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Barangay Indigency Form 2

This certificate certifies that an individual named belongs to an indigent family below the poverty line and is a resident of a specific barangay. The certificate was issued to provide assistance for medical care, finances, education, burial costs, employment, or general purposes. It was signed by the Punong Barangay on a specified date in 2023 in Iba, Zambales.

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Jonas Quilantip
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3K views

Barangay Indigency Form 2

This certificate certifies that an individual named belongs to an indigent family below the poverty line and is a resident of a specific barangay. The certificate was issued to provide assistance for medical care, finances, education, burial costs, employment, or general purposes. It was signed by the Punong Barangay on a specified date in 2023 in Iba, Zambales.

Uploaded by

Jonas Quilantip
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
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OFFICE OF THE PUNONG BARANGAY

Certificate of Indigence
This is to certify that __________________________________________________ of legal
age, is a resident of Barangay ______________________________.

Further certifies that he/she belongs to an indigent family which has proven to be below the
poverty line.

This certification is issued upon request for availing of:

 Medical Assistance
 Financial Assistance
 Educational Assistance
 Burial Assistance
 Employment Assistance
 General Purpose

and for whatever legal matters it may serve best.

Issued this __________ day of _________________, 2023 at Barangay


San Agustin, Iba, Zambales.

___________________________________
Punong Barangay

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