Republic of the Philippines

Province of Eastern Samar

Municipality of Maydolong
Barangay San Gabriel

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

TO WHOM IT MAY CONCERN,

This is to certify that ___________________, is a bonafide resident of Brgy.

San Gabriel, Maydolong, Eastern Samar.

This further certifies that she has completed the 10 days required TUPAD program of
DOLE at Brgy. San Gabriel, Maydolong, Eastern Samar.

This certification is issued upon the request of __________________ for

whatever legal purpose it may serve her.

Issued this ____ day of January _______ at Brgy. San Gabriel, Maydolong,
Eastern Samar.

________________________________
Punong Barangay