Republic of the Philippines

Province of Negros Occidental

City of Victorias
Barangay VI
OFFICE OF THE PUNONG BARANGAY

BARANGAY ENDORSEMENT
(VACCINE)

_________________, 2021

To whom it may concern;

This is to endorse _________________________________ as replacement of
___________________________________ for (he/she’s done with her vaccination/ he/she’s not feeling well).
Hoping for your kind consideration. Thank you!

ROLANDO L. MILLAN
Punong Barangay

Republic of the Philippines

Province of Negros Occidental
City of Victorias
Barangay VI
OFFICE OF THE PUNONG BARANGAY

BARANGAY ENDORSEMENT
(VACCINE)

_________________, 2021

To whom it may concern;

This is to endorse _________________________________ as replacement of
___________________________________ for (he/she’s done with her vaccination/ he/she’s not feeling well).
Hoping for your kind consideration. Thank you!

ROLANDO L. MILLAN
Punong Barangay