Barangay CANDOMACOL, Municipality of Motiong 09278457424

Barangay CANDOMACOL

Municipality of Motiong, Samar (Western Samar)

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Certificate Request Form

Note: You must be a registered resident of Barangay CANDOMACOL to request a certificate. Please provide your name exactly as it appears in the barangay records.

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Personal Information

Full Name (as registered) *

Enter your first name and last name as registered in the barangay.

Purpose *

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Fee Waivers Available

Qualified residents (Senior Citizens, PWDs, Solo Parents, Indigent Families, First-Time Jobseekers) may receive automatic fee waivers. Waivers are applied automatically based on your barangay records.

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