CERTIFICATION Blank

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Republic of the Philippines

Province of Tarlac
Municipality of Camiling
Barangay ____________

OFFICE OF THE PUNONG BARANGAY

- CERTIFICATION -

August 29, 2017

TO WHOM IT MAY CONCERN:

This is to certify that Mr./Ms./Mrs. ______________________, is a resident of


this barangay.

This further certifies that Mr./Ms./Mrs. _____________________ is the (only)


heir/daughter/son/relative of the late _________________________, thus, he/she
has the right to secure a copy of the birth/marriage/death of ___________________.

This certification is has been issued upon the request of


__________________ for SSS/Pag-IBIG/GSIS Death/Burial Benefit Claim purposes.

Punong Barangay

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