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ANNEX 1
M&E FORM No. 1

ANNUAL BARANGAY YOUTH INVESTMENT PROGRAM MONITORING FORM

Fiscal Year ______

Barangay:
City / Municipality:
Province:

PART I: SANGGUNIANG KABATAAN PPAs

Programs / Budget Number of youth beneficiaries

PYDP Reference Projects / Objective/ Expected Performance Period of (8) (9)
Remarks
Center Code Activities Description Result Indicator Implementation
(10)
(1) (2) (PPAs) (4) (5) (6) (7) MOOE CO
(3) Male Female Total
Allocated Spent Allocated Spent

PART II. SANGGUNIANG KABATAAN POLICIES

Youth-Related Ordinance / Policy Passed on PYDP / LYDP related programs / projects PYDP CENTER
Date Passed
(Name and Number of the Youth-Related Ordinance/Policy/Resolution) (Please identify PYDP Center being addressed)

Prepared by: Attested by: Approved by:

____________________ ____________________ ___________________

SK Secretary SK Treasurer SK Chairperson
Legend:

1. PYDP Center – based on the Philippine Youth Development Plan (PYDP) 2017-2022, please identify under what center does the Programs / Projects / Activities may be classified
PYDP Centers (please refer to the NYC Circular and/or may check NYC Website http://nyc.gov.ph/pydp/ or https://drive.google.com/file/d/1Xk4KwZaaNOrpNQSOq_WEc1pLgiUa7C6J/view):
(a) Health (b) Education
(c) Economic Empowerment (d) Social Inclusion & Equity
(e) Active Citizenship (f) Governance
(g) Peace Building and Security (h) Environment
(i) Global Mobility
2. Reference Code – pertains to DBM’s budget reference; You may use either of the following codes: general services (1000), social services (3000), economic services (8000) and other services (9000)
3. Programs / Projects / Activities (PPAs) – name of program/project/activities implemented that would address youth issues at the local level under the center that was identified in the PYDP 2017-2022
4. Objective/Description – related objective identified in the corresponding PYDP Center of Participation/short description of PPAs
5. Expected Result – specific result after the after the implementation of PPAs
6. Performance Indicator – measure use to assess the success of the PPAs
7. Period of Implementation – duration of the PPAs (exact date of the PPA conducted)
8. Budget – budget allocated and spent for the program
9. Number of youth beneficiaries – number of youth beneficiaries ages 15-30 years old by sex (disaggregated)
10. Remarks – other details that needed to be reflected in the report (may be optional)