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NAME OF LGU
ADDRESS OF THE LGU

CERTIFICATION

This is to certify that the (LGU Name) has (No.) of Community-Based Drug Rehabilitation Program
(CBDRP) Graduate/s, as reflected in the submitted Quarterly Reports for CY 2023. Stated below
are the breakdown of graduates provided with livelihood and/or employment:

NO. (%) OF NO. (%) OF NO. (%) OF

GRADUATES GRADUATES GRADUATES WITH
PROVIDED WITH PROVIDED WITH INVOLVEMENT ON
LIVELIHOOD EMPLOYMENT ADVOCACY
CAMPAIGN
TOTAL NO.
OF
GRADUATES

Furthermore the following are provided in partnership with (CSO, Name of Faith-Based
Organization, Name of Private Sector):

● Type of Livelihood/Employment – Name of CSO/Faith-Based Organization/Private Sector

All information stated herein and the attachments are accurate, correct, and complete in
accordance with the Republic of the Philippines' relevant laws, rules, and regulations.

Any misrepresentation made in this document or any of its attachments shall be subjected to
proper administrative action.

Issued this ___ day of ____, ____ at ___________________________________________

Prepared by:

SIGNATURE OVER PRINTED NAME

City/Municipality CBDRP Focal Person

Approved by:

SIGNATURE OVER PRINTED NAME

Local Chief Executive (LCE)