Barangay Certification

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Republic of the Philippines

OFFICE OF THE PUNONG BARANGAY


Barangay Caglanipao Sur
Calbayog City

BARANGAY CERTIFICATION

TO WHOM IT MAY CONCERN:


THIS IS TO CERTIFY THAT ______________________ MALE/FEMALE,
SINGLE/MARRIED/WIDOW is a bonafide resident of Purok __, Caglanipao Sur, Tinambacan
District, Calbayog City.
Furthermore, the above-mentioned name is a Filipino Citizen, and was born
______________, at ___________________________ to a couple _____________________
and ____________________.
This certification is issued upon the request of the interested party this ____ day of
__________ 20___ at BARANGAY CAGLANIPAO SUR, TINAMBACAN DISTRICT, CALBAYOG CITY,
SAMAR, PHILIPPINES for whatever legal purposes it may serve.

Issued by:
RUBELYN A. ABLAZO
Brgy. Secretary

Approved by:
MAGNO C. PRUDENCIADO
Punong Barangay

Applicant:
_____________________
Signature over printed name

Control No: CS-

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