Republic of the Philippines

Region IV-A CALABARZON

Province of Quezon
Municipality of Mulanay
BARANGAY AMUGUIS

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF ACCEPTANCE
TO WHOM IT MAY CONCERN:

This is to certify that the name/s listed below is/are allowed to enter in the
Barangay Amuguis/Municipality of Mulanay, Quezon provided that they have a
Health Clearance issued by the Municipality/ City Health Officer from the place of
their origin and shall undergo the MANDATORY 14-DAYS QUARANTINE at the
designated isolation facility.
Name’s : 1.

2.

3.

Issued and signed this day of 2021, in Barangay

Amuguis Mulanay, Quezon upon request of
from for
whatever legal purpose it may serve.

RUEL O. ESPINA
Punong Barangay