Certificate of Good Moral Character

CERTIFICATE OF GOOD MORAL CHARACTER

Barangay Certification

Cert. No.:

Date:

O.R. No.:

Full Name

Age

Civil Status

Nationality

Date of Birth

Complete Address (House No. / Street / Purok / Barangay)

TO WHOM IT MAY CONCERN:

This is to certify that , years of age, , is a bonafide resident of , Barangay , Municipality of , Province of .

That he/she is personally known to this office and is known in the community to be a person of GOOD MORAL CHARACTER and has not been involved in any criminal or civil case, nor has any derogatory record filed against him/her in this barangay.

That he/she has been a resident of this barangay for and is known to be a law-abiding, peaceful, and responsible member of the community.

This certificate is issued upon the request of the above-named person for the purpose of and for whatever legal purpose it may serve.

Issued this day of , at Barangay , Municipality of .

Punong Barangay

For Official Use Only

Requested by (Signature or Thumb Mark)

Signature / Pangalan ng Aplikante

Right
Thumb
Mark

Kanan

Left
Thumb
Mark

Kaliwa

Para sa hindi
makakalagda

Date Requested

Released by (Secretary)

Barangay Secretary