Republic of the Philippines

Province of ________
Municipality of ___________
Barangay _______________

CERTIFICATION
To whom it may concern:

This is to certify that JUAN B. DELA CRUZ JR, of legal age, Filipino citizen, and a
permanent resident of Purok 3, Poblacion, San Carlos, Cebu, Philippines one of the
beneficiaries of Cash for Work under Kapangyarihan at Kaunlaran sa Barangay (KKB).

This is to certify further that the name that appeared on the payroll JUAN B. DELA CRUZ
JR and JUAN DELA CRUS JR, the name reflected in the _______________ Identification
Card refers to one and the same person.

Issued this _____ day of __________________, 2022 at Barangay Hall, Poblacion, San
Carlos, Cebu, Philippines.

Certified by:

_____________________________
Punong Barangay