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PAMAHALAANG BAYAN NG PAMAHALAANG BAYAN NG

SAN JOSE, BATANGAS SAN JOSE, BATANGAS

BARANGAY MOJON-TAMPOY BARANGAY MOJON-TAMPOY

EMPLOYEE’S EMPLOYEE’S
QUARANTINE PASS QUARANTINE PASS
UNDER GCQ UNDER GCQ

NAME
NAME

NAME OF COMPANY/ADDRESS
NAME OF COMPANY/ADDRESS

_____________________________ _____________________________
SECURED PROPER CLEARANCE AND FREE SECURED PROPER CLEARANCE AND FREE
FROM ANY SYMPTOMS OF COVID - 19 FROM ANY SYMPTOMS OF COVID - 19

May 20 & 23 May 27 & 30 Jun 3 & 6 Jun 10 & 13 May 20 & 23 May 27 & 30 Jun 3 & 6 Jun 10 & 13
HON.
BILANG NG RODERICK
1 2
M. ALVAREZ
3 4
HON.
BILANG NG RODERICK
1 2
M. ALVAREZ
3 4
PAGGAMIT: Punong Barangay PAGGAMIT: Punong Barangay
1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2

PAMAHALAANG BAYAN NG PAMAHALAANG BAYAN NG


SAN JOSE, BATANGAS SAN JOSE, BATANGAS

BARANGAY MOJON-TAMPOY BARANGAY MOJON-TAMPOY

EMPLOYEE’S EMPLOYEE’S
QUARANTINE PASS QUARANTINE PASS
UNDER GCQ UNDER GCQ

NAME NAME

NAME OF COMPANY/ADDRESS
NAME OF COMPANY/ADDRESS

_____________________________ _____________________________
SECURED PROPER CLEARANCE AND FREE SECURED PROPER CLEARANCE AND FREE
FROM ANY SYMPTOMS OF COVID - 19 FROM ANY SYMPTOMS OF COVID - 19

May 20 & 23 May 27 & 30


HON.
BILANG NG
May 20 & 23 May 27 & 30
RODERICK M.JunALVAREZ 3&6 Jun 10 & 13 HON.
BILANG NG RODERICK M.JunALVAREZ 3&6 Jun 10 & 13
1 2 3 4 1 2 3 4
PAGGAMIT: Punong Barangay PAGGAMIT: Punong Barangay
1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2

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