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Punong Barangay Barangay Treasurer Sangguniang Barangay Member Barangay Secretary SK Treasurer SK Chairperson SK Secretary SK Member Ipmr

This document is a Barangay Official's Information Sheet form revised in 2020. It collects personal and professional information from barangay elected and appointed officials, including their position, term of office, educational background, occupation, and beneficiaries. Officials must sign to grant consent for the Department of the Interior and Local Government to process their personal information in accordance with Philippine data privacy laws.

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Maria Lourdes D. Boone
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163 views

Punong Barangay Barangay Treasurer Sangguniang Barangay Member Barangay Secretary SK Treasurer SK Chairperson SK Secretary SK Member Ipmr

This document is a Barangay Official's Information Sheet form revised in 2020. It collects personal and professional information from barangay elected and appointed officials, including their position, term of office, educational background, occupation, and beneficiaries. Officials must sign to grant consent for the Department of the Interior and Local Government to process their personal information in accordance with Philippine data privacy laws.

Uploaded by

Maria Lourdes D. Boone
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 Revised 2020

Republic of the Philippines


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

BARANGAY OFFICIAL’S INFORMATION SHEET

REGION : CITY/MUN :

PROVINCE : BARANGAY :

ELECTIVE AND APPOINTIVE POSITION


Punong Barangay Barangay Treasurer
Sangguniang Barangay Member Barangay Secretary
Rank (1, 2, 3, 4, 5, 6, 7) SK Treasurer
SK Chairperson SK Secretary
SK Member (Rank 1, 2, 3, 4, 5, 6, 7) IPMR
Relationship with the Appointing Authority: __________________

TERM IN THE PRESENT POSITION: Other Appointive Barangay Official:


1 st
2 nd
3 rd
___________________________________

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 Under Graduate

OCCUPATION: HONORARIUM:

BENEFICIARIES: (optional for the other appointive barangay officials)


NAME DATE OF BIRTH RELATIONSHIP

1.

2.

3.

4.
(Please use additional Sheet if necessary)

I hereby certify that the above information are true and correct to the best of my knowledge. I understand that for the DILG to carry
out its mandate they must necessarily process my personal information. Therefore, I grant my consent and recognize the authority
of the DILG to process my personal information, pursuant to the Philippine Data Privacy Act of 2012.

(Signature over Printed Name) (Date Accomplished)

Verified and validated by:


CD/CLGOO/MLGOO Date
(Signature over Printed Name)

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