Republic of the Philippines

Province of Cavite
City of Dasmariñas
BARANGAY SAN AGUSTIN I
Telephone No. (046) 424-9431/ 840-1332

OFFICE OF THE SANGGUNIANG BARANGAY

HON. DARWIN P. TORRES

Punong Barangay
CERTIFICATION
HON. GLENN N. ANADILLA To whom it may concern:
Kagawad

HON. JEFFREY F. ALVARAN

Kagawad This is to certify the request of
________________________________, a bonafide resident of
HON. GILBERT S. VILLANUEVA ______________________________, San Agustin 1, City of
Kagawad Dasmariñas, Cavite.

HON. NANCY B. PADAYAO This serves as a certification that he/she was isolated,
Kagawad had completed and complied the strict 14 days home
quarantine from _____________________ to
HON. LUZVIMINDA T. HEMBRADOR
Kagawad
_____________________, with signs and symptoms noted all
throughout the said period
HON. FERNANDO B. QUINTANA
Kagawad This certification is issued upon the request of the above-
mentioned person as a requirement for his/her health clearance
HON. ORPHA L. MATIBAG Issued this ________ day of __________, 2020 at
Kagawad Barangay San Agustin 1, City of Dasmariñas, Cavite.
HON. MARY ROSE G. TANG
SK Chairperson
Issued by:

Giselle Kristine C. Frivaldo ANABELLA Y. DADAP

Barangay Secretary BHERT Midwife
Attested by:

Marina R. Nati HON. DARWIN P. TORRES

Barangay Treasurer Punong Barangay

Not valid without seal Vision: To see Barangay San Agustin 1 in a state where anybody would aspire to live in…..
and an inspiration to other community.
This is to certify the request of
________________________________, a bonafide resident of
______________________________, San Agustin 1, City of
Dasmariñas, Cavite.

This serves as a certification that he/she had completed

and complied the strict 14 days quarantine period from
___________________ to _______________. That on
____________, he/she undergo swabbing at
__________________________ _____________, specimen
was sent to DLSUMC. Laboratory result released on
_____________ with negative result, no signs and symptoms
noted (see attached result).

This certification is issued upon the request of the above-

mentioned person as a requirement for his/her health
clearance.

Issued this ________ day of __________, 2020 at

Barangay San Agustin 1, City of Dasmariñas, Cavite.

Issued by:

ANABELLA Y. DADAP
BHERT Midwife
Attested by:

HON. DARWIN P. TORRES

Punong Barangay

Vision: To see Barangay San Agustin 1 in a state where anybody would aspire to live
in…..and an inspiration to other community.
 This is to certify the request of
________________________________, a bonafide resident of
______________________________, San Agustin 1, City of
Dasmariñas, Cavite.

This serves as a certification that he/she was isolated,

had completed and complied the strict 14 days home
quarantine from _____________________ to
_____________________, no signs and symptoms noted all
throughout the said period

This certification is issued upon the request of the above-

mentioned person as a requirement for his/her health clearance
Issued this ________ day of __________, 2020 at
Barangay San Agustin 1, City of Dasmariñas, Cavite.

Issued by:

ANABELLA Y. DADAP
BHERT Midwife

Attested by:

HON. DARWIN P. TORRES

Punong Barangay

Vision: To see Barangay San Agustin 1 in a state where anybody would aspire to live
in…..and an inspiration to other community.
 This is to certify the request of
________________________________, a bonafide resident of
______________________________, San Agustin 1, City of
Dasmariñas, Cavite.

This serves as a certification that he/she had completed

and complied the strict 14 days quarantine period from
___________________ to _______________. That on
____________, he/she undergo swabbing at
__________________________ _____________, specimen
was sent to DLSUMC. Laboratory result released on
_____________ with negative result, no signs and symptoms
noted (see attached result).

This certification is issued upon the request of the above-

mentioned person as a requirement for his/her health
clearance.

Issued this ________ day of __________, 2020 at

Barangay San Agustin 1, City of Dasmariñas, Cavite.

Issued by:

ANABELLA Y. DADAP
BHERT Midwife
Attested by:

HON. DARWIN P. TORRES

Punong Barangay
This is to certify the request of
________________________________, a bonafide resident of
______________________________, San Agustin 1, City of
Dasmariñas, Cavite.

This serves as a certification that he/she was isolated,

had completed and complied the strict 14 days home
quarantine from _____________________ to
_____________________, no signs and symptoms noted all
throughout the said period

This certification is issued upon the request of the above-

mentioned person as a requirement for his/her health clearance

To whom it may concern:

This is to certify that SALLY JHUN U. HERNANDEZ,

male and a non- resident of Barangay San Agustin 1, City of
Dasmariñas, Cavite.

This further certifies that he stayed in her sister’s house

at Blk 22 Lot 7 Phase2 Solar Homes, San Agustin 1, city of
Dasmariñas, Cavite.

