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VAW Form 1

BARANGAY DATA CAPTURE FORM


MONITORING OF INCIDENCE ON VIOLENCE AGAINST WOMEN (VAW) DURING THE COVID-19 PANDEMIC
For the period: MARCH, 2022

Region:____________ VIII
Province:__________ LEYTE
City/Municipality:__ VILLABA LEYTE
Barangay:__________ A. TUMAMAK

TYPES OF VIOLENCE (2) ACTIONS TAKEN BY THE BARANGAY (3)

Referred for Referred for Others


VAW VICTIM/S Physical Psychological/ Economic Referred to Referred to Referred to Referred to
Sexual Abuse Issued BPO Medical Legal (ex: Referred to
(1) Abuse Emotional Abuse Abuse LSWDO PNP NBI Court
(2b) (3a) Treatment Assistance NGOs, FBOs)
(2a) (2c) (2d) (3b) (3c) (3d) (3g)
(3e) (3f) (3h)

✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 pls. specify

NONE

TOTAL 0

*If ✔, encode "1" on the applicable fields


*If "Others," please specify

Submitted by: HON. RENATO P. TUMAMAK


Punong Barangay

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