KR Form 3

MONTHLY BARANGAY CONSOLIDATED KASAMBAHAY REPORT

FOR THE MONTH OF ______________________

Barangay: Zone District

City: City of Manila
Region: National Capital Region

NO. OF KASAMBAHAY BY: (2)

SEX AGE EDUCATIONAL ATTAINMENT (d) WORK INFORMATION (e)
CIVIL STATUS (c)
(a) (b) ELEMENTARY HIGH SCHOOL COLLEGE NATURE OF WORK SALARY
TOTAL NO. OF
REGISTERED Php
Php Php Php
KASAMBAHAY 15 to 46 and SEPA- UNDER UNDER UNDER GEN. LAUNDRY
F M 18-30 31-45 S M W GRAD GRAD GRAD YAYA COOK GARDENER OTHERS 1,500 - 2,000 - 2,500 -
below 18 above RATED GRAD GRAD GRAD HOUSEHELP PERSON 5,000 and
P1,999 P2,499 P4,999
above

Prepared by: Submitted by:

Kasambahay Desk Officer Punong Barangay