Republic of the Philippines

Province of Samar
Municipality of Sta. Rita
BARANGAY SAN JUAN

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF RESIDENCY
(PERMANENT)

TO WHOM IT MAY CONCERN,

This is to certify that Mr. AGMAR A. DULAY, legal age, male, single, Filipino citizen, whose

specimen signature appears below, is a PERMANENT RESIDENT of this Barangay.

Based on records of this office, he has been residing at Zone 4, Barangay San Juan,

Sta. Rita W. Samar since 2021.

This certification is being issued upon the request of the above-named person for

Whatever legal purpose this may serve.

Issued this 4th day of December, 2023 at Barangay San Juan Sta. Rita Samar, Philippines.

Specimen Signature:

_____________________

Prepared by;

GLEAN H. ESTOJERO
Barangay Secretary

Approved:

HON. CONCEPCION E. HINEMAN

Punong Barangay