Republic of the Philippines

Province of Albay
Municipality of Daraga
Barangay of Busay

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION
(Control No. ______ s. 20__)

To the School Administrators/ Authorities:

This is to certify that Mr. Rico O. Rodriguez Jr. with NSTP Serial No. C-05-002224-
13 and a bona fide resident of this Barangay is registered and included in the roster of
Community- Based NSRC Reservists of this Barangay pursuant to Section 6 of the
Implementing Guidelines an Procedures (IGP) on the Development, Organization,
Training, Administration, Utilization, Mobilization, Operation, Accreditation, Protection
and Funding of the National Service Reserve Corps (NSRC) as provided for under
Section 13, RA 10121.

This certification which is issued free of charge by this Barangay to Mr. Rico O.
Rodriguez Jr. shall form part of the requirements for graduation pursuant to the above
cited guidelines and procedures.

This Certification is given this ____ day of ___________________ 20 ___.

__________________________
Barangay Secretary

NOTED BY:

_________________________________________
Punong Barangay

NOTE: The Control No. is issued by the issuing Barangay copy furnished CHED5 and
NSRC Unit-OCD5. The issuing Barangay is advised to have file copies of certifications
issued to NSRC reservists for monitoring and validation purposes.