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Authorization: - From The Department of Social Welfare and Development-Cordillera

The document authorizes a representative to receive a social pension stipend on behalf of a beneficiary who is unable to claim it personally due to reasons stated in the authorization. It also certifies that the representative is caring for the senior citizen beneficiary and is issued to support the claim of the social pension from the Department of Social Welfare and Development.

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Carl Ivan Gambala
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99 views1 page

Authorization: - From The Department of Social Welfare and Development-Cordillera

The document authorizes a representative to receive a social pension stipend on behalf of a beneficiary who is unable to claim it personally due to reasons stated in the authorization. It also certifies that the representative is caring for the senior citizen beneficiary and is issued to support the claim of the social pension from the Department of Social Welfare and Development.

Uploaded by

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

AUTHORIZATION

TO WHOM IT MAY CONCERN:

This is to authorized Mr./Ms. _______________________________, to receive in my


(Name of Authorized Representative)
behalf my Social Pension Stipend for the period of _________________________ amounting to
(Months Covering the stipend)
___________________ from the Department of Social Welfare and Development-Cordillera
(Amount to receive)
Administrative Region due to _______________________________________________________

(Reason/s of inability to personally claim the stipend)

Given this ______ day of ________________ 2022 at ___________________________.

Signature/Thumbmark over printed name


of the Social Pension Beneficiary

Republic of the Philippines


Cordillera Administrative Region
Province of Benguet
Municipality of ATOK
Barangay ________________________

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that ___________________________________ cannot claim his/her


(Name of Social Pension Beneficiary)
Social Pension due to ______________________________________________________________
(Reason/s of inability to personally claim his/her stipend)

Further certify that _____________________________________ is the one taking care


(Name of Authorized Representative)
the Senior Citizen.

This certification is issued to support the claim of Social Pension from the
Department of Social Welfare and Development -Cordillera Administrative Region.

Issued this _____ day of __________________ 2022 at _________________________.

Signature over Printed Name of Signature over printed name of


Punong Barangay Concerned Relative or Neighbor

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