Republic of the Philippines

Province of ________
Municipality of __________
BARANGAY _________________
 OFFICIAL
CORRESPONDENTS BARANGAY CERTIFICATION

OFFICE OF THE BARANGAY

CHAIRMAN KNOW ALL MEN BY THIS PRESENTS:

This is to certify that

____________________________________, _____
HON. __________________________ years old, Filipino Citizen, and a bonafied resident of
Punong Barangay
Zone # , Barangay
_______________________________ .
_______________________________
Barangay Treasurer This certifies further that the above named
person is solo parent to her child named
________________________________.
______________________________
Barangay Secretary This certification is issued upon the request of
__________________________ the interested party for the purpose of securing SOLO
PARENT ID.
BARANGAY KAGAWAD
DONE and ISSUED this _________ day of
Hon. __________, ______ at Barangay
_______________________________ _________________________________.
Chairman, Committee on Peace and
Order

Hon.
______________________________
Chairman, Committee on Agriculture HON.
____________________________________
Hon. Punong Barangay
______________________________
Chairman, Committee on Infrastructure

Hon.
_____________________________
Chairman, Committee on Finance

Hon.
____________________________
Chairman, Committee on Social 1X1
Services ID
PICTURE
Hon. ___________________________
Chairman, Committee on Health

Hon. ___________________________
Chairman, Committee on Education ___________________________
Signature over Printed Name
Hon. ___________________________
Chairman, Committee on Youth and
Sports Development
OR # : __________
Issued at :Baculanad
Issued on : _______

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