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Republic of the Philippines

Province of Laguna
Municipality of Luisiana
BARANGAY SAN SALVADOR
OFFICE OF THE SANGGUNIANG BARANGAY

BARANGAY CERTIFICATE

Hon. Cesar N. Rocreo As per kept in this office, the person whose name and signature
Barangay Chairman appear hereon has requested a BARANGAY CERTIFICATE with the
following information:
Sangguniang Barangay Members:
Name: _______________________________________________________________
Hon. Tommy M. Pedron
Chairman, Committee on Peace and Order ADDRESS: _______________________________________________________________
CIVIL STATUS: __________________________ GENDER: _______________________
Hon. Gilbert L. Aguilar DATE OF BIRTH: ___________________________________________________________
Chairman, Committee on Rules and PLACE OF BIRTH: __________________________________________________________
Regulation
Chairman Committee on Tourism and PURPOSE:
Environmental Protection
___ Applying for local/Overseas Employment
Hon. Marilyn R. Rocreo ___ Police Clearance/NBI Clearance
Chairman, Committee on Finance and ___ Securing Building Permit
Appropriations ___ Passport/Visa Application/Seaman’s Book
___ Loan Purpose
Hon. Mary Joy E. Pedron ___ Tricycle Permit
Chairman, Committee on Education and ___ Others: ___________________________
Culture
Chairman, Committee on Health and
Sanitation REMARKS: ___________________________________________________________________
x
Hon. Aries M. Briones Issued this ___ day of _________________, 2021, at Barangay San
Chairman, Committee on Infrastructure Salvador Luisiana, Laguna.
Hon. Sonny O. Zaguirre
Chairman, Committee on Agriculture and
Cooperatives ISSUED TO:
___________________________________
Hon. Marissa N. Donasales
Chairman, Committee on Women and
Family

Hon. Wendy P. Abulencia HON. CESAR N. ROCREO


Sk Chairperson-Chairman, Committee on
Barangay Chairman
Youth and Sports

Mrs. May Ann A. Abustan


Paid under O.R. No.:______________
Barangay Secretary
Date: April 21, 2021
Issued at Barangay San Salvador Luisiana, Laguna
Mrs. Rhodalyn A. Lara
Barangay Treasurer

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