Republic of the Philippines

Department of the Interior and Local Government

BUREAU OF FIRE PROTECTION
MIMAROPA
ORIENTAL MINDORO PROVINCIAL OFFICE
VICTORIA FIRE STATION
Brgy. Babangonan, Victoria, Oriental Mindoro
Hotline Number: 09156031500

Control No. FDC RO4B-2023-04-006 03 April 2023

Date

CERTIFICATION
TO WHOM IT MAY CONCERN:

This is to certify that a FIRE DRILL has been conducted at

ORIENTAL MINDORO ACADEMY
____________________________________________________________________________
(Name of Building / Structure /Facility)

APRIL 03,2023
on _____________________ BRGY. POBLACION IV ,VICTORIA,
located at ___________________ ORIENTAL MINDORO
________________________
(Date) (Address)

owned by Carmelita V. Sacro

_____________________________________________________________
(Name of Owner/Company)

pursuant to Rule 10, Chapter 2, Division 21 of the Revised Implementing Rules and Regulations
(RIRR) of RA 9514 otherwise known as the “Fire Code of the Philippine of 2008”.

Issued this__________
3rd day of __________________________.
APRIL 2023

APRIL 03, 2024

This certification is valid until _________2__________________________________.
(Date depending on the Type of Occupancy which requires quarterly, semi-annual or annually)

Fire Code Fees: RECOMMEND APPROVAL:

1,000.00
Amount Paid: _______________
O.R. Number: ____________
04B-21155658
Date: ____________________
03 April 2023
___________________________________
FO3 Joseph G Bugtong
Chief, FSES

APPROVED:

SFO4 Francisco C Castor

___________________________________
Acting Municipal Fire marshal con PESFO

NOTE: “This Certificate does not take the place of any license required by law and is not
transferable. Any change in the use of occupancy of the premises shall require a new certificate.”
PAALALA: “MAHIGPIT NA IPINAGBABAWAL NG PAMUNUAN NG BUREAU OF FIRE PROTECTION SA MGA KAWANI NITO ANG
MAGBENTA O MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER”

“FIRE SAFETY IS OUR MAIN CONCERN”

DISTRIBUTION:
Original (Applicant/Owner’s Copy)
Duplicate (BFP’s copy)

BSP-QSF-FSED-044 REV.02 (08.24.20)