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    Annex C.1 - Livelihood Project Status Form For Individual Project

    Uploaded by

    JessaMaeDelosReyes
    This form collects information about livelihood assistance projects and their beneficiaries. It records the name, contact details, and type of beneficiary. It also notes the project details like location and nature. The form tracks the type and date of assistance provided, the project's current status and income, and number of jobs generated. It documents any licenses obtained. It asks about additional assistance received and issues/challenges. The interviewer signs off after administering the form.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Annex C.1 - Livelihood Project Status Form For Individual Project

    Uploaded by

    JessaMaeDelosReyes
    316 views2 pages
    This form collects information about livelihood assistance projects and their beneficiaries. It records the name, contact details, and type of beneficiary. It also notes the project details like location and nature. The form tracks the type and date of assistance provided, the project's current status and income, and number of jobs generated. It documents any licenses obtained. It asks about additional assistance received and issues/challenges. The interviewer signs off after administering the form.

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    Annex C.1 - Livelihood Project Status Form for Individual Project

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    This form collects information about livelihood assistance projects and their beneficiaries. It records the name, contact details, and type of beneficiary. It also notes the project details like location and nature. The form tracks the type and date of assistance provided, the project's current status and income, and number of jobs generated. It documents any licenses obtained. It asks about additional assistance received and issues/challenges. The interviewer signs off after administering the form.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    316 views2 pages

    Annex C.1 - Livelihood Project Status Form For Individual Project

    Uploaded by

    JessaMaeDelosReyes
    This form collects information about livelihood assistance projects and their beneficiaries. It records the name, contact details, and type of beneficiary. It also notes the project details like location and nature. The form tracks the type and date of assistance provided, the project's current status and income, and number of jobs generated. It documents any licenses obtained. It asks about additional assistance received and issues/challenges. The interviewer signs off after administering the form.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    LIVELIHOOD PROJECT STATUS FORM

    (Individual)
    Date: ________________
    BENEFICIARY PROFILE:
    Name: __________________________________________________ Contact No. ______________________
    (Pangalan) Last Name First Name Middle Name

    Type of Beneficiary (Uri ng Benepisyaryo): Farmers Fisherfolk PWD Senior Citizen


    Others, pls. specify: __________________________________
    Address: ______________________________________________________________________________________

    PROJECT DETAILS:
    Project Proponent: ________________________________________________________________________________
    Address of Project/ Area of Operation: ________________________________________________________________
    (Lugar ng Proyekto o Ginagalawan) ________________________________________________________________
    Nature of Livelihood (Uri ng Kabuhayan): _________________________________________________________________
    Type of Assistance (Klase ng Tulong): Formation Enhancement Restoration
    Date Granted (Petsa Pinagkaloob): ____________________ Amount Granted (Halaga ng Pinagkaloob): _________________
    Project Status (Estado ng Proyekto): Monthly Income ( Prior to receipt of assist.): _____________________
    Operational (Buwanang Kita Bago Makakuha ng Tulong)
    Operational but needs assistance Current Monthly Income: ________________
    Not operational (Buwanang Kita Ngayon)
    No. of Job Generated in the Project (Bilang ng Manggagawa Na-employ para sa Proyekto) : ______________
    Licenses & Permits Acquired (Mga lisensya at permit na natamo):
    Brgy. Clearance DTI Permit Mayor’s Permit Sanitary Permit BIR/TIN
    Others: _______________________________________________________________________________________
    A. Assistance acquired from other agencies/organizations
    (Mga tulong na natanggap mula sa ibang mga ahensya/ organisasyon)

    B. Issues / Challenges
    (Mga balakid/problema sa implementasyon ng proyekto; Aspeto ng proyekto na kinakailangan ng tulong)

    C. Recommendation/s / Remarks: (To be filled up by DOLE)

    Administered by (Interviewer):

    ______________________________________
    Annex “C.1”
    (Signature over printed name)
    Notes:
     Attach pictures of project and beneficiary/ies.
     Operational – projects that are continuously producing goods and rendering services with at least break-even return of
    investments

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