Republic of the Philippines

MUNICIPALITY OF BAUTISTA
Province of Pangasinan

BARANGAY SINABAAN
Office of the Punong Barangay

TRAVEL CERTIFICATION
TO WHOM IT MAY CONCERN:

This is to certify that Mr./Mrs./Ms.____________________________, residing in this Barangay, will

travel outside Pangasinan. He/She will travel from this Barangay to
___________________________________to________________________________________.
(Purpose) (
This also certify that he/she had never been a PUI/PUM eitherDesti
one in his family. He/She had no travel
history in a covid-19 isolated place and that he/she is healthy innatio
the past 14 days.
n)

This certification is issued to the above mentioned person for travel purposes only.

Issued this _____ day of _______________________, 20____ at Barangay Sinabaan, Bautista,

Pangasinan.

HON. ELVIRA F. MARTINEZ

Punong Barangay