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Page 4

BADAC DATA CAPTURE FORM 3

NO. OF
DURATION PRESIDING
INDICATOR ACTIVITY TITLE VENUE PARTICIPANTS
OFFICER
DATE (MM/DD/YYYY) TIME MALE FEMALE

Conduct of
BADAC
Consultative
Meetings

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NO. OF
DURATION PRESIDING
INDICATOR ACTIVITY TITLE VENUE PARTICIPANTS
OFFICER
DATE (MM/DD/YYYY) TIME MALE FEMALE

Conduct of
BADAC Monthly
Meetings

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NO. OF
DURATION
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE
Organization/Co-
organization of
Community-
based IEC
Campaign
Activities
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NO. OF
DURATION
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE

Organization/Co-
organization of
School-based
IEC Campaign
Activities
organization of
School-based
IEC Campaign
Activities

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Page 5
BADAC DATA CAPTURE FORM 3

NO. OF
DURATION
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE

Conduct of
Youth-led IEC
Campaign
Activities

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NO. OF
DURATION
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE

Conduct of CSO-
led IEC
Campaign
Activities

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NO. OF
DURATION
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE

Organization/Co-
organization of
Activities in
Observance of
the IDADAIT

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NO. OF
DURATION
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE

Organization/Co-
organization of
Activities in
Observance of
the DAPC Week

Note: Use additional page if necessary.

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