Annex C

REPUBLIC OF THE PHILIPPINES)

ASINGAN, PANGASINAN) S.S.

CERTIFICATION OF COMPLETION OF TRAINING PROGRAM

I, JESUS O. SALAGUBANG of LUCIANO MILLAN MEMORIAL SCHOOL OF

ARTS AND TRADES with office address at POBLACION WEST, ASINGAN,
PANGASINAN, after having been duly sworn to in accordance with, do herein depose and
state that the attached list of learners/scholars have completed the TESDA scholarship
training program. This certification is being issued to facilitate the payment of training cost,
miscellaneous fees, and/or entrepreneurship cost.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of
_____________, 2021.

JESUS O. SALAGUBANG
Vocational School Administrator III
TESDA-LMMSAT

SUBSCRIBED AND SWORN TO before me in ___________________ this

_____________________ affiant exhibiting to me his/her ___________________
(Government ID) with ID number ________________.

Doc. No. _________;

Page No. _________;
Book No. _________;
Series of 2021.
 Annex D

REPUBLIC OF THE PHILIPPINES)

ASINGAN, PANGASINAN) S.S.

CERTIFICATION ON PAYMENT OF TRAINING SUPPORT FUND

We, GLICERIO V. SAMSON and JESUS O. SALAGUBANG of LUCIANO MILLAN

MEMORIAL SCHOOL OF ARTS AND TRADES with office address at POBLACION WEST,
ASINGAN, PANGASINAN, after having been duly sworn to in accordance with, do herein
depose and state that the attached list of learners/scholars have engaged in the training
program and are entitled to receive the Training Support Fund (TSF).
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of
_____________, 2021.

GLICERIO V. SAMSON JESUS O. SALAGUBANG

Assistant Professor II Vocational School Administrator III
TESDA-LMMSAT TESDA-LMMSAT

SUBSCRIBED AND SWORN TO before me in ___________________ this

_____________________ affiant exhibiting to me his/her ___________________
(Government ID) with ID number ________________.

Doc. No. _________;

Page No. _________;
Book No. _________;
Series of 2021.