Republic of the Philippines
Province of Palawan
                       Puerto Princesa City
                   Barangay Seaside (San Isidro)
               OFFICE OF THE PUNONG BARANGAY
 BARANGAY HEALTH EMERGENCY RESPONSE TEAM CERTIFICATE (BHERT)
Date: _______________________
NAME: _____________________________ _________________________                __________
           Last Name                     First Name                              M.I
Presently Residing at Barangay Seaside (San Isidro), Puerto Princesa City.
From: March 14, 2020 up to present.
NOT LISTED AS SUSPECT, PROBABLE AND COVID 19 CASE.
DESTINATION: _______________________, ________________________________,
                 Street/purok                     Barangay
                       ______________________________________________
                                      City/Municipality
CONTACT NUMBER: ____________________________________________
I HEREBY CERTIFY THAT THE INFORMATION STATED IN THIS FORM IS
CERTIFIED AND CORRECT.
                               HON. JOSEFINA O. AVES
                                  Punong Barangay