Republic of the Philippines

Province of _________
Municipality of _________
BARANGAY ________________

Office of the Punong Barangay

CERTIFICATION OF TRAVEL

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that _____________________________________________________________,

______ years old, a bona fide resident of Barangay _______________, Municipality of

_________, Province of __________, is allowed to travel to _____________________________ on

__________________________ for the purpose _________________________________________________________.

THIS CERTIFICATION is issued upon the request of the above-named person for

legal purposes and intents.

Given this __________ day of ___________________________________ at Barangay

_______________, Municipality of _________, Province of __________,

_____________________
Punong Barangay

Not valid without seal