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Republic of the Philippines

Province of Batangas
Municipality of San Pascual

BARANGAY KAINGIN

Office of Sangguniang Barangay


Email add: barangaykaingin@gmail.com

Hon. Maria Corazon A.


Garcia
Barangay Chairperson BARANGAY CLEARANCE
Barangay Councilor TO WHOM THIS MAY CONCERN:

Hon. Vivencio A. Dilao This is to certify that Mr./Ms./Mrs.


____________________________, ______ years old,
Hon. Eladia M. Vargas single/ married / widowed to
_________________________ and whose signature
Hon. Analyn D. Garcia
appears below is a Filipino citizen, a resident of this
Barangay and personally known to be a law abiding
Hon. Florentina A. Aguila
citizen and has good moral character. That of my
Hon. Romeo C. Cantos
own knowledge, he / she has not committed / been
involved in any kind of unlawful activities in this
Hon. Ofelia G. Dilao Barangay.

Issued this ____th day of December, 2021 for


Hon. Richard R. Rosales
_______________________________ purposes.
Hon. Mc Ervin D. Rosales
SK Chairman

Monaliza R. Gasmen Maria Corazon A.


Brgy. Secretary Garcia
Barangay Chairperson
Venus G. Sumadsad
Brgy. Treasurer
______________________
Signature of Applicant

Right Thumb Mark

NOTE: Valid only for six (6) months from the date of issue. Not valid without dry seal.

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