Republic of the Philippines

Province of ____________________
Municipality of ______________
BARANGAY ____________________
-o0o-

OFFICE OF THE PUNONG BARANGAY

APPOINTMENT
TO: _____________________.
______________________
______________________

Pursuant to the provision of Section 389 (5) of the Local Government Code, you are
hereby appointed as _______________________ of Barangay
______________________________________, and effective on
____________________________

You are to perform the duties and functions of the office as provided for by law and
be entitled to all the privileges granted by the same.

Further you are to take your oath of office and furnish all offices concerned for their
information and guidance.

__________________ _________________________
Signature Punong Barangay