2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No.

4
Assessment Period: CY 2019
ICC/CC/Municipal Consolidated Performance Assessment Form

Identifying Information

Region : _______________________________
City/Municipality : _______________________________
Province : _______________________________

Performance Rating

No. Barangay Scores obtained by the Barangay per Performance Area Result
(Passed –
Safety, Financial Disaster Social Business- Environmenta
Green /
Peace Administration Preparedness Protection Friendliness and l Management
Failed –
and and (20 pts.) and Competitiveness (10 pts.)
Red)
Order Sustainability Sensitivity (15 pts.)
(20 pts.) (20 pts.) (15 pts.)
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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 4
Assessment Period: CY 2019
ICC/CC/Municipal Consolidated Performance Assessment Form

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 2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 4
Assessment Period: CY 2019
ICC/CC/Municipal Consolidated Performance Assessment Form

We certify to the correctness of the above information.

City/Municipal Assessment Team:

____________________________________
Chairperson

____________________________________
Vice-Chairperson

____________________________________
Member

____________________________________
Member

Date Accomplished: _______________________

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