Republic of the Philippines

City of Cebu
OFFICE OF THE BARANGAY CAPTAIN
Barangay ____________________

CERTIFICATION

To Whom It May Concern,

This is to certify that Mr. ______________________________________ _________ and

Ms. ______________________________________ _________, are residents of sitio
_____________________________, Barangay __________________.

To my knowledge, after my investigation they have been co-inhabiting/living-in since

_____________________________ up to the present.

This certification is issued upon the request of the above-mentioned names for whatever purpose
it may serve them best.

Date issued: ________________________________.

_____________________________________________
Barangay Captain