Brgy. Fee: P25.

00
OR. No
Date: January 17, 2023
Republic of the Philippines
Province of Antique
Municipality of Laua-an Signature of Affiant:
BARANGAY GUINBANGA-AN CTC No.
Issued at Laua-an, Antique
HON. OSCAR M. JUAYNO
Barangay Captain OFFICE OF THE PUNONG BARANGAY on

HON. LINA JUAYNO

Barangay Councilor
Committee on Health and Education

HON. JEROBETH LOMUGDANG

Barangay Councilor
Certification of Birth
Committee on Infrastructure

HON. SIXTO LOMUGDA

TO WHOM IT MAY CONCERN
Barangay Councilor
Chairman, Committee on
Appropriations This is to certify that FELY E. SAMILLANO,
HON. ELIZER JUAYNO daughter of LEON SAMILLANO and LORENZA
Barangay Councilor
Committee on Agriculture, COOP &
ESPAÑOLA residing at Purok 1, Barangay
Fisheries Guinbanga-an, Laua-an, Antique, who was born on
HON. MELBEN BANDIOLA November 1, 1959 at Liberato, Laua-an, Antique
Barangay Councilor
Committee on Peace and Order and was attended by a hilot named Anita Bantolo.
HON. EDGAR GALLENO
Barangay Councilor This certification is being issued upon the
Committee on Violence Against
Women request of the herein interested party in
HON. GERALD BAYLON connection with the pending application for the
Barangay Councilor
Committee on Ways and
belated registration of the birth of the said subject
Means/Lights person in the office of the Municipal Civil
HON. RALPH EUGENE Registration of Laua-an Antique.
QUIATCHON
SK Chairperson
Committee on Sports Given this 17th day of January at Guinbanga-
MR. ALTER QUIATCHON an, Laua-an, Antique, Philippines.
Barangay Treasurer

MR. TEDDY T. BANTOLO

Barangay Secretary

MR. ELIAZAR JUAYNO

Barangay Chief Tanod
OSCAR M. JUAYNO
Barangay Captain