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ot in 088 Repub ofthe Piippines Passport Size Department ofthe intr and Local Government Photo BARANGAY OFFICIAL’S INFORMATION SHEET 2023-2025 Term of Ofte NOTE: PLEASE ACCOMPLISH THIS FORM AND WRITE LEGIBLY ALL THE INFORMATION REQUIRED IN CAPITAL LETTERS. REGION a CCrTYIMUNICIPALITY® Province: 2 ‘BARANGAY ELECTIVE AND APPOINTIVE POSITION ‘Instron: Check the acu posion) DATE OF ASSUMPTION TO OFFICE/APPOINTMENT * DATE OF ELECTION: October 30,2023 Punong Barangay [5] Barangay Treasurer [=] BADAC Cluster Leader Sangguniang Barangay Member [=] Barangay Secretary [] Barangay Health Worker Oo oO Oo Oo EnckeeRark( 2.44.8.8.7 Sk Treasurer [1 Acowateme steed be Lac Heath Boar (sk chairperson SK Secretary Gi apointen byt Barengny (Barangay Heath ‘teat Cae Asst (1 8k Member (ncice Rank 1, 2.3.4 6.6.7) [Barangay Nutrition Scholar ewe Cearangay Tanod CDay Care Worker TERM INTHE PRESENT POSITION: 1D Aecmteper ECC Cones Reson No. 09 Co Cle" 2" [ Anpointive/Reptecement ‘ated Sept 10, 2015, Lupon Member |VAW Desk Officer ‘read win o Apponing Auony, loss scale ho dre of corangunaysiny ‘PERSONAL AND POLITICAL INFORMATION Tae rae mean Coa Bena mmaa™ Call (Saxe Bia) ST Goal ‘Cancer Aas)" (Conte Naa (Oren Eat Ares) an Ta a a Ene aa onesreoucaionsLarranwenr:, [J exewentary [7] v2cH sowoot ["] cousce [7] rosr rao []vocariona conde der rato oO ____ —— O ‘omer occupa, any HONORARIUM AS BARANGAY OFFICIAL” (treaze us adore Hoot Fneraasa7) \ rey cart thatthe above information ae ue and correct othe best of my knowledge. | understand that fr the DILG to cay out ‘mandate they must necessary grocers my Personal ntomation.Thertere. | gant my eateet and recognize the auhrty ofthe DILG to races my personal nfermaton, pursuant tthe Pripine Data Privacy Ak of 2012 arate over Prod Nama) ate Aasoriptaod) Verified and validated by: ‘GOCLGOGNLGOO ) ‘stare or Pied Nas)

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