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Barangay Clearance Certificate Sample

This document is a Barangay Clearance Certificate issued by the Office of the Punong Barangay in Tarangnan, Samar, certifying that Rodolfo Mañoza Jr. has no criminal record and is a law-abiding citizen. The certificate includes personal details such as age, citizenship, and length of stay. It was issued on March 15, 2023, and is valid until August 30, 2023, with a certification fee of ₱ 50.00.

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53 views1 page

Barangay Clearance Certificate Sample

This document is a Barangay Clearance Certificate issued by the Office of the Punong Barangay in Tarangnan, Samar, certifying that Rodolfo Mañoza Jr. has no criminal record and is a law-abiding citizen. The certificate includes personal details such as age, citizenship, and length of stay. It was issued on March 15, 2023, and is valid until August 30, 2023, with a certification fee of ₱ 50.00.

Uploaded by

bpoblacione
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

Republic of the Philippines

Province of Samar
Municipality of Tarangnan
BARANGAY POBLACION E.
OFFICE OF THE PUNONG BARANGAY

SANGGUNIANG BARANGAY Date Issued: MARCH 15, 2023


MEMBERS :
HON. ELEUTERIO T. TO WHOM IT MAY CONCERN:
ENARSICO
Punong Barangay
THIS IS TO CERTIFY that the person whose name, signature
and thumb marks appear here on request from this barangay and
the result is are follow.

NAME: ORDOÑEZ RODOLFO MAÑOZA JR.


(LAST NAME) (FIRST NAME) (MIDDLE NAME)
HON. FORTUNATO P. CARCILLAR (EXT.)

JR.
AGE: 19 yrs. old CITIZENSHIP: FILIPINO
HON. NORA T. DE LEON
HON. NOEL N. CASTILLO GENDER: MALE CIVIL STATUS: SINGLE

HON. ERIC M. SOLAYAO LENGTH OF STAY: 2 year/s or up to present


HON. PRISCILA D. REBALLOS
THUMBMARK’S:
HON. DIONESIO J. DALORAYA
LEFT THUMBMARK RIGHT THUMBMARK
HON. RONNIE A. REBALLOS
HON. RENATO A. TAN JR.
SK Chairman
MR. JOSELITO T. LACIONERO
Barangay Secretary
MISS. RUTCHEL G. HEK
Barangay Treasurer

REMARKS:
NOT VALID IF
WITHOUT OFFICIAL The above-mentioned name has no criminal record nor
DRYSEAL any complaint filed against him/her in the Lupon Tagapamayapa
and he/she is known to me as a person has a moral character and
Law- Abiding citizen of this Barangay.

Processed by:
RODOLFO M. ORDOÑEZ JR.
Applicants signature over printed name JOSELITO T. LACIONERO
Barangay Vali
Control Number: BPE-2023-03-15-001 Secretary dated and Approved by:
CERTIFICATION FEE: ₱ 50.00.oo
DATE EXPIRED: AUGUST 30, 2023
ELEUTERIO T. ENARSICO
Punong Barangay
BARANGAY CLEARANCE CERTIFICATE

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