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 ______________