2024 SGLGB Data Capture Form (DCF)

2024 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY
Year Under Review: CY 2023

Data Capture Form
BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:
Core Governance Area No. 1:

Financial Administration and Sustainability
Instruction: Put a check ✓ on the box that corresponds to the given questions.
1.1 Compliance with the Barangay Full Disclosure Policy (BFDP)
MINIMUM REQUIREMENT MEANS OF VERIFICATION
1.1.1 Posted the following CY 2023 financial documents in the BFDP BFDP Monitoring Form A of the DILG Advisory covering
board: the 1st to 3rd quarter monitoring data signed by the
City Director/C/MLGOO, Punong Barangay and
Barangay Secretary
a. Barangay Financial Report;
b. Barangay Budget; Two (2) Photo Documentation of the BFDP board

showing the name of the barangay
c. Summary of Income and Expenditures;
Please supply the number of documents submitted:
d. 20% Component of the NTA Utilization; BFDP Monitoring Form A were submitted
e. Annual Procurement Plan or Procurement List; ANNUAL REPORT

a. Barangay Financial Report;
f. List of Notices of Award (1st - 3rd Quarter of CY 2023)
b. Barangay Budget;
g. Itemized Monthly Collections and Disbursements
(January to September 2023) c. Summary of Income and Expenditures;
d. 20% Component of the NTA Utilization;
e. Annual Procurement Plan or Procurement List;
QUARTERLY REPORT
f. List of Notices of Award (1st - 3rd Quarter of CY 2023)

List of Notices of Award were submitted
MONTHLY REPORT
g. Itemized Monthly Collections and Disbursements
(January to September 2023)

Itemized Monthly Collections and Disbursements were
submitted
Accomplished and signed BFR with received stamp from the Office Annex B of DBM-DOF-DILG JMC No. 2018-1
1.1.2 of the C/M Accountant
REMARKS PROCESSING OF RESULTS

YES NO
Met all the minimum requirements on
Compliance with the Barangay Full Disclosure
Policy (BFDP)?
1.2. Innovations on revenue generation or exercise of corporate powers
1.2.1 Increase in local resources in CY 2023 SRE for 2022 and 2023, signed by Barangay Treasurer
and Punong Barangay
Certification on Increase in Local Resources signed by

the City/Municipal Treasurer/ Budget Officer
Total amount obtained from local resources in:

CY 2022:
CY 2023:

YES NO
Innovations on revenue generation or
exercise of corporate powers?
1.3. Approval of the Barangay Budget on the Specified Timeframe

1.3.1 Presence of a Barangay Appropriation Ordinance approved on or Approved Barangay Appropriation Ordinance signed by
before December 31, 2022 the Sangguniang Barangay Members (SBMs), SK
Chairperson, Barangay Secretary, and Punong Barangay.
Consideration: Approval until March 31, 2023.

Please supply the required information:
Date of Approval

YES NO
approval of the Barangay Budget on the
Specified Timeframe?
1.4. Allocation for Statutory Programs and Projects as Mandated by Laws and/or Other Issuances
With allocated funds for the following statutory programs and Approved Barangay Appropriation Ordinance
projects:
a) At least 20% of the NTA is allocated for development programs; Please supply the required information:
1.4.1 b) Not less than five percent (5%) shall be set aside as the Local
Disaster Risk Reduction and Management Fund; Date of Approval
c) Gender and Development;
d) Senior Citizens and Persons with Disabilities; With allocated funds for the following statutory programs and
e) Implementation of the programs of the Local Councils for the projects:
Protection of Children; and
f) Ten percent (10%) for the Sangguniang Kabataan At least 20% of the NTA is allocated for development
programs
Not less than 5% shall be set aside as the Local Disaster
Risk Reduction and Management Fund
Gender and Development
Senior Citizens and Persons with Disabilities;
Implementation of the programs of the Local Councils

for the Protection of Children
Ten percent (10%) for the Sangguniang Kabataan
Annual Investment Program signed by Barangay

Treasurer, Barangay Secretary, and Punong Barangay
Certification for the Allocation for Statutory Programs
and Projects signed by the City/Municipal Budget
Officer

YES NO
allocation for Statutory Programs and
Projects as Mandated by Laws and/or Other
Issuances?
1.5. Posting of the Barangay Citizens’ Charter (CitCha)

1.5.1 Barangay Citizens’ Charter posted at a conspicuous place (e.g. Two (2) Photo documentation of the Barangay CitCha
barangay hall, market, transport terminal, or multi-purpose hall) (name of the barangay should be visible)

YES NO
posting of the Barangay Citizens’ Charter
(CitCha)?
1.6. Release of the Sangguniang Kabataan (SK) Funds by the Barangay

