Republic of the Philippines

Province of ___________
Municipality of ________
BARANGAY _____________

Office of the Punong Barangay

BARANGAY CERTIFICATION
(First Time Jobseekers Assistance Act – RA 11261)

This is to certify further that Mr./Ms. _________________________________________,

a resident of Barangay Cantoria #2, Zone/Purok _____ for _______ years/months, is a qualified
availee of RA 11261 or the First Time Jobseekers Act of 2019.

I further certify that the holder/bearer was informed of his/her rights, including the duties
and responsibilities accorded by RA 11261through the Oath of Undertaking he/she has signed
and executed in the presence of our Barangay Official.

Signed this ________ day of __________________________________________, in the

Municipality of Luna, Province of La Union.

This certification is valid only for one (1) from the issuance.

__________________________
Punong Barangay

_____________________
Date

Witnessed by:

_______________________________
Barangay Official’s Name & Signature

_______________________________
Designation/Position
_____________________
Date