Republic of the Philippines

Province of Southern Leyte

Municipality of Libagon
Barangay _________

-o0o-

C E R T I F I C A T I ON

This is to certify that (Name of Beneficiary), a resident of ____________, Libagon Southern

Leyte is categorized as a minimum wage earner or falling under the category of low-income
individual as a/an (Occupation).

This further certifies that the above-named person/beneficiary has an income that does not
exceed the statutory minimum wage of threshold set by the Regional Tripartite Wage and
Productivity Board (RTWPB) of the Department of Labor and Employment (DOLE).

This certification is issued for the purpose of availing of assistance from the government through
the Assistance para sa Kapos Ang Kita Program (AKAP) under the Department of Social
Welfare and Development.

Issued this ____ day of _________ 2024 at

__________________________________________.

____________________
Name of Signatory

h
____________________
Brgy. Captain
 Republic of the Philippines
Province of Southern Leyte
Municipality of Libagon
Barangay __________

-o0o-

C E R T I F I C A T I ON

This is to certify that (Name of Beneficiary), a resident of _______, Libagon Southern Leyte
is categorized as a minimum wage earner or falling under the category of low-income individual
as a/an (Occupation).

This further certifies that the above-named person/beneficiary has an income that does not
exceed the statutory minimum wage of threshold set by the Regional Tripartite Wage and
Productivity Board (RTWPB) of the Department of Labor and Employment (DOLE).

This certification is issued for the purpose of availing of assistance from the government through
the Assistance para sa Kapos Ang Kita Program (AKAP) under the Department of Social
Welfare and Development.

Issued this ____ day of _________ 2024 at

___________________________________________.

____________________________________
Name and Position of Authorized Signatory

Attested by:

__________________________
Brgy. Captain