Caraga Administrative Region

Division of Butuan City

Rosal St., Brgy. Dagohoy, Butuan City

DATE

NAME OF
SCHOOL/
AGENCY

PURPOSE OF
VISIT

NAME OF
ADMINISTRATO
R/ OFFICER INCHARGE

SIGNATURE

CERTIFICATE OF APPEARANCE
TO WHOM IT MAY CONCERN:
This is certify that I attended to Engr. Nichael M. Madria of the Department of Education
Division of Butuan City Office for the month of _________________, 20__ and that he officially transacted
business with our agency/ company.