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Region: V City/Mun.: Bulusan Province: Sorsogon BARANGAY: Dancalan

This document is a barangay officials information sheet that collects personal and professional information about barangay officials in Region 5, Province of Sorsogon, Municipality of Bulusan, Barangay Dancalan. It collects information such as name, position, term length, contact details, education level, occupation, honorarium, and beneficiaries. The official certifies the information is true and correct before a municipal local government operations officer validates and verifies it.

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Christine Frilles
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133 views1 page

Region: V City/Mun.: Bulusan Province: Sorsogon BARANGAY: Dancalan

This document is a barangay officials information sheet that collects personal and professional information about barangay officials in Region 5, Province of Sorsogon, Municipality of Bulusan, Barangay Dancalan. It collects information such as name, position, term length, contact details, education level, occupation, honorarium, and beneficiaries. The official certifies the information is true and correct before a municipal local government operations officer validates and verifies it.

Uploaded by

Christine Frilles
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BOIS Form 001 Revised 2017

Republik of the Philippines 1x1


Department of the Interior and Local Government ID Picture
DILG-NAPOLCOM Center, EDSA corner Quezon Avenue, Quezon City

BARANGAY OFFICIALS INFORMATION SHEET

REGION: V CITY/MUN.: BULUSAN


PROVINCE: SORSOGON BARANGAY: Dancalan
ELECTIVE AND APPOINTIVE POSITION

 Punong Barngay  Barangay Treasurer


 Sangguniang Barangay Member  Barangay Secretary
Rank (1, 2, 3, 4, 5, 6, 7) Relationship with the Appointing Authority
 SK Chairman  IPMR
 SK Member  other Appointive Barangay Officials:
TERM IN THE PRESENT POSITION

1ST 2nd 3rd


PERSONAL INFORMATION

(Last Name) (Suffix e.g. jr, I, II, III) (First Name) (Middle Name)

(Birth Date: mm/dd/yyyy) (Birth Place) (Sex) (Civil Status) (Religion)

(Residence Address) (Residence Telephone No.)

(Mobile Number) (Barangay Hall Telephone Number) (E-mail Address)

HIGHEST EDUCATION ATTAINMENT:  ELEMENTARY  HIGH SCHOOL  COLLEGE  POST GRAD  VOCATIONAL
Please specify:  Graduate  Under Graduate
OCCUPATION: H HONORARIUM:

BENEFICIARIES:
NAME DATE OF BIRTH RELATIONSHIP
1. __________________________
2. __________________________
3. __________________________
4. _
5. ______________________ __________________________

I hereby certify that the above information are true and correct to the best of my knowledge.

_________________________
(Signature Over Printed Name) (Date Accomplished)
Verified and validated by:

IMELDA M. GABIONZA _______________________


MLGOO Date

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