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    Socio Economic Form DDOSP Applicants PDF

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    penafloridafranzjhon53
    This document is a socio-economic profile form for applicants to the DDOSP program. It collects information about the applicant's household including details of family members, their education levels, occupations, and income levels. It also gathers data about the applicant's housing conditions, assets, access to utilities and technology. The purpose is to assess the socio-economic status of applicants to determine eligibility for the social program.

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

    Socio Economic Form DDOSP Applicants PDF

    Uploaded by

    penafloridafranzjhon53
    253 views2 pages
    This document is a socio-economic profile form for applicants to the DDOSP program. It collects information about the applicant's household including details of family members, their education levels, occupations, and income levels. It also gathers data about the applicant's housing conditions, assets, access to utilities and technology. The purpose is to assess the socio-economic status of applicants to determine eligibility for the social program.

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    This document is a socio-economic profile form for applicants to the DDOSP program. It collects information about the applicant's household including details of family members, their education levels, occupations, and income levels. It also gathers data about the applicant's housing conditions, assets, access to utilities and technology. The purpose is to assess the socio-economic status of applicants to determine eligibility for the social program.

    Copyright:

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

    Socio Economic Form DDOSP Applicants PDF

    Uploaded by

    penafloridafranzjhon53
    This document is a socio-economic profile form for applicants to the DDOSP program. It collects information about the applicant's household including details of family members, their education levels, occupations, and income levels. It also gathers data about the applicant's housing conditions, assets, access to utilities and technology. The purpose is to assess the socio-economic status of applicants to determine eligibility for the social program.

    Copyright:

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

    SOCIO-ECONOMIC PROFILE FORM FOR DDOSP APPLICANT

    Name of Applicant: Ethnicity


    Address: Sex: Contact No:
    Age: Course/Strand: School:

    A. EDUCATION
    1. How many are you in the household?
    Kindly fill-out the necessary information needed corresponding to the number in the household. (Start with the head of the family first down to the youngest
    member of the household.)

    No. Full Name Age Civil Highest School Type Status Salary Range for
    (Public/Private) (Working/
    Status Educational Working Siblings
    Studying)
    Attainment
    1.

    2.

    3.

    4.

    5.

    6.

    7.

    B. INCOME
    Father’s Occupation: Mother’s Occupation:
    Annual Income Range Annual Income Range
    P 129,999 and below P 129,999 and below
    P 130,000 – P 179,999 P 130,000 – P 179,999
    P 180,000 – P 229,999 P 180,000 – P 229,999
    P 230,000 – P 279,999 P 230,000 – P 279,999
    P 280,000 – P 329,999 P 280,000 – P 329,999
    P 330,000 and above P 330,000 and above
    C. HOUSING CHARACTERISTICS (Please check.)
    1. Type of building occupied by your household: 7. Have water source? Yes No
    a. single house (bungalow, nipa hut, two-storey, barong- 8. Type of fuel household used for cooking:
    barong) a. Electricity
    b. duplex b. Kerosene
    c. apartment / rowhouse c. LPG
    d. condominium / condotel d. Charcoal
    e. relocation area / housing e. Wood
    2. Number of Bedrooms: f. Palay husk / wood shavings
    3. Main construction material of the roof: 9. Presence of household conveniences / information &
    a. Galvanized iron / aluminum communications technology (ICT) devices / vehicles (If present,
    b. Concrete / clay tile kindly specify number)
    c. Half-galvanized iron & half concrete A. Household Conveniences
    d. Wood / bamboo Refrigerator/freezer
    e. Cogon / nipa / anahaw Stove with Oven/Gas Range
    f. Asbestos Induction Cooker
    g. Makeshift / salvaged / improvised material Air Fryer
    4. Construction materials of the outer walls Microwave Oven
    a. Concrete/brick/stone Washing machine
    b. Wood Air conditioner
    c. Half concrete/brick/stone & half wood Electric fan & other cooling equipment
    d. Galvanized iron / aluminum B. ICT Devices
    e. Bamboo/cogon/nipa Radio/radio cassette (AM, FM & Transistor)
    f. Glass Television
    g. Makeshift / salvaged / improvised material CD/DVD/VCD Player
    h. Concrete hollow blocks Audio component/stereo set/karaoke/videoke
    5. Materials of the floor of the housing unit Landline/wireless telephone
    a. Ceramic tile/marble/granite Cellular phone
    b. Cement/brick/stone Tablet
    c. Wood plank Personal computer (desktop, laptop, notebook, netbook &
    d. Wood tile others)
    e. Vinyl/carpet tile C. Vehicles
    f. Linoleum car
    g. None jeep
    6. Have electricity? Yes No motor cycle / motor scooter
    Monthly Billing Range: tricycl
    Below P300 pedicab
    P301 to P500 van
    P501 to P700 truck
    P701 to P900 bicycle
    P901 to P1,100 boat (M/N)
    P1,101 and above

    Source: CBMS of PSA


    10. List down ownership of livestock, herds, poultry & other farm animals:

    Insert photo of the house (outside)

    Insert photo of the house (inside)

    Remarks :

    Name and signature of validator :

    Date :

    Source: CBMS of PSA

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