Free Health Certificate Template
Free Health Certificate Template
Province of Tarlac
Municipality of Moncada
BARANGAY CAMPOSANTO 1 NORTE
OFFICE OF THE PUNONG BARANGAY
BARANGAY CLEARANCE
This is to certify that ___________________, of legal age, is a bona de resident of Barangay Camposanto 1 Norte, Moncada,
Tarlac.
Further certi es that he/she is known to me of good character and is a law abiding citizen. He/ She has neither pending
case nor derogatory record in our of ce.
__________________
agapit
Clinic Physician