74 Indigency Form - 1

Republic of the Philippines
City of Tacloban
Barangay 74 Lower Nulatula
OFFICE OF THE PUNONG BARANGAY
BARANGAY OFFICIAL
2019-2023
CERTIFICATE OF INDIGENCY
HON. NELIA G. MALATE TO WHOM IT MAY CONCERN:
Punong Barangay
HON. ELVIRA G. CARMEN

THIS IS TO CERTIFY that as per records kept in
Kagawad on Finance and Appropriation and this office, ___ , __ years
Health & Sanitation
Purok Coordinator: Purok Hollywood
old, is a resident of ____________ , Barangay 74,
Lower Nulatula Tacloban City, and an indigent member
HON. RICHARD B. JABOYANON
Kagawad on Barangay Ecological and Solid Waste of this barangay.
Management & GAD Focal Point Person
Purok Coordinator: Purok Bliss III and SLR
THIS TO FURTHER CERTIFY that above mentioned
HON. JESSIE TROY D. MEDALLA name’s parents are _________________
Kagawad on Peace & Order and Disaster Coordina-
tion _____________and ______________________ who is unem-
Purok Coordinator: Bliss II ployed.
HON. CARMELITA H. ABELLO
Kagawad on Infrastructure and Barangay Projects,
General Services
Purok Coordinator: Bliss I and Regina Hills THIS CERTIFICATION is being issued upon the re-
quest of the interested party for
HON. MARCONI A. AMANO
Kagawad on Education, Culture, Arts, and Informa- _____________________________________.
tion
Purok Coordinator: LMWD/FMS, SGH
HON. JOEY O. VERRA

Kagawad on Livelihood & Cooperative, Agriculture IN WITNESS WHEREOF, I hereby affix my signature
Purok Coordinator: Divisoria, Sta. Barbara & Purok 1
below this ___ day of _____________ 2021 at the Of-
HON. NORMA Y. BACOLOD
Kagawad on Laws, Rules & Regulation, Human
fice of the Punong Barangay of Barangay 74, Tacloban
Rights, Women and Family & VAWC City, Philippines.
Purok Coordinator: Purok 6
HON. STRAUSE MILLIANE D. CASTILLOTE HON. NELIA G. MALATE

SK Chairman on Sports, Youth and Development,
and Social Affairs and Clean and Green Punong Barangay
__________________________
Signature of Bearer
MA. VICTORIA C. ATILLO
Barangay Secretary
Not Valid
MA. GINA GRACE C. MORA Without
Barangay Treasurer Official Seal
NOTE: THIS CLEARANCE IS VALID UP TO SIX (6) MONTH ONLY UPON ISSUANCE HEREOF.
City of Tacloban
BARANGAY OFFICIAL
2019-2023
HON. NELIA G. MALATE
TO WHOM IT MAY CONCERN:
Punong Barangay

Kagawad on Finance and Appropriation and this office, _____________________ ,
Health & Sanitation
Purok Coordinator: Purok Hollywood __ years old, is a resident of ____________
, Barangay 74, Lower Nulatula Tacloban City, and an
Kagawad on Barangay Ecological and Solid Waste indigent member of this barangay.
Management & GAD Focal Point Person
HON. JESSIE TROY D. MEDALLA THIS CERTIFICATION is being issued upon the re-
tion quest of the interested party for
Purok Coordinator: Bliss II _____________________________________ .
General Services
Purok Coordinator: Bliss I and Regina Hills IN WITNESS WHEREOF, I hereby affix my signature
below this ______ day of ___________ 2023 at the
Kagawad on Education, Culture, Arts, and Informa- Office of the Punong Barangay of Barangay 74,
tion Tacloban City, Philippines.
HON. JOEY O. VERRA

Kagawad on Livelihood & Cooperative, Agriculture
Purok Coordinator: Divisoria, Sta. Barbara & Purok 1 Punong Barangay
__________________________
Kagawad on Laws, Rules & Regulation, Human Signature of Bearer
Rights, Women and Family & VAWC
Not Valid
HON. STRAUSE MILLIANE D. CASTILLOTE Without
and Social Affairs and Clean and Green Official Seal

Barangay Secretary
MA. GINA GRACE C. MORA

Barangay Treasurer
City of Tacloban
BARANGAY OFFICIAL
2018-2020
Punong Barangay
HON. ELVIRA G. CARMEN This is to certify that, EMMANUEL S. CABOSURA,

