BADAC DATA CAPTURE FORM 1

INDICATOR POSITION FIRST NAME LAST NAME SEX BIRTHDATE CIVIL STATUS ADDRESS CONTACT #
Chairperson /
Punong Barangay ELIZABETH ATANACIO F 12 /9 /1757 MARRIED CENTRO 1 ORANI BATAAN 9082645904
Vice-Chairperson / Peace
& Order Committee Chair
JOSE YUMANG M 4/19/1956 MARRIED CENTRO 1 ORANI BATAAN 9502802442
Members:
Chair of Women &
Family Committee CAROLINA SAMSON F 9/25/1961 MARRIED CENTRO 1 ORANI BATAAN 9381832357
SK Chairperson MELISSA VICTORIA RAZON F 1/13/2000 SINGLE CENTRO 1 ORANI BATAAN 9162374262
BADAC is composed of seven School Principal /
(7) members Representative VILMA TATO F 01/24/1972 MARRIED CENTRO 1 ORANI BATAAN 9770940550
Brgy Chief Tanod
REYNALDO SAGUM M 5/25/1969 MARRIED CENTRO 1 ORANI BATAAN 9075817574
NGO / CSO
Representative EMMANUEL BERNALES M 8/9/1952 SINGLE CENTRO 1 ORANI BATAAN 9107862163
Faith-based Org
Representative IRENE IGNACIO F 3/7/1961 MARRIED CENTRO 1 ORANI BATAAN 9283155242
Adviser:
Local PNP Chief /
Representative PCMF RAYMOND ANGELES M MARRIED 9238427312
Chairperson / Peace
& Order Committee
Chair JOSE YUMANG M 4/19/1956 MARRIED CENTRO 1 ORANI BATAAN 9502802442
BADAC Committee on Members:
Operations is organized
Brgy Chief Tanod
REYNALDO SAGUM M 5/25/1969 MARRIED CENTRO 1 ORANI BATAAN 9075817574
BADAC Auxiliary
Team Refer to BADAC Auxiliary Team Profile

Chairperson /
Women & Family
Committee Chair CAROLINA SAMSON F 9/25/1961 MARRIED CENTRO 1 ORANI BATAAN 9381832357
Members:
SK Chairperson MELISSA VICTORIA RAZON F 10/13/2000 SINGLE CENTRO 1 ORANI BATAAN 9162374262
BADAC Committee on Advocacy
is organized School Principal /
Representative VILMA TATO F 01/24/1972 MARRIED CENTRO 1 ORANI BATAAN 9770940550
NGO / CSO
Representative EMMANUEL BERNALES M 8/9/1952 SINGLE CENTRO 1 ORANI BATAAN 9107862163
 Faith-based Org
Representative IRENE IGNACIO F O7/03/1961 MARRIED CENTRO 1 ORANI BATAAN 9281552442

BADAC DATA CAPTURE FORM 1

INDICATOR POSITION FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
Member Rogelio Peco Sr. M 3/16/1957 MARRIED CENTRO I, ORANI, BATAAN 9087240296
Member Reynaldo Sagum M 5/25/1969 MARRIED CENTRO I, ORANI, BATAAN 9075817574
Member Gregorio Galicia M 5/8/1960 SEPARATED CENTRO I, ORANI, BATAAN 9274106784
Member Reymundo Buenaventura M 3/24/1984 MARRIED CENTRO I, ORANI, BATAAN 9106324555
Member Enrico Gantiga M 11/26/1975 MARRIED CENTRO I, ORANI, BATAAN 9107871093
Member Ma. Fe Gomez F 7/17/1958 SINGLE CENTRO I, ORANI, BATAAN 9107871093
Member Reynaldo Vianzon M 9/27/1968 MARRIED CENTRO I, ORANI, BATAAN 9153221016
Member Rudolfo Santos M 7/7/1950 MARRIED CENTRO I, ORANI, BATAAN 9107862163
BADAC Auxiliary Team (BAT) is
organized Member Teresa Acuñ a F 6/17/1959 MARRIED CENTRO I, ORANI, BATAAN 9128594217
Member Teodoro David Jr. M 5/13/1975 SINGLE CENTRO I, ORANI, BATAAN 9285449719

