Department of Social Welfare and Development

Field Office 2
SUSTAINABLE LIVELIHOOD PROGRAM

RESULT OF VALIDATION AND ASSESSMENT FOR INDIVIDUAL REFERRAL / WALK-IN AND DISASTER AFFECTED BENEFICIARIES

MUNICIPALITY
PROVINCE:
DATE OF VALIDATION:

NO. BARANGAY FIRST NAME MIDDLE NAME LAST NAME BDAY

Prepared By: Reviewed By:

NAME OF PDO NAME OF PROVINCIAL COORDINATOR

PDO II Provincial Coordinator
DISASTER AFFECTED BENEFICIARIES

PROPOSED RESULT OF
TYPE OF PAX LIVELIHOOD PROJECT COST VALIDATION AND REMARKS RESPONSIBLE PDO
PROJECT ASSESSMENT

Recommeding Approval: Approved By:

NOEL T. DOMINGO LUCIA S. ALAN

PDO III / SLP RPC Officer-in-Charge