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Certificate of Indegency

The document contains various certifications issued by the Office of the Punong Barangay in Barangay New Culasi, Pigcawayan, Cotabato, certifying individuals as indigent residents for purposes such as medical and financial assistance. It also includes permits for events and authorizations for blood withdrawal. Each certification is signed by Antonio S. Rafael, the Punong Barangay, and includes specific details about the individuals and their requests.

Uploaded by

Barangay Culasi
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

Topics covered

  • Civic Responsibility,
  • Vehicular Accident Reports,
  • Community Engagement,
  • Community Identity,
  • Social Cohesion,
  • Community Welfare,
  • Indigency,
  • Blood Donation Authorization,
  • Barangay Kagawad,
  • Crisis Intervention
0% found this document useful (0 votes)
56 views22 pages

Certificate of Indegency

The document contains various certifications issued by the Office of the Punong Barangay in Barangay New Culasi, Pigcawayan, Cotabato, certifying individuals as indigent residents for purposes such as medical and financial assistance. It also includes permits for events and authorizations for blood withdrawal. Each certification is signed by Antonio S. Rafael, the Punong Barangay, and includes specific details about the individuals and their requests.

Uploaded by

Barangay Culasi
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

Topics covered

  • Civic Responsibility,
  • Vehicular Accident Reports,
  • Community Engagement,
  • Community Identity,
  • Social Cohesion,
  • Community Welfare,
  • Indigency,
  • Blood Donation Authorization,
  • Barangay Kagawad,
  • Crisis Intervention

Republic of the Philippines

Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

BARANGAY INDIGENCY
TO WHOM IT MAY CONCERN:

This is to certify that MR. ALBERT LOYD HECHANOVA, of legal age, married
and a bonafide resident of Barangay New Culasi, Pigcawayan, Cotabato.

Certifying further that MR. ALBERT LOYD HECHANOVA , belongs to the


indigent family Category asking for Medical Assistance for his Wife MRS. GEMMA LYN
B. ESTOQUIA

This certification is hereby issued to client, in support to his ardent request for
whatever legal purpose/s it may serve her best.

Issued this _3RD day of July, 2025 at Barangay New Culasi, Pigcawayan,
Cotabato.

ANTONIO S. RAFAEL
Punong Barangay

Do not accept without dry seal


Republic of the Philippines
Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

BARANGAY INDIGENCY
TO WHOM IT MAY CONCERN:

This is to certify that MS. MIKA D. RAFAEL, of legal age, single and a bonafide
resident of Barangay New Culasi, Pigcawayan, Cotabato.

Certifying further that MS. MIKA D. RAFAEL, belongs to the indigent family
Category.

This certification is hereby issued to client in support to his ardent request for
Financial Assistance.

Issued this 16th day of May, 2025 at Barangay New Culasi, Pigcawayan,
Cotabato.

ANTONIO S. RAFAEL
Punong Barangay

Do not accept without seal

Republic of the Philippines


Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

BARANGAY INDIGENCY
TO WHOM IT MAY CONCERN:
This is to certify that MRS. LEONOR C. DELOS SANTOS, of legal age, married
and a bonafide resident of Barangay New Culasi, Pigcawayan, Cotabato.

Certifying further that MRS. LEONOR C. DELOS SANTOS, belongs to the


indigent family Category.

This certification is hereby issued to client , in support to his ardent request for
Medical Assistance in Assistance to Crisis Intervention Unit (CIU).

Issued this 26th day of May, 2025 at Barangay New Culasi, Pigcawayan,
Cotabato.

ANTONIO S. RAFAEL
Punong Barangay

Do not accept without seal

Republic of the Philippines


Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

INDIGENCY
TO WHOM IT MAY CONCERN:

This is to certify that MR. MICHAEL C. MABAYO, of legal age, married and a
bonafide resident of Barangay New Culasi, Pigcawayan, Cotabato.

Certifying further that MR. MICHAEL C. MABAYO, belongs to the indigent family
Category.

This certification is hereby issued to client , in support to his ardent request for
Medical Assistance in Assistance to Crisis Intervention Unit (CIU).

