Professional Documents
Culture Documents
JUNE N/A
TOTAL
NOTES:
This form shall be accomplished by the barangay to be submitted to
DILG through City/Municipality to DICT
________________ ________________
Date Date
KR Form 3
MONTHLY CONSOLIDATED KASAMBAHAY REPORT
For the Month of JUNE 2023
KASAMBAHAY (1)
15 to 18- 31- 45
30 45
Below And
F M S M W SEPA UN GRA UN GRA UN GRA GEN YA C GAR LA O 1,5 2,0 2,50 5,0
18 above D D D . YA O T 00- 00- 0- 00
RATE DER DER DER O DE UN H 1,9 2,4 4,99
D HOU K E 90 99 9 AND
GRA GRA GRA SE NER DRY RS
D D D ABO
HEL PER VE
P SON
N/A
N/A
N/A
Prepared by:
Region: BARMM
Province of Lanao del Sur
City/Municipality of Amai Manabilang
Barangay BANADRA INGUD
(for the month of JUNE CY 2023)
Conducted Road
Clearing Operations
Location of Road Clearing
(Check appropriate Operations Date of Action Taken Remarks
column)
(Street name/Address) Operation
YES NO
MONITORING OF INCIDENCE ON VIOLENCE AGAINST CHILDREN (VAC) DURING THE COVID-19 PANDEMIC
For the period: JUNE 2023
Region: BARMM
Province: LANAO DEL SUR
City/Municipality: AMAI MANABILANG
Barangay: BANDARA INGUD
Others
Referred Referred
Sexu Psychologic Immedia Other Others Referr (ex:
Physic Local Law Referr Referr for for
VAC Mal Fema al al/ Negle te Close Acquainta Strang (ex: ed to Referr
AG al Offici Enforc ed to ed to Medical Legal
VICTIM e le Abus Emotional ct Family Relati nce er Guardia LSWD ed to
E Abuse al er PNP NBI Treatme Assistan
/S (2a) (2b) e Abuse (4d) Member ve (5c) (5d) n) O NGOs,
(3) (4a) (5e) (5f) (6b) (6c) nt ce
(1) (4b) (4c) (5a) (5b) (5g) (6a) FBOs)
(6d) (6e)
(6f)
pls. pls.
✔ ✔= ✔= ✔= ✔=
✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 specif ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 specif
=1 1 1 1 1
y y
N/A
N/A
N/A
N/A
N/A
N/A
TOTAL
*If ✔, encode "1" on the
*Immediate Family Member/s – parents and siblings
applicable fields
*If "Others," please specify *Other Close Relative/s – uncles, aunts, grandparents, cousins, etc.