Cultural Heritage Inventory Form

(Significant Tangible Immovable Heritage)

Category: Churches, Temples and Places of Worship

NAME OF IMMOVABLE HERITAGE:

PHOTO:

I. BACKGROUND INFORMATION
A. TYPE
( ) CHURCH ( ) TEMPLE

( ) MOSQUE ( ) OTHER ____________________

B. RELIGION/DENOMINATION:

C. ADDRESS/LOCATION/COORDINATES (Longitude & Latitude):

D. AREA:
1. Total Land Area
2. Structure

E. YEAR CONSTRUCTED/ESTIMATED AGE:

F. OWNERSHIP/JURISDICTION:

G. DECLARATION/LEGISLATION:

Adapted from UNESCO-NCCA Cultural Mapping Form 03C

Significant Tangible Movable Heritage
Municipality/City of _______________
Province of __________________
 II. DESCRIPTION OF THE OBJECT
A. Physical Description (Describe the physical features- exterior, interior, landscape
surrounding the structure)
For churches, please describe the exterior- the façade, bell tower; the interior- the
retablo, baptismal font, spaces used, ceiling, floor; shape of the church and
surroundings landscape.

B. History of the Structure (Write the history of construction, use/function of the building
over the years, history of intervention.)

C. Status ( ) Occupied ( ) Not Occupied

III. SIGNIFICANCE
Indicate type of significance, e.g. Historical, aesthetic, scientific, social, socioeconomic, socio-
political, spiritual and then explain.

A. PRIMARY CRITERIA (Indicate type of significance, e.g. historical, aesthetic,

scientific, social, socioeconomic, socio-political, and spiritual and then explain.)

B. COMPARATIVE CRITERIA (Indicate Provenance, Representativeness, Rarity, And

Interpretive Potential.)

IV. PHYSICAL CONDITION

A. STATUS/CONDITION OF STRUCTURE: (Describe the physical condition of the
structure.)

( ) Excellent
( ) Good
( ) Fair
( ) Deteriorated
( ) Ruins
Adapted from UNESCO-NCCA Cultural Mapping Form 03C
Significant Tangible Movable Heritage
Municipality/City of _______________
Province of __________________
 Remarks:

B. INTEGRITY OF THE STRUCTURE:

1. ( ) Altered 2. ( ) Moved
( ) Unaltered ( ) Original Site

Remarks:

V. LIST OF SIGNIFICANT TANGIBLE MOVABLE HERITAGE (Within the

premises of the built heritage, with the consent of the owner/caretaker):

Year produced or estimated

Name of Object Photo
age

VI. REFERENCES

KEY INFORMANT/S:
REFERENCE:
NAME OF RESEARCHER/S:
DATE INVENTORY:

Adapted from UNESCO-NCCA Cultural Mapping Form 03C

Significant Tangible Movable Heritage
Municipality/City of _______________
Province of __________________