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Delegation of Authority
PDEA sample form for delegation of authority
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: FM-CSVlrd-07
COMPANY LETTERHEAD
(Date)
The Director General
Philippine Drug Enforcement Agency
Nat’l Gov’t Center, Diliman, Quezon City
Attention: The Director, Compliance Service
Subject: Letter of Authorization
Dear Sir:
As the (head/owner/GM/BM) of (company/ establishment), I hereby delegate my
authority to handle precursors and essential chemicals & its mixtures in favor of
our company to (name), (designation). As such, (he/she) is authorized to sign for
and in behalf of the company in matters/transactions pertaining to the abovementioned preparations. Likewise (he/she) wil
l be responsible for its monitoring / safekeeping, recording, and reporting to the
Compliance Service, Philippine Drug Enforcement Agency.
In relation, enclosed herewith is the picture, specimen signature, joint affidavit,
NBI Clearance and TIN of (name of authorized signatory)
Very truly yours,
(Printed Name/ Signature and Designation of Owner/Head/GM/BM )
2” x 2” ID Picture
with signature
(taken not later than 1
month from date of
application)
2” x 2” ID Picture
with signature
(taken not later than 1
month from date of
application)
Owner/Head/GM/BM
Authorized Signatory