Med Cert For Employment

Republic of the Philippines
REGION X
Province of Lanao del Norte
KAPATAGAN PROVINCIAL HOSPITAL
Kapatagan, Lanao del Norte
(063) 382-8030
CERTIFICATION
AUGUST 22, 2018

Region X
TO WHOM IT MAY CONCERN;
This is to certify that FRANCES DIANA R. BONACHITA teacher of this LGU

Kapatagan- National Child Development Center is PHYSICALLY,MENTALLY AND
MEDICALLY FIT To engage from work after she had rendered the two (2) months
maternity leave which started on May 28, 2018 and ended on July 29,2018.
This certification issued upon the request of the aforesaid employee and to whatever
purpose in will serve her best.
Gevin this 22th of AUGUST Municipality of Kapatagan, Poblacion Kapatagan , Lanao del
Norte.
Signed:
MARIE ANN C. SANCHEZ, M.D,

Attending Physician
REGION X
(063) 382-8030
CERTIFICATION
TO WHOM IT MAY CONCERN:
This is to certify that, the records of Mr. Roger S. Pamontongan,
has been to the best of my knowledge and belief had been accidentally lost along the
transfer of records from the old hospital building to the new building .
This certification is issued upon the request of Dr. Ray Brandon Balane to justify
the lack of documents needed to present upon this court.
GIVEN this 5th of December, Two Thousand and Seventeen at KAPATAGAN
PROVINCIAL HOSPITAL, Kapatagan Lanao del Norte.
MILA A. DURANTE
ADMIN AIDE I
Designated Medical Records Officer
Date: 12-05-17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. JOHN MICHAEL P. BERANGEL, 15 years old, male,
single and a resident of P-1, Lanipao, LaLa, Lanao Del Norte was seen and examined
by the undersigned due to Incised wound, inter phalangeal space between 2nd and
3rd digit foot right.
This certification is issued upon the request of the above named person to
support for whatever legal purpose this may serve him best.
GIVEN this 15th day of MAY, Two Thousand and Nineteen at KAPATAGAN
PROVINCIAL HOSPITAL, Kapatagan Lanao Del Norte.
JOSE A. SERAPIO IV, MD

MEDICAL OFFICER IV
Examining Physician
DATE: 05/15/2019
OR: 4027563
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. CRESILDA J. PATALINGHUG, 48 years old, female,
married and a resident of P-3, Poblacion, Sapad, Lanao del Norte was seen and
examined by the undersigned and found out that She is physically fit.
This certification is issued upon the request of the above name person to
support for her application for study leave for the 2019 BAR Examination.
GIVEN this 12th day of APRIL, 2019 at KAPATAGAN PROVINCIAL HOSPITAL,
Annex ,Kapatagan Lanao del Norte.
RAY BRANDON S. BALANE, MD

MEDICAL OFFICER IV
REGION X
(063) 382-8030
CERTIFICATION
This is to certify than MR. FEDERICO A. PAITON, 48 years old male, married,
and a resident of P-2, Abaga, Lala, Lanao Del Norte was seen and treated for abrasion
right foot 2x2 cm.
This certification is issued upon the request of the above name person to
support for her claim in CARD INC.
GIVEN this 12th day of April, Two Thousand and NINETEEN at KAPATAGAN
PROVINCIAL HOSPITAL, Kapatagan Lanao Del Norte.
CYRUS Y. ACOSTA, M.D.

MEDICALOFFICER IV
OR NO 3973463
OR DATE: 04/12/2019
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS JODITH M. PAITON, 48 years old, married, and a resident
of P-2, Abaga, Lala, Lanao Del Norte has been examined by the undersigned and
found out
This certification is issued upon the request of the above name person to support
for whatever legal purpose this may serve him best.
GIVEN this 08TH day of APRIL, Two Thousand and nineteen at KAPATAGAN
NASHEBA L. MACAGAAN, M.D.

