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Republic of the Philippines

UNIVERSITY OF EASTERN PHILIPPINES

University Town, Northern Samar

January 14, 2015

Sir/Madam,

I hereby authorize Ms. Liza Calixtro to get my Live birth and the Live Birth of my daughter Michaela Claire P. Calipayan at NSO Office at the Tacloban City.

Thank you and more power.

MA. REYNALYN O. PAJAMUTAN

Brgy. Zone III, University Town,

Catarman, Northern Samar


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