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Residency and Indigency Request Form

The document consists of multiple request forms for various certifications including Certificate of Residency, Certificate of Indigency, Barangay Clearance, and other certifications. Each form requires personal information such as name, age, birthday, civil status, gender, and purpose of the request. The layout is repetitive, indicating a template for multiple submissions.

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brgy.monpon2021
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23 views6 pages

Residency and Indigency Request Form

The document consists of multiple request forms for various certifications including Certificate of Residency, Certificate of Indigency, Barangay Clearance, and other certifications. Each form requires personal information such as name, age, birthday, civil status, gender, and purpose of the request. The layout is repetitive, indicating a template for multiple submissions.

Uploaded by

brgy.monpon2021
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

REQUEST FORM REQUEST FORM

Date: Date:
Certificate of Residency Certificate of Residency
Certificate of Indigency Certificate of Indigency
Barangay Clearance Barangay Clearance
Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: GENDER: CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:

REQUEST FORM REQUEST FORM


Date: Date:
Certificate of Residency Certificate of Residency
Certificate of Indigency Certificate of Indigency
Barangay Clearance Barangay Clearance
Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: GENDER: CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:

REQUEST FORM REQUEST FORM


Date: Date:
Certificate of Residency Certificate of Residency
Certificate of Indigency Certificate of Indigency
Barangay Clearance Barangay Clearance
Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: GENDER: CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:

REQUEST FORM REQUEST FORM


Date: Date:
Certificate of Residency Certificate of Residency
Certificate of Indigency Certificate of Indigency
Barangay Clearance Barangay Clearance
Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: GENDER: CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:
REQUEST FORM REQUEST FORM
Certificate of Residency Certificate of Residency
Certificate of Indigency Certificate of Indigency
Barangay Clearance Barangay Clearance
Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: G CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:

REQUEST FORM REQUEST FORM

Certificate of Residency Certificate of Residency


Certificate of Indigency Certificate of Indigency
Barangay Clearance Barangay Clearance
Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: G CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:

REQUEST FORM REQUEST FORM

Certificate of Residency Certificate of Residency


Certificate of Indigency Certificate of Indigency
Barangay Clearance Barangay Clearance
Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: G CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:

REQUEST FORM REQUEST FORM

Certificate of Residency Certificate of Residency


Certificate of Indigency Certificate of Indigency
Barangay Clearance Barangay Clearance
Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: G CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:
REQUEST FORM REQUEST FORM
Date: Date:
Certificate of Residency Certificate of Residency

Certificate of Indigency Certificate of Indigency

Barangay Clearance Barangay Clearance

Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: GENDER: CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:

REQUEST FORM REQUEST FORM


Date: Date:
Certificate of Residency Certificate of Residency

Certificate of Indigency Certificate of Indigency

Barangay Clearance Barangay Clearance

Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: GENDER: CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:

REQUEST FORM REQUEST FORM


Date: Date:
Certificate of Residency Certificate of Residency

Certificate of Indigency Certificate of Indigency

Barangay Clearance Barangay Clearance

Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: GENDER: CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:

REQUEST FORM REQUEST FORM


Date: Date:
Certificate of Residency Certificate of Residency

Certificate of Indigency Certificate of Indigency


Barangay Clearance Barangay Clearance

Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: GENDER: CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:
REQUEST FORM REQUEST FORM
Certificate of Residency Certificate of Residency

Certificate of Indigency Certificate of Indigency

Barangay Clearance Barangay Clearance

Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: G CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:

REQUEST FORM REQUEST FORM

Certificate of Residency Certificate of Residency

Certificate of Indigency Certificate of Indigency

Barangay Clearance Barangay Clearance

Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: G CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:

REQUEST FORM REQUEST FORM

Certificate of Residency Certificate of Residency

Certificate of Indigency Certificate of Indigency

Barangay Clearance Barangay Clearance

Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: G CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:

REQUEST FORM REQUEST FORM

Certificate of Residency Certificate of Residency

Certificate of Indigency Certificate of Indigency


Barangay Clearance Barangay Clearance

Certification: Certification:

NAME: NAME:

AGE: AGE:

BIRTHDAY: BIRTHDAY:

CIVIL STATUS: G CIVIL STATUS: GENDER:

PURPOSE: PURPOSE:

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