Page 1

BADAC DATA CAPTURE FORM 1

INDICATOR POSITION FIRST NAME LAST NAME SEX BIRTHDATE CIVIL STATUS ADDRESS CONTACT #
Chairperson /
ROSEMARIE CAPA F 12-22-1966 WIDOW SPAR, BIGTE, NORZ. BUL. 09955049874
Punong Barangay
Vice-Chairperson /
Peace & Order JOSEVENCIO LAPIG M 08-24-1956 M CRUSHER BIGTE, NORZ. BUL. 09062950136
Committee Chair
Members:
Chair of Women &
JAIME DELOS SANTOS M 5/9/1966 M UPPER BIGTE, NORZ. BUL. 09772064661
Family Committee
1. BADAC is SK Chairperson NIA ALLAINE MELLENDREZ F 4/2/1996 S OLD BARRIO BIGTE, NORZ. BUL. 09159206292
composed of
seven (7) School Principal /
ELAINE SARACHO F 9/1/1970 WIDOW NORZAGARAY BUL 09176504790
members Representative
Brgy Chief Tanod DIOSCORO MADRID M 07-26-1972 S NABUS BIGTE, NORZ. BUL. 09361806569
NGO / CSO
ULYSIS NEPOMUCENO M 4/12/1968 M MALAGANIT, BIGTE, NORZ. BUL. 09363952249
Representative
Faith-based Org
ARMAND ROJO M 01-23-1974 M BALTAZAR BIGTE, NORZ. BUL. 09753776873
Representative
Adviser:
Local PNP Chief /
PROTACIO AVELINOII M
Representative
Chairperson / Peace
& Order Committee JOSEVENCIO LAPIG M 08-24-1956 M CRUSHER BIGTE, NORZ. BUL. 09062950136
2. BADAC Chair
Committee on Members:
Operations is
organized Brgy Chief Tanod DIOSCORO MADRID M 07-26-1972 S NABUS BIGTE, NORZ. BUL. 09361806569
BADAC Auxiliary
Refer to BADAC Auxiliary Team Profile
Team
Chairperson /
Women & Family
Committee
Members: Chair
3. BADAC
Committee on SK Chairperson NIA ALLAINE MELLENDREZ F 4/2/1996 S OLD BARRIO BIGTE, NORZ. BUL. 09159206292
Advocacy is School Principal /
ELAINE SARACHO F 9/1/1970 WIDOW NORZAGARAY BUL 09176504790
organized Representative
NGO / CSO
ULYSIS NEPOMUCENO M 4/12/1968 M MALAGANIT, BIGTE, NORZ. BUL. 09363952249
Representative
Faith-based Org
ARMAND ROJO M 01-23-1974 M BALTAZAR BIGTE, NORZ. BUL. 09753776873
Representative
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BADAC DATA CAPTURE FORM 1
 INDICATOR TOTAL NUMBER OF MALE TOTAL NUMBER OF FEMALE TOTAL NUMBER OF BAT MEMBER

4. BADAC
Auxiliary Team
19 5 24
(BAT) is
organized

Note: Use additional page if necessary. BAT shall be composed of one member per 80 residents; 25 members per 2,000 residents.

TOTAL NUMBER OF NUMBER OF MALE NUMBER OF FEMALE

INDICATOR UNIT OF CLUSTER TOTAL NUMBER OF HOUSE CLUSTER LEADERS
HOUSE CLUSTER CLUSTER LEADERS CLUSTER LEADERS

5. BADAC
House
22 18 14 4 18
Clusters are
organized

Note: Use additionalCONCURRENT

page if necessary. Examples of Unit of Cluster are by purok, by sitio, by block, by zone, by street, etc.
INDICATOR DESIGNATION FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
(if applicable)
RDO1 OFELIA PADIN F 5/7/1971 M NABUS BIGTE, NORZ. BUL. 09187742367

6. Barangay
Duty Officers BHW FRANCIA PITALLANO F 12-20-1974 M SETTLING BIGTE, NORZ. BUL. 09654869938
are designated
TANOD CHIEF MARY JANE SANTILLAN F 07-26-1972 S NABUS BIGTE, NORZ. BUL. 09361806569

Note: Use additional page if necessary. Concurrent Designation refers to the primary appointment / item of the designated Brgy Duty Officer in the barangay, e.g. Barangay
Health Worker, VAWC Desk Officer, etc.
 Page 3
BADAC DATA CAPTURE FORM 2
DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME FACILITATOR
5/12/2022 8:00 TO
8. Trainings SICAP BADAC WEBINAR DILG DILG
6/12/2022 5:00 PM
Attended by PB on
Strengthening
BADACs
Note: Use additional page if necessary.
DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME FACILITATOR
5/12/2022 8:00 TO
9. Trainings / SICAP BADAC WEBINAR DILG DILG
6/12/2022 5:00 PM
Planning Session
Attended by
Punong Barangay
on CSAR

Note: Use additional page if necessary.