Issued this 2nd day of May, 2025 at Barangay New Culasi, Pigcawayan,
Cotabato.
ANTONIO S. RAFAEL
Punong Barangay

Do not accept without seal

Republic of the Philippines


Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

CERTIFICATE INDIGENCY/NEEDY
TO WHOM IT MAY CONCERN:

This is to certify that MR. ALEJANDRO S. CARDOZA , of legal age, married and
a bonafide resident of Barangay New Culasi, Pigcawayan, Cotabato, belongs to an
INDIGENT families as per MBN survey conducted by this office.

This certification is hereby issued upon the request of the above-mentioned


name for the FINANCIAL ASSISTANCE .

Issued this 21ST day of April, 2025 at Barangay New Culasi, Pigcawayan,
Cotabato.

ANTONIO S. RAFAEL
Punong Barangay
Republic of the Philippines
Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

BARANGAY INDIGENCY
TO WHOM IT MAY CONCERN:

This is to certify that MRS. RECHEL D. ATUNDUCAN , of legal age, married


and a bonafide resident of Barangay New Culasi, Pigcawayan, Cotabato.

Certifying further that MRS. RECHEL D. ATUNDUCAN , belongs to the indigent


family Category asking for Medical Assistance for his mother MRS. LEONOR C.
DELOS SANTOS .

This certification is hereby issued to client , in support to his ardent request for
Medical Assistance in Assistance to individual in Crisis Situation (AICS).

Issued this _26TH day of May, 2025 at Barangay New Culasi, Pigcawayan,
Cotabato.

ANTONIO S. RAFAEL
Punong Barangay
Republic of the Philippines
Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

PERMIT
This is to allow FILARO FAMILY to conduct Family Reunion on April 26-27, 2025 at Barangay
Covered Court, New Culasi , Pigcawayan, Cotabato.

Issued this 21st day of April, 2025 at Barangay New Culasi, Pigcawayan, Cotabato.

ANTONIO S. RAFAEL
Punong Barangay

Republic of the Philippines


Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF INDIGENCE
TO WHOM IT MAY CONCERN:

This is to certify that MR. DIONESIO G. CULLAMAT JR, of legal age, married
and a bonafide resident of Barangay New Culasi, Pigcawayan, Cotabato.

Certifying further that MR. DIONESIO G. CULLAMAT JR, belongs to the indigent
family Category.

This certification is hereby issued to client , in support to his ardent request for
AFP ID APPLICATION FORM DEPENDENT.

Issued this 7TH day of May, 2025 at Barangay New Culasi, Pigcawayan,
Cotabato.

ANTONIO S. RAFAEL
Punong Barangay

Do not accept without seal


Republic of the Philippines
Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

BLOTTER NO: 67
DATE: JUNE 11, 2025

Mr. Danilo A. Martizano, Barangay Tanod, a bonafide resident of Barangay New Culasi,
Pigcawayan, Cotabato, blotter in this office regarding the Vehicular Accident this day Of
May 1, 2025 at around 7:00 o’clock in the morning, in front of Barangay Hall New
Culasi, Pigcawayan, Cotabato, the driver of Motorcycle is Mr. Arjie Robles Jagonob, 18
years old , and Mrs. Diana E. Mentoy , was hit by his motorcycle BAJAJ CT 100 with
OR NO: 227116854, CR NO: 45945536-0.

Blotter By:

MR. DANILO A. MARTIZANO


Barangay Tanod

Received By: Noted By:

JENNIFER J. MARTIZANO ANTONIO S. RAFAEL


Barangay Secretary Punong Barangay

Republic of the Philippines


Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

BARANGAY INDIGENCY
TO WHOM IT MAY CONCERN:

This is to certify that MR. EDGAR SURTIDA, of legal age, married and a
bonafide resident of Barangay New Culasi, Pigcawayan, Cotabato.

Certifying further that MR. EDGAR SURTIDA, belongs to the indigent family
Category asking for Medical Assistance for her sister in law MRS. MARICEL D.
MANGGA.

This certification is hereby issued to client, in support to his ardent request for
Assistance to Individuals In Crisis Situation (AICS).