Note: Use additional page if necessary. BAT shall be composed of one member per 80 residents; 25 members per 2,000 residents.
INDICATOR UNIT OF CLUSTER FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
1 Jose Yumang M 4/19/1956 MARRIED CENTRO I, ORANI, BATAAN 9502802442
2 Reynaldo Sagum M 5/25/1969 MARRIED CENTRO I, ORANI, BATAAN 9075817574
BADAC House Clusters are
organized 3 Renato Bunsoy M 9/171959 SINGLE CENTRO I, ORANI, BATAAN 9217476958

Note: Use additional page if necessary. Examples of Unit of Cluster are by purok, by sitio, by block, by zone, by street, etc.
CONCURRENT
INDICATOR DESIGNATION (if FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
applicable)
VAW CAROLINA SAMSON F 9/25/1961 MARRIED CENTRO I, ORANI, BATAAN 9381832357
Barangay Duty Officers are
designated CHIEF TANOD REYNALDO SAGUM M 5/25/1969 MARRIED CENTRO I, ORANI, BATAAN 9075817574
PEACE& ORDER JOSE YUMANG M 4/19/1956 MARRIED CENTRO I, ORANI, BATAAN 9502802442
 Page 3
BADAC DATA CAPTURE FORM 2

DURATION
INDICATOR ACTIVITY TITLE VENUE SPEAKER / FACILITATOR LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME
Capability Enhancement Training and Barangay Anti
Drug Abuse Campaign 11/28/2021 10:00 AM Brgy. Paraiso Elem. School PCMF Raymond D. Angeles MPS Orani
Trainings Attended
by Punong Barangay
on Strengthening Provincial Rollout Training on Strengthening Institutional
BADACs Capacities of Barangay Anti-Drug Abuse Council (SICAP-
BADAC) and Community-Based Drug Rehabilitation 11/17/2021 08:30am Barangay Hall/Via Zoom DILG Bataan
Program(CBDRP) Policies

Note: Use additional page if necessary.

DURATION
INDICATOR ACTIVITY TITLE VENUE SPEAKER / FACILITATOR LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME

Trainings / Planning Provincial Rollout Training on Strengthening Institutional

Session Attended by Capacities of Barangay Anti-Drug Abuse Council (SICAP-
Punong Barangay on BADAC) and Community-Based Drug Rehabilitation 11/17/2021 08:30am Barangay Hall/Via Zoom DILG Bataan DILG Bataan
CSAR Program(CBDRP) Policies

Note: Use additional page if necessary.

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

Trainings Conducted by Capability Enhancement Training and Barangay Anti

Drug Abuse Campaign 11/28/2021 10:00 AM Brgy. Paraiso Elem. School PCMF Raymond D. Angeles 3 0
BADAC for House Cluster
Leaders

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE SPEAKER / FACILITATOR
DATE (MM/DD/YYYY) TIME MALE FEMALE
Trainings Conducted by Capability Enhancement Training and Barangay Anti
BADAC for BADAC 11/28/2021 10:00 AM Brgy. Paraiso Elem. School PCMF Raymond D. Angeles 8 2
Auxiliary Team Drug Abuse Campaign

Note: Use additional page if necessary.

DURATION
INDICATOR ACTIVITY TITLE VENUE SPEAKER / FACILITATOR LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME

Provincial Rollout Training on Strengthening Institutional

Capacities of Barangay Anti-Drug Abuse Council (SICAP-
BADAC) and Community-Based Drug Rehabilitation 11/17/2021 08:30am Barangay Hall/Via Zoom DILG Bataan DILG Bataan
Trainings Attended Program(CBDRP) Policies
by Barangay Duty
Officers Capability Enhancement Training and Barangay Anti 11/28/2021 10:00 AM Brgy. Paraiso Elem. School PCMF Raymond D. Angeles MPS Orani
Drug Abuse Campaign
Note: Use additional page if necessary.
 Page 4
BADAC DATA CAPTURE FORM 3

DURATION NO. OF PARTICIPANTS

INDICATOR ACTIVITY TITLE VENUE PRESIDING OFFICER
DATE (MM/DD/YYYY) TIME MALE FEMALE
BADAC Consultative meeting with the 3/12/2021 5:30pm Centro I, Barangay Hall PCMF Raymond D. Angeles 10 5
Conduct of BADAC Consultative stakeholders(Establishment)
Meetings

