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Certificate of Indigency (Emergency Philhealth)

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Republic of the Philippines

Province of Cotabato
City of Kidapawan
OFFICE OF THE PUNONG BARANGAY
Barangay Amas

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

This is to CERTIFY that MR. EDUARDO W. AGOM JR., of legal


age, single/married/widow and a resident of Purok Hanagdong
Barangay Amas Kidapawan City for a period of Four (4) years. He
was born on November 8, 1998 at Amas, Kidapawan Cotabato.

This is CERTIFY FURTHER that the above mentioned named person


belongs to an Indigent Family Member of this community whose
annual income is below Thirty-five Thousand Pesos (Php 35, 000.00)
only.

This CERTIFICATION is being issued upon the request of above


named person for EMERGENCY PHILHEALTH OF CHRISTIAN JHANE S. AGOM
purposes only.

Issued this 29th day of December, 2023 at Barangay Amas,


Kidapawan City.

HON. NELVIN P. NAVIAMOS


Punong Barangay
OR Number :
Date Issued : 12/28/2023
Amount :
Validity : 6 months

Republic of the Philippines


Province of Cotabato
City of Kidapawan
OFFICE OF THE PUNONG BARANGAY
Barangay Amas

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

This is to CERTIFY that MISS IVY JOY B. TUBIO, 14 years old,


single and a resident of Purok Rambutan, Barangay Amas Kidapawan City
for a period of Fourteen (14) years. She was born on September 17, 2009
at Amas, Kidapawan City.

This is CERTIFY FURTHER that the above mentioned named person


belongs to an Indigent Family Member of this community whose annual
income is below Thirty-five Thousand Pesos (Php 35, 000.00) only.

This CERTIFICATION is being issued upon the request of MARJORIE F.


ABLORO for MEDICAL ASSISTANCE (MALASAKIT) purposes only.

Issued this 15th day of January, 2024 at Barangay Amas, Kidapawan


City.

HON. NELVIN P. NAVIAMOS


Punong Barangay
OR Number : 2891574
Date Issued : 01/15/2024
Amount : Php 20.00
Validity : 6 months

Republic of the Philippines


Province of Cotabato
City of Kidapawan
OFFICE OF THE PUNONG BARANGAY
Barangay Amas
CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

This is to CERTIFY that MR./MRS./MISS


____________________________, of legal age, single/married/widow and a
resident of Purok ______________, Barangay Amas Kidapawan City for a
period of _______________( ) years/months She/he was born on
_____________________ at _________________________________.

This is CERTIFY FURTHER that the above mentioned named person


belongs to an Indigent Family Member of this community whose annual
income is below Thirty-five Thousand Pesos (Php 35, 000.00) only.

This CERTIFICATION is being issued upon the request of


___________________________ for ____________________________ purposes
only.

Issued this _____________day of ____________, 2023 at


Barangay Amas, Kidapawan City

HON. NELVIN P. NAVIAMOS


Punong Barangay
OR Number : _________________
Date Issued : _________________
Amount : ________________
Validity : 6 months

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