CDDAG: §=— Forres COMMUNITY VOLUNTEER’S PROFILE Province: Negros Oriental Municipality: La Libertad Barangay: Biga-a Program: KC-NCDDP Cycle: bgp acion Name: CABIN phoweca TA Bo asi Name Firs Name MI Birth date (monttvdaylyeay: > F- : ‘Sex (Male or Female): __ Female ivi Status,_ Mar nied ‘No. of Children: Highest Educational Attainment;_COUGGE LEVEL Occupation: Ia Te Sector Represented: Current Position in Barangay LGU: RNG Contact Number,_ OO 0UAFE42 Address: LP.?: Ola LP Leader: _n [a Pantawid Pamilyang Pilipino Program Beneficiary? ) Hi Parent Leader? oft Sustainable Livenood Program Beneficiany?_V SLP Officer? Date of Volunteers Identification! Appointment: Jung 4, 0000 BSPMC Chair? Date Stated: Date Ended: Committee Membership in KC Date Name of Committee Position [—tookkece per Previous Trainings Attended (Non-KC) - Title of Training Training Provider Year Attended | fila qa — nla Membership in Other Organization (Non-KC) Orga | 7 I la | ala | TH IAGANA Signature obec Printed Name Community Empowerment Facilitator