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NHCP Copy For Use

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Andre Gail Tagimacruz
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18 views5 pages

NHCP Copy For Use

Uploaded by

Andre Gail Tagimacruz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NEDA APPROVAL NO.

10729 – 10200 – R 050 – B


REPUBLIC OF THE PHILIPPINES
NATIONAL HISTORICAL COMMISSION OF THE PHILIPPINES

Identification of Significant Historical Structure Entry Number: _________ Date: ___________

Region: Province: Type: Number:

1. NAME
Common:

And/or historic:

2. LOCATION
Street and number:

Barangay/Barrio:

City/Town: Province: Region:

3. CLASSIFICATION
Category Ownership Status Accessible to the
Public
Building [] Private [] Public acquisition: Occupied [] Yes []
Structure [] Both [] In progress [] Unoccupied [] No []
Site [] Public [] Being considered [ ] Preservation work in
Progress []

Present Use
Shrine [] Commerce [] Industrial [] Ecclesiastical [] Others (Specify)
Monument [] Education [] Health [] Museum [] ____________________
Landmark [] Entertainment [ ] Private Residence [] Scientific [] ____________________
Agriculture [] Government [] Military [] Transportation [] ____________________

4. OWNER OF PROPERTY
Owner’s Name:

Street and Number:

City/Town: Province:

5. LOCATION OF LEGAL DESCRIPTION


Registry of Deeds: National Archives, Bureau of Buildings, etc.

Street and Number:

City or Town: Province:

Approximate area of property (square meters)


6. DESCRIPTION
Condition Excellent [ ] Good [ ] Fair [ ] Deteriorated [ ] Ruins [ ] Unexposed [ ]

Integrity (Check one) (Check one)


Altered [ ] Unaltered [ ] Moved [ ] Original Site [ ]

Describe the present and original (if available) physical appearance

7. LOCATION PLAN (Attach other photographs and sketches)


8. SIGNIFICANCE
Period: Spanish [ ] American [ ] Post-War [ ]

Specific Date (s)

Areas of Significance (check one or more as appropriate)

Commerce [] Architecture [] Political [] Transportation []


Communications [] Literature [] Religion [] Urban Planning []
Education [] Military [] Science [] Others (Specify) []
Engineering [] Music [] Sculpture [] __________________________
Industry [] Painting [] Social/Humanitarian [ ] __________________________
Landscape [] Philosophy [] Theater [] __________________________

Statement of Significance (Include Personages, Dates, Events, Etc. )


9. MAJOR BIBLIOGRAPHICAL REFERENCES

10. FORM PREPARED BY


Name:

Organization and Designation:

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