COD AS: © Form COMMUNITY VOLUNTEER’S PROFILE Province: Wegres _ Onentah Municipaity: Laliberte! Barangay: GAA Program AC or — Cycle: 4 exrtyisjon 4020 Name: _Derayo Barro & LastName Fit Wama iM Birth date (monthtdayyean Ang 20, 1779 Sex (Male or Female): _ F-earafe Civil Status: mM. No.of Children: 7 Highest Educational Atainment High Scho] Grr ‘Occupation: ype russ Mora Sector Represented a Current Position in Barangay LGU: a Contact Number: O27 92 o42Y adress: Tula Tala Piga-a___Latibardad. LP: Na LP. Leader, _A/4 Pantawid Pamilyang Plpino Program Beneficiay?_~“_—Parent Leader? _Mlo. Sustainable Livelinood Program Beneficiary? _ flo SLP Officer? _fo UNE Date of Volunteers Identiication/Appointment: a, 220 BSPMC Chair:_Nila. Date Started: __ |v Date Ended: _Q Committee Membership inKC _ os Date [_ Megas Position - Start End = PRT: = MONG ER Sune 4, 2020 Previous Trainings Attended (Non-KC). im : Title of Training ‘Training Provider __ Year Attended A P | aa Na nla ‘Membership in Other Organization (Non-KC) [ = Organization 7 Position \ (a Te Pp Perna |\ Baro yy CREB CA GAM GAIKG Signature of Volunteer ‘Signature ovdc Print Name Comm nly Empowerment Feaitator