405manila - Barangay Certificate
For Barangay 405manila residents with completed RBI form submitted.
LAST NAME *
Please put a qualifier (if you have any) after your last name, ex. Dela Cruz Jr., Dela Cruz III, etc.
FIRST NAME *
MIDDLE NAME *
(Please use "NA" if without Middle Name)
SEX *
CIVIL STATUS *
CITIZENSHIP *
ADDRESS - NUMBER *
(Ex. 1234, 1234-A, 1234-A Room B, 1234-A 3rd Floor Room B)
ADDRESS - STREET *
DATE OF BIRTH *
MM
/
DD
/
YYYY
PURPOSE *
You can only choose 1 per session.
Are you a registered voter of this barangay? *
MOBILE PHONE NUMBER *
EMAIL ADDRESS
Although not required, we do encourage you to fill this line.
FACEBOOK MESSENGER LINK
Be a friend.
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