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Data Gathering/Profiling template

A. EUBAS TWG

EXPANDED UGNAYAN NG BARANGAY AT SIMBAHAN TECHNICAL WORKING GROUP


AS OF _______________, 2017
REGION ___________

Present Contact
# Province City/ Municipality Name Address Age Sex Profession Affi liation/ Organization Email
Work Number

Prepared by: Reviewed:


___________________________________________
C/MLGOO
____________________________________________________
Community Facilitator
Noted: _______________________________________________
Provincial Director
Data Gathering/Profiling template

B. MASA MASID Team

MASA MASID TEAM


AS OF _______________, 2017
REGION ___________

PROVINCE: ______________________
CITY/MUNICIPALITY: ______________________
Contact
Barangay Name Age Sex Affiliation/ Organization Position/Designation Email
Number
1
2
3
4
5
6
7
8
9
10

Prepared by: Reviewed:


___________________________________________
C/MLGOO
____________________________________________________
Community Facilitator Noted:
_______________________________________________
Provincial Director

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