HILIPPINES
IC OF THE PI
E AVITE
To Whom ft May Concern
2¢/__ years old, an employee/resident
This is to certify tha .
Ba rol Main, City of Dasmarifias, Cavite.
re
of 252
Ste, “
He/She is not included in the suspect/probablelcenfirmed COVID-19 cases
Further He/She didn't mai Wy of the following Sign & Symptoms of COVID-19 at the time of
certification such as Colds, Sorethroat, Diahrea and losing appetite.
This certification_js issued upon the request of the above person for the purpose of
2 py SIE father tmp
fs Places, .
Issued this 2 day of Jay 2021 at Barangay Burol Main, City of
Dasmarifas, Cavite. :
(ed in our barangay.
Issned by Atested by Q_
ie ie :