Republic of the Philippines

Autonomous Region in Muslim Mindanao

Municipal Government of Mamasapano
Barangay __________________
OFFICE OF THE BARANGAY CHAIRMAN

BARANGAY CLEARANCE
TO WHOM IT MAY CONCERN:
THIS IS TO CERTIFY that ______________________________, of legal age,
married, Filipino, whose signature, picture and thumbmarks appear below, is
a bonafide resident of this Barangay with residence and postal address at
Barangay ____________________, Mamasapano, Maguindanao. He/She is a
person with a good moral character and integrity, a law abiding citizen and
neither has she had no derogatory record or nor pending case on file in this
office as of this date.
This certification is being issued upon request of subject person in line
with her claim of justice from the Victims of the Martial Law under the
Marcos Regime and for whatever legal purpose/s it may serve her/his best.
Issued this ____th day of ___________, 2015.

______________________________
Punong Barangay