You are on page 1of 1

ROSTER OF BENEFICIARIES/AVAILEES

(RA 11261 - FIRST TIME JOBSEEKERS ACT)


BARANGAY SINABAAN
BAUTISTA, PANGASINAN

NAME OF BENEFIACRIES/AVAILEE DATE OF BIRTH SEX/GENDER EDUCATIONAL LEVEL


AGE Elementary/
Last Name First Name Middle Name Month Date Year M F College Course OSY
Highschool
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Note: This for shall be accomplished by the barangay or concerned agency to be submitted to DILG through City/Municipality or DICT

Prepared By: Noted By:

OMAR I. DIZON ELVIRA F. MARTINEZ


Barangay Secretary Punong Barangay
1/26/2022 1/26/2022
Date Date

You might also like