BARANGAY CLEARANCE

TO WHOM IT MAY CONCERN:

This is to certify that _____________________________, of legal age, male/female/ single/married/widow/widower with residence and postal address at Barangay Pangandaman Pantao, Masiu, Lanao del Sur has no derogatory record filed in our Barangay Office.

The above-named individual who is a bonafide resident of this barangay is a person of good moral character, peace-loving and civic minded citizen.

This certification/clearance is hereby issued in connection with the subject’s application for _____________________ and for whatever legal purpose it may serve her/his best, and is valid for six (6) months from the date issued.

Given this ______________, ____________________20___.

HAMIM PANGANDAMAN SALIMBO Barangay Chairman

__________________________Specimen Signature of Applicant

CTC No.________________Issued at _______________Issued on ______________