Barangay Indigency Form
Barangay Indigency Form
Barangay Indigency Form
Certificate of Indigence
This is to certify that __________________________________________________ of legal
age, is a resident of _________________________________________.
Further certifies that he/she belongs to an indigent family which has proven to be below the
poverty line.
Medical Assistance
Financial Assistance
Educational Assistance
Burial Assistance
Employment Assistance
General Purpose
___________________________________
Punong Barangay