1.6.1
Compliance with Section 20 of the SK Reform Act of 2015 and Item
3.2 of DBM-DILG-NYC JMC No. 1, s. 2019 dated January 23, 2019
1.6.1.1. MOVs for 1.6.1.1:

The barangay has Barangay-SK Agreement for the release/deposit
a) Copy of the written agreement; and
b) Proof of deposit reflecting the Account No./ Name of

Barangay SK and the total allocated amount for the
2023 SK funds
Consideration: In the absence of deposit slips, bank

statements will be considered, provided that it shows
the transaction date, and that the total 10% of the SK
Fund has been transferred.
1.6.1.2. MOV for 1.6.1.2:

The barangay does not have Barangay-SK Agreement but with
current account
Deposit slips reflecting the Account No./ Name of
Barangay SK and the total allocated amount for the
2023 SK funds
Consideration: In the absence of deposit slips, bank

statements will be considered, provided that it shows
the transaction date, and that the total 10% of the SK
Fund has been transferred.
1.6.1.3. MOV for 1.6.1.3:

The barangay does not have SK Officials or with SK Officials but no
quorum and/or No SK Bank Account
(a) Proof of transfer of the 10% 2023 SK funds to the
trust fund of the Barangay such as Deposit Slip or
Official Receipt; OR
Note: SK Resolution authorizing the barangay to utilize the SK Funds (b) Proof of transfer or corresponding legal
if the SK has no bank account yet shall not be considered as MOV forms/documents issued by the city/municipal treasurer
under the indicator. if the barangay opted that the corresponding SK fund
be kept as trust fund in the custody of the C/M
treasurer.
(b) Proof of transfer or corresponding legal
forms/documents issued by the city/municipal treasurer
if the barangay opted that the corresponding SK fund
be kept as trust fund in the custody of the C/M
treasurer.
1.6.2 Presence of Approved Annual Barangay Youth Investment Program MOV for 1.6.2:
(ABYIP) for 2023 If the barangay has 5 and above SK Officials:
Approved Resolution approving the 2023 SK

Annual/Supplemental Budget
An Approved 2023 ABYIP signed by the SK Chairperson

and its members
If the barangay has 4 and below SK Officials:
Certification from the C/MLGOO on number of SK

officials

YES NO
release of the Sangguniang Kabataan (SK)
Funds by the Barangay?
1.7. Conduct of Barangay Assembly for CY 2023

1.7.1 Conducted the 1st semester Barangay Assembly for CY 2023 Post Activity Report/ Minutes on the conduct of the 1st
semester Barangay Assembly 2023 duly approved by
the Punong Barangay

YES NO
Conduct of Barangay Assembly for CY 2023?
End of Core Governance Area No. 1: Financial Administration and Sustainability

Data Capture Form
BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:

Disaster Preparedness
2.1. Functionality of the Barangay Disaster Risk Reduction and Management Committee (BDRRMC)
2.1.1 Structure:
Organized BDRRMC with its composition compliant to the EO (signed by the PB) or similar issuance
provisions of NDRRMC, DILG, DBM, and CSC JMC No. 2014-01. (resolution/ordinance signed by the PB, Barangay
Secretary and SBMs) organizing the BDRRMC with its
composition compliant to the provisions of JMC No.
2014-01, covering January to October 2023
Minimum Composition of the BDRRMC: Please supply the required information:

Date of approval
1. Punong Barangay;
2. A Representative from the Sangguniang Barangay; and
3. Two (2) CSO representatives from the existing and active
community-based people’s organizations representing the most
vulnerable and marginalized groups in the barangay (Item 5.7. of
NDRRMC, DILG, DBM, and CSC JMC No. 2014-01)
2.1.2 Plan:
Approved Barangay Disaster Risk Reduction and Management Approved BDRRM Plan adopted by the Sangguniang
(BDRRM) Plan covering CY 2023, adopted by the Sangguniang Barangay ;
Barangay
Resolution adopting the BDRRM Plan signed by the
Sangguniang Barangay with received stamp from the
C/MDRRMO; and
Certification on the list of barangays with approved and

adopted BDRRM Plan covering CY 2023 signed by the
C/MDRRMO.
2.1.3 Budget: Certification on the allocation of at least 5% of the

Allocation of at least 5% of the Estimated Revenue from Regular Estimated Revenue from Regular Sources as BDRRM
Sources as BDRRM Fund Fund, signed by the City/Municipal Budget Officer
Please supply the following information:

To compute % allocation for BDRRMF:
(BDRRMF Allocated / Estimated Total Revenue from Regular Sources) x
100 Estimated revenue
from
Amountregular sources:
of BDRRMF
for FY 2023:
2.1.4 Accomplishment Report:

