Republic of the Philippines

Region I
Province of Ilocos Sur
Municipality of Santa Lucia
BARANGAY DAMACUAG

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that spouses __________________________________________

and ______________________________________ are residents of Barangay Damacuag, Sta.
Lucia, Ilocos Sur. They are the parents of Student
_________________________________________ born on ___________________________.

I FURTHER CERTIFIES that according to the Barangay Office record kept on file, they
are members of INDIGENT FAMILY with no earnings nor NO INCOME.

CERTIFICATION is issued to Spouses

________________________________________
And ______________________________________________ upon request for an
EDUCATIONAL SERVICES (ESC) application of their daughter/son
_____________________________.

Issued this ________day of _________,___________ at Barangay Damacuag Sta. Lucia,

Ilocos Sur.

ALLAN H. PILAR
Punong Barangay

OT VALID WITHOUT SEAL

AND OFFICIAL RECEIPT
 Republic of the Philippines
Region I
Province of Ilocos Sur
Municipality of Santa Lucia
BARANGAY DAMACUAG

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that spouses EMETERIO L. HAGOOT and ANNABELLE H.

HAGOOT are residents of Barangay Damacuag, Sta. Lucia, Ilocos Sur.

I FURTHER CERTIFY that according to the Barangay Office record kept on file, they
are members of INDIGENT FAMILY with no earnings nor NO INCOME.

CERTIFICATION is issued to EMETERIO L. HAGOOT upon request for

Hospitalization.

Issued this 18th day of February, 2020 at Barangay Damacuag Sta. Lucia, Ilocos Sur.

ALLAN H. PILAR
Punong Barangay
 Republic of the Philippines
Region I
Province of Ilocos Sur
Municipality of Santa Lucia
BARANGAY DAMACUAG

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that FELICIDAD RAGUNTON is resident of Barangay

Damacuag, Sta. Lucia, Ilocos Sur.

I FURTHER CERTIFY that according to the Barangay Office record kept on file, she is a
member of INDIGENT FAMILY with no earnings nor NO INCOME.

CERTIFICATION is issued to FELICIDAD RAGUNTON upon request for

Hospitalization purposes.

Issued this 17th day of July, 2020 at Barangay Damacuag Sta. Lucia, Ilocos Sur.

ALLAN H. PILAR
Punong Barangay