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Barangay Clearance Certificate Sample

This document is a barangay clearance from the Barangay Officials of Ajong, Sibulan, Negros Oriental, Philippines. It certifies that Mrs. Mary Grace E. Capanay has no pending cases or negative records in the barangay office. It also confirms she is of good moral character and fit to work. The barangay clearance is valid for six months from November 12, 2023.

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235 views1 page

Barangay Clearance Certificate Sample

This document is a barangay clearance from the Barangay Officials of Ajong, Sibulan, Negros Oriental, Philippines. It certifies that Mrs. Mary Grace E. Capanay has no pending cases or negative records in the barangay office. It also confirms she is of good moral character and fit to work. The barangay clearance is valid for six months from November 12, 2023.

Uploaded by

gracey.caps
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Barangay Clearance

Republic of the Philippines

Province of Negros Oriental


BARANGAY OFFICIALS
Municipality of Sibulan
BARANGAY AJONG
HON. NELSON C. CAPANAY
Punong Barangay OFFICE OF THE PUNONG BARANGAY

HON. JERVIS LAUDE BARANGAY CLEARANCE


Barangay Kagawad
TO WHOM IT MAY CONCERN:

HON. REYNYL LADO This is to certify that MRS. MARY GRACE E. CAPANAY, of
Barangay Kagawad legal age, married, with residence and postal address at Purok 2, Ajong
Sibulan, Negros Oriental has neither pending case nor derogatory records
filed in this office.
HON. ROY O. DRILON
Barangay Kagawad
This further certifies that the above-named person is known by me to
be of good moral character, peace-loving and civic-minded citizen and is
HON. CARIDAD D. MAPUTI physically fit to work.
Barangay Kagawad
This certification is issued to MRS. CAPANAY for whatever legal
purpose/s this may serve him/her best. This certification is valid for six (6)
HON. RICKY A. ALEGRIA months from the date of issuance.
Barangay Kagawad
Issued this 12 th day of November 2023 at Ajong, Sibulan, Negros
Oriental, Philippines.
HON. ROBERT Y. NAVARRO
Barangay Kagawad

HON. TEDDY BALBUENA ___________________________


Barangay Kagawad HON. NELSON C. CAPANAY
Punong Barangay

HON. JUNMARK DEQUITO


SK Chairman

MRS. MARIVIC A. PELICANO


Barangay Secretary Specimen Signature of Applicant:

MR. RESTITUTO B. ARANAS ________________________


Barangay Treasurer
CTC No: _______________
Issued on: ______________
Issued at: _______________

BARANGAY OFFICIALS HON. NELSON C. CAPANAY Punong Barangay HON. JERVIS LAUDE Barangay Kagawad HON. REYNYL LADO Barangay Kagawa

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