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Authorization Letter Bank

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AUTHORIZATION LETTER

To: PhilHealth

Greetings!

This is to authorize, __________________________ to represent on my behalf in the


processing/updating my Member’s Change of Information from SELF-Eto
EMPLOYED (Private). As well as the releasing of my updated Member’s Data Form.
This is because I will not be able to personally appear in your office due to work.

Attached herewith is a copy of my government issued ID to prove my claim.


Looking forward for your favorable consideration.

Thank you.

Respectfully yours,

MAITA JULLANE M. DAAN

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