Republic of the Philippines Republic of the Philippines

Department of Education Department of Education

REGION III REGION III
DIVISION OF BATAAN DIVISION OF BATAAN
City of Balanga City of Balanga
Telephone: 047-2372102 | TeleFax: 047-7917004 | Address: Bataan Provincial Capitol Compound, Balanga City Telephone: 047-2372102 | TeleFax: 047-7917004 | Address: Bataan Provincial Capitol Compound, Balanga City

Certificate of Appearance Certificate of Appearance

Control Number: ____________________________ Control Number: ____________________________

Date___________________________________ Time: ________________________________ Date___________________________________ Time: ________________________________

This certifies that This certifies that

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Name Name

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Designation / Position Designation / Position
of of
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Station Station
appeared in appeared in

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Place Visited Place Visited
to transact official business re: to transact official business re:
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Purpose of Visit Purpose of Visit

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Signature over Printed Name Signature over Printed Name
Head of Place Visited Head of Place Visited