Republic of the Philippines

BARANGAY BATIS
420 F. Manalo Street, Barangay Batis Hall
CITY OF SAN JUAN
OFFICE OF THE BARANGAY CHAIRPERSON

CERTIFICATE OF INDIGENCY

THIS IS TO CERTIFY THAT EMILIA G. BONAGUA, FILIPINO, IS A RESIDENT

OF NO. 56 E. FERNANDEZ STREET, BARANGAY BATIS, CITY OF SAN JUAN, METRO
MANILA.

THIS IS TO CERTIFY FURTHER THAT THE ABOVE-MENTIONED PERSON

BELONGS TO ONE OF THE MANY INDIGENT FAMILIES OF THIS BARANGAY AND
THE INCOME OF THIS FAMILY ARE BARELY ENOUGH FOR THEIR DAY TO DAY
NEEDS.

THIS CERTIFICATION IS BEING ISSUED UPON THE REQUEST OF THE ABOVE

MENTIONED PERSON IN CONNECTION FOR THE APPLICATION OF HIS/HER
MEDICAL ASSISTANCE.

DONE THIS 2ND DAY OF JANUARY 2020 AT BARANGAY BATIS HALL,

CITY OF SAN JUAN, METRO MANILA.

RYAN G. LLANOS DEE

Barangay Chairperson

Note: Not valid without Barangay Official Seal.