Republic of the Philippines

Province of Surigao del Norte

Municipality of Pilar

Barangay Caridad

OFFICE OF THE BARANGAY CAPTAIN

BARANGAY CLEARANCE

TO WHOM IT MAY CONCERN:

This is to certify that DINO M. ESCATRON , 23 years old, and the resident of Barangay
Caridad, Pilar, Surigao del Norte is known to be good moral character and law-abiding citizen in
the community.

To certify further, that he/she has no derogatory and/or criminal records filed in this
barangay.

ISSUED this 4th day of August, 2027 at Barangay Caridad, Pilar, Surigao del Norte upon
request of the interested party for whatever legal purpose it may serve.

TERESO P.
RAVELO
Barangay Captain
O.R No.
Date: August 10, 2027
Doc. Stamp: Paid