Republic of the Philippines

National Irrigation Administration

REGIONAL OFFICE NO. X (NORTHERN MINDANAO)
VILLARIN STREET, CARMEN, CAGAYAN DE ORO CITY

IRR FISA Form 7

CERTIFICATE OF EXEMPTION IN THE PAYMENT OF IRRIGATION SERVICE FEE

Based on the Registry of Landowners, Farmers, and Other Irrigation Water

Users (IRR FISA Form 1) of this Office, and the attached Landowner’s Declaration
(IRR FISA Form 6), the landholding owned/tilled by Mr./Mrs./Ms. ANDRES D.
ROBOSA/ JEROME H. ROBOSA with address at PURAIS, MALAYBALAY CITY,
BUKIDNON is EXEMPTED in the payment of Irrigation Service Fee per RA 10969
otherwise known as the Free Irrigation Service Act (FISA).

This certification is issued to Mr./Mrs./Ms. ANDRES D. ROBOSA/ JEROME H.

ROBOSA on January 7, 2022 at Cagayan de Oro City for whatever legal purpose it may
serve.

Recommending Approval: Approved:

ARMANDO E. ARIZALA LEONILA E. TENESTRANTE

BIMO Division Manager Acting Regional Irrigation Manager

FARMER’S COPY

Villarin St., Carmen, Cagayan de Oro City, Philippines

Telephone Nos.: (088)-2530 / (088) 858-3256 • Telefax No.: (088) 858-3256
Website: region10.nia.gov.ph • Email: r10@nia.gov.ph
TIN: 0009164150014
 Republic of the Philippines
National Irrigation Administration
REGIONAL OFFICE NO. X (NORTHERN MINDANAO)
VILLARIN STREET, CARMEN, CAGAYAN DE ORO CITY

IRR FISA Form 7

CERTIFICATE OF EXEMPTION IN THE PAYMENT OF IRRIGATION SERVICE FEE

Based on the Registry of Landowners, Farmers, and Other Irrigation Water

Users (IRR FISA Form 1) of this Office, and the attached Landowner’s Declaration
(IRR FISA Form 6), the landholding owned/tilled by Mr./Mrs./Ms. ANDRES D.
ROBOSA/ JEROME H. ROBOSA with address at PURAIS, MALAYBALAY CITY,
BUKIDNON is EXEMPTED in the payment of Irrigation Service Fee per RA 10969
otherwise known as the Free Irrigation Service Act (FISA).

This certification is issued to Mr./Mrs./Ms. ANDRES D. ROBOSA/ JEROME H.

ROBOSA on January 7, 2022 at Cagayan de Oro City for whatever legal purpose it may
serve.

Recommending Approval: Approved:

ARMANDO E. ARIZALA LEONILA E. TENESTRANTE

BIMO Division Manager Acting Regional Irrigation Manager

IMO COPY

Villarin St., Carmen, Cagayan de Oro City, Philippines

Telephone Nos.: (088)-2530 / (088) 858-3256 • Telefax No.: (088) 858-3256
Website: region10.nia.gov.ph • Email: r10@nia.gov.ph
TIN: 0009164150014
 Republic of the Philippines
National Irrigation Administration
REGIONAL OFFICE NO. X (NORTHERN MINDANAO)
VILLARIN STREET, CARMEN, CAGAYAN DE ORO CITY

IRR FISA Form 7

CERTIFICATE OF EXEMPTION IN THE PAYMENT OF IRRIGATION SERVICE FEE

Based on the Registry of Landowners, Farmers, and Other Irrigation Water

Users (IRR FISA Form 1) of this Office, and the attached Landowner’s Declaration
(IRR FISA Form 6), the landholding owned/tilled by Mr./Mrs./Ms. ANDRES D.
ROBOSA/ JEROME H. ROBOSA with address at PURAIS, MALAYBALAY CITY,
BUKIDNON is EXEMPTED in the payment of Irrigation Service Fee per RA 10969
otherwise known as the Free Irrigation Service Act (FISA).

This certification is issued to Mr./Mrs./Ms. ANDRES D. ROBOSA/ JEROME H.

ROBOSA on January 7, 2022 at Cagayan de Oro City for whatever legal purpose it may
serve.

Recommending Approval: Approved:

ARMANDO E. ARIZALA LEONILA E. TENESTRANTE

BIMO Division Manager Acting Regional Irrigation Manager

RIO COPY

Villarin St., Carmen, Cagayan de Oro City, Philippines

Telephone Nos.: (088)-2530 / (088) 858-3256 • Telefax No.: (088) 858-3256
Website: region10.nia.gov.ph • Email: r10@nia.gov.ph
TIN: 0009164150014