CERTIFICATION

To Whom It May Concern,

This is to certify that ______________, of legal age, a legal residence of this Barangay
with address at _________________ has already undergone 14 days home quarantine
procedure and has not shown any signs and symptoms of being infected with covid-19. This
clears the person from the list of person under monitoring.

This certification was issued upon the request of the said person as her clearance from
going back to her work.

Done this___ Day of ___,___.

Prepared by: Approved by:

Barangay Secretary Chairman

NOT VALID WITHOUT OFFICIAL SEAL