Republic of the Philippines

Province of Ilocos Sur

Municipality of Magsingal
BARANGAY SAN JULIAN

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

For the Year 2018-2020

Barangay Captain: This is to certify that_________________________________,
Jan Jerome C. Ugale
__________ years old, ______________ and a bonafide resident of this
Barangay Councilors: Barangay belong to indigent families as per MBN (Minimum Basic
Melita T. Urubio Needs) survey conduct.
Loisse Antonette P. Rosario
Aljohn C. Aquino This certification is issued for whatever legal purpose it may
May A. Almazan
served.
Danilo Daniel T. Rosete
Hilda U. Razonable
GIVEN AND SEALED this ______ day of ______________,
Rodel V. Garcia
20___ at Barangay San Julian, Magsingal, Ilocos Sur.
Barangay Secretary:
Ron-Ron A. Gasmen
Barangay Treasurer:
Albino Rolando Garcia

JAN JEROME C. UGALE

Punong Barangay

Barangay Seal