CODA: Lottery COMMUNITY VOLUNTEER’S PROFILE Province: Negros Oriental Municipality: La Libertad Barangay: Biga-a aduncan Program: KC-NCDDP Cycle agtungiol Name: Fedo oor v4 Last Name First Name Mi, Birth date (monthvday/year): \\- Zac : Sex (Male or Female):__ Lau Civil Status: cane No. of Chikéren: _ foe Highest Educational Attainment:_C.o\\@\t Occupation: Sector Represented: Current Position in Barangay LGU: Co) CHnanryensert Contact Number,_O°V76 PAF FE a4 Address: Spar _Lewlooytad IP? tla IP. Leader?: la Pantawid Pamilyang Pilipino Program Beneficiary? th, Parent Leader? Sustainable Livelihood Program Beneficiary? _(lo SLP Officer? _ 10 Date of Volunteers identification! Appoiniment: JUNE, 9020 BSPMC Chair?: Date Started: _ Date Ended: — Committee Membership in KC — Name ofCommitee | Postion sea a Als Previous Trainings Attended (Non-KC) _ Title of Training Training Provider Year Attended | : fan tite} ve Co 1 Membership in Other Organization (Non-KC) : Organization Position ola Ta ‘Signature of Volunteer Community Empowerment Facilitator