Barangay Certification For Death Registration

Republic of the Philippines
Province of Bukidnon
City of Valencia
(City of Golden Harvest)
Barangay SAN ISIDRO
OFFICE OF THE PUNONG BARANGAY
=================================================================================
BARANGAY CERTIFICATION FOR DEATH REGISTRATION
TO WHOM IT MAY CONCERN:
This is to certify that ANDRESA L. VITASOLO, died last NOVEMBER 11, 2021 at 4:30
o’clock in the afternoon, in Home, Purok 6, San Isidro, City of Valencia, Bukidnon.
This certification is issued to support the death registration at the above named person with
the City Civil Registrar’s Office of the City of Valencia, Bukidnon.
Issued this 15th day of November ,2021, at Barangay San Isidro, City of Valencia, Bukidnon.
ROPERTO E. LAGROSA SR.

Punong Barangay
Not valid if no Brgy Dry Seal

City of Valencia
Barangay SAN ISIDRO
=================================================================================
INDIGENT CERTIFICATION
This is to CERTIFY that LEONILA T. ESTOSE Filipino Citizen, of legal age, widow, and
a resident of Purok 8, San Isidro, City of Valencia, Bukidnon belongs to an indigent families whose
income is not enough for their daily basic needs.
This certification is being issued upon the request of the above named person for BURIAL
ASSISTANCE/FINANCIAL ASSISTANCE purposes of her HUSBAND named ARTEMIO C.
ESTOSE.
Issued this 11TH day of FEBRUARY 2021 at the Office of the Punong Barangay.
Attested by:

Punong Barangay
Not valid if no Brgy dry seal
DEATH CERTIFICATE REGISTRATION GUIDE

Ngalan sa Namatay _________________________________________________________________
(First Name) (Middle Name) (Last Name)
Lalaki/Babae __________Kanus-a Namatay __________________ Birthday sa Namatay__________
Edad sa Namatay_______________________ Asa Namatay_________________________________
Ulitawo/Dalaga/Minyo/Balo_____________ Relihiyon sa Namatay___________________________
Citizenship ___________________________ Asa Nagpuyo ang Namatay ______________________
Oras Namatay _________________________ Trabaho sa Namatay __________________________
Ngalan sa Amahan sa Namatay _______________________________________________________
Ngalan sa Inahan sa Namatay _______________________________________________________
(First Name) (Middle Name) (Maiden Name)
Kinsa/Asa Nagbalsamar _____________________________________________________________
Asa ilubong ang Namatay ___________________________ Petsa ilubong___________________
Ngalan sa Nagparehistro_____________________________________________________________
Relasyon sa Nagparehistro sa Namatay _________________________________________________
Address sa Nagparehistro ____________________________________________________________
Contact # sa Nagparehistro ____________________________________
=================================================================================
DEATH CERTIFICATE REGISTRATION GUIDE
Ngalan sa Namatay _________________________________________________________________
Lalaki/Babae __________Kanus-a Namatay __________________ Birthday sa Namatay__________
Edad sa Namatay_______________________ Asa Namatay_________________________________
Ulitawo/Dalaga/Minyo/Balo_____________ Relihiyon sa Namatay___________________________
Citizenship ___________________________ Asa Nagpuyo ang Namatay ______________________
Oras Namatay _________________________ Trabaho sa Namatay __________________________
Ngalan sa Amahan sa Namatay _______________________________________________________
Ngalan sa Inahan sa Namatay _______________________________________________________
(First Name) (Middle Name) (Maiden Name)
Kinsa/Asa Nagbalsamar _____________________________________________________________
Asa ilubong ang Namatay ___________________________ Petsa ilubong___________________
Ngalan sa Nagparehistro_____________________________________________________________
Relasyon sa Nagparehistro sa Namatay _________________________________________________
Address sa Nagparehistro ____________________________________________________________
Contact # sa Nagparehistro ____________________________________
City of Valencia
Barangay SAN ISIDRO
=================================================================================
BARANGAY CERTIFICATION FOR BIRTH REGISTRATION
This is to certify that (NAME OF THE CHILD TO BE REGISTERED), was born on (date of birth)
at Barangay (place of birth).
With the following details:
Fathers’s name: _______________________________________________________________
First name of father middle name of father last name of father
Mother’s maiden name: _______________________________________________________
First name of mother middle name of mother last name of mother
Birth Order: _____________________________
This certification is issued to support the birth registration of the above –named person with the City
Civil Registrar’s Office of the City of Valencia, Bukidnon.
Issued this 12th day of November, 2020 at Barangay San Isidro, City of Valencia, Bukidnon.

Punong Barangay
Not valid if no Brgy Dry Seal

City of Valencia
Barangay SAN ISIDRO
=================================================================================
BARANGAY CERTIFICATION FOR BIRTH REGISTRATION

(Late Registration)
This is to certify that LUCENA MELENCION BANTILAN, was born on MARCH 14,
1963 at Barangay San Isidro, Valencia City, Bukidnon.
With the following details:
Fathers’s name: TEOFILO BONA BANTILAN
First name of father Middle name of father Last name of father
Mother’s maiden name: CONSTANCIA TORREGOSA MELENCION
First name of mother Middle name of mother Last name of mother
Birth Order: FOUR (4)
This certification is issued to support the birth registration of the above –named person with
the City Civil Registrar’s Office of the City of Valencia, Bukidnon.
Issued this 19th day of February, 2021 at Barangay San Isidro, City of Valencia, Bukidnon.

Punong Barangay
Paid under O.R. No. : 4239960

Amount paid : Php 40.00
Issued on : 02-19-21
Issued at : San Isidro, City of Valencia, Bukidnon
Not valid if no Brgy dry seal

Barangay Certification For Death Registration

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Republic of the Philippines

BARANGAY CERTIFICATION FOR DEATH REGISTRATION

TO WHOM IT MAY CONCERN:

ROPERTO E. LAGROSA SR.

Not valid if no Brgy Dry Seal

TO WHOM IT MAY CONCERN:

ROPERTO E. LAGROSA SR.

Not valid if no Brgy dry seal

DEATH CERTIFICATE REGISTRATION GUIDE

BARANGAY CERTIFICATION FOR BIRTH REGISTRATION

TO WHOM IT MAY CONCERN:

With the following details:

Fathers’s name: _______________________________________________________________

First name of father middle name of father last name of father

Mother’s maiden name: _______________________________________________________

First name of mother middle name of mother last name of mother

Birth Order: _____________________________

ROPERTO E. LAGROSA SR.

Not valid if no Brgy Dry Seal

Republic of the Philippines

BARANGAY CERTIFICATION FOR BIRTH REGISTRATION

TO WHOM IT MAY CONCERN:

With the following details:

Fathers’s name: TEOFILO BONA BANTILAN

First name of father Middle name of father Last name of father

Mother’s maiden name: CONSTANCIA TORREGOSA MELENCION

First name of mother Middle name of mother Last name of mother

Birth Order: FOUR (4)

ROPERTO E. LAGROSA SR.

Paid under O.R. No. : 4239960

Not valid if no Brgy dry seal

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