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OSD-Brgy.

Assembly Form 1

MONITORING REPORT ON SYNCHRONIZED BARANGAY ASSEMBLY DAY


(Proclamation No. 342 dated March 18, 2003)
For the _____________ Semester CY 2014

Region: _____________________
Province: ____________________
Municipality: _________________

Total No. of Total No. of


Name of Barangay Date Conducted Households HH Attended Major Issues Remarks

Prepared by:
Submitted by:

________________________ ______________________
Barangay Secretary Punong Barangay

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