Republic of the Philippines
Province of Northern Samar
Municipality of
-oOo-
OFFICE OF THE PUNONG BARANGAY
BARANGAY CERTIFICATION
To whom it may concern:
This is to CERTIFY that____________________________________________________________________________________, of
legal age, is a bona fide resident of
__________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
FURTHER CERTIFY that he/she belongs to family of crisis situation in the Barangay. This
certification is based on our records and observations of the individual/familie’s living
situation.
This certification is issued upon request for whatever legal purpose it may serve.
Issued this ____________________________ at ____________________________________________________________________.
Certified by:
_________________________________