Republic of the Philippines

Bangsamoro Autonomous Region in Muslim Mindanao

Province of Lanao del Sur
ISLAMIC CITY OF MARAWI
BARANGAY MARINAUT EAST

OFFICE OF THE PUNONG BARANGAY

DEATH CERTIFICATE

To whom it may concern:

This is to certify that the records in my office show that, Mr./Ms./Mrs.

____________________________________________ (Female/Male) was dead at:
_________________________________________________________________

on _________________________________________ at the age of ___________.

The cause of death is/are:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________.

This certification is issued upon the request of Mr./Ms./Mrs.

____________________________________ for whatever legar purposes.

Thank you.

HON. BAIRONSALAM M. MOCSANA

Punong Barangay