Kagawad on Finance and Appropriation 19 years old, single is a son/daughter of ADELITA S.
and CABOSURA and MANUEL B. CABOSURA is a resident Bliss
Health & Sanitation II, Barangay 74 and their family is one of the
indigents of our barangay.
Kagawad on Livelihood & Cooperative and
General Services, and GAD Focal Point This certification is issued upon the request
Person of the above-named person as a requirement of
his/her application to the Special Program for
HON. JESSIE TROY D. MEDALLA employment of students (SPES) with DOLE.
Kagawad on Peace & Order and Disaster
Coordination Issued this 27TH day of July 2022, at the
Office of the Punong Barangay, Barangay 74 Lower
HON. CARMELITA H. ABELLO Nulatula, Tacloban City.
Kagawad on Infrastructure and Barangay
Projects

Kagawad on Education, Culture, Arts, and
Information
HON. JOEY O. VERRA HON. NELIA G. MALATE

Kagawad on BSWM and EP Punong Barangay
__________________________
HON. NORMA Y. BACOLOD Signature of Bearer
Kagawad on Laws, Rules & Regulation,
Human Rights, and Women & Family
Not Valid
HON. STRAUSE MILLIANE D. CASTILLOTE
Without
SK Chairman on Sports, Youth and Devel-
Official Seal
opment, and Social Affairs

Barangay Secretary NOTE: THIS CERTIFICATION IS VALID UP TO SIX (6) MONTHS ONLY UPON ISSUANCE HEREOF.

Barangay Treasurer
City of Tacloban
BARANGAY OFFICIAL CERTIFICATE OF INDIGENCY

2018-2020
HON. NELIA G. MALATE TO WHOM IT MAY CONCERN:
Punong Barangay
THIS IS TO CERTIFY that as per records
kept in this office, ARGELYN OLARTE RAMONOLOS, 28
years old, is a resident of San Lorenzo Ruiz,
Kagawad on Finance and Appropriation
and Barangay 74, Lower Nulatula Tacloban City, and an
Health & Sanitation indigent member of this barangay.
HON. RICHARD B. JABOYANON This further certifies the above name mentioned
Kagawad on Livelihood & Cooperative and has no live-in partner since 2018 up to the present
General Services, and GAD Focal Point
and is currently living in her Parents at RAMONOLOS
Person
residence.
HON. JESSIE TROY D. MEDALLA
Kagawad on Peace & Order and Disaster This certification is issued upon request of
Coordination the interested party for SOLO PARENT REQUIREMENT and
for whatever legal purpose it may serve.
Kagawad on Infrastructure and Barangay Issued this 22ND day of August , 2022 at
Projects Barangay 74 Lower Nulatula Tacloban City.

Kagawad on Education, Culture, Arts, and
Information
HON. JOEY O. VERRA

Kagawad on BSWM and EP

Kagawad on Laws, Rules & Regulation,
Human Rights, and Women & Family
HON. STRAUSE MILLIANE D. CASTILLOTE HON. NELIA G. MALATE

SK Chairman on Sports, Youth and Devel- Punong Barangay
opment, and Social Affairs __________________________
Signature of Bearer
Barangay Secretary
Not Valid
MA. GINA GRACE C. MORA Without
Barangay Treasurer Official Seal
City of Tacloban
BARANGAY OFFICIAL
2018-2022
Punong Barangay

Kagawad on Finance and Appropriation and
Health & Sanitation

Kagawad on Livelihood & Cooperative and
General Services, and GAD Focal Point Person
NOTE: THIS CLEARANCE IS VALID UP TO HON. JESSIE TROY D. MEDALLA
SIX (6) MONTH ONLY UPON ISSUANCE
HEREOF.
City of Tacloban

Kagawad on Education, Culture, Arts, and Information
HON. JOEY O. VERRA

Kagawad on BSWM and EP

Kagawad on Laws, Rules & Regulation, Human Rights, and Women & Family

SK Chairman on Sports, Youth and Development, and Social Affairs

Barangay Secretary

Barangay Treasurer

this office, IRYL CEDRIC G. ARAÑEZ, 18 years old, is
a resident of Bliss I, Barangay 74, Lower Nulatula
Tacloban City, and an indigent member of this
barangay.
THIS FURTHER CERTIFIES the above-mentioned

name’s parent, Mylene Arañez is a “kasambay” with an
monthly income of ₱5,000.00
THIS CERTIFICATION is issued upon request of

the interested party for Scholarship Requirement.
Issued this 22nd day of July, 2022

Kagawad on Peace & Order and Disaster
Coordination

Kagawad on Infrastructure and Barangay
Projects
HON. MARCONI A. AMANO Punong Barangay
City of Tacloban

__________________________
Signature of Bearer
Not Valid
Without
Official Seal
NOTE: THIS CLEARANCE IS VALID UP TO

SIX (6) MONTHS ONLY UPON ISSUANCE
HEREOF.
City of Tacloban
BARANGAY OFFICIAL
2018-2023 CERTIFICATE OF INDIGENCY
Punong Barangay TO WHOM IT MAY CONCERN:

