Republic of the Philippines

MUNICIPALITY OF BAUTISTA
Province of Pangasinan

BARANGAY SINABAAN
Office of the Punong Barangay

LEAVE OF ABSENCE
To Whom It May Concern:

This Leave of Absence was requested by MS. ELYSSA P. DIZON, a Sangguniang Kabataan
Chairperson of this Barangay. I granted her leave on the date of November 18, 2022 until January 29,
2023 due to personal reasons for abroad purposes for a couple of months.

This leave of absence is issued to MS. ELYSSA P. DIZON to support her VISA application.

Issued this 9th of November, 2022 at Barangay Sinabaan, Bautista, Pangasinan.

Hon. ELVIRA F. MARTINEZ

Punong Barangay