This document certifies that an individual is authorized to claim the social pension stipend on behalf of a senior citizen beneficiary. It identifies the individual's name, age, civil status, and relationship to the senior citizen. It also provides the name of the senior citizen who the individual is caring for. The barangay captain signs and dates the document to validate that the individual is a resident of the barangay and can properly claim the stipend for the senior citizen.
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Authorization Letter
This document certifies that an individual is authorized to claim the social pension stipend on behalf of a senior citizen beneficiary. It identifies the individual's name, age, civil status, and relationship to the senior citizen. It also provides the name of the senior citizen who the individual is caring for. The barangay captain signs and dates the document to validate that the individual is a resident of the barangay and can properly claim the stipend for the senior citizen.
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Living beneficiary
Republic of the Philippines
Province of Municipality of Barangay -o0o-
CERTIFICATION
2X2
Signature
THIS IS TO CERTIFY that _______, years old
(Name) (Age) , whose picture and signature appears above, is a bonafide resident of this (Civil Status) Barangay. That he/she is the _____ and currently the custodian (Relation to senior citizen)
/caretaker of . (Name of the senior citizen)
That he/she is being authorized by the social
(Name of the senior citizen) Pension beneficiary, to claim the stipend from the social pension program for and his/her behalf.
This certification is issued for whatever purpose it may serve.