Carper Lad Form No 28

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CARPER LAD Form No. 28
(Revised CARP-LAD Form No. 24)
Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM
Region No. _____
Province of __________________
Municipality of ___________________
PRELIMINARY LIST OF POTENTIAL AGRARIAN REFORM BENEFICIARIES
To Whom It May Concern:
This is to inform you that based on the information gathered by the Department of Agrarian Reform Municipal
Office (DARMO), the following persons have been listed as potential beneficiary/ies in the landholding covered
under the Comprehensive Agrarian Reform Program CARP) owned by
_____________________________________________________, embraced by OCT/TCTNo.
_______________________, TD No. ____________ with Lot No. ______________ and Approved Survey No.
______________ with a total area of ________________ (has.) more or less, and located at
_______________________________________________________:
Length of
Present
Name of ARBs Position/ Tenure/
Status1
No. (Last Name, First Address Designation2 Service
Name, Middle Initial) (No. of days)
Note: Put a big “X” in the row immediately after writing/typing/encoding the name of the last ARB in the list.
Then put the words “NOTHING FOLLOWS”. Use additional sheet, if necessary
1
Present Status (i.e., tenant, lessee, regular farmworker, seasonal farmworker, other farmworker, actual tillers or
occupants of public lands, etc)
2
Position/Designation/Nature of Work (i.e., Laborer, Foreman, Supervisor, Kapatas, others, please specify, if
applicable)
**If list consists of several pages, affix initials on all pages and sign only the last page on appropriate space for
signature
CARPER LAD Form No. 28/page 1 of 3 pages

Other farmers/farm workers not listed in the said preliminary list who may qualify and may have an interest as
potential beneficiaries in the said landholding may signify their intent to be included and prove that they are
qualified to become ARBs.
All are invited to visit the DARMO to bring the original copies and photocopies of the original of as many of the
following documents as applicable as proof of qualification/s as an agrarian reform beneficiary of CARP within
seven (7) days from _____________________ (indicate the last day of posting of this preliminary list). The
original copies will only be used as basis for determining the authenticity of the photocopies and will
immediately be returned to the potential ARBs but photocopies should be submitted to DARMO. The following
are the documents:
a. Community tax certificate or barangay certificate indicating potential ARBs as permanent/bonafide

resident/s of the barangay;
b. Social Security System (SSS) Identification card;
c. Voter’s identification card or certified copy of voter’s registration record;
d. Other identification documents with probative value;
e. Certificate of aggregate landholding from the City/Municipal Assessor, land titles, tax declarations;
f. Leasehold contract and/or proof of tenancy papers;
g. Employment certificate indicating length of service and/or periods of employment in the commercial
farm or plantation;
h. Payslip or payroll;
i. Original or certified copy of letter of resignation for farmworker-beneficiaries;
j. Original or certified copy of decision order or ruling by a court, quasi-judicial body or administrative
agency in the event that there was a case related to the dismissal, retrenchment, etc. of the
potential ARB;
k. Original or certified copy of notice of dismissal or retrenchment of farm worker beneficiaries ; and
l. Such other proof that will establish the qualifications or disqualifications of the prospective
beneficiary.
Done this __________day of _________________________, 20 __.
____________________________________
Municipal Agrarian Reform Officer
(Signature over Printed Name)
Copy Distribution
Original - CF
Duplicate - BARC
Triplicate - DARMO/File
Quadruplicate - DARPO File
CARPER LAD Form No. 28 / page 2 of 3 pages

CARPER LAD Form No. 28
(Revised CARP-LAD Form No. 24)
ADDITIONAL SHEET FOR THE LIST OF POTENTIAL AGRARIAN REFORM BENEFICIARIES
Present Position/ Length of

No. Name of ARBs Address Status1 Designation2 Tenure/
(Last Name, First Name, Service
Middle Initial)
Note: Put a big “X” in the row immediately after writing/typing/encoding the name of the last ARB in the list.
Then put the words “NOTHING FOLLOWS”. Use additional sheet, if necessary
Present Status (i.e., tenant, lessee, regular farmworker, seasonal farmworker, other farmworker, actual tillers or
occupants of public lands, etc)
2
Position/Designation/Nature of Work (i.e., Laborer, Foreman, Supervisor, Kapatas, others, please specify, if
applicable)
**If list consists of several pages, affix initials on all pages and sign only the last page on appropriate space for
signature
CARPER LAD Form No. 28 / page 3 of 3 pages

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Downloadable Forms at: www.dar.gov.

Republic of the Philippines

PRELIMINARY LIST OF POTENTIAL AGRARIAN REFORM BENEFICIARIES

To Whom It May Concern:

CARPER LAD Form No. 28/page 1 of 3 pages

a. Community tax certificate or barangay certificate indicating potential ARBs as permanent/bonafide

b. Social Security System (SSS) Identification card;

c. Voter’s identification card or certified copy of voter’s registration record;

d. Other identification documents with probative value;

f. Leasehold contract and/or proof of tenancy papers;

i. Original or certified copy of letter of resignation for farmworker-beneficiaries;

Done this day of _____________, 20 .

CARPER LAD Form No. 28 / page 2 of 3 pages

ADDITIONAL SHEET FOR THE LIST OF POTENTIAL AGRARIAN REFORM BENEFICIARIES

Present Position/ Length of

CARPER LAD Form No. 28 / page 3 of 3 pages

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