HON. ELVIRA G. CARMEN this office, WENEFREDA E. GALARIDO , of legal age,
Kagawad on Finance and Appropriation and is a resident of PUROK 6, Barangay 74 Lower
Health & Sanitation
Purok Coordinator: Purok Hollywood Nulatula, Tacloban City, is an indigent member of
the barangay.
Kagawad on Barangay Ecological and Solid Waste
Management & GAD Focal Point Person THIS CERTIFICATION is being issued upon the
Purok Coordinator: Purok Bliss III and SLR request of the above name mentioned for Market
Vendors Association Requirement.
tion IN WITNESS WHEREOF, I hereby affix my signature
Purok Coordinator: Bliss II
below this 13th day of March 2023 at the Office
HON. CARMELITA H. ABELLO of the Punong Barangay of Barangay 74, Tacloban
Kagawad on Infrastructure and Barangay Projects, City, Philippines.
General Services
Purok Coordinator: Bliss I and Regina Hills

Kagawad on Education, Culture, Arts, and Informa-
tion
HON. JOEY O. VERRA


Kagawad on Laws, Rules & Regulation, Human Punong Barangay
__________________________
Signature of Bearer
and Social Affairs and Clean and Green Not Valid
Without
Official Seal
Barangay Secretary
MA. GINA GRACE C. MORA NOTE: THIS CLEARANCE IS VALID UP TO SIX (6) MONTHS ONLY UPON ISSUANCE HEREOF.
Barangay Treasurer
City of Tacloban
BARANGAY OFFICIAL

HON. ELVIRA G. CARMEN this office,
Kagawad on Finance and Appropriation and _______________________________________, _______
Health & Sanitation
Purok Coordinator: Purok Hollywood years old, is a resident of
_________________________, Barangay 74 Lower
HON. RICHARD B. JABOYANON Nulatula Tacloban City, is an indigent member of the
Management & GAD Focal Point Person barangay.

THIS CERTIFICATION is being issued upon the
Kagawad on Peace & Order and Disaster Coordina- request of the interested party for
tion ___________________________________________________.
HON. CARMELITA H. ABELLO IN WITNESS WHEREOF, I hereby affix my signature

Kagawad on Infrastructure and Barangay Projects, below this ______ day of __________________ 2023 at
General Services
Purok Coordinator: Bliss I and Regina Hills the Office of the Punong Barangay of Barangay 74,
Tacloban City, Philippines.
tion
HON. JOEY O. VERRA


Rights, Women and Family & VAWC HON. NELIA G. MALATE
Punong Barangay
HON. STRAUSE MILLIANE D. CASTILLOTE __________________________
SK Chairman on Sports, Youth and Development, Signature of Bearer
and Social Affairs and Clean and Green
Not Valid
Barangay Secretary Without
Official Seal
Barangay Treasurer
NOTE: THIS CLEARANCE IS VALID UP TO SIX (6) MONTHS ONLY UPON ISSUANCE HEREOF.
City of Tacloban
BARANGAY OFFICIAL CERTIFICATE OF INDIGENCY

2018-2023
Punong Barangay
this office, PETAL B. CONVENTO, 28 years old, is a
HON. ELVIRA G. CARMEN resident of Purok I, Barangay 74 Lower Nulatula
Kagawad on Finance and Appropriation and Tacloban City, is an indigent member of the
Health & Sanitation
Purok Coordinator: Purok Hollywood
barangay.
HON. RICHARD B. JABOYANON THIS CERTIFICATION is being issued upon the

Management & GAD Focal Point Person request of the interested party for SCHOLARSHIP.
IN WITNESS WHEREOF, I hereby affix my signature
Kagawad on Peace & Order and Disaster Coordina- below this 21ST day of FEBRUARY 2023 at the Office
tion of the Punong Barangay of Barangay 74, Tacloban
Purok Coordinator: Bliss II City, Philippines.
General Services
Purok Coordinator: Bliss I and Regina Hills

tion
Purok Coordinator: LMWD/FMS, SGH HON. NELIA G. MALATE
HON. JOEY O. VERRA Punong Barangay
Kagawad on Livelihood & Cooperative, Agriculture __________________________
Purok Coordinator: Divisoria, Sta. Barbara & Purok 1 Signature of Bearer
Rights, Women and Family & VAWC Not Valid
Purok Coordinator: Purok 6 Without
Official Seal
and Social Affairs and Clean and Green
NOTE: THIS CLEARANCE IS VALID UP TO SIX (6) MONTHS ONLY UPON ISSUANCE HEREOF.
Barangay Secretary

