Republic of the Philippines

Province of Cebu
Municipality of Samboan
Barangay Tangbo
BARANGAY CERTIFICATION
OFFICE OF THE PUNONG BARANGAY
TO WHOM IT MAY CONCERN:

This is to certify that the person whose name below is a bonafide resident of Purok Kamoteng-
Kahoy, Sitio Tabunan, Barangay Tangbo, Samboan, Cebu.

NAME ASHLY LUSTRO

PUROK KAMOTENG-KAHOY, SITIO TABUNAN, TANGBO, SAMBOAN,

ADDRESS
CEBU

BIRTHDATE SEPTEMBER 17, 2012

BIRTHPLACE PARADAHAN 1, TANZA, CAVITE

GENDER FEMALE

CIVIL STATUS SINGLE

AGE 11

MOTHER JECERLYN L. CATIPAY

This certificate is issued upon the request of the interested party for the DELAYED OF BIRTH REGISTRATION.

Done and issued this 20th day of February, 2024 at the office of the Barangay Captain, Tangbo,
Samboan, Cebu.

APPROVED BY:

HON. CAROLINA P. GAMALLO

PUNONG BARANGAY

OR NO.: B3844862
DATE ISSUED: FEBRUARY 20, 2024