F

Republic of the Philippines

Province of Camarines Sur
Municipality of Pili
Barangay CADLAN

OFFICE OF THE PUNONG BARANGAY

================================================================
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.

This certification is being issued upon request of the above-named person for MEDICAL
ASSISTANCE.

Given this _____ day of ________________2022 at Cadlan, Pili, Camarines Sur, Philippines.

____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK
Comm. Tax Cert. No. ____________
Issued at: _______________________
Issued on: ______________________
Control No._____ Series of 2022 NOT VALID WITHOUT DRY SEAL

Republic of the Philippines

Province of Camarines Sur
Municipality of Pili
Barangay CADLAN

OFFICE OF THE PUNONG BARANGAY

================================================================
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.

This certification is being issued upon request of the above-named person for MEDICAL
ASSISTANCE.

Given this _____ day of ________________2022 at Cadlan, Pili, Camarines Sur, Philippines.

____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK
Comm. Tax Cert. No. ____________
Issued at: _______________________
Issued on: ______________________
Control No._____ Series of 2022 NOT VALID WITHOUT DRY SEAL
 Republic of the Philippines
Province of Camarines Sur
Municipality of Pili
Barangay CADLAN

OFFICE OF THE PUNONG BARANGAY

================================================================
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.

This certification is being issued upon request of the above-named person for EDUCATIONAL
ASSISTANCE.

Given this _____ day of ________________2022 at Cadlan, Pili, Camarines Sur, Philippines.

____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK
Comm. Tax Cert. No. ____________
Issued at: _______________________
Issued on: ______________________
Control No._____ Series of 2022 NOT VALID WITHOUT DRY SEAL

Republic of the Philippines

Province of Camarines Sur
Municipality of Pili
Barangay CADLAN

OFFICE OF THE PUNONG BARANGAY

================================================================
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.

This certification is being issued upon request of the above-named person for EDUCATIONAL
ASSISTANCE.

Given this _____ day of ________________2022 at Cadlan, Pili, Camarines Sur, Philippines.

____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK
Comm. Tax Cert. No. ____________
Issued at: _______________________ Republic of the Philippines
Issued on: ______________________ Province of Camarines Sur
Control No._____ Series of 2022 Municipality of Pili
Barangay CADLAN NOT VALID WITHOUT DRY SEAL
 OFFICE OF THE PUNONG BARANGAY
================================================================
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.

This certification is being issued upon request of the above-named person for FINANCIAL
ASSISTANCE.

Given this _____ day of ________________2022 at Cadlan, Pili, Camarines Sur, Philippines.

____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK
Comm. Tax Cert. No. ____________
Issued at: _______________________
Issued on: ______________________
Control No._____ Series of 2022 NOT VALID WITHOUT DRY SEAL

Republic of the Philippines

Province of Camarines Sur
Municipality of Pili
Barangay CADLAN

OFFICE OF THE PUNONG BARANGAY

================================================================
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.

This certification is being issued upon request of the above-named person for FINANCIAL
ASSISTANCE.

Given this _____ day of ________________2022 at Cadlan, Pili, Camarines Sur, Philippines.

____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK
Comm. Tax Cert. No. ____________
Issued at: _______________________ Republic of the Philippines
Issued on: ______________________ Province of Camarines Sur
Control No._____ Series of 2022 Municipality of Pili
Barangay CADLAN NOT VALID WITHOUT DRY SEAL

OFFICE OF THE PUNONG BARANGAY

================================================================
 CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.

This certification is being issued upon request of the above-named person for BURIAL
ASSISTANCE.

Given this _____ day of ________________2022 at Cadlan, Pili, Camarines Sur, Philippines.

____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK
Comm. Tax Cert. No. ____________
Issued at: _______________________
Issued on: ______________________
Control No._____ Series of 2022 NOT VALID WITHOUT DRY SEAL

Republic of the Philippines

Province of Camarines Sur
Municipality of Pili
Barangay CADLAN

OFFICE OF THE PUNONG BARANGAY

================================================================
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.

