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Annex D – Activity Attendance Sheet

Activity : _________________________________________________________________________ Date: ___________________________________________


Venue : _________________________________________________________________________ Municipality: _____________________________________
Project (NCDDP-AF, IP-CDD, etc.): _____________________________ Phase/Cycle:_____________________________________

Name Sex Is a Member


Pantawid SLP Designation/
Age Barangay of an IP Group Signature
Last Name First Name (Yes/No) (Yes/No) M F BDC-TWG Committee
(Yes/No)

Consent and Confidentiality Clause: The DSWD collects your name, address, sex and other information for the purpose of the mentioned
activity above as part of the implementation of the Program. Through this attendance sheet, we also collect your signature as proof of
attendance.

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