Authorization Letter To Claim

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Authorization Letter to Claim

From: Helen Amenodin Mambatao


017 PC Hill, Zone 2, RH 1
Cotabato city, 9600

November 21, 2018

To: PRBS (PNP Retirement and Benefits Administration Service)


Camp Crame, Quezon City, 1100

To Whom It May Concern:

I, Helen Amenodin Mambatao, widow of P/SSupt. Medior Maisa. Mambatao,hereby


authorize Mr. Nasser D. Hadji Ibrahim to obtain and claim from your good office copies
of my late husband’sfollowing records and documents: retirement order, service
records, certification of last payment, statement of service and certificate legal
beneficiary. I am not able to represent myself because of my poor health.

I hereby authorize Mr. Nasser D. Hadji Ibrahim to act on my behalf and perform all the
necessary transactions required to complete the process. Mr. Nasser D. Hadji
Ibrahim shall be presenting his identification card for verification. I also permit
Mr. Nasser D. Hadji Ibrahim to receive copies of the needed documents stated. I
understand that Mr. Nasser D. Hadji Ibrahim will not be responsible for any loss of
documents or delays incurred during the processing procedure and delivery.

Mr. Nasser D. Hadji Ibrahim is not allowed to use the received documents for any other
purpose not mentioned in the letter and he should not also be allowed to make any other
decisions on my behalf without a written consent from me. Mr. Nasser D. Hadji
Ibrahim is permitted to collect the said copies while residing at Unit 210, Building 4
Condo, Maharlika Village, Taguig city and contact him at 0928-613-3385 at your
convenience.

Please accept my letter of authorization as a confirmation that I grant permission to Mr.


Nasser D. Hadji Ibrahim to claim copies of the said documentsfrom your good office.
For any inquiries and clarifications please contact me at 0919-225-0463. Thank you and
more power.

Sincerely,
Helen Amenodin Mambatao

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