RBI FORM B

HOUSEHOLD
RECORD OF BARANGAY INHABITANTS

REGION: 1 PSGC:
PROVINCE: 1 PSGC:
CITY/ 1 PSGC:
MUNICIPALITY:
BARANGAY: 1 PSGC:
HOUSEHOLD NO.:

NAME ADDRESS
(1) (2) RELATIONSHIP TO
PLACE OF DATE OF CIVIL
NAME OF SEX CITIZENSHIP OCCUPATION HEAD OF
QUALIFIE BIRTH BIRTH STATUS
LAST FIRST MIDDLE NUMBER STREETNAME SUBD/ZONE/ HOUSEHOLD
R
SITIO/PUROK
(1.1) (1.2) (1.3) (1.4) (2.1) (2.2) (2.3)

Prepared by: Certified Corrected: BETTY C. LAOANG Validated: ROMEO E. RAGASA

Barangay Secretary Punong Barangay

Legend
PSGC: Philippine Standard Geographic Code shall be made available by the DILG City/Municipal Officer
HOUSEHOLD is a social unit consisting of person living alone or group of persons who
1) sleep in the same housing unit; and 2) have a common arrangement in the preparation and consumption of food.
QUALIFIER is the addition and/or inclusion of the word "jr." "SR." etc. as the case maybe after the person's surname(s)