DURATION NO. OF
SPEAKER / PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE
FACILITATOR
DATE (MM/DD/YYYY) TIME MALE FEMALE
10. Trainings ROLES OF CLUSTER LEADERS 7/12/2022 1:00 PM SESSION HALL PUNONG BARANGAY 7 2
Conducted by
BADAC for House
Cluster Leaders BIGTE NORZ BUL. HON. ROSEMARIE CAPA

Note: Use additional page if necessary.

DURATION NO. OF
SPEAKER / PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE
FACILITATOR
DATE (MM/DD/YYYY) TIME MALE FEMALE
ARNIS TRAINING 10/15/2022 8-5PM BRGY HALL OF BIGTE MR. ALLAN BELECINA 18 3
11. Trainings
Conducted by
NORZ BULACAN MR. ARGIE HOMPAY
BADAC for BADAC
Auxiliary Team

Note: Use additional page if necessary.

DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME FACILITATOR
12. Trainings NONE NONE NONE NONE NONE NONE
Attended by
Barangay Duty
Officers
Note: Use additional page if necessary.
 Page 4
BADAC DATA CAPTURE FORM 3

DURATION NO. OF
INDICATOR ACTIVITY TITLE VENUE PRESIDING OFFICER PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE
13. Conduct of BADAC IEC ON DRUG ABUSE
JUNE 24, 2022 9:00 AM OLD BARRIO BIGTE NORZ BUL HON. ROSEMARIE CAPA 21 31
Consultative Meetings PREVENTION
BRIA HOMES
with Stakeholders
Note: Use additional page if necessary.
DURATION NO. OF
INDICATOR ACTIVITY TITLE VENUE PRESIDING OFFICER PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE
BADAC REACTIVATION 7/3/2022 9:00 AM SESSION HALL BIGTE HON. JOVINA LAMADRID 4 6
CHECKPOINT PARTICIPATION 03/21/2022 9:00 AM SESSION HALL BIGTE HON. JOVINA LAMADRID 4 6
CHECKPOINT PARTICIPATION 04/18/2022 9:00 AM SESSION HALL BIGTE HON. JOVINA LAMADRID 4 6
PROPOSED RANDOM DRUG
05/23/2022 9:00 AM SESSION HALL BIGTE HON. JOVINA LAMADRID 4 6
TESTING
ARNIS TRAINING 07/19/2022 9:00 AM SESSION HALL BIGTE HON. JOVINA LAMADRID 4 6
ORGANIZATION OF CLUSTER
2/11/2022 9:00 AM SESSION HALL BIGTE HON. ROSEMARIE CAPA 5 6
14. Conduct of BADAC LEADERS
Monthly Meetings CLUSTER LEADERS
12/28/2022 9:00 AM SESSION HALL BIGTE HON. ROSEMARIE CAPA 5 6
ACTIVATION

Note: Use additional page if necessary.

DURATION NO. OF
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE

15. Organization/Co- IEC ON DRUG ABUSE

organization of JUNE 24, 2022 9:00 AM OLD BARRIO BIGTE NORZ BUL HON. ROSEMARIE CAPA 21 31
PREVENTION
Community-based IEC BRIA HOMES
Campaign Activities

Note: Use additional page if necessary.

DURATION NO. OF
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE

16. Organization/Co- NONE

organization of School-
based IEC Campaign
Activities
 16. Organization/Co-
organization of School-
based IEC Campaign
Activities

Note: Use additional page if necessary.

Page 5
BADAC DATA CAPTURE FORM 3

DURATION NO. OF
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE

17. Conduct of Youth-

20 TEAMS
led IEC Campaign SUMMER SPORTSFEST MAY-JULY 2022 BASKETBALL COURT 209
(BASKETBALL)
Activities
10 TEAMS
BIGTE NORZ BULACAN 105
VOLLEYBALL
Note: Use additional page if necessary.
DURATION NO. OF
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE

18. Conduct of CSO-led

IEC Campaign IEC ON DRUG PREVENTION 06/24/2022 9:00 AM SESSION HALL BRIA HOMES 21 31
Activities
BIGTE NORZ. BUL. RESIDENTS
Note: Use additional page if necessary.
DURATION NO. OF
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE

19. Organization/Co- NONE

organization of
Activities in
Observance of the
IDADAIT

Note: Use additional page if necessary.

DURATION NO. OF
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE PARTICIPANTS
DATE (MM/DD/YYYY) TIME MALE FEMALE

20. Organization/Co- RANDOM DRUG TESTING 05/30/2022 9:00 AM BIGTE MULTIPURPOSE HALL 30 27 3
organization of
Activities in
Observance of the
DAPC Week
 20. Organization/Co-
organization of
Activities in
Observance of the
DAPC Week

Note: Use additional page if necessary.

