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Overseas Workers Welfare Administration: Inisyunitongika - Arawng - 2020 Sa

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Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT


OVERSEAS WORKERS WELFARE ADMINISTRATION
Regional Office 9

KAPAHINTULUTAN/AWTORISASYON

Akin pong pinahihintulutansi____________________________________ (pangalan) ,aking


________________________(kaugnayansabenepisyaryo)ng___________________________ (tirahan)na mag-
claim at tumanggapngakingtulongpinansiyalmulasaM.Lhuillier Branch _____________________________
bilangbenepisyaryongOWWA-AKAP.

Kalakipnitoangaking/amingvalid ID ngpagkakakilanlan.

Inisyunitongika-____arawng__________ 2020 sa____________________.

` Pangalan Tirahan Halaga Lagda


1        

Verified/Approved By: Received the above Remittances/Amount

Name/Signature Office Head (OWWA) Name/Signature – Authorized Representative

Important Notice: MLHUILLIER is ABSOLVED of any liabilities, should a dispute or complaint on non-
receipt of remittances of the beneficiaries in the abovelist arises.

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