CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to CERTIFY that MR./MRS./MS. ___________________________, of legal

age, single/married/widow and presently residing at Purok ___________________,
Barangay Sinaman, Dipolog City.

This is to CERTIFY FURTHER, that the above described person is one of the many
member of Pantawid Pamilyang Pilipino Program (4P’s) and that his/her son/daughter,
______________________________________________________ is currently a pupil at
_______________________________, ____________ Dipolog City.

This CERTIFICATION is issued this _____ day of __________________, 2024 at

the office of the Punong Barangay Sinaman, Dipolog City. Upon the request of the above-
mentioned for 4P’s membership updating.

HON. NORA S. DALMACIO

Punong Barangay

Not valid without seal