Republic of the Philippines

Department of Health
Regional Office II
Carig Norte, Tuguegarao City

CERTIFICATE OF NO DEROGATORY RECORD

TO WHOM IT MAY CONCERN:

This is to certify that MR. EDILBERTO CARAANG MARTIN is an

employee of the Department of Health Regional Office II with the position
Administrative Aide I.

This is to further certify that he has not been charged with any act or
omission punishable by law, rule or regulation before a prosecutor, judge, public
officer or administrative body of any crime or offense involving moral turpitude;
nor has he any pending case or charge filed before this Office of the Department.

This certification is issued to the aforementioned applicant for the purpose

of his Application for Change of Name.

Issued this 28th day of May 2014, Tuguegarao City.

ATTY. AUREA BELEN P. BALIAT

Legal Officer III