REPUBLIC OF THE PHILIPPINES

MUNICIPALITY OF BAMBAN

PROVINCE OF TARLAC

BARANGAY CULUBASA

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

(FIRST TIME JOBSEEKRS ASSISTANCE ACT-RA 11261)

TO WHOM IT MAY CONCERN:

This is to certify that ____________________________ of legal age, resident of this barangay

with postal address of Barangay CULUBASA Dapdap Bamban, Tarlac for ___ years, is a qualified
availee of RA 11261 or the First Time Jobseekers Act of 2019.

I further certify that the holder/bearer was informed of his/her rights, including the duties and
responsibilities accorded by RA 11261 through the Oath of Undertaking he/she has signed and executed
in the presence of our Barangay Official.

Signed this ____ day of _____________, 2023 in the Municipality of Bamban, Tarlac,
Philippines.

This certification is valid only one (1) year from the issuance.

Hon Crisanto S. Galang

PUNONG BARANGAY

Witnessed by:

Pauline Joy A. Olmedo

Barangay Secretary