Republic of the Philippines

Province of Capiz
Municipality of Sapian
BARANGAY AGSILAB

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

This is to certify that ________________________, of legal age, is a
bonafide resident of SITIO _____________, Brgy. Agsilab, Sapian, Capiz.
belongs to no income or low income bracket in the barangay.

This certification is being issued upon the request of the above-mentioned

name for whatever legal purpose/s this may serve him/her best.

Issued this _____ of _____________, 2024 at the Office of the Punong

Barangay, Barangay Agsilab, Sapian, Capiz.

BASSANIO V. TUPAZ, MPA

Punong Barangay