Republic of the Philippines

Province of Iloilo
Municipality of Cabatuan
Barangay Tupol Este

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF RESIDENCY

TO WHOM IT MAY CONCERN:

This is to certify that ________________________. a bonafide resident of Barangay

Tupol Este Cabatuan, Iloilo, is known to be an indigent member of this barangay.

This is to certify further that ______________________, _____ years old, claimant, is

the _____________________ of the above name patient/deceased and currently needing
financial assistance.

Signed this _____ day of ______________, ________ at Barangay Tupol Este, Cabatuan,
Iloilo, Philippines.

CONRADO A. PORCAL
Punong Barangay