Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Republic of the Philippines

Province of Camarines Sur


Municipality of Libmanan
-oOo-

CERTIFICATION

This is to certify that _______________________________________,_______ years old


is already immobile due to _________________________________. As such, he/she is
no longer capable of claiming his/her Cash Incentives personally.

Issued this _______ day of ___________________, 20__ for purposes of claiming


his/her Social Pension only.

__________________________________
Brgy. Health Midwife/MHO

Republic of the Philippines


Province of Camarines Sur
Municipality of Libmanan
-oOo-

CERTIFICATION

This is to certify that _______________________________________,_______ years old


is already immobile due to _________________________________. As such, he/she is
no longer capable of claiming his/her Cash Incentives personally.

Issued this _______ day of ___________________, 20__ for purposes of claiming


his/her Social Pension only.

__________________________________
Brgy. Health Midwife/MHO

You might also like