DILG-NBOO

VAW Desk Form 5

BARANGAY VIOLENCE AGAINST WOMEN (VAW) DESK

Quarterly Accomplishment Report
Covered Period (____)

Barangay: _____ LALAYAT____________

City/Municipality: __ SAN JOSE________
Province: ___ BATANGAS____________
Region: ___ IV - A__________________
Total Population: _____2, 396_______
No. of Males: __406___ No. Females: __385____
No. of Adults (18) years and above: __1,605__ No. of Minors (below 18 years old): __791__

I. Summary of Cases Received and Actions Taken

Total No. of Clients Served: ________________

Total No. of Casers Received by the Barangay: ____________
Total No. Cases Acted Upon: _______________

Name of Case Total Total no. of Cases Referred Total Total

No. of no. of No. of
Victims C/MSWDO PNP Court Hospital Others Victims BPOs
(NBI, who Issued
PAO, applied
etc.) for BPO
Violence Against
Women and their
Children (RA 9262)
 Physical
 Sexual
 Psychological
 Economic
Rape (RA 8353)
Trafficking in Persons
(RA 9208 / 10364)
Sexual Harassment

II. PROGRAMS/PROJECTS/ACTIVITIES Implemented to address VAW Issues in the Barangay (Pls. specify)

Training Advocacy Others Remarks

Submitted by: Noted by:

__ MARILENE R. GONZALES___ _ REGGIE A. VIRTUCIO__

Barangay VAW Desk Person Barangay Chairman

Date: ____________________________________