AUTHORIZATION
Re: Service Application No._____________________
Date ________________
Manila Electric Company
LUCENA BUSINESS CENTER
Brgy. Gulang-Gulang,
Lucena City
Gentlemen:
In connection with my application for electric service at __________________________,
PEARL / ARJAY AMBON to execute or sign all or any of the
I hereby authorize _______________________
following documents on my behalf:
(Please affix your signature beside the applicable document/s)
PLEASE SIGN HERE 1_______________ Contract for Electric Service (for ____ kW applied load)
_______________ Undertaking
_______________ Grant of Right of Way
PLEASE SIGN HERE
2_______________ Waiver
PLEASE SIGN HERE
3_______________ Others; Please specify __________
For this purpose, I likewise authorize him/her to transact in your office, submit any and
all required papers or documents and pay all necessary fees and deposits in connection
with the application.
By executing this authorization, I hereby affirm and agree to be bound by the
representations and actions of my representative and to comply with the terms and
conditions for the provision of electric service at the address aforementioned.
For your reference, attached are photocopies of my ID and that of my representative.
PLEASE SIGN HERE
4________________________________
Applicant/Owner Signature Over Printed Name
MARIA PEARL AMLETH E. AMBON
________________________________
Authorized Representative Signature Over Printed Name
*Signatures of applicant from #1 to 4.
