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bpoblacione
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Republic of the Philippines

Province of Samar
Municipality of Tarangnan
BARANGAY POBLACION E.

OFFICE OF THE PUNONG BARANGAY

CONTROL NO. BPE2024-02-22-001


BARANGAY CERTIFICATION
TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that POBLETE, ANNE DE LEON


(LAST NAME ) (FIRST NAME) (MIDDLE NAME)

whose picture appeared at upper right side of this paper has no valid identification card,
he/she is 12 years old, SINGLE, was born on DECEMBER 13, 2010. He/she is a bonafide
( AGE ) ( CIVIL STATUS ) ( BIRTHDATE )

resident of Barangay Poblacion E. Tarangnan, Samar since year September 4, 2023 & up to present.

This certification is issued upon the request of the above-named mention for
whatever legal purposes it may serve his/her best.

Issued this 23 th day of FEBRUARY, 2024 at Barangay Poblacion E, Tarangnan,


Samar, Philippines.

Prepared by:

JOSELITO T. LACIONERO
Barangay Secretary

LEFT THUMBMARK RIGHT THUMBMARK Certified by:

ELEUTERIO T. ENARSICO
Punong Barangay
NOT VALID IF WITHOUT DRYSEAL

Scan BRGY. FB

ANNE D. POBLETE
Applicant’s signature over printed name
VALID UNTIL: DECEMBER 31, 2024

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