REPUBLIC OF THE PHILIPPINES

PROVINCE OF PANGASINAN
MUNICIPALITY OF POZORRUBIO
-ooOoo-
BARANGAY BANDING
OFFICE OF THE PUNONG BARANGAY

May 28, 2022

CERTIFICATE OF INDIGENCY

To Whom It May Concern:

This is to certify that JOVELYN B. DOTIMAS, 26 years old, Female,

Married a bona fide resident of Zone 2, Brgy. Banding, Pozorrubio, Pangasinan is
among in the list of INDIGENT FAMILIES in our barangay.

This also certifies that she is the mother of CATHLEEN NORRAINE B.

DOTIMAS, who is diagnosed to have Corneal Laceration and Iris Prolapse Right
Eye.

This certification is issued upon the request of JOVELYN B. DOTIMAS for

Financial Assistance.

Given this 28th day of May 2022 at the office of the Punong Barangay, Brgy.
Banding, Pozorrubio, Pangasinan 2435.

HON. ORLANDO S. NABOR

Punong Barangay

Barangay Dry Seal

*Note: Any alteration, mark and/or erasure of any entry invalidates this certification.