This certification is being issued upon request of the above-named person for BURIAL
ASSISTANCE.

Given this _____ day of ________________2022 at Cadlan, Pili, Camarines Sur, Philippines.

____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK
Comm. Tax Cert. No. ____________
Issued at: _______________________ Republic of the Philippines
Issued on: ______________________ Province of Camarines Sur
Control No._____ Series of 2022 Municipality of Pili
Barangay CADLAN NOT VALID WITHOUT DRY SEAL

OFFICE OF THE PUNONG BARANGAY

================================================================
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
 This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.

This certifies that he belongs to FARMERS SECTOR and that their source of living was affected by
COVID 19 Pandemic. Hence, resulted in having unmet needs.

This certification is being issued upon request of the above-named person for FOOD
ASSISTANCE from DSWD FOV.

Given this _____ day of ________________2022 at Cadlan, Pili, Camarines Sur, Philippines.

____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK

NOT VALID WITHOUT DRY SEAL

Republic of the Philippines

Province of Camarines Sur
Municipality of Pili
Barangay CADLAN

OFFICE OF THE PUNONG BARANGAY

================================================================
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.

This certifies that he belongs to FARMERS SECTOR and that their source of living was affected by
COVID 19 Pandemic. Hence, resulted in having unmet needs.

This certification is being issued upon request of the above-named person for FOOD
ASSISTANCE from DSWD FOV.

____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK

Republic of the Philippines

Province of Camarines Sur
Municipality of Pili
Barangay CADLAN NOT VALID WITHOUT DRY SEAL

OFFICE OF THE PUNONG BARANGAY

================================================================
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.
 This certification is being issued upon request of the above-named person for FINANCIAL
ASSISTANCE.

Given this _____ day of ________________2022 at Cadlan, Pili, Camarines Sur, Philippines.

____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK
Comm. Tax Cert. No. ____________
Issued at: _______________________
Issued on: ______________________
Control No._____ Series of 2022 NOT VALID WITHOUT DRY SEAL

Republic of the Philippines

Province of Camarines Sur
Municipality of Pili
Barangay CADLAN

OFFICE OF THE PUNONG BARANGAY

================================================================
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.

This certification is being issued upon request of the above-named person for FINANCIAL
ASSISTANCE.

Given this _____ day of ________________2022 at Cadlan, Pili, Camarines Sur, Philippines.

____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK
Comm. Tax Cert. No. ____________
Issued at: _______________________ Republic of the Philippines
Issued on: ______________________ Province of Camarines Sur
Control No._____ Series of 2022 Municipality of Pili
Barangay CADLAN NOT VALID WITHOUT DRY SEAL

OFFICE OF THE PUNONG BARANGAY

================================================================
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.

This certification is being issued upon request of the above-named person for RECORD AND
REFERENCE PURPOSES.

Given this _____ day of ________________2022 at Cadlan, Pili, Camarines Sur, Philippines.
 ____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK
Comm. Tax Cert. No. ____________
Issued at: _______________________
Issued on: ______________________
Control No._____ Series of 2022 NOT VALID WITHOUT DRY SEAL

Republic of the Philippines

Province of Camarines Sur
Municipality of Pili
Barangay CADLAN

OFFICE OF THE PUNONG BARANGAY

================================================================
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that ________________________________________, of legal age, Filipino citizen,
a resident of ________ Cadlan, Pili, Camarines Sur, belongs to indigent family and has no derogatory record
in this Barangay.

This certification is being issued upon request of the above-named person for RECORD AND
REFERENCE PURPOSES.

Given this _____ day of ________________2022 at Cadlan, Pili, Camarines Sur, Philippines.

____________________________
(Signature of Applicant) WALDEN DOMINGO P. BRUSAS
Punong Barangay
THUMBMARK
Comm. Tax Cert. No. ____________
Issued at: _______________________
Issued on: ______________________
Control No._____ Series of 2022 NOT VALID WITHOUT DRY SEAL