Instruction: Put a check ✓ on the box that
YES NO corresponds to your assessment.
a. At least 50% accomplishment of the
physical targets in the BDRRM Plan
Accomplishment Report; and
Certification on the submission and correctness of

Accomplishment Report signed by the C/MDRRMO
To compute Physical Accomplishment Rate: Please supply the required information:
(Total number of activities/projects accomplished / Total number of % of programs, project, and activities are completed
activities/projects reflected in the BDRRMP) x 100
OR
b. At least 50% fund utilization of the 70%

component of CY 2023 BDRRMF -
Preparedness component as of December 31,
2023.
Annual BDRRMF Utilization Report; and
Certification on the submission and correctness of fund

utilization report signed by the C/MDRRMO
To compute % utilization: Please supply the required information:

(Total Amount Utilized of the 70% component of CY 2023 BDRRMF as of
Dec. 31, 2023)/(Total Amount Allocated for the 70% component of CY
2023 BDRRMF) x 100 Amount utilized
(as of Dec. 31, 2023):
Amount allocated for PPAs in the
BDRRM Plan for CY 2023:

YES NO
Functionality of the Barangay Disaster Risk
Reduction and Management Committee
(BDRRMC)?
2.2. Extent of Risk Assessment and Early Warning System (EWS)

2.2.1 Conducted an activity in relation to Risk Assessment in the Post-Activity Report of activities such as Climate and
barangay not earlier than CY 2020 Disaster Risk Assessment, Participatory Disaster Risk
Assessment, BDRRM Planning, etc.
2.2.2 Barangay Risk/Hazard Map which indicates possible risks — Two (2) Photo documentations of Barangay Risk/Hazard
natural or man-made. (e.g. flood-prone and landslide-prone areas, Map
etc.)
2.2.3 An established Early Warning System (EWS) for the top two (2) Two (2) Photo documentations of EWS
hazards present in the barangay
TOP 1 Hazard:
TOP 2 Hazard:

YES NO
Met all the minimum requirements on Extent
of Risk Assessment and Early Warning System
(EWS)?
of Risk Assessment and Early Warning System
(EWS)?
2.3. Extent of Preparedness For Effective Response And Recovery

2.3.1 A barangay must have a permanent or temporary evacuation Two (2) Photo documentation of the permanent or
center temporary evacuation center; and
Certification on the presence and location of a

permanent or temporary evacuation center signed by
the C/MDRRMO
2.3.2 Photo Documentation for each of disaster supplies

A barangay must have the following disaster supplies/equipment:
equipment:
a. Communication equipment (i.e., 2 way radio mobile phone,

satellite phone); Instruction: Put a check ✓ on the box that
b. Rescue vehicle/Alternative vehicle (i.e., ambulance;

amphibious vehicle,tricycle,boats,vans, trucks, fire a. Communication equipment;
trucks,dump trucks and any appropriate vehicle depending on
location at the minimum); b. Rescue vehicle/Alternative vehicle;
c. Generator set/alternative sources of energy (i.e., portable c. Generator set/alternative sources of

generator, solar-powered generator); energy;
d. First aid kit; d. First aid kit;
e. Flashlight; and e. Flashlight; and
f. Personal Protective Equipment. f. Personal Protective Equipment.

YES NO
of Preparedness For Effective Response And
Recovery?
End of Core Governance Area No. 2: Disaster Preparedness

Data Capture Form
BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:

Safety, Peace and Order
3.1. Functionality of the Barangay Anti-Drug Abuse Council (BADAC)
3.1.1 Structure
Organized BADAC with its composition and appropriate EO (signed by the PB) or similar issuance
committees (Committees on Operations and on Advocacy) (resolution/ordinance signed by the PB, Barangay
compliant to DILG-DDB JMC No. 2018-01 Secretary and SBMs) creating the BADAC with its
composition and appropriate committees, covering
January to October 2023
Minimum Composition of the BADAC:
1. Punong Barangay
2. SBM Please supply the required information:
3. SK Chairperson Date of approval
4. Public School Principal/Representative
5. Chief Tanod/ Executive Officer
6. At least 2 representatives of NGOs/CSOs
7. Representative of Faith-Based Organization
8. C/M Chief of Police or Representative
Minimum Composition of the BADAC Committees:
A. Committee on Operations
1. SBM
2. Executive Officer/Chief Tanod
3. BADAC Auxiliary Team (BAT)
B. Committee on Advocacy
1. SBM
2. SK Chairperson
3. Public School Principal/Representative
4. At least 2 representatives of NGOs/CSOs
5. Representative of Faith-Based Organization
EO (signed by the PB) or similar issuance

3.1.2 Establishment of Barangay Rehabilitation Referral Desk with
(resolution/ordinance signed by the PB, Barangay
Designated Barangay Duty Officer
Secretary and SBMs) establishing the Rehabilitation
Referral Desk covering CY 2023

