Delegation of Authority

PDEA delegation of authority to handle dangerous drugs

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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 dangerous drugs / dangerous drug preparations / preparations
containing Table I controlled chemicals in favor of our drug establishment to
(name), (designation). As such, (he/she) is authorized to sign for and in behalf of
the company in matters/transactions pertaining to the above-mentioned
preparations. Likewise (he/she) will 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, PRC, PTR and TIN of (name of authorized pharmacist)
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)

Owner/Head/GM/BM

2” x 2” ID Picture
with signature
(taken not later than 1
month from date of
application)

Authorized Pharmacist