This certification is issued upon the request of above

named person for his travel back to his home at M.L. Quezon
Bagumbayan, Taguig City.

Issued this 13th day of May, 2020 at Barangay San

Agustin 1, City of Dasmariñas, Cavite.
To whom it may concern:

This is to certify the request of

_______________________________________, male/ female,
____years old and a bonafide resident of
_________________________________, San Agustin 1, City
of Dasmariñas, Cavite.

He/She is a confirmed COVID-19 positive was based on

the result of RT-PCR Test. Specimen was collected on
_____________________and released on
________________________(see attached result).

This serves as a certification that he/she was isolated, had

completed and complied the strict 14 days home quarantine
from _____________________ to _____________________,
no signs and symptoms noted all throughout the said period

This certification is issued upon the request of the above-

mentioned person as a requirement for his/her health
clearance.

Issued this ________ day of __________, 2020 at

Barangay San Agustin 1, City of Dasmariñas, Cavite.

Issued by:

ANABELLA Y. DADAP
BHERT Midwife
Attested by:

HON. DARWIN P. TORRES

Punong Barangay

Vision: To see Barangay San Agustin 1 in a state where anybody would aspire to
live in…..and an inspiration to other community.
 HON. DARWIN P. TORRES
Punong
Barangay

This is to certify that MRS. JOCELYN L. GARCIA, is a

resident of Blk 3 Lot 2 Phase4A Robinsons Vineyard
Subd. , Barangay San Agustin 1, City of Dasmariñas,
Cavite. She is known to the undersigned to be the
person of good moral character, law-abiding citizen and
not connected into any subversive organization.

This further certifies that she is not gainfully

employed and is not engaged/owns any business in our
barangay.

This certification is issued upon the request of the

above-named person as a requirement for her son
LANCE L. GARCIA for his application for Scholarship.

Good day!

May we request your good office to kindly allow us to

purchase 15 gallons of 70% Isopropyl Alcohol for our Barangay,
this is attached to our Quick Response Fund (Calamity Fund),
see attached voucher.

We hope your kind office extend its favor on us.

May the Lord abundantly bless you! Thank you and best
regards.

Given this 11th day of April, 2020 at Barangay San

Agustin 1, City of Dasmariñas, Cavite.

This is to certify the request of the following for their

travel back home, to wit:
DANILO G. TAMAYO – 53 years old
ELENA J. TAMAYO –57 years old
DAN PATRICK J. TAMAYO – 26 years old
ALLUMAR A. CECE – 26 years old
BELLA SOPHIA ONTONG –9 years old

This further certifies that they are residents of Blk 6 Lot

38 Phase2 Solar Homes Subd. , Barangay San Agustin 1, City
of Dasmariñas, Cavite.

This serves as a certification that they will be accepted in

our barangay with attached health clearance from the place
they have stayed.

This certification is issued upon the request of the above-

mentioned persons as a requirement for her travel back at
Barangay San Agustin 1, City of Dasmariñas.

Issued this 4th day of May, 2020 at Barangay San

Agustin 1, City of Dasmariñas, Cavite.
 The undersigned hereby certifies MS. MAUREEN P. SOLISTA, a bonafide resident of
Blk 21 Lot 14 Phase2 Solar Homes, Barangay San Agustin 1, City of Dasmariñas, Cavite.
This further certifies that her family was residing here since 2005-2013(as per attached Home
Owners Association Clearance).

This also certifies that the above electric service applicant is of good moral character
and will abide by the existing laws and rules of your company.

This certification is issued upon the request of above named person for Meralco
Requirements

This is to certify that ISOC ASIA TELECOM TOWERS, INC. (ISOC) with its
business address located at No. 20 N. Domingo St. Quezon City, Metro Manila.

This clearance is given/ granted to construct, install, operate and

maintenance of Cellular Base Station inside GreenBreeze3 Subdivision, San
Agustin 1, City of Dasmariñas, Cavite (as per attached association clearance).

This certification has been issued after presenting necessary documents

relative to its application therefore for the purpose of their Working Clearance in
our Barangay.

Issued this 26th day of February, 2020 at Barangay San Agustin 1, City of
Dasmariñas, Cavite.

This is to certify that MS. CHARLENE R. REBAY, of legal age, is a resident of

San Agustin 1, City of Dasmariñas, Cavite, with SS no. 04-3933066-8. Due to
Taal Volcano Eruption which occurred last January 12, 2020, the SSs member’s
house /property in the said area was damaged.

This certification is issued upon the request of the SSS member for the
purpose of SSS Calamity Loan Assistance Program Application.

Issued this 24th day of February, 2020 at Barangay San Agustin 1, City of
Dasmariñas, Cavite.
HON. JUANITO VICTOR C. REMULLA JR.
Governor
Province of Cavite

Dear Sir,

This is to certify the request of MRS. NORALYN H. BALCE, a bonafide resident of

Barangay San Agustin1, City of Dasmariñas, Cavite.

