Republic of the Philippines Republic of the Philippines

Province of Surigao del Norte Province of Surigao del Norte

City of Surigao City of Surigao
BARANGAY LIPATA BARANGAY LIPATA

WORK PASS WORK PASS

IS HEREBY GRANTED TO IS HEREBY GRANTED TO

__________________________________ __________________________________
NAME OF HOLDER NAME OF HOLDER

________________________________ ________________________________
ADDRESS OF WORKPLACE ADDRESS OF WORKPLACE

TO TRAVEL TO THE CITY OF SURIGAO AND TO TRAVEL TO THE CITY OF SURIGAO AND
OTHER MUNICIPALITIES OF SURIGAO DEL OTHER MUNICIPALITIES OF SURIGAO DEL
NORTE FOR WORK PURPOSES. NORTE FOR WORK PURPOSES.

HON. NARCISA S. PAMOGAS HON. NARCISA S. PAMOGAS

Acting Punong Barangay Acting Punong Barangay

Republic of the Philippines Republic of the Philippines

Province of Surigao del Norte Province of Surigao del Norte
City of Surigao City of Surigao
BARANGAY LIPATA BARANGAY LIPATA

WORK PASS WORK PASS

IS HEREBY GRANTED TO IS HEREBY GRANTED TO

__________________________________ __________________________________
NAME OF HOLDER NAME OF HOLDER

________________________________ ________________________________
ADDRESS OF WORKPLACE ADDRESS OF WORKPLACE

TO TRAVEL TO THE CITY OF SURIGAO AND TO TRAVEL TO THE CITY OF SURIGAO AND
OTHER MUNICIPALITIES OF SURIGAO DEL OTHER MUNICIPALITIES OF SURIGAO DEL
NORTE FOR WORK PURPOSES. NORTE FOR WORK PURPOSES.

HON. NARCISA S. PAMOGAS HON. NARCISA S. PAMOGAS

Acting Punong Barangay Acting Punong Barangay