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BARANGAY CLEARANCE

TO WHOM IT MAY CONCERN: This is to certify that _____________________________, of legal age, male/female/ single/married/widow/widower with residence and postal address at Barangay Pangandaman Pantao, Masiu, Lanao del Sur has no derogatory record filed in our Barangay Office. The above-named individual who is a bonafide resident of this barangay is a person of good moral character, peace-loving and civic minded citizen. This certification/clearance is hereby issued in connection with the subjects application for _____________________ and for whatever legal purpose it may serve her/his best, and is valid for six (6) months from the date issued. Given this ______________, ____________________20___.

HAMIM PANGANDAMAN SALIMBO Barangay Chairman

__________________________ Specimen Signature of Applicant CTC No.________________ Issued at _______________ Issued on ______________