Annex “C-1”

Brgy.
Logo

Barangay: ___(Address)
Photo Documentation
Conduct of Barangay Road Clearing Operations (BaRCO)
Month of _____________________ CY _________
Date of BaRCO conducted: ______________________________________

Photo with brief description: Name of Road/Street/Alley and other Photo with brief description: Name of Road/Street/Alley and other Photo with brief description: Name of Road/Street/Alley and other
information/details information/details information/details

Photo with brief description: Name of Road/Street/Alley and other

Photo with brief description: Name of Road/Street/Alley and other Photo with brief description: Name of Road/Street/Alley and other information/details
information/details information/details

Table 2: No. of BSKOs and Brgy. Tanods Who Percentage of

Table 1: BSKOs Expected to Conduct BaRCO Participated/Conducted BaRCO Participation (%)
No. of Elected Barangay Officials No. of Elected Barangay Officials
No. of Elected SK Officials [Total of Table 2/Total
No. of Elected SK Officials
of Table 1] x 100 =
No. of Barangay Tanods No. of Barangay Tanods _____% “Kalinisan at Kaayusan sa Bagong Pilipinas”
Total Total
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 Annex “C-1”

Photo with brief description: Name of Road/Street/Alley and other

Photo with brief description: Name of Road/Street/Alley and other
Photo with brief description: Name of Road/Street/Alley and other information/details
information/details
information/details

Photo with brief description: Name of Road/Street/Alley and other Photo with brief description: Name of Road/Street/Alley and other Photo with brief description: Name of Road/Street/Alley and other
information/details information/details information/details

Photo of BSKOs and Brgy Tanods, etc. Photo with brief description: Name of Road/Street/Alley and other
Photo of BSKOs and Brgy Tanods, etc.
information/details

“Kalinisan at Kaayusan sa Bagong Pilipinas”

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 Annex “C-1”
Certification
WE hereby CERTIFY and DECLARE that the Photos,
Information and activities are true and correct to the best of OUR knowledge .

Punong Barangay: ____________________________________________________ SK Chairperson: ______________________________________________________

Sangguniang Barangay Members: Sangguniang Kabataan Members:

_________________________________________________________________________ ________________________________________________________________________

_________________________________________________________________________ ________________________________________________________________________

_________________________________________________________________________ ________________________________________________________________________

_________________________________________________________________________ ________________________________________________________________________

_________________________________________________________________________ ________________________________________________________________________

________________________________________________________________________ ________________________________________________________________________

________________________________________________________________________ _______________________________________________________________________
Barangay Tanods

_________________________________________________ ________________________________________________ ___________________________________________ ________________________________________

________________________________________________ ________________________________________________ __________________________________________ _________________________________________

________________________________________________ ________________________________________________ ___________________________________________ _________________________________________

________________________________________________ ________________________________________________ ___________________________________________ __________________________________________

________________________________________________ ________________________________________________ __________________________________________ _________________________________________

“Kalinisan at Kaayusan sa Bagong Pilipinas”

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