Republic of the Philippines

Province of Capiz
Municipality of Sapian
Barangay Agsilab

OFFICE OF THE BARANGAY CAPTAIN

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that_____________________________, of legal age and a bonafide

resident of _______________, Barangay Agsilab, Sapian, Capiz is known to be a good moral
character and a law - abiding citizen of the community.

TO CERTIFY FURTHER, he/she has no derogatory and/or criminal records filed in this
Barangay.

ISSUED this ______ day of ________________ 2024, at Barangay Agsilab, Sapian,

Capiz upon the request of the above-mentioned name for whatever legal purpose/s this may
serve best.

BASSANIO V. TUPAZ, MPA

Punong Barangay

O.R. No. : _____________

Date Issued : _____________