Republic of the Philippines

Province of Palawan
City of Puerto Princesa
Barangay Maoyon

OFFICE OF THE PUNONG BARANGAY

BHERT CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that __________________________ of legal age, Filipino a resident

of_______________ Barangay Maoyon, Puerto Princesa City

This also certifies that the above-mentioned name is NOT INCLUDED in the list of PUM\PUI
based on the Barangay Health Emergency Response Team (BHERT) to be suspect probable or confirmed
with COVID-19.

This certification is issued upon the request of _________________ for reference purposes only
and not as an official medical certification. This is not any as a guarantee that the above-named person is
free of COVID-19

Issued this ______ day of _____, 2021 at the office of the Barangay Chairman, Barangay
Maoyon, Puerto Princesa City, Palawan.