eLTO FDA Representative Authorization

[COMPANY LETTERHEAD]

(DATE)

The Director General
Food and Drug Administration
Civic Drive, Filinvest City
Alabang, Muntinlupa City

Dear Director General,

In accordance with Republic Act No. 9711 and other related issuances, we (Company Name) with business address at ________________________________________________________ hereby authorize ___________________________________ ( Name of Company Representative) as the account holder of the eLTO and shall be responsible for all applications submitted through the eLTO system.

I here by undertake and warrant that the data and information submitted in connection with this application as well as other submissions in the future including variation are true, correct, and reflect the total information available.


_____________________________________________
(Owner/President/CEO/Authorized Officer)

Authorization Letter to Claim NBI Clearance

Date

The Director
National Bureau of Investigation
Manila, Philippines
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.

Respectfully yours,


Name of Applicant
Complete Address of Applicant
Passport No.
Date of Issue
Place of Issue