74 Residency Form 1

Republic of the Philippines
City of Tacloban
Barangay 74 Lower Nulatula
OFFICE OF THE PUNONG BARANGAY
BARANGAY OFFICIAL
2019-2022
CERTIFICATE OF RESIDENCY
TO WHOM IT MAY CONCERN:
HON. NELIA G. MALATE
Punong Barangay THIS IS TO CERTIFY that as per records kept in this of-
fice ________________________________________ _, ____ years
old, Filipino citizen, (single/married/widow/separated), born on
HON. ELVIRA G. CARMEN
Kagawad on Finance and Appropriation and
_______________ _______ in __________________________ and a
Health & Sanitation resident of this Barangay with postal address at
Purok Coordinator: Purok Hollywood ,Barangay 74, Lower Nulatula,
Tacloban City.
HON. RICHARD B. JABOYANON
Kagawad on Barangay Ecological and Solid Waste Manage-
ment & GAD Focal Point Person THIS FURTHER CERTIFIES that the above-mentioned name is
Purok Coordinator: Purok Bliss III and SLR resident of the barangay for more than _______ months/year(s) is
a law-abiding citizen, has never been charged nor convicted of
HON. JESSIE TROY D. MEDALLA
Kagawad on Peace & Order and Disaster Coordina- any offense in our Barangay and is of good standing and moral
tion character in the community.
Purok Coordinator: Bliss II
HON. CARMELITA H. ABELLO THIS CERTIFICATION is being issued upon the request of
Kagawad on Infrastructure and Barangay Projects, the interested party for ______________________________________.
General Services
Purok Coordinator: Bliss I and Regina Hills
IN WITNESS WHEREOF, I hereby affix my signature below
HON. MARCONI A. AMANO
Kagawad on Education, Culture, Arts, and Informa- this _______ day of _______________, 2022 at the Office of the
tion Punong Barangay of Barangay 74, Tacloban City, Philippines.
Purok Coordinator: LMWD/FMS, SGH
HON. JOEY O. VERRA

Kagawad on Livelihood & Cooperative, Agriculture
Purok Coordinator: Divisoria, Sta. Barbara & Purok 1
Punong Barangay
HON. NORMA Y. BACOLOD
Kagawad on Laws, Rules & Regulation, Human- LEFT RIGHT
Rights, Women and Family & VAWC THUMBMARK THUMBMARK
Purok Coordinator: Purok 6
HON. STRAUSE MILLIANE D. CASTILLOTE

SK Chairman on Sports, Youth and Development,
and Social Affairs and Clean and Green
______________________________
Signature of Bearer
MA. VICTORIA C. ATILLO
Barangay Secretary DST __________
Paid under OR# __________
MA. GINA GRACE C. MORA Amount Paid __________ Not Valid
Barangay Treasurer Issued on __________ Without
At Barangay 74, Lower Nulatula, Tacloban City. Official Seal
NOTE: THIS CLEARANCE IS VALID UP TO SIX (6) MONTHS ONLY UPON ISSUANCE HEREOF.
City of Tacloban
BARANGAY OFFICIAL
2019-2023 CERTIFICATE OF RESIDENCY
HON. NELIA G. MALATE TO WHOM IT MAY CONCERN:
Punong Barangay
THIS IS TO CERTIFY that as per records kept in this
office GELMER M. GULFO , 28 years old, Filipino citizen,
HON. ELVIRA G. CARMEN
Kagawad on Finance and Appropriation and (single/married/widow/separated),born on JULY 21,1994 in
Health & Sanitation TACLOBAN CITY and a resident of SAN LORENZO RUIZ,
Purok Coordinator: Purok Hollywood
Barangay 74, Lower Nulatula, Tacloban City.
Kagawad on Barangay Ecological and Solid Waste THIS FURTHER CERTIFIES that the above-mentioned name
Management & GAD Focal Point Person
Purok Coordinator: Purok Bliss III and SLR is a resident of the barangay for more than 13 months/
year/s is a law-abiding citizen, has never been charged
Kagawad on Peace & Order and Disaster Coordina- nor convicted of any offense in our Barangay and is of
tion good standing and moral character in the community.
HON. CARMELITA H. ABELLO THIS CERTIFICATION is being issued upon the request
Kagawad on Infrastructure and Barangay Projects,
General Services of the interested party for the purpose PHILHEALTH RE-
Purok Coordinator: Bliss I and Regina Hills QUIREMENT.
Kagawad on Education, Culture, Arts, and Informa- ISSUED this 20TH day of FEBRUARY, 2023 at the Of-
tion
Purok Coordinator: LMWD/FMS, SGH fice of the Punong Barangay of Barangay 74, Tacloban City,
Philippines.
HON. JOEY O. VERRA
Purok Coordinator: Divisoria, Sta. Barbara & Purok 1

