Certificate of Eligibility

Persons with Disability

Name BONINA, FLORA T.

QCID I.D. No. 002 000 00420198 01

Address 20-F YAKAL STREET PROJECT 3 AMIHAN, QUEZON CITY

Sectoral Status Senior Citizen, PWD

Card Type Senior Citizen

Type of Disability Physical Disability

PRPWD# 13-7404-000-0420198

Control Number 202404124464540000002

Date Issued Apr 12, 2024

Expiry Date Feb 22, 2029

Printed By BELARDO, MARK DANLY L.

E-Signature of Officer Deborah C. Dacanay, RN, MGM

Officer-In-Charge
Project Development Officer IV
QC Persons with Disability Affairs Office

"Please keep this form with you at all times"