CLEARANCE TEMPLATE

for OFWs/RETURNING RESIDENTS

TITLE OF EMAIL: REQUEST FOR REPATRIATION CLEARANCE

April 29, 2020

GOVERNOR PHILIP T. TAN
THRU: MAYOR FERNANDO “Ando” T.

Dear Governor,

I am ROXAN ROSAL SALIGAN, 33, and a resident of PUROK 2, CAVINTE, OZAMIZ CITY, MISAMIS
OCCIDENTAL. I would like to request a clearance to return to Misamis Occidental together with Ivanna
Alawi (pahapiton sa bhouse ni DODONG JUNSKWERD)

I/we am/ are currently in ML QUEZON ST., MANDAUE CITY-CEBU, and I / we have secured a certificate of
14-day completion duly issued by

Thank you,

ROXAN ROSAL SALIGAN