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Brgy. District I - Vac Form-Brgy Form Feb 2021
Brgy. District I - Vac Form-Brgy Form Feb 2021
Child 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Child 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
*If ✔, encode "1" on the applicable fields *Immediate Family Member/s – parents and siblings
*If "Others," please specify *Other Close Relative/s – uncles, aunts, grandparents, cousins, etc.