Republic of the Philippines
Region III
Tarlac Province
City of Tarlac
Barangay MAPALAD
CERTIFICATION
This is to certify that _________________________________ is a resident of
________________________, Tarlac City, _____ years old _________________________,
(Complete Address) (Age) (Civil Status)
is in need of Social Amelioration Program assistance from the Department of Social
(Kind of Assistance)
Welfare and Development due to the declaration of State of Calamity imposition of the
community quarantine
HON. JONAR T. LIMOS
Barangay Chairman
Date Signed
Republic of the Philippines
Region III
Tarlac Province
City of Tarlac
Barangay MAPALAD
CERTIFICATION
This is to certify that _________________________________ is a resident of
________________________, Tarlac City, _____ years old _________________________,
(Complete Address) (Age) (Civil Status)
is in need of Social Amelioration Program assistance from the Department of Social
(Kind of Assistance)
Welfare and Development due to the declaration of State of Calamity imposition of the
community quarantine
HON. JONAR T. LIMOS
Barangay Chairman
Date Signed