Authorization: Three Thousand Six Hundred Pesos Only (Php3,600.00)
Authorization: Three Thousand Six Hundred Pesos Only (Php3,600.00)
Authorization: Three Thousand Six Hundred Pesos Only (Php3,600.00)
___________________________________ ___________________________________
Signature Over Printed Name of Beneficiary Signature Over Printed Name of Authorized
Representative
_________________________________ ____________________________
Name and Signature of Punong Barangay Name and Signature of C/MSWDO
_____________________________________________________________________________________
To be filled-out only to those who are not related up to 2nd degree of consanguinity
_____________________________________ ______________________________
Name and Signature of Punong Barangay Name and Signature of C/MSWDO
AUTHORIZATION
___________________________________ ___________________________________
Signature Over Printed Name of Beneficiary Signature Over Printed Name of Authorized
Representative
_________________________________ ____________________________
Name and Signature of Punong Barangay Name and Signature of C/MSWDO
_____________________________________________________________________________________
To be filled-out only to those who are not related up to 2nd degree of consanguinity
_____________________________________ ______________________________
Name and Signature of Punong Barangay Name and Signature of C/MSWDO