Issued this _7TH day of May, 2025 at Barangay New Culasi, Pigcawayan,
Cotabato.

ANTONIO S. RAFAEL
Punong Barangay

For the authority of Punong Barangay

ABDULLAH T. BAGUA
On Duty Barangay Kagawad

Do not accept without seal


Republic of the Philippines
Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

Authorization
TO WHOM IT MAY CONCERN:

This is to authorize that MS. MADELINE P. EMPERADO, of legal age, single


and a bonafide resident of Barangay New Culasi, Pigcawayan, Cotabato.

Certifying further that MS. MADELINE P. EMPERDAO, is authorize to


withdraw/process the three (3) bags “ O” positive blood for patient Mary Grace C.
Emperado, who admitted at Dr. Ramon Pesante Clinic and Hoapital , Inc. Poblacion,
Libungan, North Cotabato

Issued this _30th day of May, 2025 at Barangay New Culasi, Pigcawayan,
Cotabato.

ANTONIO S. RAFAEL
Punong Barangay

Do not accept without seal

Republic of the Philippines


Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

Authority to Withdraw
TO WHOM IT MAY CONCERN:

This is to authorize that MS. MADELINE P. EMPERADO, of legal age, single


and a bonafide resident of Barangay New Culasi, Pigcawayan, Cotabato, authorize to
withdraw from our stock at Cotabato Regional Center , Three (3 (bags) Blood type “O”
positive for Patient Mary Grace C. Emperado, who admitted at Dr. Ramon Pesante
Clinic and Hoapital , Inc. Poblacion, Libungan, North Cotabato.

Issued this _30th day of May, 2025 at Barangay New Culasi, Pigcawayan, Cotabato.

ANTONIO S. RAFAEL
Punong Barangay

Do not accept without seal

Republic of the Philippines


Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

BARANGAY CERTICATION
TO WHOM IT MAY CONCERN:

This is to Certify that MR. ABEALRDO L. FERNANDEZ, of legal age, married,


a bonafide resident of Barangay New Culasi, Pigcawayan, North Cotabato is
known to me and known to be a good moral character.

Certifying further that Mrs. Abelardo L. Fernandez, owner of One (1)


Hectare Corn Field located at Barangay New Culasi, Pigcawayan, Cotabato.

This certification is being issued upon the request of the above-named


to support for RSBSA application.

Given this 18th day of June, 2025 at Barangay New Culasi, Pigcawayan, North
Cotabato.

ANTONIO S. RAFAEL
Punong Barangay
Republic of the Philippines
Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

BARANGAY INDIGENCY
TO WHOM IT MAY CONCERN:

This is to certify that MR.DONDON B. AMPAN, of legal age, married and a


bonafide resident of Barangay New Culasi, Pigcawayan, Cotabato.

Certifying further that MR, DONDON B. AMPAN belongs to the indigent family
Category.

This certification is hereby issued to client , in support to his ardent request for
PHILHEALTH.

Issued this 9th day of June, 2025 at Barangay New Culasi, Pigcawayan,
Cotabato.

ANTONIO S. RAFAEL
Punong Barangay

Republic of the Philippines


Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY
PERMIT
TO WHOM IT MAY CONCERN:

This is to allow MR. JETRIEL LOUIE D. CANJA, of legal age, married and a
bonafide resident of Barangay New Culasi, Pigcawayan, Cotabato.

Certifying further that MR. JETRIEL LOUIE D. CANJA, owner of Seven (7)
heads live pigs, has no symptoms of African Swine Fever (ASF).

This permit is hereby issued to client , for whatever legal purpose/s it may serve
him best.

Issued this 10th day of June, 2025 at Barangay New Culasi, Pigcawayan,
Cotabato.

ANTONIO S. RAFAEL
Punong Barangay

Do not accept without seal

Republic of the Philippines


Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

BARANGAY CERTIFICATION
TO WHOM IT MAY CONCERN:

This is to Certify that MS. VIRGINIA MOBUAYAEN ROCA , of legal age,


widow, a bonafide resident of Barangay New Culasi, Pigcawayan, North
Cotabato for almost one (1) year.