 Page 6
BADAC DATA CAPTURE FORM 4
UNIFIED BARANGAY REPORT ON REFERRAL ACTION (UBRRA)

Data provided herein are those recorded within the months of: January to June ( ) July to December ( ) Year (YYYY): __________________________

NO. OF SURRENDERERS NO. OF REFERRED SURRENDERERS

INDICATOR INDICATOR
MALE FEMALE MALE FEMALE
TOTAL TOTAL
17 & BELOW 18 & ABOVE 17 & BELOW 18 & ABOVE 17 & BELOW 18 & ABOVE 17 & BELOW 18 & ABOVE

21. Submission of Updated 22. Submission of Updated

Number of Residents who NONE NONE NONE NONE NONE Number of Referred NONE NONE NONE NONE NONE
Surrenderred Surrenderers

NO. OF SURRENDERERS ENROLLED IN WELLNESS &

STATUS / STATUS AND NO. OF ASSESSED SURRENDERERS WELLNESS & RECOVERY INTERVENTIONS
INDICATOR LEVEL OF INDICATOR RECOVERY
RISK MALE FEMALE INTERVENTIONS MALE FEMALE
TOTAL TOTAL
17 & BELOW 18 & ABOVE 17 & BELOW 18 & ABOVE 17 & BELOW 18 & ABOVE 17 & BELOW 18 & ABOVE

General
Low NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE
Interventions

Community-based
Mild NONE NONE NONE NONE NONE 23.B Treatment & NONE NONE NONE NONE NONE
23.A Submission
Submission of Rehab
of Updated
Updated
Number of
Number of Health Facility-
Assessed
Enrolled based Outpatient
Surrenderers Moderate NONE NONE NONE NONE NONE Surrenderers NONE NONE NONE NONE NONE
Treatment &
Rehab

Inpatient
Severe NONE NONE NONE NONE NONE Treatment & NONE NONE NONE NONE NONE
Rehab

NO. OF SURRENDERERS WHO COMPLETED WELLNESS &

RECOVERY INTERVENTIONS
INDICATOR The purpose of this form is to determine the number of surrenderers per semester (January-June,
MALE FEMALE
TOTAL July-December), and monitor the number of who, among those surrenderers, have been referred,
17 & BELOW 18 & ABOVE 17 & BELOW 18 & ABOVE assessed, and who have completed any Wellness and Recovery Program interventions within the
6-month time frame. Counting shall restart at the onset of the new semester; meaning, the data on
24. Submission of Updated
those who surrendered in the previous semester shall no longer be accounted in the next,
Number of Surrenderers Who
NONE NONE NONE NONE NONE regardless of whether they have been referred or assessed in the following semester.
Completed Wellness &
Recovery Interventions
Number of Surrenderers Who
NONE NONE NONE NONE NONE regardless of whether they have been referred or assessed in the following semester.
Completed Wellness &
Recovery Interventions
 Page 7
BADAC DATA CAPTURE FORM 5
COMMUNITY SUPPORT, AFTERCARE AND REINTEGRATION (CSAR)

Data provided herein are those recorded within the months of: January to June ( / ) July to December ( ) Year (YYYY) 2022

NO. OF CSAR ENROLLEES NO. OF CSAR GRADUATES

INDICATOR INDICATOR
MALE FEMALE MALE FEMALE
TOTAL TOTAL
17 & BELOW 18 & ABOVE 17 & BELOW 18 & ABOVE 17 & BELOW 18 & ABOVE 17 & BELOW 18 & ABOVE

26. Submission of
25. Submission of Updated Updated Number of
Number of Residents Residents Who
NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE
Enrolled in CSAR Program, Completed the
or its equivalent CSAR Program, or
its equivalent

The purpose of this form is to determine the number of residents enrolled in CSAR Program, or its equivalent, per semester (January-June, July-December), and monitor the number of who,
among those enrolled, have completed the CSAR program within the 6-month time frame. Counting shall restart at the onset of the new semester; meaning, the data on those enrolled in the
previous semester shall no longer be accounted in the next, regardless of whether they have been referred or assessed in the following semester.
 Page 8
BADAC DATA CAPTURE FORM 6
SUMMARY OF CONSOLIDATED INFORMATION REPORT
as per Section 8 of DDB Board Regulation No. 3, s. 2017
Year (YYYY): _________

Data provided herein are those recorded within the months of: January to March ( ) April to June ( ) July to September ( ) October to December ( )

DRUG TRANSIT /
DRUG PUSHER DRUG USER / DEPENDENT DRUG SUPPLY AVAILABILITY CLANDESTINE LABORATORY
TRANSHIPMENT ACTIVITY
INDICATOR

PRESENT / PRESENT /
TOTAL TOTAL PRESENT / ABSENT PRESENT / ABSENT PRESENT / ABSENT TOTAL
ABSENT ABSENT

NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE

27.
Submission CLANDESTINE DRUG CLANDESTINE CHEMICAL MARIJUANA CULTIVATION DRUG PROTECTOR / CODDLER
of Updated DRUG DEN, DIVE OR RESORT
WAREHOUSE WAREHOUSE SITE / PLANTATION & FINANCIER
Summary of
Consodated
Information
Report (CIR)
PRESENT / PRESENT / PRESENT / PRESENT PRESENT /
TOTAL TOTAL TOTAL TOTAL TOTAL
ABSENT ABSENT ABSENT / ABSENT ABSENT

NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE

Prepared by:

Ma. Neritchelle M. Cruz Hon. Josevencio B. Lapig Hon. Myrna S. Crisostomo Hon. Rosemarie M. Capa
Barangay Secretary Chair of Committee on Operations Chair of Committee on Advocacy Punong Barangay