Medical Specialist II
Examining Physician
OR DATE: 04/08/2019
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR.JAHABI T. TAGO, male, 24 years old, single and a
resident of Poblacion, Sultan Naga Dimaporo, Lanao Del Norte, came in to my clinic for
consultation regarding his standard Panoramic Radiograph result, showing an
embedded supernumerary tooth on upper right maxilla resembling the normal tooth
form of a second premolar located between 1st molar and 2nd premolar embedded
outside the dental maxillary arch.
The embedded supernumerary tooth shows no symptoms and disturbances on

the part on the patient like biting in pain, crowding and malposition of the teeth as orally
examined.
Furthermore, the said embedded supernumerary tooth is not indicated for

removal and hence cannot also affect any military training on the part of the
aforementioned named above.
This certification is issued upon the request of MR.TAGO for whatever purpose
this may serve him best.
GIVEN this 08th day of MAY, 2019
HILARION P. NEMEÑO, D.M.D.

Hospital Dentist KAPPH
PRC: 021835
PTR #:3447929
DATE OF ISSUE: 05-08-2019

REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. RUAN M. BARELLO, 20 years old, male, single and a
resident of Maguindanao, Sultan Naga Dimaporo, Lanao del Norte was seen and
examined by the undersigned and found out that he is physically fit.
This certification is issued upon the request of the interested party for school
requirements only.
GIVEN this 21ST day of May, Two Thousand and NINETEEN at KAPATAGAN
JOSE A. SERAPIO IV, M D.

Medical Officer IV
Examining Physician
OR NO 4027992
OR DATE: 05/21/19
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. MA. DANAHLYN GRACE L. LASPIÑAS, 22 years old,
female, single and a resident of Purok-12, Poblacion, Kapatagan, Lanao del Norte was
seen and examined by the undersigned and found out that she is physically healthy.
This certification is issued upon the request of the interested party for whatever
purpose it may serve her best.
GIVEN this 7th day of MARCH, Two Thousand and SEVENTEEN at
KAPATAGAN PROVINCIAL HOSPITAL, Kapatagan Lanao del Norte.
JASMIN F. SUMALIPAO, M.D.

Examining Physician
OR NO 3101734
OR DATE: 3/7/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. JOMELYN A. TAPAYAN, 25 years old, female ,single
and a resident of P-5 Lapinig, Kapatagan, Lanao Del Norte was seen and examined by
the undersigned and found out that she is physically fit to work.
This certification is issued upon the request of the interested party for
employment purposes only
GIVEN this 24th day of APRIL, Two Thousand and NINETEEN at KAPATAGAN
SHYDIN U. MANTICAYAN, M.D.

MEDICAL SPECIALIST II
LICENSE #: 110207
OR NO:399445
OR DATE: 4/24/19
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that, MR. EDAN P. PATALINGHUG, 26 years old, male, single
and a resident of P-4, Upper Mendiola, Lanipao, Lala, Lanao del Norte was seen and
examined by the undersigned and found out that he is physically and mentally healthy.
purpose it may serve him best.
FLORENDA M. BRINGUELA, M.D.

Examining Physician
OR NO 3150473
OR DATE: 03/17/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. MARJORIE LYN C. FAJADA, 22 years old, female,
single and a resident of Maranding, Lala, Lanao del Norte was seen and examined by
the undersigned and found out that she is physically healthy.
WILLIAM J. CANOY, M.D.

Medical Officer IV
Examining Physician
OR NO 3150491
OR DATE: 3/17/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. SHARLYN C. YUSAY, 21 years old, female, single
and a resident of Tenazas, Lala, Lanao del Norte was seen and examined by the
undersigned and found out that she is physically healthy.
GIVEN this 21st day of MARCH, Two Thousand and SEVENTEEN at
JAMAICA DIMAPORO-UMPA, M.D.

Medical Officer IV
Examining Physician
OR NO 3150548
OR DATE: 3/21/17
Republic of Philippines
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. MARJORIE LYN C. FAJADA, 22 years old, female,
single and a resident of Maranding, Lala, Lanao del Norte was seen and examined by
the undersigned and found out that she is physically healthy.

Medical Officer IV
Examining Physician
OR NO 3150491
OR DATE: 3/17/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. ROLDAN A. BAGONDOL , 28 years old, male, single
and a resident of Lamare, Bayug, Zamboanga del Sur was seen and examined by the
JAMAICA DIMAPORO-UMPA, M.D.

Medical Officer IV
Examining Physician
OR NO 3150700
OR DATE: 03/29/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. CHIERYLL JANE T. GARCIA, 22 years old, female,
single and a resident of Employees Village, Poblacion, Kapatagan, Lanao del Norte
was seen and examined by the undersigned and found out that she is physically
healthy.
GIVEN this 3rd day of APRIL, Two Thousand and SEVENTEEN at KAPATAGAN
FLORENDA M. BRINGUELA, M.D.

