MONTHLY BARANGAY CONSOLIDATED KASAMBAHAY REPORT

For the Month of _______________

Barangay _____________
City/Municipality _____________
Province _____________
Region _____________

TOTAL NO. OF NO. OF KASAMBAHAY BY (2)

REGISTERED SEX AGE CIVIL STATUS EDUCATIONAL ATTAINMENT (d) WORK INFORMATION (e)
KASAMBAHAY (a) (b) (c) ELEMENTARY HIGH SCHOOL COLLEGE NATURE OF WORK SALARY
(1)

Prepared by: Submitted by:

______________________ SONNY A. SANTOS

Kasambahay Desk Officer Punong Barangay