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Barangay Official'S Information Sheet: II Lal-Lo Cagayan

This document is a form used to collect information from barangay officials in the Municipality of Lal-Lo, Province of Cagayan, Philippines. The form collects personal details of the official such as name, position, term of office, contact details, education level, occupation, and beneficiaries. It requires the official to certify that the provided information is true and correct. The form is then validated by the Municipal Local Government Operations Officer.

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0% found this document useful (0 votes)
80 views

Barangay Official'S Information Sheet: II Lal-Lo Cagayan

This document is a form used to collect information from barangay officials in the Municipality of Lal-Lo, Province of Cagayan, Philippines. The form collects personal details of the official such as name, position, term of office, contact details, education level, occupation, and beneficiaries. It requires the official to certify that the provided information is true and correct. The form is then validated by the Municipal Local Government Operations Officer.

Uploaded by

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

1X1
Republic of the Philippines ID Picture
Department of the Interior and Local Government
Province of Cagayan
MUNICIPALITY OF LAL-LO

BARANGAY OFFICIAL'S INFORMATION SHEET

REGION : II MUNICIPALITY : LAL-LO


PROVINCE : CAGAYAN BARANGAY :

ELECTIVE AND APPOINTIVE POSITION

Punong Barangay Barangay Treasurer


Sangguniang Barangay Member Barangay Secretary
Rank (1, 2, 3, 4, 5, 6, 7) Relationship with the Appointing Authority : ____________________

SK Chairperson IPMR
SK Member Other Appointive Barangay Official:

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 EDUCATIONAL ATTAINMENT: ELEMENTARY HIGH SCHOOL COLLEGE POST GRAD VOCATIONAL
Please specify: Graduate Undergraduate

OCCUPATION: 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:

ROSHSEINEE O. GUMABAO
MLGOO Date

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