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  • Barangay Indigency Form

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    Jonas Quilantip
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    This certificate from the Office of the Punong Barangay in Iba, Zambales, Philippines certifies that an individual is indigent and qualifies for various types of assistance programs. It confirms the individual's residence, that they come from a below poverty level family, and was issued at their request for medical, financial, educational, burial, employment, or general assistance. The certificate contains the individual's name and barangay and is signed by the Punong Barangay.

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    indigency form

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    This certificate from the Office of the Punong Barangay in Iba, Zambales, Philippines certifies that an individual is indigent and qualifies for various types of assistance programs. It confirms the individual's residence, that they come from a below poverty level family, and was issued at their request for medical, financial, educational, burial, employment, or general assistance. The certificate contains the individual's name and barangay and is signed by the Punong Barangay.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    782 views2 pages

    Barangay Indigency Form

    Uploaded by

    Jonas Quilantip
    This certificate from the Office of the Punong Barangay in Iba, Zambales, Philippines certifies that an individual is indigent and qualifies for various types of assistance programs. It confirms the individual's residence, that they come from a below poverty level family, and was issued at their request for medical, financial, educational, burial, employment, or general assistance. The certificate contains the individual's name and barangay and is signed by the Punong Barangay.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    .

    Republic of the Philippines


    Province of Zambales
    Municipality of Iba

    OFFICE OF THE PUNONG BARANGAY

    Certificate of Indigence
    This is to certify that __________________________________________________ of legal
    age, is a resident of Barangay ______________________________.

    Further certifies that he/she belongs to an indigent family which has proven to be below the
    poverty line.

    This certification is issued upon request for availing of:

     Medical Assistance
     Financial Assistance
     Educational Assistance
     Burial Assistance
     Employment Assistance
     General Purpose

    and for whatever legal matters it may serve best.

    Issued this __________ day of _________________, 2023 at Barangay


    San Agustin, Iba, Zambales.

    ___________________________________
    Punong Barangay

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