CARPER LAD Form No.

70-B

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM
Province of Bohol
Region No. VII

FIELD VALIDATION REPORT FOR EXISTING COLLECTIVE CLOA (CCLOA)

Date of Actual Field Investigation :

Barangay :
City/Municipality :
Province :

A. COLLECTIVE CLOA HOLDER

1. Name of Registered/Cooperative/Association/Organization
_________________________________________________

Present Status
(i.e. Actual
2. Name of ARB in the existing Address Tiller/occupant, Remarks
CCLOA farmworker, deceased,
transfer action)

2. Total Number of ARBs : 115

B. DESCRIPTION OF COLLECTIVE CLOA

CLOA No. Date Date Date Issued Lot No. Survey No. Total Area Location of
(TCT OR Generated Registered (has.) Property
OCT)
OCT No. December December December 2032, PLD Csd-07-02- 196.5484 Vallehermoso
7207 23, 2009 29, 2009 23, 2009 4 identical 000498 (Now
to Lot 22- Guadalupe,
G Carmen,
Bohol)

C. DESCRIPTION OF LAND
1. Topography
Name Topography Area (has)

2. Present Physical Status of Land

Name Present Physical Status of Land

3. Type of Farm

Name Type of Farm

4. Accessibility to/Availability of
Name  Transportation

 Road Appropriate Distance

Name Provincial Road (Km) Barangay Road (Km)

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 CARPER LAD Form No. 70-B

 Water Supply

Name Water Supply

D. PERMANENT IMPROVEMENT

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