Republic of the Philippines

Province of ________
Municipality of__________
OFFICE OF THE PUNONG BARANGAY

CERTIFICATION OF COMPLETION

Date:______________

This is to certify that the following beneficiaries of

______________________________________, namely.

2 have satisfactorily completed and performed the disinfection/ sanitation on their respective
houses/dwellings and the immediate vicinity of their houses for______ (__) hours a day, for a maximum
of ____ (___) days

This is to certify further that they have been duly supervised by the Barangay focal person in the
implementation of the program

Issued this ___day of __________________ at Barangay _________________, Philippines.

____________________
Barangay Captain