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Republic of the Philippines

Province of Pangasinan
Municipality of Infanta
BARANGAY BAYAMBANG
oOo

OFFICE OF THE PUNONG BARANGAY


BARANGAY CERTIFICATION
(First Time Jobseekers Assistance Act-RA 11261)

THIS IS TO CERTIFY that Mr.Ms __________________, a resident of Brgy. __________


for________years/months, 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 responsibilitiesaccorded 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 _______________2024 in the Brgy.Bayambang, Infanta,


Pangasinan.

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

DANTE B, ANCHETA
Punong Barangay
_______________
Date
Witnessed by:

______________________________
Barangay Official/Designation/Position

RA 11261 Form 1
(Note: Not Valid without Barangay Dry Seal)

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