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    Application For Barangay Certification: First Time Jobseekers Personal Information Sheet Form

    Uploaded by

    Donavel Nodora Jojuico
    This document contains a personal information sheet and barangay certification for first time jobseekers assistance under RA 11261 in the Philippines. The personal information sheet collects details about the applicant such as name, address, contact details, education level, and whether they have previously received assistance under another job program. The barangay certification confirms that the applicant is qualified to receive assistance under RA 11261 as a resident of the barangay for a certain period of time, and that they were informed of their rights and responsibilities under the law. The certification is valid for 1 year from the date of issuance.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Application For Barangay Certification: First Time Jobseekers Personal Information Sheet Form

    Uploaded by

    Donavel Nodora Jojuico
    4K views3 pages
    This document contains a personal information sheet and barangay certification for first time jobseekers assistance under RA 11261 in the Philippines. The personal information sheet collects details about the applicant such as name, address, contact details, education level, and whether they have previously received assistance under another job program. The barangay certification confirms that the applicant is qualified to receive assistance under RA 11261 as a resident of the barangay for a certain period of time, and that they were informed of their rights and responsibilities under the law. The certification is valid for 1 year from the date of issuance.

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    certification-for-first-time-jobseekers

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    This document contains a personal information sheet and barangay certification for first time jobseekers assistance under RA 11261 in the Philippines. The personal information sheet collects details about the applicant such as name, address, contact details, education level, and whether they have previously received assistance under another job program. The barangay certification confirms that the applicant is qualified to receive assistance under RA 11261 as a resident of the barangay for a certain period of time, and that they were informed of their rights and responsibilities under the law. The certification is valid for 1 year from the date of issuance.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    4K views3 pages

    Application For Barangay Certification: First Time Jobseekers Personal Information Sheet Form

    Uploaded by

    Donavel Nodora Jojuico
    This document contains a personal information sheet and barangay certification for first time jobseekers assistance under RA 11261 in the Philippines. The personal information sheet collects details about the applicant such as name, address, contact details, education level, and whether they have previously received assistance under another job program. The barangay certification confirms that the applicant is qualified to receive assistance under RA 11261 as a resident of the barangay for a certain period of time, and that they were informed of their rights and responsibilities under the law. The certification is valid for 1 year from the date of issuance.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Republic of the Philippines

    Province of Tarlac
    Municipality of Moncada
    BARANGAY RIZAL

    First Time Jobseekers


    Personal Information Sheet Form
    Application for Barangay Certification
    (RA 11261, JMC No. 001, series of 2019 &DILG MC No. 2020- )

    Name : _____________________________________________________________________________________________

    Birthdate: ________________________________________________ Age: ______________

    Complete Address: _________________________________________________________________________________


    ___________________________________________________________________________________
    ___________________________________________________________________________________

    Years/Months of residency in the given address: _________________________________________________

    Contact Number (if any): __________________________________________________________________________

    Sex/Gender : ___________________________________ Civil Status: _____________________________________

    Educational Attainment: __________________________________________________________________________

    Course (if Applicable, put “NA” if not applicable):_____________________________________________________________________________________________

    Question: Are you a beneficiary of a JobStart Program under RA No. 10869, otherwise known
    as “An Act Institutionalizing the Nationwide Implementation of the JobStart Philippines
    Program and Providing Funds Therefor”?
    (Please check appropriate box ) YES NO

    _______________________________________
    (Signature of Applicant)
    Republic of the Philippines
    Province of Tarlac
    Municipality of Moncada
    BARANGAY RIZAL

    BARANGAY CERTIFICATION
    (First Time Jobseekers Assistance Act-RA11261)

    This is to certify that Mr./Ms.________________________________________________________________,


    a resident of Barangay, Rizal, Moncada, Tarlac for ___________years/months, is a
    qualified availee of RA 11261 or the First Time Jobseekers Act of 2019.

    I further certify that the holder/bearer was informed of his/her rights,


    including the duties and responsibilities accorded by RA 11261 through the Oath of
    Undertaking he/she signed and executed in the presence of our Barangay Official.

    Signed this _______ day of _______________________, 2020 at the Office of the Punong
    Barangay, Rizal, Moncada, Tarlac.

    This certification is valid only for 1 year from the date of issuance.

    HON. DEXTER B. MENDOZA


    Punong Barangay

    _______________________________________
    DATE

    Witnessed by:

    ___________________________________________________________
    Barangay Official/Designation/Position

    DATE

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