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE PRESIDING OFFICER
DATE (MM/DD/YYYY) TIME MALE FEMALE
BADAC Council Monthly Meetings 01/23/2021 10:00am Centro I, Barangay Hall PB Elizabeth G. Atanacio 1 5
BADAC Council Monthly Meetings 02/27/2021 10:00am Centro I, Barangay Hall PB Elizabeth G. Atanacio 2 4
BADAC Council Monthly Meetings 03/27/2021 10:00am Centro I, Barangay Hall PB Elizabeth G. Atanacio 1 4
Conduct of BADAC Monthly BADAC Council Monthly Meetings 04//24/2021 10:00am Centro I, Barangay Hall PB Elizabeth G. Atanacio 2 4
Meetings BADAC Council Monthly Meetings 05/22/2021 10:00am Centro I, Barangay Hall PB Elizabeth G. Atanacio 2 4
BADAC Council Monthly Meetings 06/26/2021 10:00am Centro I, Barangay Hall PB Elizabeth G. Atanacio 2 4
BADAC Council Monthly Meetings 11/13/2021 10:00am Centro I, Barangay Hall PB Elizabeth G. Atanacio 2 4
BADAC Council Monthly Meetings 12/18/2021 10:00am Centro I, Barangay Hall PB Elizabeth G. Atanacio 2 3
Note: Use additional page if necessary.
DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE
IEC Distribution BADAC Council 6/2/2021 10:00am Libis looban Barangay 6 19
Organization/Co-organization
of Community-based IEC
Campaign Activities

Note: Use additional page if necessary.

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

Organization/Co-organization
of School-based IEC Campaign N/A N/A N/A N/A N/A N/A N/A
Activities

Note: Use additional page if necessary.

 Page 5
BADAC DATA CAPTURE FORM 3

DURATION NO. OF PARTICIPANTS

INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE
IEC Distribution KKDAT by SK Council 06/26/2021 10:00am Barangay Centro I Youth 9 12
Conduct of Youth-led IEC
Campaign Activities

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE
IEC Distibution with the Senior Citizens(CSO) 11/6/2021 10:30am Barangay Centro I Constituents 15 4

Conduct of CSO-led IEC

Campaign Activities

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE
IEC Distribution in celebration of IDADAIT week
Organization/Co-organization with the theme: Share Facts on Drugs, Save Lives 06/26/2021 10:00am Barangay Centro I Youth 9 12
of Activities in Observance of by SK Council/BADAC Council
the IDADAIT

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE
IEC Distribution in celebration of "Drug Abuse
Prevention and Control Week" (DAPC) by BADAC 11/15/2021 09:00am Barangay Centro I Constituents 10 6
Organization/Co-organization Council
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 2022

NO. OF SURRENDERERS NO. OF REFERRED SURRENDERERS

INDICATOR INDICATOR
MALE FEMALE MALE FEMALE
TOTAL TOTAL
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18

Submission of Updated Number of Submission of Updated Number of

Residents who Surrenderred 0 0 0 0 0 Referred Surrenderers 0 0 0 0 0

NO. OF SURRENDERERS ENROLLED IN WELLNESS & RECOVERY

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

Low 0 0 0 0 0 General Interventions 0 0 0 0 0

Submission of Submission of Community-based

Mild 0 0 0 0 0 Updated Treatment & Rehab 0 0 0 0 0
Updated Number of
Assessed Number of
Surrenderers Enrolled Health Facility-based
Moderate 0 0 0 0 0 Surrenderers Outpatient Treatment & 0 0 0 0 0
Rehab

Inpatient Treatment &

Severe 0 0 0 0 0 Rehab 0 0 0 0 0

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, July-
MALE FEMALE December), and monitor the number of who, among those surrenderers, have been referred, assessed,
TOTAL and who have completed any Wellness and Recovery Program interventions within the 6-month time
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18
frame. Counting shall restart at the onset of the new semester; meaning, the data on those who
Submission of Updated Number of surrendered in the previous semester shall no longer be accounted in the next, regardless of whether
Surrenderers Who Completed 0 0 0 0 0 they have been referred or assessed in the following semester.
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): ____ 2021

NO. OF CSAR ENROLLEES NO. OF CSAR GRADUATES

INDICATOR INDICATOR
MALE FEMALE MALE FEMALE
TOTAL TOTAL
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18

Submission of
Updated Number of
Submission of Updated Number of Residents Residents Who
Enrolled in CSAR Program, or its equivalent 0 0 0 0 0 Completed the CSAR 0 0 0 0 0
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 2021

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

DRUG TRANSIT / CLANDESTINE

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

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

0 0 0 0 0 0 0

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

PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT

0
0 0 0 0