REPUBLIC OF THE PHILIPPINES

Cordillera Administrative Region

City of Baguio
HOLY GHOST EXTENSION BARANGAY
166 Purok 4, Holy Ghost Extension, Baguio City

CERTIFICATION

This is to certify that is a

(Full Name)

resident of , ,
,
(Complete Address) (Age) (Civil Status)

is in need of SOCIAL AMMELIORATION PROGRAM (SAP) assistance from the Department

of Social Welfare and Development due to the declaration of State of Calamity/imposition
of Community Quarantine.

Signature over Printed name of Barangay Kagawads:

Hon. JOHNSON A. MONDATA Hon. GEORGE L. FACSOY

Barangay Kagawad Barangay Kagawad

Hon. TERESA B. ALITAN Hon. PABLO T. NAHIWAN

Barangay Kagawad Barangay Kagawad

Hon. MAXIMO T. KILLO Hon. SUSAN D. GALINGAN

Barangay Kagawad Barangay Kagawad

Hon. ERLINDA V. DICANG Hon. ALEXANDRIA A. PAIS

Barangay Kagawad SK Chairman

DWIGHT B. MILAN SYLVIA P. AYAK

Community Representative Community Representative

LUCIA P. PEREDO KATHRINE D. LOHAN

Community Representative Community Representative

ALICE C. NAPEEK AIDA C. ALCEDO

Community Representative Community Representative

Hon. RICHARD L. FAGUINNEY

Punong Barangay

Date Issued:

Telephone No. (074) 665 – 3539 email: holyghostextension@gmail.com