SOP Exhibits

Title:

Certification - Farmer's Passbook

SOP Number : GM-PR12

EXHIBIT IV

TO: The NFA Provincial Manager

This is to certify that Mr./Mrs. ________________________ a resident of _______________________________ is a bonafide /__/ CLT holder /__/ leaseholder
lessor /__/ Administrator /__/ owner-tiller of a piece of agricultural land having an area of ______ hectarages located at __________________________________________
(address of farm holding)
planted to ___________________________________________________________
(variety)
with an average yield of ____________________ for the last two cropping seasons.
(bags of 50 kg)

This is to certify further that the said piece of land is an ________________/
(irrigated)
___________________________.
(non-irrigated)

This certification is issued in connection with the subject's application for Farmer's Passbook (FP) to the National Food Authority.

______________________ ______________________
Print Name and Signature of Print Name and Signature of
Barangay Captain Barangay Agrarian Refor
Council Chairman

__________________________
Print Name and Signature of
Agricultural Production Technician

NOTE: This certificatin shall be signed by the APT, BARC
Chairman and Barangay Captain under whose
jurisdiction the piece of land being applied for NFA
passbook is located.

Republic of the Philippines
Province of _________) s.s.
Mun./City of _________)

SUBSCRIBED and SWORN to before me this _____ day of ____________________
19______ at ___________________, Philippines. Affiant exhibited to me his/her Res. Cert. No.
___________________ issued on __________, 19___ at ____________________________,
Philippines.

WITNESS MY HAND AND SEAL.

_______________________________
Notary Public/Administering Officer
Until December 31, 19______
PTR No. _______
Doc. No. __________
Book No. __________
Page No. __________
Series of 19________