Barangay Treasurer
City of Tacloban
BARANGAY OFFICIAL

HON. ELVIRA G. CARMEN this office, MARY ROSELYN MAMITA, of legal age, is a
Kagawad on Finance and Appropriation and resident of Barangay 74 Lower Nulatula, Tacloban
Health & Sanitation
Purok Coordinator: Purok Hollywood City, is an indigent member of the barangay.
HON. RICHARD B. JABOYANON THIS FURTHER CERTIFIES that the above-mentioned
Management & GAD Focal Point Person name is the grandaughter of Presila B. Mamita and
Purok Coordinator: Purok Bliss III and SLR their family is one of the indigent members in the
barangay.
tion THIS CERTIFICATION is being issued upon the
request of the interested party for Burial
HON. CARMELITA H. ABELLO Assistance.
General Services
Purok Coordinator: Bliss I and Regina Hills IN WITNESS WHEREOF, I hereby affix my signature
below this 18th day of August 2022 at the Office of
HON. MARCONI A. AMANO the Punong Barangay of Barangay 74, Tacloban City,
tion Philippines.
HON. JOEY O. VERRA

HON. NORMA Y. BACOLOD HON. RICHARD B. JABOYANON

Kagawad on Laws, Rules & Regulation, Human Brgy. Kagawad - OIC
Purok Coordinator: Purok 6 __________________________
Signature of Bearer
and Social Affairs and Clean and Green Not Valid
Without
Official Seal
Barangay Secretary
MA. GINA GRACE C. MORA NOTE: THIS CLEARANCE IS VALID UP TO SIX (6) MONTHS ONLY UPON ISSUANCE HEREOF.
Barangay Treasurer

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74 Indigency Form - 1

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Republic of the Philippines

OFFICE OF THE PUNONG BARANGAY

HON. ELVIRA G. CARMEN

HON. JOEY O. VERRA

HON. STRAUSE MILLIANE D. CASTILLOTE HON. NELIA G. MALATE

OFFICE OF THE PUNONG BARANGAY

HON. ELVIRA G. CARMEN

HON. JOEY O. VERRA

MA. VICTORIA C. ATILLO

MA. GINA GRACE C. MORA

OFFICE OF THE PUNONG BARANGAY

HON. ELVIRA G. CARMEN This is to certify that, EMMANUEL S. CABOSURA,

HON. MARCONI A. AMANO

HON. JOEY O. VERRA HON. NELIA G. MALATE

MA. VICTORIA C. ATILLO

MA. GINA GRACE C. MORA

OFFICE OF THE PUNONG BARANGAY

BARANGAY OFFICIAL CERTIFICATE OF INDIGENCY

HON. MARCONI A. AMANO

HON. JOEY O. VERRA

HON. NORMA Y. BACOLOD

HON. STRAUSE MILLIANE D. CASTILLOTE HON. NELIA G. MALATE

OFFICE OF THE PUNONG BARANGAY

HON. ELVIRA G. CARMEN

HON. RICHARD B. JABOYANON

OFFICE OF THE PUNONG BARANGAY

HON. JOEY O. VERRA

HON. NORMA Y. BACOLOD

HON. STRAUSE MILLIANE D. CASTILLOTE

MA. VICTORIA C. ATILLO

MA. GINA GRACE C. MORA

THIS IS TO CERTIFY that as per records kept in

THIS FURTHER CERTIFIES the above-mentioned

THIS CERTIFICATION is issued upon request of

Issued this 22nd day of July, 2022

HON. CARMELITA H. ABELLO

OFFICE OF THE PUNONG BARANGAY

NOTE: THIS CLEARANCE IS VALID UP TO

OFFICE OF THE PUNONG BARANGAY

THIS IS TO CERTIFY that as per records kept in

HON. MARCONI A. AMANO

HON. JOEY O. VERRA

HON. NORMA Y. BACOLOD

OFFICE OF THE PUNONG BARANGAY

THIS IS TO CERTIFY that as per records kept in

HON. JESSIE TROY D. MEDALLA

HON. CARMELITA H. ABELLO IN WITNESS WHEREOF, I hereby affix my signature

HON. JOEY O. VERRA

HON. NORMA Y. BACOLOD

OFFICE OF THE PUNONG BARANGAY

BARANGAY OFFICIAL CERTIFICATE OF INDIGENCY

HON. RICHARD B. JABOYANON THIS CERTIFICATION is being issued upon the

HON. MARCONI A. AMANO

MA. GINA GRACE C. MORA

OFFICE OF THE PUNONG BARANGAY

THIS IS TO CERTIFY that as per records kept in

HON. JOEY O. VERRA

HON. NORMA Y. BACOLOD HON. RICHARD B. JABOYANON

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