Republic of the Philippines

Province of Pangasinan
Municipality of Manaoag
BARANGAY PUGARO
-oOo-

Office of the Barangay Captain

CERTIFICATION
(for PHILSYS National ID Registration)

This is to certify that Mr/Ms. __________________________________{maiden name if married} whose picture

is affixed below is a bonafide resident living at Zone _____ House No._____ of this barangay. That he/she is born on
______________________ at ________________________ ________________________________ of parents
___________________________________ and _______________________________ . That he/she is
single.
married to _______________________________.

This is to certify further that he/she has been living in this barangay for ________ years and is known by the
undersigned and the community as the above named person.

Issued this ______________________________ at Pugaro Manaoag Pangasinan.

Prepared by

________________________
Barangay Secretary

Hon. Bonifacio N. Bigay

Punong Barangay

Left thumb Right thumb

fingerprint fingerprint

I hereby attest that the I am the person in

the affixed photo.

___________________________________
Signature Above Name