Date of approval
3.1.3 Organization of House Clusters with designated House Cluster EO (signed by the PB) or similar issuance
Leaders (HCL) (resolution/ordinance signed by the PB, Barangay
Secretary and SBMs), organizing house clusters with
designated HCL

Date of approval
3.1.4 Organization of BADAC Auxiliary Team (BAT) EO (signed by the PB) or similar issuance
Secretary and SBMs), organizing BAT
Secretary and SBMs), organizing BAT

Date of approval
3.1.5 Plan:
Formulation of BADAC Plan of Action (BADPA) covering CY 2023 Copy of approved BADPA Summary or copy of approved
BPOPs Plan with BADPA covering CY 2023
3.1.6 Budget:
Allocation of substantial amount for anti-illegal drugs initiative Approved Barangay Appropriation Ordinance signed by
the PB, Barangay Secretary and SBMs; OR
Copy of Barangay Annual Investment Plan (AIP)

Has allocated substantial amount for anti-

illegal drugs initiative
3.1.7 Implementation of Drug Abuse Prevention Advocacy Campaigns - Copy of Activity Report prepared by BADAC
Barangay organized at least 1 community-based IEC Activity
during CY 2023
3.1.8 Implementation of Drug-Clearing Operations - Submission of Three (3) transmittals of CIR, covering the 1st to 3rd
Consolidated Information Report (CIR) to CADAC/MADAC and quarter, received by CADAC/MADAC and Local PNP Unit
Local PNP Unit

Note: Drug-unaffected barangays shall also submit updated CIR, Transmittals of CIR were submitted
stating in the report that there is absence of illegal drug-related
activities in the barangays. The same applies to drug-free and
drug-cleared barangays Certification on the submitted CIR signed by the
CADAC/MADAC and Local PNP Unit
3.1.9 Accomplished BADAC Form 4- Unified Barangay Report

Implementation of Community-Based Intervention for Person on Referral Action (UBRA)
Who Used Drugs (PWUDS) - Presence of referral system
3.1.10 Copy of the BADAC monthly minutes of the meeting

Conduct of Monthly Meetings with attendance sheets (at least 3 minutes covering CY
2023)

BADAC monthly minutes of the meeting with
attendance sheets were submitted

YES NO
Functionality of the Barangay Anti-Drug
Abuse Council (BADAC)?
3.2. Functionality of the Barangay Peace and Order Committee (BPOC)

3.2.1 Structure:
Organized BPOC with its composition compliant to the provisions
of EO No. 366, s. of 1996 EO (signed by the PB) or similar issuance
Minimum composition of the BPOC: (resolution/ordinance signed by the PB, Barangay
Secretary and SBMs) indicating correct membership in
Punong Barangay accordance to the EO 366 s. of 1996, covering January
Sangguniang Kabataan Chairperson to October 2023
A member of the Lupon Tagapamayapa
A Public School Teacher
PNP Officer
A representative of the Interfaith Group
A Senior Citizen
At least three (3) members of the existing Barangay-Based Anti-
Crime or Neighborhood Watch Groups or an NGO representative
of EO No. 366, s. of 1996
Minimum composition of the BPOC:
Punong Barangay
Sangguniang Kabataan Chairperson
A member of the Lupon Tagapamayapa
A Public School Teacher
PNP Officer Please supply the required information:
A representative of the Interfaith Group
A Senior Citizen Date of approval
At least three (3) members of the existing Barangay-Based Anti-
Crime or Neighborhood Watch Groups or an NGO representative
A Barangay Tanod
3.2.2 Plan:
Approved BPOPS Plan, covering CY 2023
Formulated Barangay Peace and Order and Public Safety (BPOPS)
Plan in accordance to DILG MC 2017-142 covering CY 2023
Accomplishment Reports
3.2.3
Note: Barangay officials have the option to submit both the
physical and financial reports. However, for the SGLGB
Assessment, only one of the above documents is required.
physical targets in the BPOPS Plan
Accomplishment Report with the status of

implementation of target activities and utilization of
funds submitted to the C/M POC with received stamp
of the DILG City Director or C/MLGOO

activities/projects reflected in the BPOPS Plan) x 100
OR
b. At least 50% fund utilization rate of the CY

2023 BPOPs Budget.
Accomplishment Report with the status of

implementation of target activities and utilization of
funds submitted to the C/M POC with received stamp
of the DILG City Director or C/MLGOO

To compute % utilization: Amount utilized
(Total Amount Utilized)/(Total Amount Allocated) x 100 (as of Dec. 31, 2023):
BPOPs Plan for CY 2023:

YES NO
Functionality of the Barangay Peace and
Order Committee (BPOC)?
3.3. Functionality of the Lupong Tagapamayapa (LT)

