Republic of the Philippines

Cordillera Administrative Region

Province of Kalinga
Municipality of Tanudan
Barangay Dupligan

DEATH CERTIFICATION

This is to certify that _Mr. ALFONSO WAGUIYON, of legal age, Married, Filipino, a bonafide
resident at Pagugo, Dupligan, Tanudan, Kalinga, died on April 06, 2020 at Pagugo Dupligan;

Further certify that Mrs, IRA KRIS W. GANGNGAT, is the daughter of the said deceased and
duly authorized representative among the four daughters surviving/living.

This certification is issued upon the request of IRA KRIS W. GANGNGAT, for support and use
to any legal merits and purposes.

Issued this 08th day of April, 2020 at Barangay Dupligan, Tanudan, Kalinga.

CTC N0: _________________

ISSUED ON: ______________
ISSUED AT: Dupligan, Tanudan, Kalinga

OR NO: _______________
ISSUED ON: ________________
ISSUED AT; Dupligan,Tanudan, Kalinga

______________________________________
Signature over Printed Name of Concerned Relative
or Neighbor ______________________________________
Signature over printed name of Punong Barangay