Department of the Interior and Local Government

LOCAL GOVERNMENT ACADEMY

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DANAO CITY GOVERNMENT

BASIC ORIENTATION COURSE FOR BARANGAY OFFICIALS

FEB 26-28, 2024, HAGNAYA BEACH RESORT, SAN REMIGIO,
CEBU

PERSONAL INFORMATION
: Nickname :
First Name M.I. Surname
Date of Birth : Sex :
Age : Religion :
Position : Mobile Phone :
Designation : Office Phone :
Agency/ LGU : E-mail Address :
Office Address :

EDUCATIONAL ATTAINMENT
Post Graduate Degree/ Course : Year Taken :
College Degree/ Course : Year Taken :
Vocational/Technical Course : Year Taken :

RECENT RELEVANT TRAININGS/ SEMINARS ATTENDED

Name of Trainings/Seminars Date Conducted Organizing Agency

In case of emergency, please notify:

Name : Relationship :
Address : Phone No. :

Dietary Restrictions :

Signature Date

Once accomplished kindly return to the Secretariat. Thank you.

FM-LGTDD-14
Rev. 00 01/03/2018