3.3.1 Structure:
Organized Lupong Tagapamayapa At least ten (10) KP Form # 5- Oath of Office of the
Lupong Tagapamayapa Members, signed by the PB
3.3.2 System:
Systematic maintenance of records of cases
3.3.2.1. For barangays of cities: For barangays of cities: Two (2) photos with caption of
Computer database with searchable information the computer database with searchable information
3.3.2.1. For barangays of cities: For barangays of cities: Two (2) photos with caption of
Computer database with searchable information the computer database with searchable information
3.3.2.1. For barangays of municipalities: For barangays of municipalities: One (1) photo, with
Manual Records (Case Record Book) OR Digital Record Filing caption on the manual record or digital file
(scanned copy of KP files)
3.3.3 Meetings:
Conducted monthly meetings for the administration of the Copies of minutes of meetings with attendance sheets
Katarungang Pambarangay (at least 3 minutes covering meetings conducted in CY
2023)
3.3.4 Trainings:
Attendance of LT to KP training or seminar not earlier than CY 2020 At least 1 copy of proof of training such as Certificate of
Completion and/or Participation

YES NO
Functionality of the Lupong Tagapamayapa
(LT)?
3.4. Organization and Strengthening Capacities of Barangay Tanod

3.4.1 Structure:
Organized Barangay Tanod with its composition compliant to the EO (signed by the PB) or similar issuance
provisions of DILG MC No. 2003-42 (resolution/ordinance signed by the PB, Barangay
Secretary and SBMs) on the organization of the
Composition of the Barangay Tanod: Barangay Tanod covering January to October 2023
1. Chief Tanod/Executive Officer

2. Team Leaders
3. Team Members
Date of approval
3.4.2 Trainings:
At least one (1) copy of proof of training such as
Attendance of barangay tanod to necessary training not earlier
Certificate of Completion and/or Participation
than 2020

YES NO
Organization and Strengthening Capacities of
Barangay Tanod?
3.5. Barangay Initiatives During Health Emergencies

3.5.1 EO (signed by the PB) or similar issuance

Organized Barangay Health and Emergency Response Team (resolution/ordinance signed by the PB, Barangay
(BHERT) with its composition compliant to the provisions of DILG Secretary and SBMs) on the organization of BHERTs
MC No. 2020-023 covering January to October 2023
Minimum composition of the BHERTs:
Executive Officer Please supply the required information:

A Barangay Tanod Date of approval
2 BHWs
3.5.2 Poster or tarpaulin containing the active telephone and/or (a) Two (2) Photo documentations of poster or
cellphone Numbers of the Barangay, Punong Barangay and BHERT tarpaulin; OR
Members posted in conspicuous public places within the barangay
jurisdiction
(b) Screenshot of the posting on social media with date
covering CY 2023.
YES NO
Barangay Initiatives During Health
Emergencies?
3.6. Conduct of Monthly Barangay Road Clearing Operations (BaRCO)

3.6.1 Conducted BaRCO on a monthly basis in CY 2023 Monthly BarCo Reports covering July-September 2023

Monthly BarCo Reports were submitted

YES NO
Conduct of Monthly Barangay Road Clearing
Operations (BaRCO)?
End of Core Governance Area No. 3: Safety, Peace and Order

Data Capture Form
BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:
Essential Governance Area No. 1:

Social Protection and Sensitivity
4.1. Functionality of Barangay Violence Against Women (VAW) Desk
4.1.1 Structure:
Established Barangay VAW Desk and designated Barangay VAW (resolution/ordinance signed by the PB, Barangay
Desk Officer Secretary and SBMs) on the establishment of Barangay
VAW Desk and designated VAW Desk Officer covering
January to October 2023
4.1.2 Training
Attendance of the Barangay VAW Desk Officer to at least one (1)
At least one (1) copy of proof of training such as
training/orientation related to gender-sensitive handling of VAW
Certificate of Completion and/or Participation
Cases not earlier than CY 2020
4.1.3 Plan and Budget

Approved CY 2023 Barangay Gender and Development (GAD) Plan Approved Barangay GAD Plan and Budget for CY 2023
and Budget
4.1.4 Accomplishment Reports Accomplishment Report covering 1st to 3rd quarter of

