Republic of the Philippines

Province of Ifugao
Municipality of Banaue
Barangay Tam-an

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

This is to CERTIFY that ________________________________________________, of legal age,

Married, Single, Widow/er, Filipino and a bonafide resident of Tam-an, Banaue, Ifugao.

This is to certify further that the family belongs to the poverty threshold of the Municipality
where income is insufficient to support the family basic needs.

This CERTIFICATION is hereby issued upon the request of the above named individual to support
whatever legal purpose it may serve his/her interest.

Issued this _________ day of ____________________ 2019 at Tam-an, Banaue, Ifugao.

HON. JULIUS B. TAYABAN

Punong Barangay

CTC No. _________________

Issued On: _______________
Issued at: Banaue, Ifugao
OR No. _________________
Amount Paid: P 80.00
 Republic of the Philippines
Province of Ifugao
Municipality of Banaue
Barangay Tam-an

OFFICE OF THE PUNONG BARANGAY

_____________________________________________________________________________________

CERTIFICATE OF residency

TO WHOM IT MAY CONCERN:

This is to CERTIFY that _________________________________________, of legal age,

single/married/widow/er, Filipino and a bona fide resident of Tam-an, Banaue, Ifugao.

This is to certify further that according to records kept in this office, the said person has never
been accused of any crime of civil or criminal case up to present.

This CERTIFICATION is hereby issued upon request of the above named individual to support
whatever legal purpose it may serve his/her interest.

Issued this __________ day of _________________ 2019 at Tam-an, Banaue, Ifugao.

JULIUS B. TAYABAN
Punong Barangay

CTC No. _________________

Issued On: _______________
Issued at: _______________
OR No. _________________
Amount Paid: P 80.00
 Republic of the Philippines
Province of Ifugao
Municipality of Banaue
Barangay Tam-an

OFFICE OF THE PUNONG BARANGAY

BARANGAY CLEARANCE

TO WHOM IT MAY CONCERN:

This is to CERTIFY that _________________________________________, of legal age,

single/married/widow/er, Filipino and a bonafide resident of Tam-an, Banaue, Ifugao known to be of
good moral character and law abiding citizen. That according to records kept in this office he/she has no
pending nor administrative case filed against him/her as of this day.

FURTHERMORE, that he/she does not belong to any subversive/group intending to overthrow
the present form of government.

This CLEARANCE is hereby issued upon request of the above named individual to support any
legal intent or purpose that may serve his/her interest.

Issued this __________ day of _________________ 2019 at Tam-an, Banaue, Ifugao.

____________________________
(Affiant’s Signature)

JULIUS B. TAYABAN
Punong Barangay

CTC No. _________________

Issued On: _______________
Issued at: Banaue, Ifugao___
OR No. _________________
Amount Paid: P 80.00_____
 Republic of the Philippines
Province of Ifugao
Municipality of Banaue
Barangay Tam-an

OFFICE OF THE PUNONG BARANGAY

_____________________________________________________________________________________

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

This is to CERTIFY that _______________________________________, residents of this

Barangay are known to me. They belong to indigent family having an annual income of

P ____________________ as _____________________________, which is below the Regional Poverty

Threshold level of P130,620.00 as determined by NEDA.

This CERTIFICATION is issued upon the request of the above named individual for purposes of
applying for scholarship assistance of their son/daughter ____________________________________.

Issued this ________ day of ______________ 2019 at Tam-an, Banaue, Ifugao.

JULIUS B. TAYABAN
Punong Barangay

CTC No. ______________

Issued On: ____________
Issued at: Banaue, Ifugao
OR No._______________
Amount Paid: P 80.00
 Republic of the Philippines
Province of Ifugao
Municipality of Banaue
Barangay Tam-an

OFFICE OF THE PUNONG BARANGAY

BARANGAY BUSINESS CLEARANCE

TO WHOM IT MAY CONCERN:

This is to CERTIFY that TIEZA-BANAUE HOTEL & YOUTH HOSTEL/MARLON S. PRIETO, of legal
age, married, Filipino and a bona fide resident of Tam-an, Banaue, Ifugao known to be of good moral
character and law abiding citizen. That according to records kept in this office he has no pending nor
administrative case filed against him as of this day.

FURTHERMORE, that he does not belong to any subversive/group intending to overthrow the
present form of government.

This CLEARANCE is hereby issued upon request of the above named individual to support any
legal intent or purpose that may serve his interest.

Issued this 14TH day of March 2017 at Tam-an, Banaue, Ifugao.

____________________________
(Affiant’s Signature)

JULIUS B. TAYABAN
Punong Barangay

CTC No. 00095372

Issued On: Feb. 23, 2017
Issued at: Banaue, Ifugao
OR No. 2932758
 Republic of the Philippines
Province of Ifugao
Municipality of Banaue
Barangay Tam-an

OFFICE OF THE PUNONG BARANGAY

BARANGAY CLEARANCE

TO WHOM IT MAY CONCERN:

This is to CERTIFY that ______________________________________ , ______ years old, single,

Filipino, daughter/son of Mr. & Mrs. __________________________________________ is a bona fide
resident of Tam-an, Banaue, Ifugao known to be of good moral character and law abiding citizen. That
according to records kept in this office he/she has no pending nor administrative case filed against
him/her as of this day.

FURTHERMORE, that he/she does not belong to any subversive/group intending to overthrow
the present form of government.

This CLEARANCE is hereby issued upon request of the above named individual to support her
passport application.

Issued this __________ day of ______________________ 2017 at Tam-an, Banaue, Ifugao.

____________________________
(Affiant’s Signature)

JULIUS B. TAYABAN
Punong Barangay

CTC No. ___________________

Issued On: _________________
Issued at: Banaue, Ifugao___
OR No. ____________ _______
Amount Paid: P 80.00
 Republic of the Philippines
Province of Ifugao
Municipality of Banaue
Barangay Tam-an

OFFICE OF THE PUNONG BARANGAY

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

This is to CERTIFY that MS. ANITA G. OGNAYON of legal age, Widower, Filipino and a bonafide
resident of Tam-an, Banaue, Ifugao.

This is to certify further that the family belongs to the poverty threshold of the Municipality
where income is insufficient to support the family basic needs.

This CERTIFICATION is hereby issued upon the request of the above named individual for
applying medical assistance of their granddaughter LYNDEN O. CUMMAH.

Issued this 29 day of November 2017 at Tam-an, Banaue, Ifugao.

JULIUS B. TAYABAN
Punong Barangay

CTC No. _________________

Issued On: _______________
Issued at: Banaue, Ifugao
OR No.__2024161_____
Amount Paid: P 80.00