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Local Government Unit of Irosin Local Government Unit of Irosin

Barangay ____________ Barangay ____________


Irosin, Sorsogon Irosin, Sorsogon

Ini nagpapatunay na si ____________________________________________, _____, Ini nagpapatunay na si ____________________________________________, _____,


(Pangaran) (Edad) (Pangaran) (Edad)

taga ___________,____________________ na tinutugutan magluwas nyan na adlaw taga ___________,____________________ na tinutugutan magluwas nyan na adlaw
(Purok) (Barangay) (Purok) (Barangay)

________________, __________ para _____________________________________. ________________, __________ para _____________________________________.


(Petsa) (Oras) (Rason san pagluwas) (Petsa) (Oras) (Rason san pagluwas)

________________________ ________________________
Punong Barangay Punong Barangay

Local Government Unit of Irosin Local Government Unit of Irosin


Barangay ____________ Barangay ____________
Irosin, Sorsogon Irosin, Sorsogon

Ini nagpapatunay na si ____________________________________________, _____, Ini nagpapatunay na si ____________________________________________, _____,


(Pangaran) (Edad) (Pangaran) (Edad)

taga ___________,____________________ na tinutugutan magluwas nyan na adlaw taga ___________,____________________ na tinutugutan magluwas nyan na adlaw
(Purok) (Barangay) (Purok) (Barangay)

________________, __________ para _____________________________________. ________________, __________ para _____________________________________.


(Petsa) (Oras) (Rason san pagluwas) (Petsa) (Oras) (Rason san pagluwas)

________________________ ________________________
Punong Barangay Punong Barangay

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