Republic of the Philippines

CITY OF PAGADIAN
BARANGAY BALANGASAN
Office of the Barangay Chairman
Telephone # 2142-176

This is to certify that the person whose name, picture and signature appear
hereon has requested a CLEARANCE from this office.

NAME: JENNILYN C. AFRICANO

ADDRESS: PUROK MAKIANGAYON , BALANGASAN DIST., PAG. CITY
CIVILSTATUS: SINGLE
GENDER: FEMALE
DATE OF BIRTH: DEC. . 27,1987
ACE OF BIRTH: TABINA ZDS
PURPOSE: FOR ANY PURPOSE(S) IT MAY SERVE HIM/HER BEST

______________________________
Signature

This is to certify further that he/she is known to me of good moral character

and is a law abiding citizen. He/She has neither pending case nor derogatory
record in our barangay.

Issued this on 10th day of JUlY, 2019 at Barangay Balangasan, Pagadian City.

IMELDA VERDIDA AZUCENAS

Punong Barangay
O.R No. 3126432
Amount Paid: 100.00
Issued on: JULY 10,2019
Issued at: BALANGASAN DISTRICT, PAGADIAN CITY

BARANGAY COUNCIL OF BARANGAY BALANGASAN

HON. IMELDA VERDIDA AZUCENAS
Punong Barangay

HON. LETECIA R. CULVE HON. ARNALDO M. GALA HON. MELCHOR M. PARAGUYA

Barangay Kagawad Barangay Kagawad Barangay Kagawad

HON. ZALDY F. RUBIA HON. QUIRINO C. ZUASOLA, JR. HON. GYLE PERALTA
Barangay Kagawad Barangay Kagawad Barangay Kagawad

HON. AURORA T. ARAMBULO HON. BRYX KOOKIE L. DUMAN-AG MRS. CHERRY L. DUMAN-AG
Barangay Kagawad SK Chairman Barangay Secretary

MRS. NORMA V. SAAVEDRA

Barangay Treasurer

NOTE: Not Valid without official seal. This BARANGAY CLEARANCE is valid for six (6) months from date of issue.