March 1, 2018

Department of Health
Regional Office IV-A CALABARZON
QMMC Compound, Project 4,
Quezon City

Re: License Renewal Application (Therapist)

Dear Sir/Madame:

I am ______________, resident of__________, Caloocan City.

I am a registered Massage Therapist and holder of License No.

111 issued by the DOH-NCR in accordance with the provisions of P.D. 856
(Date of Registration: December 11, 2002). I am currently processing
my application for license renewal with the Department of Health.

As of the present moment, I am not engaged in the practice of my

profession as a Massage Therapist. However, it is my desire to still be
included in the registry of massage therapist professionals in the
Philippines.

In this connection, I hereby submit this letter in support of my

license renewal application.

Thank you.
Truly yours,

Applicant

SUBSCRIBED AND SWORN to before me, 1 st day of March, 2018 in

Caloocan City, Philippines, affiant exhibited her ____________

Doc. No. :_______

Page No.:_______
Book No. :_______
Series of 2018.