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    BOEform 1 A Apr 2012

    Uploaded by

    Arn Velasco
    This two-page document provides a template for certifying the services rendered by an elective barangay (village) official. The first page includes fields to fill in the official's name, barangay, dates of service, position held, and term completion. It is signed by an authorized DILG (Department of the Interior and Local Government) official and printed on DILG letterhead. The second page provides notes on the certification, including that it is for elective barangay officials elected in 1982 or later, and dates should use the month-day-year format. The certification supports applications for barangay official eligibility under Republic Act No. 7160.

    Copyright:

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

    BOEform 1 A Apr 2012

    Uploaded by

    Arn Velasco
    192 views2 pages
    This two-page document provides a template for certifying the services rendered by an elective barangay (village) official. The first page includes fields to fill in the official's name, barangay, dates of service, position held, and term completion. It is signed by an authorized DILG (Department of the Interior and Local Government) official and printed on DILG letterhead. The second page provides notes on the certification, including that it is for elective barangay officials elected in 1982 or later, and dates should use the month-day-year format. The certification supports applications for barangay official eligibility under Republic Act No. 7160.

    Original Description:

    government form

    Original Title

    BOEform1aApr2012

    Copyright

    © © All Rights Reserved

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    This two-page document provides a template for certifying the services rendered by an elective barangay (village) official. The first page includes fields to fill in the official's name, barangay, dates of service, position held, and term completion. It is signed by an authorized DILG (Department of the Interior and Local Government) official and printed on DILG letterhead. The second page provides notes on the certification, including that it is for elective barangay officials elected in 1982 or later, and dates should use the month-day-year format. The certification supports applications for barangay official eligibility under Republic Act No. 7160.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    192 views2 pages

    BOEform 1 A Apr 2012

    Uploaded by

    Arn Velasco
    This two-page document provides a template for certifying the services rendered by an elective barangay (village) official. The first page includes fields to fill in the official's name, barangay, dates of service, position held, and term completion. It is signed by an authorized DILG (Department of the Interior and Local Government) official and printed on DILG letterhead. The second page provides notes on the certification, including that it is for elective barangay officials elected in 1982 or later, and dates should use the month-day-year format. The certification supports applications for barangay official eligibility under Republic Act No. 7160.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    You are on page 1of 2

    Page 1 of 2

    CSC-ERPO BOE Form 1(a), April 2012




    CERTIFICATION
    on Services Rendered in the Barangay*
    (Elective Official)


    This is to certify that (complete name of the Barangay official) has rendered services in
    Barangay (complete name of the Barangay) , City/Municipality of (complete name of the city or
    municipality) , Province of (complete name of the province) , with the following details:


    Inclusive Dates
    Position Held
    Date of
    Election
    (mm/dd/yyyy)
    Term of
    Office
    (no. of years)
    From
    (mm/dd/yyyy)
    To
    (mm/dd/yyyy)


    Completed Term of Office?

    YES

    NO, Specify total number of days not served ___________

    Reason for non-completion:
    ________________________________________________
    ________________________________________________
    ________________________________________________


    This Certification is issued in support of the evaluation/processing of the
    application of Mr./Ms. (last name of the Barangay official) for the grant of Barangay Official
    Eligibility pursuant to Republic Act No. 7160, in accordance with CSC Resolution No.
    _______________

    (city/munipality and province) , (complete date) .



    ________________________________
    (Signature over full printed name of
    Authorized DILG official)

    ________________________________
    (Complete position title of the signatory)



    *To be printed in DILG official letterhead, and affixed with DILG Dry Seal at the portion covering the signature over printed name of
    the authorized DILG official.



    /erpo.psd.mlgr.lqc.gpl.masfm.032712.a

    Page 2 of 2


    NOTES:

    1. The Certification on Services Rendered in the Barangay of Elective barangay officials shall be signed
    by the authorized DILG Official at the municipal, city, provincial, or regional level. It shall be printed on
    official letterhead of the DILG issuing Office, and affixed with DILG Dry Seal at the portion covering
    the signature over printed name of the authorized DILG official.

    2. Complete name of the Barangay Official shall refer to First Name, Middle Initial, Last Name, and
    Extension Name, if any.

    3. Elective Barangay Officials include Punong Barangay/Barangay Captain, regular Sangguniang
    Barangay Members, and Sangguniang Kabataan Chairmen who were elected in the 1982 Elections or
    thereafter.

    4. The From and To columns shall be written numerically in the month-day-year format.



    /erpo.psd.mlgr.lqc.gpl.masfm.032712.a

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