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Republic of the Philippines

Province of Pangasinan
Municipality of XXXXXXXX
BARANGAY STA. XXXXXXXXXX

OFFICE OF THE BARANGAY CAPTAIN

OATH OF OFFICE

To: XXXXXXXXXXX

This is to certify that XXXXXXXXXXXXX, female 45 years old of barangay


xxxxxxxxxxxxxxxxxxx, xxxxxxxxxxx, xxxxxxxxxxxx has been appointed by the Barangay Captain
on July 30, 2020 as a Barangay Health Worker (BHW).

This is further certify that she had resumed her duties and responsibilities as a
Barangay Health Worker (BHW).

XXXXXXXXXXXXXXXXXXXXXXXX
Barangay Captain

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