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1 X 1 ID Picture: Barangay Official'S Information Sheet

This document is a Barangay Official's Information Sheet used to collect personal and professional information from barangay elected and appointed officials in the Philippines. It collects information such as name, position, term of office, contact details, education history, occupation, honorarium received, and emergency contact beneficiaries. The official signs to certify the accuracy of the information provided, which is then validated by local government representatives.

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Jordan Paul Dangelan
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215 views

1 X 1 ID Picture: Barangay Official'S Information Sheet

This document is a Barangay Official's Information Sheet used to collect personal and professional information from barangay elected and appointed officials in the Philippines. It collects information such as name, position, term of office, contact details, education history, occupation, honorarium received, and emergency contact beneficiaries. The official signs to certify the accuracy of the information provided, which is then validated by local government representatives.

Uploaded by

Jordan Paul Dangelan
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 001 Revised 2017

1X1
ID Picture
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 Barangay Secretary
Sangguniang Barangay Member Relationship with the Appointing Authority:
Rank (1, 2, 3, 4, 5, 6, 7) IPMR
SK Chairperson SK Member other Appointive Barangay Official:
TERM IN THE PRESENT POSITION

1st2nd3rd

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:
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:

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

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