Certifying further that MS. VIRIGINIA MOBUAYAEN ROCA, born on


August 14, 1945 at the age of 79 years old.

This certification is being issued upon the request of the above-named


to support for whatever legal Purpose/s it may serve.
Given this 16th day of June, 2025 at Barangay New Culasi, Pigcawayan,
North Cotabato.

ANTONIO S. RAFAEL
Punong Barangay

Republic of the Philippines


Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF RESIDENCY
TO WHOM IT MAY CONCERN:

This is to Certify that MR. MELVIN DAVIN DELACRUZ, of legal age, married,
and whose name signature below and Ten (10) years residing her at Barangay
New Culasi, Pigcawayan, North Cotabato is known to me and known to be a good
moral character.

That said person has no pending criminal or civil case filed against her/him
pursuant to Katarungang Pambarangay Law as per records in this office.

This certification is being issued upon the request of the above-named


to support for Late Registration of his birth Certificate .

Given this 18th day of June, 2025 at Barangay New Culasi, Pigcawayan, North
Cotabato.

ANTONIO S. RAFAEL
Punong Barangay
AGREEMENT SAPAG RENTA SA LUPA

Ako si, Rita F. Varon,sa saktong edad, widow, kag residente sang Barangay New Culasi,
Pigcawayan, Cotabato, Philippines, nga tag iya sa lupa nga ara sa Barangay New Culasi,
Pigcawayan, Cotabato.

Ang amo nga lupa rentahan sa SCP CONSTRUCTION nga gipanag iyahan ni ENGR. SERGIO
C. PASCUAL, sa saktong edad, may asawa kag naga istar sa Km.2 Doongan Road, Barangay
Bayanihan, Butuan City para patindugan sa ilang CAMP SITE
(Bunkhouse/Office/Bodega/Batching) og kami nagkasugot nga ila kini rentahan sulod sa
DUHA KATUIG ( 2 YEARS) sa kantidad nga ONE HUNDRED FORTY FOUR THOUSAND
(PHP 144,000.00) PESOS ONLY PHILIPPINE CURRENCY. Apil ang ilang duha (2) ka balay.
Ang petsa sap ag renta mag umpisa karon nga adlaw June 18, 2025.
Kung dili matapos ang project sila maga padayon sapag renta sa lupa hantod matapos ang
project kag kung mahuman ang project katong ma improve nila ilang ibilin nalang sa tag-iya sa
lupa.

Kini amon paga permahan sapag pamatu-od nga kami nagkasugot sa amo nga agreement
karong ika 18 sang Hunyo, 2025 diri sa Barangay Hall, New Culasi, Pigcawayan, Cotabato.

RITA F. VARON SCP CONSTRUCTION


Tag iya sa lupa
By:

ALBERTO M. BUENAVIDES
Operation Manager / SCP Construc
Witnesses:

1. Emy V. Elmido

2. Ceferino Rod A. Guillermo

Signed by :

ANTONIO S. RAFAEL
Punong Barangay
Republic of the Philippines
Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

BARANGAY CLEARANCE
TO WHOM IT MAY CONCERN:

This is to certify that MR. JUSTINE C. MARTIZANO, of legal age, single/


married, a bonafide resident of Barangay New Culasi, Pigcawayan, Cotabato. Is a
person whose integrity and reputation is beyond reproach. The said person is a law
abiding citizen and with GOOD MORAL CHARACTER, has not been neither involve in
any crime moral turpitude nor has any pending case or derogatory record in this
Barangay.

This certification is being issued upon the request of the above-named to


support for application for SCHOOL REQUIREMENTS.

Done this 19TH day of June ,2025 at Barangay New Culasi, Pigcawayan, Cotabato.

ANTONIO S. RAFAEL
Punong Barangay
Republic of the Philippines
Region XII
Province Of Cotabato
Municipality Of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY
---------------------------------------------------------------------------------------------------------------------

BARANGAY CERTIFICATION
TO WHOM IT MAY CONCERN:
This is to certify that MRS. ANITA BANDOY BOSTON, single/ widow, a bonafide
resident of Barangay New Culasi, Pigcawayan,Cotabato. Is a person whose integrity
and reputation is beyond reproach. The said person is a law abiding citizen and with
GOOD MORAL CHARACTER, has not been neither involve in any crime moral
turpitude nor has any pending case or derogatory record in this Barangay.