Examining Physician
OR NO 3150778
OR DATE: 4/3/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. WILSON L. MAQUIPOTEN , 25 years old, male,
single and a resident of Purok 6, Cogon, Lala, Lanao del Norte was seen and
examined by the undersigned and found out that he is physically healthy.
GIVEN this 4th day of APRIL, Two Thousand and SEVENTEEN at KAPATAGAN
JAMAICA DIMAPORO, M.D.

Rural Health Physician
Examining Physician
OR NO 3150798
OR DATE: 04/4/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. LUMAR P. FAMAS, 28 years old, male, single and a
resident of Purok 5, Deasis, Kapatagan, Lanao del Norte was seen and examined by
the undersigned and found out that he is physically healthy.
GIVEN this 12th day of APRIL, Two Thousand and SEVENTEEN at

Medical Officer IV
Examining Physician
OR NO 3150973
OR DATE: 4/12/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. SANIE BOY P. BUSA, 21 years old, male, single and
a resident of Purok 6, Rebe, Lala, Lanao del Norte was seen and examined by the
undersigned and found out that he is physically healthy.
GIVEN this 3rd day of MAY, Two Thousand and SEVENTEEN at KAPATAGAN

OR NO 315346
OR DATE: 5/3/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that M. FRITZ T. CELLONA, 22 years old, male, single, and a
resident of San Isidro upper, LaLa, Lanao del Norte was seen and examined by the
undersigned and found out that he is physically fit to undergo physical agility of PNP.
This certification is issued upon the request of the interested party for PNP
application purpose only.
GIVEN this 16th day of JULY, Two Thousand and EIGHTEEN at KAPATAGAN
TERESA M. REPONTE, M.D.

MEDICAL OFFICER IV
Examining physician
OR NO 3650866
OR DATE: 07/16/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. JANALAN D. CADALAY, 21 years old, male, single
and a resident of Ningal, Sapad, Lanao del Norte was seen and examined by the
application purpose it may serve him best.
GIVEN this 4th day of MAY, Two Thousand and SEVENTEEN at KAPATAGAN

OR NO 3151386
OR DATE: 5/4/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. ESMAEL P. SULTAN, 26 years old, male, single and
a resident of Purok 2, Lumbac, Kolambugan, Lanao del Norte was seen and examined
by the undersigned and found out that he is physically healthy.

OR NO 3151386
OR DATE: 5/4/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. MAHARLIMAH L. PIDO, 25 years old, female, single
and a resident of Purok 4, Kakai Renabor, Tubod, Lanao del Norte was seen and
examined by the undersigned and found out that she is physically healthy.
application purpose it may serve her best.

OR NO 3151386
OR DATE: 5/4/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. ISMAEL M. TANOG, 29 years old, male, single and a
resident of Dansalan, Sapad, Lanao del Norte was seen and examined by the
RAY BRANDON S. BALANE, M.D.

Medical Officer IV
OR NO 3151386
OR DATE: 5/5/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. FRITZ T. CELLONA, 21 years old, male, single and a
resident of Purok 5, Mabuhay, San Isidro Upper Lala, Lanao del Norte was seen and
examined by the undersigned and found out that he is physically healthy.

OR NO 3151386
OR DATE: 5/4/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. YASSER M. MIMBISA, 22 years old, male, married
and a resident of Kakai Renabor, Tubod, Lanao del Norte was seen and examined by
the undersigned and found out that he is physically healthy.

OR NO 3151386
OR DATE: 5/4/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. JHONNIL O. CANOY, 22 years old, male, single and a
resident of Purok 5, Upper Princesa, Baroy, Lanao del Norte was seen and examined

OR NO 3151386
OR DATE: 5/4/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. SHARLILO S. JAWOM, 22 years old, female, single
and a resident of Poblacion, Sultan Naga Dimaporo, Lanao del Norte was seen and
application purpose it may serve her best.

OR NO 3151387
OR DATE: 5/4/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. JACKY C. BONGHANOY, 21 years old, male, single
and a resident of Rebe, Lala, Lanao del Norte was seen and examined by the

OR NO 3151389
OR DATE: 5/4/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. CONCEPCION O. LLAMEDO, 20 years old, female,
single and a resident of Darumawang Ilaya, Lala, Lanao del Norte was seen and
RYAN F. JACINTO, M.D.

