Republic of the Philippines
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
DILG-NAPOLCOM Center, EDSA cor. Quezon Ave., Quezon City
Telephone Number (02) 925-1137
BADAC FUNCTIONALITY SELF-ASSESSMENT AND AUDIT FORM
for the Year 2022
CERTIFICATION OF TRUTH, ACCURACY, AND COMPLETENESS
The undersigned certify under penalty of law, based on information and belief formed after reasonable inquiry, the
statements and information contained in this document are true, accurate, and complete.
Signature over Printed Name of Chair of Committee on Advocacy Signature over Printed Name of Chair of Committee on Operations
Date signed: _________________ Date signed: _________________
Signature over Printed Name of Punong Barangay / BADAC Chairperson
Date signed: _________________
Noted by:
Signature over Printed Name of City/Municipal LGOO or City Director Signature over Printed Name of City/Municipal Mayor
Date signed: ________________ Date signed: _______________
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