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Barangay Clearance Request Form

The document is a request form for barangay clearance and certificate of residency, requiring the presentation of a valid ID and latest cedula. It includes fields for personal information such as name, birthdate, address, educational attainment, and purpose of the request. The form is repeated multiple times, indicating its importance for various certifications.

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Jan Ysrael Gonzales
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22 views1 page

Barangay Clearance Request Form

The document is a request form for barangay clearance and certificate of residency, requiring the presentation of a valid ID and latest cedula. It includes fields for personal information such as name, birthdate, address, educational attainment, and purpose of the request. The form is repeated multiple times, indicating its importance for various certifications.

Uploaded by

Jan Ysrael Gonzales
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

PLEASE PRESENT ANY VALID I.

D LATEST CEDULA FOR BARANGAY CLEARANCE AND CERTIFICATE OF RESIDENCY

REQUEST FORM: CLEARANCE CERTIFICATIONS CERTIFICATE OF RESIDENCY INDIGENCY FTJS

DATE: __________________ CODE: NO. __________________

NAME: _______________________________________________________ BIRTHDATE:______________________

ADDRESS______________________________________________________ AGE :_______ SEX: _____________

EDUCATIONAL ATTAINMENT: ____________________________ COURSE: _________________________________

YEARS AND MONTHS AS RESIDENT: ________YEAR/S __________MONTH/S CONTACT NO. : _____________________

PURPOSE : __________________________

PLEASE PRESENT ANY VALID I.D LATEST CEDULA FOR BARANGAY CLEARANCE AND CERTIFICATE OF RESIDENCY

REQUEST FORM: CLEARANCE CERTIFICATIONS CERTIFICATE OF RESIDENCY INDIGENCY FTJS

DATE: __________________ CODE: NO. __________________

NAME: _______________________________________________________ BIRTHDATE:______________________

ADDRESS______________________________________________________ AGE :___________ SEX: _____________

EDUCATIONAL ATTAINMENT: ____________________________ COURSE: _________________________________

YEARS AND MONTHS AS RESIDENT: ________YEAR/S __________MONTH/S CONTACT NO. : _____________________

PURPOSE : __________________________

PLEASE PRESENT ANY VALID I.D LATEST CEDULA FOR BARANGAY CLEARANCE AND CERTIFICATE OF RESIDENCY

REQUEST FORM: CLEARANCE CERTIFICATIONS CERTIFICATE OF RESIDENCY INDIGENCY FTJS

DATE: __________________ CODE: NO. __________________

NAME: _______________________________________________________ BIRTHDATE:______________________

ADDRESS______________________________________________________ AGE :___________ SEX: _____________

EDUCATIONAL ATTAINMENT: ____________________________ COURSE: _________________________________

YEARS AND MONTHS AS RESIDENT: ________YEAR/S __________MONTH/S CONTACT NO. : _____________________

PURPOSE : __________________________

PLEASE PRESENT ANY VALID I.D LATEST CEDULA FOR BARANGAY CLEARANCE AND CERTIFICATE OF RESIDENCY

REQUEST FORM: CLEARANCE CERTIFICATIONS CERTIFICATE OF RESIDENCY INDIGENCY FTJS

DATE: __________________ CODE: NO. __________________

NAME: _______________________________________________________ BIRTHDATE:______________________

ADDRESS______________________________________________________ AGE :________ SEX: _____________

EDUCATIONAL ATTAINMENT: ____________________________ COURSE: _________________________________

YEARS AND MONTHS AS RESIDENT: ________YEAR/S __________MONTH/S CONTACT NO. : _____________________

PURPOSE : __________________________

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