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DSWD SB GF 091 - REV 01 - Sample Barangay Certification

This document is a sample barangay certification. It certifies that an individual named is a legal resident of a specific barangay. The purpose of the certification is to support the individual's application for a solicitation permit related to disaster relief or emergency charitable activities to help targeted beneficiaries. The barangay chairman signs and dates the certification, which includes the barangay name and date it was issued.

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Ronnie Manao
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717 views

DSWD SB GF 091 - REV 01 - Sample Barangay Certification

This document is a sample barangay certification. It certifies that an individual named is a legal resident of a specific barangay. The purpose of the certification is to support the individual's application for a solicitation permit related to disaster relief or emergency charitable activities to help targeted beneficiaries. The barangay chairman signs and dates the certification, which includes the barangay name and date it was issued.

Uploaded by

Ronnie Manao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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DSWD-SB-GF-091 | REV 01 | 03 OCT 2022

Annex 13: Sample Barangay Certification

BARANGAY CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that _______________________of legal age is a certified resident of this


(Name of Person/Individual)
Barangay and the specific purpose of securing the Endorsement or Certification is in
relation for his/her application for solicitation permit along charitable or public welfare
purposes for targeted beneficiaries, related to the Disaster Situations/State of National
Emergency or Calamity

This certification is being issued upon the request of the above-named person for the
purpose/s stated above.

Issued this __________ of _______________ 20___, at Barangay ____________

___________________________________
Name and Signature of Barangay Chairman

PAGE 1 of 1
DSWD Central Office, IBP Road, Batasan Pambansa Complex, Constitution Hills, Quezon City, Philippines 1126
Website: http://www.dswd.gov.ph Tel Nos.: (632) 8 931-8101 to 07 Telefax: (632) 8 931-8191

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