Republic of the Philippines

City of Cebu
OFFICE OF THE BARANGAY CAPTAIN
Barangay ________________

CERTIFICATION

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that _____________________________ is a bonafide resident of

____________________________.

This further certifies that he/she is the breadwinner of their family since _______________ up
to present and the person stated below are living together under one house.

NO. NAME RELATIONSHIP BIRTHDAY AGE

1.
2.
3.

Certification issued upon the request of the interested party for whatever legal purpose this may
legally serve.

Given this ________day of _____________ __ at Barangay _______________________.

___________________________________
Barangay Captain