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KR Form 3

MONTHLY BARANGAY CONSOLIDATED KASAMBAHAY REPORT


For the Month of ________________

Barangay : STO. NIÑO


Mun/City: AURORA
Province : ISABELA
Region: 2

NO. OF KASAMBAHAY (2)


EDUCATIONALL ATTAINMENT (d) WORK INFORMATION ( e )
SEX (a) AGE (b) CIVIL STATUS ( c )
TOTAL NO. OF ELEMENTARY HIGH SCHOOL COLLEGE NATURE OF WORK SALARY
REGISTERED
KASAMBAHAY (1)
15 to
F M below 18-30 31-45 46 and S M W SEPARAT UNDER GRAD UNDER GRAD UNDER GRAD GEN. HOUSE
YAYA COOK GARDENER
LAUNDRY
OTHERS Php1,999
1,500 - Php 2,000 Php 2,500 - Php 5,000
above ED GRAD GRAD GRAD HELP PERSON - 2,499 4,999 and above
18

Prepared by: Submitted by:

REMEDIOS P. RICAFOR ORLANDO S. CAJILE


Kasambahay Desk Officer Punong Barangay
KR Form 2
KASAMBAHAY MASTERLIST
Quarterly Report
For the Period ___________________________

Region: _____________
Province: ISABELA
City/ Municipality: _________
Barangay: __________

Educational Nature of work Employment Salary Membership


Attainment Arrangement

1.Elem Undergrad 1.General Househelp 1. Live-in 1.P1,500- P1,999 (Write Y for yes and N for No)
Registration 2.Elem Grad (all around) 2. Live out 2.P2,000-P2,499 Employer's Complete
Control Name of Kasambahay Home Address Sex Age Civil Status Name of Employer
Address
Number 3.HS Undergrad 2.Yaya 3.P2,500-P4,999
4.P5,000 and above
4.HS Grad 3.Cook

5.Coll. Undergrad 4.Gardener

6.Coll. Grad 5.Laundry person

7.Vocational 6.Others SSS Pag-ibig Philhealth

Prepared and submitted by:

_______________________
Date: _____________________ Kasambahay Desk Officer

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