Republic of the Philippines

Province of Pangasinan
MUNICIPALITY OF ASINGAN
Barangay PALARIS
OFFICE OF THE PUNONG BARANGAY

PALARIS
BARANGAY COUNCIL
CONTROL NUMBER 16-58
(2021)

GUILERMO S. PALARIS JR
Punong Barangay

Certification
BENEDICTO C. NITURADA
Sangguniang Brgy. Member
TO WHOM IT MAY CONCERN:
JOHNSON M. ANGELES
Sangguniang Brgy. Member This is to certify that minor whose photo, right thumbmark and/or
signature appears herein is child under guardianship of a bona fide resident of this

BERNARDO B. PASCUA barangay.

Sangguniang Brgy. Member
ROMEO J. ZARAIN
Sangguniang Brgy. Member
Name: KLEWFORD JOHN ROUS AQUINO
B-DATE: JANUARY 3, 2016
B-PLACE: ASINGAN PANGASINAN
Address: ZONE 4 Palaris, Asingan, Pangasinan
Name of requesting parent/guardian: NENITA R. AQUINO

JESUS M. OGANIZA
Sangguniang Brgy. Member

NICK S. DULAY
Sangguniang Brgy. Member

DARYL D. ODRONIA
Sangguniang Brgy. Member 2x2 photo Right Thumbmark

__________________
RODEL C. FUERTES Signature
SK CHAIRPERSON
This certification is issued upon the request of the interested party for the
National ID Registration of the above-named person.
DOMINADOR V. FERNANDEZ, JR.
Barangay Secretary/BRK Given this 13TH day of November 2021 at Barangay Palaris, Asingan, Pangasinan
Philippines.

NENITA L. RAMOS
Barangay Treasurer Hon. GUILLERMO S. PALARIS JR.
Punong Barangay
………………………………. Not valid without seal

Barangay Palaris
Barangay Palaris