CY 2023 with received stamp by the C/MSWDO and
C/MLGOO

Quarterly Accomplishment Reports were submitted
4.1.5 Database
Updated database on VAW cases reported to the barangay, with Copy of the generated report or screenshot of the
the following information at the minimum: updated database on VAW cases reported to the
barangay with the following information at the
minimum:
a. total number of VAW cases received
• number of cases documented for violating RA 9262 Total number of VAW cases received
• number of cases documented for violating other VAW- Total number of cases documented for violating other
related laws VAW-related laws
b. assistance provided to victim-survivors Total number of cases documented for violating other
VAW-related laws
Total number of assistance provided to victim-survivors
4.1.6 Accomplishment Reports: 2023 GAD Accomplishment Report


physical targets in the GAD Plan
Certification on the submitted CY 2023 GAD

Accomplishment Report indicating at least 50%
accomplishment of the physical targets in the GAD Plan
signed by the C/MSWDO or C/MLGOO

activities/projects reflected in the GAD Plan) x 100
OR
b. At least 50% fund utilization of the CY 2023

GAD Budget
Certification on the submitted CY 2023 GAD

Accomplishment Report indicating at least 50% fund
utilization of the CY 2023 GAD Budget signed by the
C/MSWDO or C/MLGOO

(Total Amount Utilized)/(Total Amount Allocated) x 100
Amount utilized
(as of Dec. 31, 2023):
GAD Plan:
4.1.7 Referral Network (For Profiling):
4.1.7.1 Presence of Referral System Flow Chart; and Flow Chart based on Annex C - Establishment of
Referral System
4.1.7.2 Presence of Directory of agencies/individuals providing Annex J - Directory Form

services to victim-survivors

YES NO
Met all minimum requirements on the
Functionality of Barangay Violence Against
Women (VAW) Desk?
4.2. Access to Health and Social Welfare Services in the Barangay

4.2.1 Presence of a Barangay Health Station/Center

Photo documentation of the BHS/C
For clustered BHS/C: Certification from C/MHO on the

clustering scheme
YES NO Instruction: Put a check ✓ on the box that

corresponds to your assessment.
Barangay Health Station/Center operated by
the barangay
Clustered Clustered Health Station/Center

accessed by several barangays in a
city/municipality (Consideration)
Clustered Clustered Health Station/Center
accessed by several barangays in a
city/municipality (Consideration)
Appointment of the following Barangay Health Personnel: (FOR

4.2.2 PROFILING)
1. Accredited Barangay Health Worker (BHW); and/or EO (signed by the PB) or similar issuance
Secretary and SBMs) on the Appointment of BHW
covering January to October 2023
2.Barangay Health Officer (BHO) or Barangay Health Assistant EO (signed by the PB) or similar issuance
(BHAsst) (resolution/ordinance signed by the PB, Barangay
Secretary and SBMs) on the Appointment of BHO or
BHAsst covering January to October 2023
4.2.3 Appointment of Barangay Nutrition Scholar (BNS) EO (signed by the PB) or similar issuance
Secretary and SBMs) on the appointment of BNS
4.2.4 Availability of health services in the Barangay Health Certification on the provision of health services signed
Station/Center (BHS/C): by the C/MHO
a. Immunization YES NO Instruction: Put a check ✓ on the box that

corresponds to your assessment.
b. Maternal and child healthcare a. Immunization
c. Family Planning b. Maternal and child healthcare
d. Health Education c. Family Planning
d. Health Education

YES NO
Met all minimum requirements on the Access
to Health and Social Welfare Services in the
Barangay?
4.3. Functionality of the Barangay Development Council (BDC)

4.3.1 Structure: EO (signed by the PB) or similar issuance

Organized BDC with its composition compliant to Section 107 of RA (resolution/ordinance signed by the PB, Barangay
7160 Secretary and SBMs) organizing/reconstituting the BDC
with its composition compliant to Section 107 of RA
7160 covering January to October 2023
4.3.2 Meeting: Post activity report or Minutes with attendance sheet,

Conducted meetings, public hearings, and/or barangay assemblies covering CY 2023
for public consultation
Approved Barangay Development Plan covering CY 2023

4.3.3 Plan:
Approved Barangay Development Plan covering CY 2023
Approved Barangay Development Plan
SB Resolution adopting the BDP
4.3.4 Accomplishment Reports: CY 2023 Accomplishment Report with received stamp

by the C/MPDC


physical targets in the BDP

% of programs, project, and activities are completed
(Total number of activities/projects accomplished / Total number of
activities/projects reflected in the BDP) x 100
OR

2023 BDP Budget

(Total Amount Utilized)/(Total Amount Allocated) x 100
Amount utilized
(as of Dec. 31, 2023):

BDP:

YES NO
Functionality of the Barangay Development
Council (BDC)?
4.4. Implementation of the Kasambahay Law

4.4.1 Presence of Kasambahay Desk with designated Kasambahay Desk EO (signed by the PB) or similar issuance
Officer (KDO) (resolution/ordinance signed by the PB, Barangay
Secretary and SBMs) designating a KDO to manage the
Kasambahay Desk, signed by the PB, Barangay Secretary
and SBMs covering January to October 2023
4.4.2 Maintenance/updating of Kasambahay Masterlist Copy of the Updated Kasambahay Report for the 3rd
Quarter (July-September 2023)

