PROVINCIAL GOVERNMENT OF BULACAN

PROVINCIAL SOCIAL WELFARE AND DEVELOPMENT OFFICE

POPULATION PROGRAM

ACCOMPLISHMENT REPORT
for the month of _____________ 2022

CITY/MUNICIPALITY OF: ______________________________________________

I. ADOLESCENT HEALTH AND DEVELOPMENT

A. ACTIVITIES REPORT

Kindly attach means of verification such as:

1. Activity Photo Documentation 3. Copy of Program

2. Copy of Participant’s Attendance Sheet 4. Copy of Certificate of Participation / Recognition

ACTIVITIES / TRAININGS / OBJECTIVES TARGET AND DATE/S ACTUAL NUMBER OF BUDGET SOURCE OF FUND HIGHLIGHTS
SEMINAR CONDUCTED EXPECTED IMPLEMENTED PARTICIPANTS
PARTICIPANTS MALE FEMALE TOTAL
1.
2.
3.
4.
5.

II. RESPONSIBLE PARENTHOOD-FAMILY PLANNING

ACTIVITIES REPORT

Kindly attach means of verification such as:

1. Activity Photo Documentation 3. Copy of Program

2. Copy of Participant’s Attendance Sheet 4. Copy of Certificate of Participation / Recognition
 ACTIVITIES / TRAININGS / OBJECTIVES TARGET AND DATE/S ACTUAL NUMBER OF BUDGET SOURCE OF FUND HIGHLIGHTS
SEMINAR CONDUCTED EXPECTED IMPLEMENTED PARTICIPANTS
PARTICIPANTS MALE FEMALE TOTAL
1.
2.
3.
4.
5.

III. POPULATION AND DEVELOPMENT INTEGRATION

A. ACTIVITIES REPORT

Kindly attach means of verification such as:

1. Activity Photo Documentation 3. Copy of Program

2. Copy of Participant’s Attendance Sheet 4. Copy of Certificate of Participation / Recognition

ACTIVITIES / TRAININGS / OBJECTIVES TARGET AND DATE/S ACTUAL NUMBER OF BUDGET SOURCE OF FUND HIGHLIGHTS
SEMINAR CONDUCTED EXPECTED IMPLEMENTED PARTICIPANTS
PARTICIPANTS MALE FEMALE TOTAL
1.
2.
3.
4.
5.

B. POLICY / ORDINANCE ISSUED

Kindly attach the Copy of Policies / Ordinances

POLICY / ORDINANCE NUMBER POLICY / ORDINANCE TITLE DATE ISSUED

IV. SPECIAL POPULATION GROUPS
Population-related activities in coordination with another agency
Kindly attach means of verification such:
5.

1. Activity Photo Documentation 3. Copy of Program

2. Copy of Participant’s Attendance Sheet 4. Copy of Certificate of Participation / Recognition

ACTIVITIES / DEPARTMENT / OBJECTIVES TARGET AND DATE/S IMPLEMENTED ACTUAL NUMBER OF BUDGET SOURCE OF HIGHLIGHTS
TRAININGS / OFFICE IN EXPECTED PARTICIPANTS FUND
SEMINAR CHARGE PARTICIPANTS MALE FEMALE TOTAL
CONDUCTED
1.
2.
3.
4.
5.

Prepared by:

_______(NAME AND SIGNATURE)________ ___________________

City/Municipal Population Officer Worker Date