Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

1 140108013-1-f36f33 ALAGBAN, CHARITA CAMADDO

2 140108013-1-3b63cd BAGA, DEMETRIO CATE

3 140108013-1-98c8ec BARCENA, BEATRIZ

4 140108013-1-32bead BARCENA, CARLITO CALAYOAN

5 140108013-1-fe6370 BARCENA, CHRISTINA BAGA

6 140108013-1-50bea1 BARCENA, ESPERANZA TURDOVA

7 140108013-1-f80d2c BARCENA, MELINDA BARBERO

8 140108013-1-903665 BARCENA, MIRASOL GALERA

9 140108013-1-0c9384 BARCENA, NELY VILLASTIQUI

10 140108013-1-4a9b8b BARCENA, SHIRLEY SIBAYAN

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : UDANGAN
Date: Date:

Page 1 of 6
 Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

11 140108013-1-078165 BAYLE, NOEMI DUCAYAG

12 140108013-1-2dcb2a BERAME, ERNESTO

13 140108013-1-6371eb BEROÑA, MERCEDITA BRAGAS

14 140108013-1-5aba3c BLANZA, DANILO BARCENA JR

15 140108013-1-bb76d6 BLANZA, FELIZA BARCENA

16 140108013-1-c8b5c0 BLANZA, HONORIO OLO

17 140108013-1-cbbb12 BLANZA, JANNETH BARCENA

18 140108013-1-c472dc BLANZA, JOANA MARIE BARCENA

19 140108013-1-c19124 BLANZA, JONALYN BLANZA

20 140108013-1-d00e48 BLANZA, JUAN CATE

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : UDANGAN
Date: Date:

Page 2 of 6
 Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

21 140108013-1-622e17 BLANZA, JUANA OLO

22 140108013-1-144545 BLANZA, JUANITA BAGA

23 140108013-1-866673 BLANZA, LOLLITES BAJADE

24 140108013-1-1782ee BLANZA, MARIETA OLO

25 140108013-1-9a6efd BLANZA, MERLINDA ESTIGO

26 140108013-1-06de59 BLANZA, MERLY BARUELA

27 140108013-1-730639 BLANZA, MILA BARCENA

28 140108013-1-ea048f BLANZA, NORA CAWAING

29 140108013-1-9886e3 BLANZA, RACQUEL FERNANDEZ

30 140108013-1-3aa85d BLANZA, RODRIGO SIDDAYAO

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : UDANGAN
Date: Date:

Page 3 of 6
 Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

31 140108013-1-8b0040 BLNZA, REILY BLANZA

32 140108013-1-6cb4ef BOLANTE, ANTONIA QUIRINO

33 140108013-1-70c692 BUTAC, FELY BLANZA

34 140108013-1-ef269d CALAYOAN, EVA 1ANE GRADO

35 140108013-1-486435 CALAYOAN, EVA JANE GRADO

36 140108013-1-798e8e CALAYOAN, LORETA BLANZA

37 140108013-1-bb79bb CALAYOAN, ROSIE BARUELA

38 140108013-1-4e52ff DIONIO, JAKIELYN BALDERAS

39 140108013-1-f6d466 DUCAYAG, ERLINDA DARANTINAO

40 140108013-1-53a96a DUCAYAG, RODOLFO BISCARRA

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : UDANGAN
Date: Date:

Page 4 of 6
 Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

41 140108013-1-4ba2bd GALERA, MYRIAM BLANZA

42 140108013-1-fceb59 GALERA, MYRIAM BLANZA

43 140108013-1-e0f609 GRADO, ESTELA BALINO

44 140108013-1-9cf8bf GRADO, LERMA BRAGAS

45 140108013-1-13cf7b GUZMAN, GERONIMO DELA CRUZ

46 140108013-1-225317 OMAR, FLORA BLANZA

47 140108013-1-c721b5 PLURAD, ERILYN BARCENA

48 140108013-1-7d51da PRICILA, CABANSAG LEBERATO

49 140108013-1-4bd1c8 QUIPAY, OLIVA BLANZA

50 140108013-1-95c62b TAYABEN, ELY BLANZA

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : UDANGAN
Date: Date:

Page 5 of 6
 Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

51 140108013-1-eaa7ab TAYABEN, FEDELINA CALAYOAN

52 140108013-1-d1706d TAYABEN, GORIA BLANZA

53 140108013-1-b95372 VIADO, BRENDA BAYLE

54 140108013-1-070179 VIRGINIA, LEONORA BLANZA

55

56

57

58

59

60

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : UDANGAN
Date: Date:

Page 6 of 6