Clearance
Clearance
Province of __________________
MUNICIPALITY OF ________________
BARANGAY ___________________
BARANGAY CLEARANCE
That he/she has no pending charges under investigation to date by the Lupong
Tagapamayapa (Barangay Justice) nor convicted of any crime or misdemeanor whatsoever as per
available record kept in this office.
__________________
Barangay Captain
____________________________
Bearer’s Signature