Kasambahay Reports were submitted

YES NO
Implementation of the Kasambahay Law?
4.5. Functionality of the Barangay Council for the Protection of Children (BCPC)
4.5.1 Structure
Organization of the Barangay Council for Protection of Children
(BCPC) with its composition compliant to the provisions of DILG EO (signed by the PB) or similar issuance
MC No. 2021-039 (resolution/ordinance signed by the PB, Barangay
Secretary and SBMs) on the establishment of BCPC
covering January to October 2023
4.5.2 Trainings
Attendance of the Members of the Barangay Council for Protection At least one (1) copy of proof of training such as
of Children (BCPC) to a training/orientation related to their Certificate of Completion and/or Participation
functions not earlier than CY 2020
4.5.3 Plan
Approved BCPC Annual Work and Financial Plan (AWFP)
Presence of an approved BCPC Annual Work and Financial Plan for CY 2023
4.5.4 Database
Copy of the generated report or screenshot of the
Establishment and maintenance of updated Database on Children updated database on children covering January to
disaggregated by age, sex, ethnicity, with or without disabilities, October 31, 2023
OSCY, etc.
4.5.5 System
a. Presence of updated Localized Flow Chart of Referral System not Updated Localized Flow Chart of Referral System
earlier than CY 2020;
b. Presence of Comprehensive Barangay Juvenile Intervention Copy of Comprehensive Barangay Juvenile Intervention
Program/Diversion Program (For profiling); and Program/Diversion Program
c. Presence of Children at Risk (CAR) and Children in Conflict with Copy of Juvenile Justice and Welfare Council’s Children
the Law (CICL) registry (For profiling). at Risk (CAR) and Children in Conflict with the Law (CICL)
registry
4.5.6 Accomplishment Reports:

Approved Accomplishment Report on BCPC AWFP for
CY 2023 with received stamp by the City/Municipality
Inter-Agency Monitoring Task Force (IMTF)


physical targets in the BCPC AWFP

activities/projects reflected in the BCPC Plan) x 100
OR
b. At least 50% utilization rate of CY 2023

BCPC AWFP Budget

(Total Amount Utilized)/(Total Amount Allocated) x 100 Amount utilized
(as of Dec. 31, 2023):
BCPC AWFP:

YES NO
Functionality of the BCPC?
4.6. Mechanism for Gender and Development (GAD)

4.6.1 Organized Barangay GAD Focal Point System

Secretary and SBMs) organizing the Barangay GAD Focal
Point System covering January to October 2023

Date of approval

YES NO
Mechanism for Gender and Development
(GAD)?
4.7. Maintenance of Updated Record of Barangay Inhabitants (RBIs)

RBI Monitoring Form C

4.7.1 Presence of updated RBI for the first (1st) semester of CY 2023
List of barangays with RBI covering the 1st Semester of

CY 2023 (generated from the BIS-BPS) certified by the
C/MLGOO

YES NO
Maintenance of Updated Record of Barangay
Inhabitants (RBIs)?
4.8. Functionality of the Barangay Nutrition Committee (BNC)

4.8.1 Structure:
Organized BNC (resolution/ordinance signed by the PB, Barangay
Secretary and SBMs) organizing the Barangay Nutrition
Committee (BNC) covering January to October 2023
Minimum Composition of the BNC:
1. Barangay Captain (as chair)

2. President of the Rural Improvement Club (RIC)
3. President, Parent Teacher Child Association (PTCA)
4. Head/President, local organization
5. Sangguniang Members on Health
6. SK Chairperson
7. Barangay Nutrition Scholar (BNS)
8. Day Care Worker
9. Barangay Nutrition Action Association (BNAO)
10. School Principal
11. Agriculture Technicians
12. Rural Health Midwife (RHM)
13. Other as may be identified
11. Agriculture Technicians
12. Rural Health Midwife (RHM)
13. Other as may be identified
4.8.2 Plan:
Presence of approved CY 2023 BNAP Approved CY 2023 BNAP signed by the BNC
4.8.3 Decrease in Prevalence Rate in the barangay, for the following Operation Timbang (OPT) Plus Form 1A (Barangay Tally
categories: and Summary Sheet of Preschoolers with Weight &
1. Underweight and Severe Underweight Height Measurement by Age Group, Sex and Nutritional
2. Stunting and Severe Stunting;and Status) of CYs 2022 and 2023
3. Moderate Wasting and Severe Wasting
Certification from the C/MHO on the Decrease in

