Republic of the Philippines

City of Cebu
BARANGAY _________________
Office of the Barangay Captain

CERTIFICATION

To whom it may concern,

This is to certify that Mr /Mrs _______________________________________, ________ yrs.

old, _________________, and was born on __________________________________, a resident of
Barangay ________________________, Cebu City. She/he is known to me of good moral character and a
law-abiding citizen.

This is to certify further that Mr /Mrs___________________________________________,

has no any valid Identification Card (ID.

This certification is being issued upon his/her request for

__________________________________ purpose it may serve him best.

Given this _______ day of ___________________________.

___________________
Barangay Captain