Annex F

Republic of the Philippines

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
DILG-NAPOLCOM Center, EDSA corner Quezon Avenue, Quezon City
www.dilg.gov.ph

DILG PHILIPPINE ANTI-ILLEGAL DRUGS STRATEGY -

PROJECT MANAGEMENT OFFICE

COMMUNICATING RESULTS
 2022 ANTI-DRUG ABUSE COUNCIL (ADAC) PERFORMANCE AUDIT
COMMUNICATING RESULT
Form 5.1

Province: Region:

Date Accomplished:
INSTRUCTIONS:
1. Data to be used is CY 2022 data.
2. Using the audited answers in Form 2, together with its MOVs, kindly write the points given for each parameter under column 2.
3. Answers in Form 2 should coincide with points given in Form 5.
4. In the Remarks Column, put a brief explanation to justify the point/s given. (i.e. Required MOVs are complete and the parameter was fully
complied)
5. In case of a correction, the ART Chairperson/Lead is to affix his/her signature beside the corrected item.
6. All members of the ART are to affix their signature at the last page of the Form 5.
7. Use the ADAC Performance Audit Manual for accurate use of forms and for proper allocation of points.

RECOMMENDATIO
FUNCTIONALITY INDICATOR POINTS REMARKS
N

Creation / Reorganization of ADAC ( 10.00 )

Creation/Reorganization of PADAC

Composition of members compliant to DILG- DDB JMC No. 2018-01

Allocation of Funds ( 15.00 )

Allocation of Funds

Formulation and Implementation of Plans and Programs ( 50.00 )

Financial Accomplishment

Physical Accomplishment

Percentage of drug affected barangays declared drug-cleared within the

City/Municipality

Timeliness of Implementation
Establishment of Special Drug Education Center (SDEC) or equivalent
facility/program

Supervision and Support to Component ADACs ( 10.00 )

Functionality and Effectiveness of Component C/MADACs

Financial or Technical Support to Component C/MADACs

Conduct of Meetings ( 10.00 )

Conduct of Meetings

Innovation/s ( 5.00 )

Innovations

SCORE AND ADJECTIVAL RATING

TOTAL SCORE

ADJECTIVAL FUNCTIONALITY RATING

We declare under oath that everything indicated in this form is true, correct and complete statement pursuant to the
provisions of pertinent laws, rules and regulations of the Republic of the Philippines. We authorized the agency
head/authorized representative to verify/validate the contents stated herein. We agree that any misrepresentation made in
this document and its attachments shall cause the filing of administrative/criminal case/s

Philippine Drug Department of the

Enforcement Interior and Local
Philippine National Police Representative Agency Government
Representative Representative
Civil Society
Civil Society Organization Representative(1st) Organization
Representative(2nd)

Document
Number:
Date
Audited:
Date
Generated:
 2022 ANTI-DRUG ABUSE COUNCIL (ADAC) PERFORMANCE AUDIT
COMMUNICATING RESULT
Form 5.2

City/Municipality: Region:

Date Accomplished:
INSTRUCTIONS:
1. Data to be used is CY 2022 data.
2. Using the audited answers in Form 2, together with its MOVs, kindly write the points given for each parameter under column 2.
3. Answers in Form 2 should coincide with points given in Form 5.
4. In the Remarks Column, put a brief explanation to justify the point/s given. (i.e. Required MOVs are complete and the parameter was fully
complied)
5. In case of a correction, the APT Chairperson/Lead is to affix his/her signature beside the corrected item.
6. All members of the APT are to affix their signature at the last page of the Form 5.
7. Use the ADAC Performance Audit Manual for accurate use of forms and for proper allocation of points.

RECOMMENDATIO
FUNCTIONALITY INDICATOR POINTS REMARKS
N

Creation / Reorganization of ADAC ( 10.00 )

Creation/Reorganization of Local C/MADAC

Composition of members compliant to DILG- DDB JMC No. 2018-01

Allocation of Funds ( 15.00 )

Allocation of Funds

Formulation and Implementation of Plans and Programs ( 40.00 )

Financial Accomplishment

Physical Accomplishment

Percentage of drug affected barangays declared drug-cleared within the

City/Municipality

Timeliness of Implementation
Supervision and Support to Component ADACs ( 20.00 )

Community Based Drug Rehabilitation Program (CBDRP) Reporting

Financial Support to Component BADACs

Technical Support to Component BADACs

Conduct of Meetings ( 10.00 )

Conduct of Meetings

Innovation/s ( 5.00 )

Innovations

SCORE AND ADJECTIVAL RATING

TOTAL SCORE

ADJECTIVAL FUNCTIONALITY RATING

We declare under oath that everything indicated in this form is true, correct and complete statement pursuant to the
provisions of pertinent laws, rules and regulations of the Republic of the Philippines. We authorized the agency
head/authorized representative to verify/validate the contents stated herein. We agree that any misrepresentation made in
this document and its attachments shall cause the filing of administrative/criminal case/s

Philippine Drug Department of the

Enforcement Interior and Local
Philippine National Police Representative Agency Government
Representative Representative
Civil Society
Civil Society Organization Representative(1st) Organization
Representative(2nd)

Document
Number:
Date
Audited:
Date
Generated: