Republic of the Philippines

Province of Leyte
Municipality of MacArthur

Municipal Health Office

August 1, 2017

This is to certify that _____________________________, ___ years of age, a permanent

resident of Barangay _____________, MacArthur Leyte is actively performing her roles and
functions as a COMMUNITY HEALTH TEAM / VOLUNTEER HEALTH WORKER for ___ years of the
said barangay.
This certificate is issued upon the request of the interested party for whatever purpose
this may serve her.

______________________, RM
Rural Health Midwife