Medical Officer IV
OR NO 3206917
OR DATE: 5/15/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. JOULES VICTOR S. SABAS, 22 years old, male,
single and a resident of Poblacion, Kapatagan, Lanao del Norte was seen and
examined by the undersigned and found out that he is fit to undergo Physical Agility
Test or any strenuous activities.
GIVEN this 15th day of AUGUST, Two Thousand and SEVENTEEN at
JAMAICA L. DIMAPORO, M.D.

Licence No. 123812
OR NO 3320508
OR DATE: 8/15/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. LORENA A. BALIGNOT, 35 years old, female,
married and a resident of Lantawan, Sultan Naga Dimaporo, Lanao del Norte was seen
and examined by the undersigned and found out that she is physically healthy.
GIVEN this 19th day of JUNE, Two Thousand and SEVENTEEN at

Medical Officer IV
OR NO 3207763
OR DATE: 6/19/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. MARIA L. MAGHANOY, 52 years old, female, married
and a resident of Calube, Sultan Naga Dimaporo, Lanao del Norte was seen and

Medical Officer IV
OR NO 3207765
OR DATE: 6/19/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. CARLITO A. MAGHANOY, 53 years old, male,
married and a resident of Calube, Sultan Naga Dimaporo, Lanao del Norte was seen
and examined by the undersigned and found out that he is physically healthy.

Medical Officer IV
OR NO 3207764
OR DATE: 6/19/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. BEATRIZ R. VILLARUZ, 49 years old, female, married
and a resident of Calube, Sultan Naga Dimaporo, Lanao del Norte was seen and

Medical Officer IV
OR NO 3207767
OR DATE: 6/19/1
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. JEZARYKA XEA KRISTAH N. NEMEÑO, 19 years
old, female, single and a resident of Green Valley Tinago, Ozamiz City was given the
following vaccines:
1. Hepatitis B vaccine ( 3 doses) 1st dose - February 12, 2018
2nd dose – March 12, 2018
3rd dose – September 12, 2018
2. Pneumonia Vaccine – August 25, 2018
3. MMR Vaccine – July 20, 2018
GIVEN this 28th day of September, Two Thousand and EIGHTEEN at
KAPATAGAN PROVINCIAL HOSPITAL, Annex, Kapatagan Lanao del Norte.
IAN MARK S. REPONTE, M.D.

Medical Specialist
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that Mr. ABDEL PANDAO I V. PANGANDAG, 24 years old,
male, single and a resident of Sanz Subdivision Tubod, Lanao del Norte was given the
following vaccines:
1. MMR Vaccine – July 20, 2018
2. Pneumonia Vaccine - August 25, 2018
GIVEN this 28th day of September, Two Thousand and Eighteen at
KAPATAGAN PROVINCIAL HOSPITAL, Annex, Kapatagan Lanao del Norte.
IAN MARK S. REPONTE, M.D.

Medical Specialist
OR NO 3207771
OR DATE: 6/19/17

REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MS. ERIEN H. CABRERA, 28 years old, female, single and
a resident of Tuna-an, Lala, Lanao del Norte was seen and examined by the
GIVEN this 22nd day of JUNE, Two Thousand and SEVENTEEN at

Medical Officer IV
OR NO 321742
OR DATE: 6/22/17

REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. JUNNIFER D. PANTONIAL, 25 years old, male, single
and a resident of Butadon, Kapatagan, Lanao del Norte was seen and examined by the
GIVEN this 11th day of JULY, Two Thousand and SEVENTEEN at KAPATAGAN
JAMAICA DIMAPORO,
M.D.
OR NO 3232159
OR DATE: 7/11/17
REGION X75
(063) 382-8030
CERTIFICATION
This is to certify that MS. ROSALIE B. MORENO, 40 years old, female, single
and a resident of Purok 2, Taguitic, Kapatagan, Lanao del Norte was seen and
JAMAICA DIMAPORO,
M.D.
OR NO 3232169
OR DATE: 7/11/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. JAMAL L. SAUMAY, 23 years old, male, single and a
resident of Poblacion, Salvador, Lanao del Norte was seen and examined by the
JAMAICA DIMAPORO,
M.D.
OR NO 3232300
OR DATE: 7/19/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. REYNALDO S. PACQUIAO, 21 years old, male,
single and a resident of Purok 5, Maranding Annex, Kapatagan, Lanao del Norte was
seen and examined by the undersigned and found out that he is physically healthy.

