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    BSB FORM NO. 1 - Barangay Official's Information Sheet

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    Rudejane Tan
    This document is a barangay official's information sheet that collects personal and professional details. It requests the elected or appointed barangay position held, term of office, personal information like name, birthdate, address, education level, occupation, and honorarium. It also lists beneficiaries and requires a signature to certify the accuracy of the provided information.

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

    BSB FORM NO. 1 - Barangay Official's Information Sheet

    Uploaded by

    Rudejane Tan
    135 views1 page
    This document is a barangay official's information sheet that collects personal and professional details. It requests the elected or appointed barangay position held, term of office, personal information like name, birthdate, address, education level, occupation, and honorarium. It also lists beneficiaries and requires a signature to certify the accuracy of the provided information.

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    BSB FORM NO. 1_Barangay Official’s Information Sheet

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    This document is a barangay official's information sheet that collects personal and professional details. It requests the elected or appointed barangay position held, term of office, personal information like name, birthdate, address, education level, occupation, and honorarium. It also lists beneficiaries and requires a signature to certify the accuracy of the provided information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    135 views1 page

    BSB FORM NO. 1 - Barangay Official's Information Sheet

    Uploaded by

    Rudejane Tan
    This document is a barangay official's information sheet that collects personal and professional details. It requests the elected or appointed barangay position held, term of office, personal information like name, birthdate, address, education level, occupation, and honorarium. It also lists beneficiaries and requires a signature to certify the accuracy of the provided information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    BSB Form No. 1 s.

    2023

    1X1
    ID PICTURE
    Republic of the Philippines
    Province of Leyte
    MUNICIPALITY OF BURAUEN

    BARANGAY OFFICIAL’S INFORMATION SHEET

    ELECTIVE AND APPOINTIVE POSITION

    Punong Barangay Barangay Secretary


    Sangguniang Barangay Member Barangay Treasurer
    SK Chairperson Barangay Tanod
    Sanggunian Kabataan Member Barangay Nutrition Scholar
    Day Care Worker
    TERM IN THE PRESENT POSITION: Member of the Lupong Tagapamayapa
    1st Barangay Health Worker
    2nd Other appointive barangay service personnel:
    3rd _______________________________________

    PERSONAL INFORMATION

    (Last Name) (Suf x) (First Name) (Middle Name)

    (Birth Date: mm/dd/yy) (Birth Place) (Sex) (Civil Status) (Religion)

    (Residence Address) (Residence Telephone Number)

    (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:
    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)

    Veri ed and validated by:

    ___________________________________________ ___________________________
    (Signature over Printed Name; Position) (Date)
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