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Authorization

This document authorizes a representative to claim the pension benefits of the beneficiary due to their stated absence. It includes the beneficiary's name and relationship to the representative, as well as their address and reasons for being absent. Signatures of the beneficiary, representative, and attesting officials are required to certify the authorization.

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Catherine Bayna
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474 views

Authorization

This document authorizes a representative to claim the pension benefits of the beneficiary due to their stated absence. It includes the beneficiary's name and relationship to the representative, as well as their address and reasons for being absent. Signatures of the beneficiary, representative, and attesting officials are required to certify the authorization.

Uploaded by

Catherine Bayna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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AUTHORIZATION

This is to authorize in my behalf,____________________________,____________


First Name,Middle Name,Surname Relationship

____________of ______________________________________to claim/receive


Age Address

my pension due to___________________________________________.


State the reasons for the absences

___________________________________ ____________________________

Signature/Thumbmark Over Signature Over Printed Name of

Printed Name of Beneficiaries Authorized Representative

Attested by:

_____________________________________

MSWDO/CSWDO

_____________________________________

OSCA
CERTIFICATION

This is to certify that,_________________________________________,


First Name Middle Name Last name

_____of __________________________________can no longer sign in the Social


Age Address

Pension payroll covering the months of____________________CY__________in


the amount of Php______________due
to________________________________.
( State the reason )

Issued this_______day of________________at Tinapian,Manito Albay for


reference purposes.

Attested by;

_______________________
BASCA-President

_______________________
MSWDO/CSWDO

________________________
OSCA-President

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