SGLGB Form 4.

Identifying Information

Region : IV - CALABARZON
Barangay : MARKET VIEW
City/Municipality : LUCENA CITY
Province : QUEZON

Seal of Good Local Governance for Barangay

Data to be Certified by the Barangay

Remarks(pls. indicate if
Indicator Data Requirements no data)

1. Compliance with the  Location of the BFDP Board:

Barangay Full Disclosure Barangay Hall
Policy (BFDP) Greenhills TODA Terminal
Atin-Atin Day Care Center

2. Financial Any of the following:

Accomplishments reported  Post-activity report re conduct of the
during the conduct of the CY 2018 BAD indicated therein the
Barangay Assembly Day report on financial accomplishment; or
(BAD)  Financial Accomplishment Report; or
 State of Barangay Address indicated
therein the report on financial
accomplishment:
a. 1st Semester BAD:
Yes _ / _
No ______
b. 2nd Semester BAD:
Yes _ / _
No ______

3. Display of disaster-related  Signages: Yes _____ No______

signages, markers and  With instructions going to the
directional signs in evacuation center:
strategic locations Yes ____ No____
 Location of the said signages:
_____________________

4. Establishment of an  Evacuation Center:

Evacuation Center a. Owned:
Yes _____ No_ / _
b. Designated:
Yes _ / _ No______
 Location of the Evacuation Center:
Lucena East I Elementary School
 St. Joseph Parish Chapel
Barangay Hall

5. Organization of the  Executive Order or similar creating the

Barangay Emergency Barangay Search and rescue Teams:
Search and Response Yes _ / _ No______
Teams or similar entities Date Issued: July 01, 2018

 Total number of Teams: 13

 Trainings conducted in the past 12

months: Yes _ / _ No______

Title of Trainings:
1. Basic Life Support Training
2. BERT Training

6. Establishment of a Day  Day Care Center: Yes _ / _ No_____

Care Center
 Barangay Day Care Worker:
Yes _ / _ No______

 Location of the Day Care Center:

Purok Atin-Atin

7. Designation of priority  Signages pertaining to priority lanes:

lanes for the Yes _____ No______
disadvantaged sectors
8. Registration of  With Kasambahay Desk
Kasambahay Yes _____ No______

 List of registered Kasambahays:

Yes _____ No______

9. Percentage of cases settled  Total number of cases filed: ______

under the Katarungang
Pambarangay  Total number of cases settled: ______

 Percentage of cases filed: _______%

10. Maintenance of a Record of  RBI: Yes _____ No______
Barangay Inhabitants
(RBI) or similar

Prepared by:

__________________________________
Signature over printed name
Barangay Secretary

Certified by:
__________________________________
Signature over printed name
Punong Barangay