CERTIFICATE OF APPEARANCE
This is to certify that _______________________________, ___________________,
(Name) (Position)
of ______________________________ has personally appeared in this office for official
(Official Station/Agency/Company)
business. The specific purposes, dates and offices visited are hereunder enumerated and
confirmed as follows:
Date Purpose (s) Office/Section/Unit Certifying Officer
(Signature over Printed Name)
I hereby certify that all information stated herein are true and correct and I will hold myself accountable
for all corresponding administrative, criminal, and civil liabilities for any misrepresentations and/ or
falsifications.
________________________
Employee Name & Signature
Note: Please maximize the space provided in this form before using another sheet. Valid for re-use in each visit.