ANNEX B

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PERSONS WITH DISABILITY AFFAIRS OFFICE

ANNUAL ACCOMPLISHMENT REPORT

Region: Year under Date of Submission:

Review:

Persons with Disabilities Statistics

Total No. of Individuals Sex (Disaggregated Total No.)

Disabilities within
Type of Disability Age Range
with this Type of Disability

Persons with
Female Male

Jurisdiction:
Total No. of
*Table may be expanded or use another sheet to fit all gathered data.

PDAO/FP Functionality
ACCESSIBILITY RESOURCES POLICIES, PLANS, & BUDGET
ESTABLISHMENT CONDUCT OF MEETINGS PARTNERSHIP INITIATIVES
(List all installed (List equipment, (Is PDAO budget allocated
(Indicate Ordinance (List dates of meetings (List conducted activities w/
facilities/devices furnishings, tools, etc. from IRA; programs
or Executive Order) w/ topics/agenda) Persons with Disabilities)
compliant to BP 344) for daily operations) integrated in AIP?)

*Table may be expanded or use another sheet to fit all gathered data.

Prepared by: Submitted by: Approved by:

______________________________ ______________________________ ______________________________
[Signature above Printed Name] [Signature above Printed Name] [Signature above Printed Name of LCE]
[Position] [Position] [Position, LGU]