October 25 , 2020

From:
Twain Ashley A. Del Rosario
twaineyash@gmail.com
#43 Narag St. Linao East, Tuguegarao City Cagayan

To Whom It May Concern,

Good day!

I am a Grade 12 student in Cagayan National High School . I am currently applying

for Scholarships for the academic year 2021-2022.

In line with this, I am requesting Certificate of Residency as part of my scholarship

application requirements in DOST-SEI Scholarship.

I am looking forward for your immediate response regarding to this matter. I will
highly appreciate your effort. Thank you!

Best regards,
Twain Ashley A. Del Rosario
TO WHOM IT MAY CONCERN:

This is to certify that Twain Ashley A. Del Rosario is of good health; and can take
the DOST-SEI (Name of Applicant) Undergraduate Scholarship Examination on
his/her own.

________________________________________________

Printed Name & Signature of School/Barangay Health

Center/Private Physician/Nurse

License No.:_________________________________________

Date: ______________________________________________