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BARANGAY SAN ROQUE
Rosario, Batangas, Philippines
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Barangay Clearance Form
Fill out all required fields.
First Name
*
Middle Name
*
Last Name
*
Suffix
*
Date of birth
*
Pick a date
Age
Sex
*
Select sex
Civil Status
*
Select civil status
Purok
*
Contact Number
*
Place Status
*
Local Employment
Overseas Employment
Loan
School Purposes
Others (specify)
Instructions:
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