Purok Clearance

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Republic of the Philippines

PROVINCE OF DAVAO DE ORO


Municipality of New Bataan
BARANGAY PANAG
OFFICE OF PUROK 8

PUROK CLEARANCE

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that MR./MRS./MS.


_____________________________, of legal age is a bonifide resident of Purok-8,
Panag, New Bataan, Davao de Oro.

CERTIFIED FURTHER that he/she has no derogatory records and cleared


member of Purok-8, Panag, New Bataan, Davao de Oro.

Done this ________ day of __________________, 20_____ at Purok-8, Panag,


New Bataan, Davao de Oro.

Purok Secretary Purok Treasurer

Purok Chairperson

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