Republic of the Philippines

Province of La Union
City Municipality of Caba
Barangay Urayong

OFFICE OF THE PUNONG BARANGAY

Certification
TO WHOM IT MAY CONCERN ,
This is to certify that __________________________,__ YEARS OF AGE ,
MALE/FEMALE , __________, IS A BONAFIDE RESIDENT IN THIS BARANGAY.

FURTHER HE/SHE IS NOT SHARING/LIVING WITH_______________.

THIS CERTIFICATION ISSUED THIS _____DAY OF _________ 20__ UPON THE

REQUEST OF THE BEARER AND USED FOR ALL THE LEGAL INTENTS AND
PURPOSE IT MAY SERVE AT THE OFFICE OF PUNONG BARANGAY OF
URAYONG, CABA, LA UNION.

ANY COURTESY TO BE EXTENDED SHALL BE HIGHLY APPRECIATED.

CERTIFIED/APPROVED SAMUEL R. CAMACHO

Punong barangay

“Not valid without Barangay Official dry seal”