Republic of the Philippines

Province of ________
Municipality of _______
BARANGAY _________
OFFICE OF THE BARANGAY CHAIRMAN

CERTIFICATION

To whom it may concern:

This is to certify that __________________________ is of legal age, single, Filipino
citizen and registered voter of this barangay. He is a bonifide resident of ___________________
and he is personally known to me to have good moral character and a law abiding citizen. That of
my own personal knowledge he has not committed, nor been involved in any kind of unlawful
activities in this barangay.

Issued this _______________ for whatever legal purpose it may serve.

_______________________
Barangay Chairman