PHILIPPINE BENEVOLENT MISSIONARIES ASSOCIATION INC. R.B.E Jr.

Sub-Chapter Wadas, Dinagat, Dinagat Islands

C E R T I F I C A T IO N
To Whom It May Concern: This is certify that ______________________________Filipino _____, years of age currently residing at P-2, Wadas, Dinagat, Diangat Islands, Philippines is a bonifide and a resident PBMA member of this Sub-chapter with category as _______________________, He/She is known to me to be a person of good moral character and a member who faithfully abides and emulate the highest ideas, values, teaching and principles of this association further certifies that as per record He/She is a loyal committed member of this Sub-chapter who complies all his duties and responsibilities and die loyalty. Issued upon the request of the person above mentioned name this _______ day of _______________ 20____, at R.B.E. Jr. Sub-chapter, Wadas, Dinagat, Dinagat Islands, Philippines, for any legal purpose that may serve Him/her best.

JULIANA B. DACURON R.B.E. Jr. Sub-Chapter Treasurer Approved by: DEMOCRITO O. PANCHO YUNTING R.B.E. Jr. Sub-Chapter Sub-Chapter President Asst. Secretary R.B.E. Jr. Prepared by: EVANGELINE A.

ID No. : ________________ Vol. No.: ________________ Page: __________________