Republic of the Philippines

Province of Zamboanga del Sur

MUNICIPALITY OF TABINA
Municipality Health Office

____ __, 2022

EXHUMATION PERMIT
PERMIT IS HEREBY GRANTED for the exhumation of the remains of:

Name
Age
Sex
Citizenship
Date of Death
Cemetery
Place where the remains will
be transported

The remains were embalmed and packed in a prescribed hermitically

sealed container/casket and will not pose any danger to public health
safety.

This certification is issued upon request for whatever purpose it may serve.

JESSA MAE F. PANGANDIAN, RPH, MD

Municipal Health Officer- OIC

OR #:
Amount Paid:
Date Paid:
NOT VALID WITHOUT DRY SEAL