Primary Health Insurance
-    Long Term Health Insurance
-    Annual Income Tax Record
-    Social Security Records

I will not be able to get those documents since I was assigned here in Canada to work immediately.

My mother will show her two (2) identification cards for verification. Thank  you so much for your kind consideration.

Sincerely yours,

Shaina  Santos

Authorization Letter to Cancel Application

April 21, 2002

To Whom It May Concern:

I would like to authorize my husband, Emmanuel Navarro to cancel my SmartBro application as well to claim my refund in my behalf.

He will present his two (2) identification cards as well my identification for further verification.

The reason for the cancellation of my application is due to personal financial problem. I hope you will grant my request.

Sincerely yours,

Celestina D Navarro

Authority to Deduct Letter

Date: ______

In connection with my application of a ___________ loan under the ABCS Loan Program / Service in the amount of ______________.  I hereby authorize the office in charge in the preparation of salary deduction of Employees at Oriental Enterprises headed by Finance and Management Service Director, Mr. Ariel Joshua in favor of ABCS to deduct from my salaries / wages / other income the amount of ______________ corresponding to the monthly amortization for the said loan.

This authority shall be in force during the term of my employment and until full payment of the said loan.  In case I transfer to another government institution / agency, I shall inform my new employer of my existing Loan, and execute a new Authority to Deduct to ensure the continuity of my payroll deduction.

Signature of Borrower over Printed Name

Passport Authorization Letter

April 15, 2009

Passport Processing Department
Subic Bay, Olongapo

To Whom It May Concern:

I, Regina Esprit Roxas born on April 11, 1973 and presently residing at  Don Pepe Balanga City, Bataan, hereby authorized my cousin, Ms. Marita E. Roxas  worked as college instructor at Asia Pacific,  to pick up my passport on my behalf and other original documents.

She will present her two (2) identification cards for further reference.

If you have any questions regarding my application, you can contact me by telephone (02) 4611574.

Sincerely yours,

Regina E. Roxas

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