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September 20, 2019

To Whom It May Concern,

I, _____________, __ years old, residing _________ ,is authorizing ___________________, __


years old, residing at __________________- to claim my NBI clearance today, _____date____-.
Attached are my PRC and my Unified Multi-Purpose ID.

Thank you very much!

______________
Owner

_______________-
Authorized Representative

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