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Republic of the Philippines
Province of Isabela
MUNICIPALITY OF SAN MARIANO
Barangay Zamora
OFFICE OF THE BARANGAY CAPTAIN
CERTIFICATE OF RESIDENCY/BARANGAY CLEARANCE
TO WHOM IT MAY CONCERN:
This is to CERTIFY that Mr. JENIFER S. BARTIANA 33 years of age, Married, Filipino Citizen and a
bonafide resident of Purok 1, Barangay Zamora, San Mariano, Isabela. He is known to us with a GOOD MORAL
CHARACTER, Law abiding citizen in the Community. He has NO CRIMINAL RECORD filled against him as per
records on file with this office as of this date.
This CERTIFICATION is issued on accordance to the implementation of the provision of the NEW LOCAL
GOVERNMENT CODE of 1991 and whatever purpose it may serve best.
This CERTIFICATION is NOT VALID without the OFFICIAL SEAL.
Issued this 27th day of January 2022, at Barangay Zamora, San Mariano, Isabela.
_________________
Signature of Applicant
Left Thumbmark
Right Thumbmark
Prepared by:
JENIFER S. BARTIANA
Barangay Secretary
O.R. No. :
Issued On:
Issued at :
MARCELO B. GAZMIN
Punong Barangay
CTC No. :
Issu ed On:
Issued at :