REPUBLIC OF THE PHILLIPPINES
PROVINCE OF LA UNION
MUNICIPALITY OF AGOO
BARANGAY SAN JULIAN CENTRAL
CERTIFICATE OF ATTESTATION
This is to certify that Mr./Ms. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , _ _ years old, residing
at San Julian Central, Agoo,La Union, is currently working as a
______________________________ at _____________________________________family’s
monthly household expenses amounting to Php 5,000, thus further straining their
limited financial resources.
This certification is issued upon the request of the above-named person for
whatever legal purpose/s it may serve.
Issued this 16th day of SEPTEMBER, 2025 at SAN JULIAN CENTRAL, AGOO, LA UNION.
.
DANNY E. CABILATAZAN
Name and Signature of Punong Barangay
“I declare under pain of criminal prosecution that all the information provided herewith are
TRUE, CORRECT, VALID, and COMPLETE pursuant to existing laws, rules, and regulations of
the Republic of the Philippines. I authorized the Agency Head/ Authorized Representatives to
verify and validate the contents stated herein. I also AGREE that any misrepresentation and
information/acts to defraud the government may lead to the filing of appropriate cases against
me, and may cause disqualification to receive financial assistance from the DSWD."
______________________________
Name and Signature of the Client
REPUBLIC OF THE PHILLIPPINES
PROVINCE OF LA UNION
MUNICIPALITY OF AGOO
BARANGAY SAN JULIAN CENTRAL
CERTIFICATE OF ATTESTATION
This is to certify that Mr./Ms. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , _ _ years old, residing
at San Julian Central, Agoo,La Union, is currently working as a ____________________ at
__________________________________, earning a monthly income of Php ,000.
Following a thorough assessment and validation of the client’s socio-economic
profile conducted by the undersigned barangay official, it has been
determined that Mr./Ms. _______________________________ , is an individual receiving
income below the statutory minimum wage and is facing significant financial
challenges because of the effects of inflation, like the rising prices of goods and
services. The above-mentioned income remains insufficient to meet the unforeseen
expenses for (food, medical, funeral), on top of the family’s monthly household
expenses amounting to Php ,000, thus further straining their limited financial
resources.
This certification is issued upon the request of the above-named person for
whatever legal purpose/s it may serve.
Issued this 16th day of SEPTEMBER, 2025 at SAN JULIAN CENTRAL, AGOO, LA UNION.
.
DANNY E. CABILATAZAN
Name and Signature of Punong Barangay
“I declare under pain of criminal prosecution that all the information provided herewith are
TRUE, CORRECT, VALID, and COMPLETE pursuant to existing laws, rules, and regulations of
the Republic of the Philippines. I authorized the Agency Head/ Authorized Representatives to
verify and validate the contents stated herein. I also AGREE that any misrepresentation and
information/acts to defraud the government may lead to the filing of appropriate cases against
me, and may cause disqualification to receive financial assistance from the DSWD."
______________________________
Name and Signature of the Client
