ANNE-RO’S PHARMACY AND GENERAL MERCHANDISE
#14 Alejo St. , Zone 1, San Mariano, Isabela 3332
April 19, 2019
The Director General
Food and Drug Administration
Civic Drive, Filivest City
Alabang, Muntinlupa City
Dear Director General:
In accordance with the Republic Act No. 9711 and other related issuances, we Anne-ro’s
Pharmacy and General Merchandise with business address at #14 Alejo St. , Zone 1, San
Mariano, Isabela 3332 hereby authorize NOLY M. ALEJANDRO as the account holder of e-
LTO and shall be responsible for all applications submitted through the e-LTO system.
I hereby undertake and warrant that the data and information submitted in connection with this
application as well as other submissions in the future including variations, are true and correct
and reflect the total information available.
ANA C. GERONIMO
Owner
Subscribed and sworn to me this ________ day of __________ at
_____________________________.
Notary Public
Doc No.:________,
Page No. :_______,
Book No.:_______,
Series of ________.