CARPER LAD Form No.

27
(CARP LAD RSS Form No. 2-A)
As of Dec. 2011
Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Region No. III
Province of NUEVA ECIJA
MABINI EXT., CABANATUAN CITY

REQUISITION FOR SURVEY SERVICES INVOLVING LANDS FOR ACQUISITION AND DISTRIBUTION

ESTIMA
NAME OF LANDOWNER/s
LOCATION AREA MODE OF Type of TED
(Last Name, First Name, Middle Title/Tax Dec. No. Remarks
LH ID No. (Barangay, Municipality) (Has.) ACQ1 Phasing Survey2 NO. OF
Initial)
LOTS

UNION AGRICULTURAL MACABACLAY, BONGABON,

Portion of NT-177783 2.9665 1 1 4 Lot B
DEVELOPMENT CORPORATION NUEVA ECIJA

UNION AGRICULTURAL MACABACLAY, BONGABON,

Portion of NT-177783 1.0038 1 1 5 Lot 7
DEVELOPMENT CORPORATION NUEVA ECIJA

UNION AGRICULTURAL MACABACLAY, BONGABON,

Portion of NT-177783 0.3606 1 1 2 Lot 9
DEVELOPMENT CORPORATION NUEVA ECIJA

UNION AGRICULTURAL MACABACLAY, BONGABON,

Portion of NT-177783 0.6252 1 1 2 Lot 19
DEVELOPMENT CORPORATION NUEVA ECIJA

CARPER LAD Form No. 27/Page 2 of 2

 CERTIFICATION: APPROVED:

I hereby certify that the abovementioned landholdings are fully

documented and evaluated based on required documents for
landholding for acquisition and distribution and found to be alienable
and disposable, have no technical problem and have not been
subjected to same type of survey as requested to date. It is therefore
recommended that survey services for these landholdings be
approved.

6/21/2023 ENGR. JUANITO V. VALIENTE 6/21/2023 EDEN B. PONIO

Date CARPO – Operations Division Date Provincial Agrarian Reform Officer II
(Signature over Printed Name) (Signature over Printed Name)

VALID CODES
1
MODE OF ACQUISITION 2
TYPE OF SURVEY
1. Subdivision Survey
1. CA 7. Settlements 2. Segregation Survey
2. VOS 8. KKK/GOL 3. Subdivision/Segregation
3. OLT/PD 27 With Perimeter Land Use
4. E.O. 407/448 Mapping(PLUM)
5. VLT/DPS 4. PLUM
6. Landed Estates 5. Amendment/Correction
6. Other Type of Survey

Copy Distribution:
Original - BLD
Duplicate - DARPO
Triplicate - DARMO
Quadruplicate - DARRO

CARPER LAD Form No. 27/Page 2 of 2