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Indigency
Indigency
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:
PURSUANT to the provision of the Local Government Code, permission hereby granted to herein
applicant as follows:
NAME : _________________________________________
SEX : _________
Passport AGE : _________
BIRTHDAY : __________________________
Size BIRTHPLACE : _________________________________________
CIVIL STATUS : _________
NATIONALITY : _________
REMARKS:
Indigent resident of Barangay Pandol, Can-avid Eastern Samar belongs to our indigent family, He/she
have an income under poverty threshold with minimal means of livelihood that could hardly meet the
family basic needs and has been validate thru NHTS-PR.
Approved by: