Republic of the Philippines

Province of Tarlac
INSERT
Municipality of Victoria
BARANGAY
BARANGAY SAN GAVINO
LOGO
BARANGAY ANTI-DRUG ABUSE COUNCIL

August 06, 2018

JUAN DELA CRUZ

Municipal LGOO
Municipality of Victoria
Province of Tarlac

Dear Mr. Dela Cruz:

Greetings!

Pursuant to DILG-DDB Joint Memorandum Circular No. 2018-01, I am formally submitting to your
office the documents needed for the 2017 BADAC Functionality Assessment and Audit, to wit:

(1) Accomplished BADAC Self-Assessment and Audit Form;

(2) Accomplished BADAC Data Capture Forms 1 to 6; and
(3) Duly signed documents as MOVs.
(4) Accomplished BADAC Self-Assessment and Audit Form;

I further certify under penalty of law, based on information and belief formed after
reasonable inquiry, the statements and information contained in these documents are true,
accurate and complete.
Thank you and I am looking forward to receiving any comments that you may have in
relation to the above.

Sincerely,

______________________________
Signature over Printed Name of Punong Barangay

[ Insert contact information of the barangay ]