You are on page 1of 2

Barangay: ___________________________

Voting
Name (PL): _____________________________________
Precint#______________________
(Last Name/Middle Name/First Name)
Assigned
Precint#______________________
Address: __________________________________________
Birth Date: __________________

Age: ______

Assistant Precint Leaders:


Name(Last Name/Middle Name/First Name)

Birthdate

Address

Age

1.__________________________________ ___________________________ ____________ __________


2.__________________________________

_________________________________________ __________

Watchers:
Name(Last
Cellphone#

Name/Middle Name/First
Birthdate
Age

1.____________________________________

Name)

Address

___________________________________________________

2._________________________________________________________________________________________
3.___________________________________________________________________________________________
4._________________________________________________________________________________________
5.__________________________________________________________________________________________
6.__________________________________________________________________________________________
7.___________________________________________________________________________________________
8.___________________________________________________________________________________________
9.__________________________________________________________________________________________
10._________________________________________________________________________________________
11._________________________________________________________________________________________
12._________________________________________________________________________________________
13._________________________________________________________________________________________
14.________________________________________________________________________________________
15.__________________________________________________________________________________________
16.____________________________________________________________________________________________
17.___________________________________________________________________________________________
18.____________________________________________________________________________________________
19.____________________________________________________________________________________________

20.___________________________________________________________________________________________

You might also like