I personally know her as accredited Indigent in my area of jurisdiction and she is the
daughter of our Barangay Health Worker(BHW) VIVENCIA HERNANDEZ

This certification is being issued upon the request of the above named person for
her mother Vivencia Hernandez for Burial Assistance.

This is to certify the request of the following immediate family Vilma O. Paguia, Ma.
Bernadette O. Paguia, Llanelyn Buenaobra, and Ronaldo Fernando to attend
the funeral wake and burial of their father BIENVENIDO OGALINA at Miraculous Medal
Funeral Parlor, National Highway, San Pedro Laguna (please see attached Death
certificate). This further certifies that they are resident of Blk 2 Lot 28 Solar Townhomes,
Barangay San Agustin 1, City of Dasmariñas, Cavite.

This certification is issued upon the request of the above-mentioned persons as a

requirement for their travel to San Pedro, Laguna.

Issued this 4th day of April, 2020 at Barangay San Agustin 1, City of Dasmariñas,
Cavite.

To whom it may concern:

This is to endorse MR. JULITO R. TALAIN, a bonafide resident of B20 Lot 22 Phase2
Solar Homes, Barangay San Agustin1, City of Dasmariñas, Cavite.

This further certifies that is one of our Lupong Tagapamayapa Member and will
fetch his sonS JULIUS DAVE TALAIN and JOHN VINCENT TALAIN who is working in
Lagro, Quezon City

This certification is being issued upon the request of above named person for his
travel purposes.

Issued this 12th day of April, 2020 at Barangay San Agustin 1, City of Dasmariñas,
Cavite
This is to certify the request of MRS. ORPHA L. MATIBAG a resident of Phase2
Solar Homes, Barangay San Agustin 1, City of Dasmariñas, Cavite.

This further certifies that She is willing to donate relief goods and would like
to request to buy bulk goodies (please see attached letter).

This certification is being issued upon the request of above named person for
buying certain items for donation.

Issued this 17th day of April, 2020 at Barangay San Agustin 1, City of Dasmariñas,
Cavite.

To whom it may concern:

In line with the issuance of Proclamation Nos. 922 and 929, Series of 2020, the
National Government Agencies and the Local Government Unit are enjoined to utilize
appropriate resources to implement urgent and critical measures on the threat of COVID -
19.May we request your good office to allow us to buy bulk supplies (coffee, can goods,
noodles, biscuit condiments and others) that we will be using during this Enhanced
Community Quarantine.

We are looking forward for your understanding for it will surely unload us of many
things we have to prepare during this times. Thank you in advance.

This is to certify the request of the following immediate family CECILIA MABATID,
JOSELITO MABATID AND DENNIS MABATID to attend the funeral wake and burial
of their brother PASTOR MABATID at LAS PIÑAS CITY (please see attached Death
certificate). This further certifies that they are residents of Blk 14 Lot 7 Metrogate
Dasmariñas Subd. , Barangay San Agustin 1, City of Dasmariñas, Cavite.

This certification is issued upon the request of the above-mentioned persons as a

requirement for their travel to Las Pinas City.

This is to certify the request of MRS. LEONIDA VITERBO, a bonafide resident

of Barangay San Agustin 1, City of Dasmariñas, Cavite.

This further certifies that they will travel to Silang, Cavite for Medical Check
up of her mother ELPIDIA CORPUZ with driver RENE ALIM.
 This certification is being issued upon the request of above named person
for their travel pass for Medical Check up.

To whom it may concern:

This is to certify that JOSE JOEL P. MANALO, 49 years old, male and
a non resident of Barangay San Agustin 1, City of Dasmariñas, Cavite.

This further certifies that he had stayed at her brother’s house at B3 Lot 35
Phase1 Solar Homes, San Agustin 1, City of Dasmariñas, Cavite.

This serves as a certification that he had no signs and symptoms during the
Luzonwide Enhanced Community Quarantine.

Issued this 28th day of April, 2020 at Barangay San Agustin 1, City of Dasmariñas,
Cavite.

Certified by:

ANABELLA Y. DADAP
Barangay Midwife

Noted by:

This is to certify the request of MARY ANN S. AQUINO, a non-resident of Barangay San
Agustin 1, City of Dasmariñas, Cavite.

This further certifies that she had stayed with her brother CARLO S. AQUINO at their
cousin’s house at B13 Lot 6 Metrogate Dasmariñas Subd. , San Agustin 1, City of
Dasmariñas, Cavite.

This certification is issued upon the request of above named person for her travel
back to their home at Imus, Cavite.

Issued this 4th day of May, 2020 at Barangay San Agustin 1, City of Dasmariñas,
Cavite.

RWIN P. TORRES