Kagawad on Laws, Rules & Regulation, Human Punong Barangay
Rights, Women and Family & VAWC
Purok Coordinator: Purok 6 LEFT RIGHT
THUMBMARK THUMBMARK
______________________________
MA. VICTORIA C. ATILLO Signature of Bearer
Barangay Secretary
DST 30.00
MA. GINA GRACE C. MORA Paid under OR#
Barangay Treasurer
Amount Paid 50.00 Not Valid
Issued on 02-20-2032 Without
NOTE: THIS CERTIFICATION IS VALID UP TO SIX (6) MONTH ONLY UPON ISSUANCE HEREOF.
City of Tacloban
CERTIFICATION OF RESIDENCY
BARANGAY OFFICIAL
TO WHOM IT MAY CONCERN:
2019-2022
 THIS IS TO CERTIFY that as per records kept in this
office, 20 years old, Filipino citizen, (single/
Punong Barangay
married/widow/separated), born on November 4,2009
at Blk. 1 Lot 3 Regina Hills Subd., Brgy. 74 Lower
HON. ELVIRA G. CARMEN Nulatula, Tacloban City.
Health & Sanitation THIS FURTHER CERTIFIES that the above-mentioned name is
Purok Coordinator: Purok Hollywood resident of the barangay for more than 8 months/year(s) is a
HON. RICHARD B. JABOYANON law-abiding citizen, has never been charged nor convicted of any
Kagawad on Barangay Ecological and Solid Waste Manage- offense in our Barangay and is of good standing and moral char-
ment & GAD Focal Point Person acter in the community.
Purok Coordinator: Purok Bliss III and SLR
HON. JESSIE TROY D. MEDALLA THIS CERTIFICATION is being issued upon the request of
Kagawad on Peace & Order and Disaster Coordina-
tion the interested party for Financial Assistance.
HON. CARMELITA H. ABELLO

IN WITNESS WHEREOF, I hereby affix my signature below
Kagawad on Infrastructure and Barangay Projects, this 25th day of August, 2022 at the Office of the Punong
General Services
Barangay of Barangay 74, Tacloban City, Philippines.
Purok Coordinator: Bliss I and Regina Hills

Kagawad on Education, Culture, Arts, and Informa-
tion HON. NELIA G. MALATE
Punong Barangay
HON. JOEY O. VERRA
Kagawad on Livelihood & Cooperative, Agriculture LEFT RIGHT
Purok Coordinator: Divisoria, Sta. Barbara & Purok 1 THUMBMARK THUMBMARK

Kagawad on Laws, Rules & Regulation, Human-
Purok Coordinator: Purok 6 ______________________________
Signature of Bearer
and Social Affairs and Clean and Green DST
Paid under OR#
MA. VICTORIA C. ATILLO Amount Paid Not Valid
Barangay Secretary Issued on 08/25/2022 Without
MA. GINA GRACE C. MORA
Barangay Treasurer
NOTE: THIS CLEARANCE IS VALID UP TO SIX (6) MONTHS ONLY UPON ISSUANCE HEREOF.
City of Tacloban
BARANGAY OFFICIAL
2019-2022 CERTIFICATE OF RESIDENCY
HON. NELIA G. MALATE TO WHOM IT MAY CONCERN:
Punong Barangay
THIS IS TO CERTIFY that CLARICEL JOY BRAZIL CADIBEN,
single/married, born on February 23, 1993 is a resident of
HON. ELVIRA G. CARMEN Hollywood, Brgy. 74 Lower Nulatula, Tacloban City.
Health & Sanitation THIS CERTIFIES FURTHER that Ms. Claricel Joy Brazil
Purok Coordinator: Purok Hollywood Cadiben has been living in this barangay since birth.
Moreover, this certifies that she is living together with
Kagawad on Barangay Ecological and Solid Waste
Management & GAD Focal Point Person his parents, brother and sister in one household. The following:
Purok Coordinator: Purok Bliss III and SLR
NAME RELATIONSHIP BIRTHDAY SIGNATURE
Kagawad on Peace & Order and Disaster Coordina- 1. MARILOU M. BRAZIL Mother June 17,1978 ___________
tion 2. DONNABEL JOY B. CADIBEN Sister Feb. 25,1996 ___________
HON. CARMELITA H. ABELLO THIS CERTIFICATION is issued upon the request of the
Kagawad on Infrastructure and Barangay Projects, above-named person as of the requirements for employment abroad.
General Services
Purok Coordinator: Bliss I and Regina Hills Issued this 14th day of January, 2021 at Brgy. 74 Lower
Nulatula, Tacloban City.
Kagawad on Education, Culture, Arts, and Informa-
tion
HON. JOEY O. VERRA

Purok Coordinator: Divisoria, Sta. Barbara & Purok 1 Punong Barangay
Kagawad on Laws, Rules & Regulation, Human
Purok Coordinator: Purok 6

______________________________
Signature of Bearer
MA. VICTORIA C. ATILLO

Barangay Secretary
MA. GINA GRACE C. MORA

Barangay Treasurer

74 Residency Form 1

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Republic of the Philippines

OFFICE OF THE PUNONG BARANGAY

HON. JOEY O. VERRA

HON. STRAUSE MILLIANE D. CASTILLOTE

OFFICE OF THE PUNONG BARANGAY

HON. NORMA Y. BACOLOD

OFFICE OF THE PUNONG BARANGAY

HON. CARMELITA H. ABELLO

HON. MARCONI A. AMANO

HON. NORMA Y. BACOLOD

OFFICE OF THE PUNONG BARANGAY

HON. JOEY O. VERRA

HON. STRAUSE MILLIANE D. CASTILLOTE

MA. VICTORIA C. ATILLO

MA. GINA GRACE C. MORA

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