Medical Officer IV
OR NO 3232397
OR DATE: 7/24/17
REGION X
(063) 382-8030
CERTIFICATION
This is to certify that MR. JANALAN D. CADALAY, 21 years old, male, single
and a resident of Purok 3, Brgy Pili, Sapad, Lanao del Norte was seen and examined
GIVEN this 14th day of AUGUST, Two Thousand and SEVENTEEN at

Medical Officer IV
OR NO 3320458
OR DATE: 8/14/17

Med Cert For Employment

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Republic of the Philippines

Province of Lanao del Norte

TO WHOM IT MAY CONCERN;

This is to certify that FRANCES DIANA R. BONACHITA teacher of this LGU

MARIE ANN C. SANCHEZ, M.D,

TO WHOM IT MAY CONCERN:

This is to certify that, the records of Mr. Roger S. Pamontongan,

the lack of documents needed to present upon this court.

GIVEN this 5th of December, Two Thousand and Seventeen at KAPATAGAN

PROVINCIAL HOSPITAL, Kapatagan Lanao del Norte.

TO WHOM IT MAY CONCERN:

3rd digit foot right.

PROVINCIAL HOSPITAL, Kapatagan Lanao Del Norte.

JOSE A. SERAPIO IV, MD

TO WHOM IT MAY CONCERN:

This is to certify that MS. CRESILDA J. PATALINGHUG, 48 years old, female,

GIVEN this 12th day of APRIL, 2019 at KAPATAGAN PROVINCIAL HOSPITAL,

Annex ,Kapatagan Lanao del Norte.

RAY BRANDON S. BALANE, MD

right foot 2x2 cm.

support for her claim in CARD INC.

PROVINCIAL HOSPITAL, Kapatagan Lanao Del Norte.

CYRUS Y. ACOSTA, M.D.

TO WHOM IT MAY CONCERN:

for whatever legal purpose this may serve him best.

PROVINCIAL HOSPITAL, Kapatagan Lanao del Norte.

NASHEBA L. MACAGAAN, M.D.

TO WHOM IT MAY CONCERN:

The embedded supernumerary tooth shows no symptoms and disturbances on

Furthermore, the said embedded supernumerary tooth is not indicated for

GIVEN this 08th day of MAY, 2019

HILARION P. NEMEÑO, D.M.D.

DATE OF ISSUE: 05-08-2019

TO WHOM IT MAY CONCERN:

examined by the undersigned and found out that he is physically fit.

PROVINCIAL HOSPITAL, Kapatagan Lanao del Norte.

JOSE A. SERAPIO IV, M D.

TO WHOM IT MAY CONCERN:

purpose it may serve her best.

GIVEN this 7th day of MARCH, Two Thousand and SEVENTEEN at

KAPATAGAN PROVINCIAL HOSPITAL, Kapatagan Lanao del Norte.

JASMIN F. SUMALIPAO, M.D.

TO WHOM IT MAY CONCERN:

employment purposes only

PROVINCIAL HOSPITAL, Kapatagan Lanao del Norte.

SHYDIN U. MANTICAYAN, M.D.

TO WHOM IT MAY CONCERN:

purpose it may serve him best.

GIVEN this 17th day of MARCH, Two Thousand and SEVENTEEN at

KAPATAGAN PROVINCIAL HOSPITAL, Kapatagan Lanao del Norte.

FLORENDA M. BRINGUELA, M.D.

TO WHOM IT MAY CONCERN:

the undersigned and found out that she is physically healthy.

purpose it may serve her best.

GIVEN this 17th day of MARCH, Two Thousand and SEVENTEEN at

KAPATAGAN PROVINCIAL HOSPITAL, Kapatagan Lanao del Norte.

WILLIAM J. CANOY, M.D.

TO WHOM IT MAY CONCERN:

undersigned and found out that she is physically healthy.

purpose it may serve her best.

GIVEN this 21st day of MARCH, Two Thousand and SEVENTEEN at

KAPATAGAN PROVINCIAL HOSPITAL, Kapatagan Lanao del Norte.

JAMAICA DIMAPORO-UMPA, M.D.