Republic of the Philippines
Province of ___________
Municipality of ___________
BARANGAY ___________
-o0o-
OFFICE OF THE PUNONG BARANGAY
BARANGAY CERTIFICATION
TO WHOM IT MAY CONCERN:
This is to certify that __________________, Filipino citizen and a bonafide
resident of _____________________________________.
This is to further certify that the above named person is the same person whose
information is attached/affix below;
Age : ______________
Birthdate : ______________
Birth Place : ______________
Civil Status : ______________
That the above-named mentioned has NO VALID ID as of this date.
This certification is issued upon the request of the above-mentioned name for
whatever legal intent it may serve them.
Issued this ____ day of _____________ at
_____________________________________.
_____________________
Punong Barangay