Certifying further that Mrs. Anita Bandoy Boston, is still alive.

This certification is being issued upon the request of the name stated above for
Senior Citizen Requirements and for whatever legal purposes it may serve him/her
best.

Issued this 15th day Of May , 2025 at Barangay New Culasi, Pigcawayan, Cotabato.

ANTONIO S. RAFAEL
Punong Barangay
PAID UNDER:

OR NO: 3622928
DATE ISSUED: 5/15/2025
PLACE ISSUED:BTO-NEW CULASI

Republic of the Philippines


Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY

BLOTTER NO: 67
DATE: JUNE 11, 2025

Mrs. Mildred Delos Santos Salvador , married, a bonafide resident of Barangay New
Culasi, Pigcawayan, Cotabato, blotter in this office regarding the Vehicular Accident this
day on June 11, 2025, at around 4:00 a.m., in front El Salvador View of South
Manuangan, Pigcawayan, Cotabato, the driver of Motorcycle is Mr. Eleazer Salvador,
31 years old , with his back ride Mr. Joseph Filaro Salvador, of BAJAJ CT 100 with
OR NO: 2213769692, CR NO: 440735411.

Blotter By:

MRS. MILDRED D. SALVADOR

Received By: Noted By:

JENNIFER J. MARTIZANO ANTONIO S. RAFAEL


Barangay Secretary Punong Barangay

Republic of the Philippines


Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay South Manuangan
OFFICE OF THE PUNONG BARANGAY

BLOTTER NO: 03 DATE REPORTED: June 23, 2025 @ 9:33 a.m.

Complainant: Mrs. Leonor C. Delos Santos

Address: New Culasi, Pigcawayan, Cotabato

Subject: Vehicular Accident Report

1. Last May 31, 2025 at 9:00 a.m., a Vehicular Accident occurred along South
Manuangan, Pigcawayan, Cotabato. Involving BAJAJ CT 100 with plate No. MA
41103.

2. BAJAJ CT 100 was travelling at a high speed, and the driver declared lost break
and crashed into a rock. Mrs. Leonor C. Delos Santos fell and hit a rock on
shoulder resulting in a fractured shoulder.

3. CASUALTIES AND INJURIES

 The Driver of BAJAJ CT 100, identified as Mr. Allan S. Condez, was without
Injury and had Driver’s License.
.
 The Back Ride, Identified as Mrs. Leonor C. Delos Santos, sustained a minor
injury and was taken to the hospital

Purpose: for barangay record purposes and for CARD Claims.

Complainant

RODRIGO V. O ÑAS
Punong Barangay

By the Authority of the Punong Barangay:

EDUARDE C. CALVE
On Duty/ Barangay Kagawad

Republic of the Philippines


Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF THE PUNONG BARANGAY
BARANGAY CERTIFICATION
TO WHOM IT MAY CONCERN:

This is to certify that MS. BEA MACAYA CALAMBRO, born on April 25, 2019,
at Barangay New Culasi, Pigcawayan, Cotabato, is the first (1) child of Mrs. Lylanie
Silungan Macaya and Mr. Ricky Cabaya Calambro.

This certification is hereby issued to the client in support to her

ardent request for school requirements.

Issued this _3rd day of July , 2025 at Barangay New Culasi, Pigcawayan,
Cotabato.

ANTONIO S. RAFAEL
Punong Barangay
Republic of the Philippines
Region XII
Province of Cotabato
Municipality of Pigcawayan
Barangay New Culasi
OFFICE OF KALIPI ASSOCIATION

EXCERPTS FROM THE MINUTES OF THE MONTHLY REGULAR SESSION OF KALIPI ASSOCIATION, NEW
CULASI, PIGCAWAYAN, COTABATO HELD AT BARANGAY COVERED COURT ON MARCH __2024.

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