National Bureau of Investigation
Attention: NBI Clearance Center
To whom it may concern,
I hereby authorize the bearer, Name of representative __________, to file, claim and receive my NBI Clearance on my behalf. I am unable to personally file and claim my NBI Clearance as I am currently residing in ___________.
Attached is a copy of my passport as proof of my consent on the said matter. He/She will also present his/her Identification Card, for identification purposes.
Thank you very much.
Name of Applicant
Complete Address of Applicant
Date of Issue
Place of Issue