Form No.
CMP-05 (Barangay & Station Level)
CLUSTERED HOUSEHOLDS DATABASE
Nr. of Designated Community Status of Clustered Presence of Group,
Specific Location (Indicate House- Result of Social
Brgy. Bagumbayan Leaders w/ Contact Community/ Clubs and NGOs Remarks
Sketch) holds/ numbers Occupied Area Investigation Members
Families
Sitio Lupa (North Side), Mr. Leon Guerero and Mr. Neighborhood Law Abiding Citizens/ BPATs, Bantay Bayan,
Cluster 1 30 HH Juan Dela Cruz / Clustered
Brgy. Bagumbayan 09171234567 Association Settlers Peace Loving People Guardians
Cluster 2
Cluster 3
Cluster 4
Cluster 5
Cluster 6
Cluster 7
Cluster 8
Prepared By: Noted By:
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