VAW Form 1 Region! HUC:OlongapoCity Barangay:_ BANICAIN BARANGAY DATA CAPTURE FORM MONITORING OF INCIDENCE ON VIOLENCE AGAINST WOMEN (VAW) DURING THE COVID-19 PANDEMIC For the period: September 1, 2021 to September 30, 2021 TYPES OF VIOLENCE (2) [ACTIONS TAKEN BY THE BARANGAY (2) vaw Referred for | Reterred for Others ig | Prvsicat |. ar abuse! Pavchotogical’ | Economic |. 44 gp Reteredto| Referred to Referred to| Rafer ered or | peteredto | gy. a Abuse Jemotional abuse] Abuse Lswoo. | PNP | NBI Court Feel Ws (2a) oy (2) ne [epee ec | (CSS) us Goa) UL enters ee wereren ts Ryo ee (3e) (20 tn) BT Zi Te ee oe ee vat Tat [ pie specity Victim 4 No reported case Victim 2. Victim 3 “If V, encode "1" on the applicable fields “If "Others," please specify Prepared by: ‘Submitted by: VAWC Desk Officer Punong Barangay‘VAC Form 1 BARANGAY DATA CAPTURE FORM MONITORING OF INCIDENCE ON VIOLENCE AGAINST CHILDREN (VAC) DURING THE COVID-19 PANDEMIC For the period: September 1 ,2021 to September 30, 2021 Region HUC:OlongapoCity Barangey ewes REE Tor WOOT FERPETERTRS ETERS TARE BYE ERRATIC ia o o we oy Tear [Rrmas]| Oh vwctms | tin | rama [AGE] Pree] sen] Pocrangca| auc | “Fon” | cre | aequttaee|saae | za, | tee | oer [rare] mates | rater | Sia” “tga | (eucato . ects |e | a | "Sr oe | on am ars | Ae ancien ae “| tanner | same | “an” | “a” | Of | ere | tx:ourten | Ueno | tr | e%St | cmon | Aamnce | ‘Ron Foon ca _| “i re = Sha — wo nmponadom “Hv, encode "T” on the applicable fields “8 "Others," please specity ‘VAWC Desk Officer inong Barangay “Immediate Family Member/s — parents and siblings “Other Close Relative's — uncles, aunts, grandparents, cousins, etc