Republic of the Philippines

Province of Surigao del Norte

Surigao City
Barangay Lipata

CERTIFICATE OF APPEARANCE
This is to CERTIFY that the subject person whose name indicated below appeared in this office:

NAME : ________________________________________________
DESIGNATION : ________________________________________________
STATION : ________________________________________________
DATE APPEARED : ________________________________________________
PURPOSE : ________________________________________________

Issued this _____ day of ____________, 2023 at the Office of Barangay Lipata, Surigao City.

HON. LOEL JOY O. MESIAS

Punong Barangay

Republic of the Philippines

Province of Surigao del Norte
Surigao City
Barangay Lipata

CERTIFICATE OF APPEARANCE
This is to CERTIFY that the subject person whose name indicated below appeared in this office:

NAME : ________________________________________________
DESIGNATION : ________________________________________________
STATION : ________________________________________________
DATE APPEARED : ________________________________________________
PURPOSE : ________________________________________________

Issued this _____ day of ____________, 2023 at the Office of Barangay Lipata, Surigao City.

HON. LOEL JOY O. MESIAS

Punong Barangay