AUTHORIZATION

TO WHOM THIS MAY CONCERN:

This is to CERTIFY that I hereby authorize ________________________________ to

receive my social pension from the personnel of the Regional Field Office DSWD, Iloilo City.

This authorization is made for reason that my present physical condition cannot warrant
me to receive my pension by myself.

Dated this ___________day of _________, 2017 at __________________, Sigma, Capiz.

____________________________
Pensioner

____________________________ ____________________________
Witness Witness
Attested:

______________________________
President, Senior Citizen
-------------------------------------------------------------------------------------------------------------------------------

AUTHORIZATION
TO WHOM THIS MAY CONCERN:

This is to CERTIFY that I hereby authorize ________________________________ to

receive my social pension from the personnel of the Regional Field Office DSWD, Iloilo City.

This authorization is made for reason that my present physical condition cannot warrant
me to receive my pension by myself.

Dated this ___________day of _________, 2017 at ___________________, Sigma,

Capiz.

____________________________
Pensioner

____________________________ ____________________________
Witness Witness
Attested:

______________________________
President, Senior Citizen