Republic of the Philippines
Municipality of Sapian
Barangay Agsilab
OFFICE OF THE BARANGAY CAPTAIN
BARANGAY CLEARANCE
TO WHOM IT MAY CONCERN:
This is to certify that___________________________________, of legal age and a bonafide resident
of SITIO _______________, Barangay Agsilab, Sapian, Capiz is known to be a good moral character and a law -
abiding citizen of the community.
TO CERTIFY FURTHER, he/she has no derogatory and/or criminal records filed in this
barangay.
This certification is being issued upon the request of the above-mentioned name for whatever legal
purpose/s this may serve best.
ISSUED this ______ day of ________________ 2024, at Barangay Agsilab, Sapian, Capiz
BASSANIO V. TUPAZ, MPA
Punong Barangay
O.R. No. : _____________
Date Issued : _____________
Doc. Stamp : PAID