Prevalence Rate

1. With decrease in prevalence rate of

Underweight and Severe Underweight

Stunting and Severe Stunting

Moderate Wasting and Severe Wasting
4.8.4 Accomplishment Reports: Accomplishment Report on CY 2023 BNAP;


physical targets in the CY 2023 BNAP
Certification on the submitted BNAP Accomplishment

Report for CY 2023 indicating at least 50%
accomplishment of the physical targets in the BNAP
signed by the C/MLGOO

activities/projects reflected in the BNAP) x 100
OR

2023 BNAP Budget.
Certification on the submitted BNAP Accomplishment

Report for CY 2023 indicating at least 50% fund
utilization rate of the CY 2023 BNAP Budget signed by
the C/MLGOO
(as of Dec. 31, 2023):
BNAP:

YES NO
Functionality of the Barangay Nutrition
Committee (BNC)?
4.9. Halina't Magtanim ng Prutas at Gulay (HAPAG) sa Barangay Project - For Profiling Purposes Only
4.9.1 Established a Barangay Community Garden (BCG) Photo documentation of the established BCG
Ordinance signed by the PB, Barangay Secretary and

4.9.2 Enacted Ordinance for the Establishment of a Barangay SBMs) on the establishment of a BCG
Community Garden

Date of approval
4.9.3 Designated SBM to Manage the Barangay Community Garden EO (signed by the PB) or similar issuance
Secretary and SBMs) on the designated SMB to manage
the BCG

Date of approval
4.9.4 Conducted at least One (1) Advocacy Campaign/ Awareness on Proof of conduct of at least one (1) Advocacy
community household gardening Campaign/Awareness (Photo/Social Media Post,
PAR/AR, etc.)
4.9.5 Established Group of Volunteers on the Implementation of the EO (signed by the PB) or similar issuance
Community Garden (resolution/ordinance signed by the PB, Barangay
Secretary and SBMs) on the established group
volunteers

Date of approval

YES NO
Halina't Magtanim ng Prutas at Gulay
(HAPAG) sa Barangay Project ?
End of Essential Governance Area No. 1: Social Protection and Sensitivity

Data Capture Form
BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:

Business Friendliness and Competitiveness
5.1. Power to Levy Other Taxes, Fees, or Charges
Enacted Barangay Tax Ordinance signed by the PB,

5.1.1 Enacted Barangay Tax Ordinance pursuant to Sec. 129 of the LGC Barangay Secretary and SBMs

YES NO
Met the minimum requirement on the Power
to Levy Other Taxes, Fees, or Charges?
5.2. Compliance to Section 11 of RA 11032 of the Ease of Doing Business Law

Enacted Barangay Ordinance relative to Barangay Clearance fees Enacted Barangay Ordinance (signed by the PB,
5.2.1 on business permit and locational clearance for building permit Barangay Secretary and SBMs) relative to Barangay
pursuant to DILG MC No. 2019-177. Clearance Fees on business permit and locational
clearance for building permit
Approved resolution authorizing the City/Municipal

Approved resolution authorizing the City/Municipal Treasurer to
Treasurer to collect fees for Barangay Clearance for
5.2.2 collect fees for Barangay Clearance for Business permit and
Business permit and locational clearance purposes
locational clearance purposes pursuant to DILG MC No. 2019-177.
signed by PB, Barangay Secretary and SBMs.

YES NO
Compliance to Section 11 of RA 11032 of the
Ease of Doing Business Law?
5.3. Issuance of Barangay Clearance not covered by DILG MC No. 2019-177 such as: residency, indigency, etc, within seven (7) working days
5.3.1 Presence of a Citizens’ Charter on the issuance of barangay Photo documentation of the Citizens’ Charter on the
clearance posted in the barangay hall issuance of barangay clearance only (name of the
barangay should be visible)

YES NO Met the minimum requirement on the
Issuance of Barangay Clearance not covered
by DILG MC No. 2019-177 such as: residency,
indigency, etc, within seven (7) working
days?
Met the minimum requirement on the
Issuance of Barangay Clearance not covered
by DILG MC No. 2019-177 such as: residency,
indigency, etc, within seven (7) working
days?
End of Essential Governance Area No. 2: Business Friendliness and Competitiveness

Data Capture Form
BARANGAY:
CITY/MUNICIPALITY:
PROVINCE:
REGION:

Environmental Management
6.1. Functionality of the Barangay Ecological Solid Waste Management Committee (BESWMC)
6.1.1 Structure: (resolution/ordinance signed by the PB, Barangay
Organized BESWMC with composition compliant to DILG MC No. Secretary and SBMs) on the organization of the
2018-112 BESWMC
Date of approval
6.1.2 Plan:
Approved Solid Waste Management Program/Plan
Approved Solid Waste Management Program/Plan with covering CY 2023 with corresponding fund allocation
corresponding fund allocation
6.1.3 Trainings:
Attendance of BESWMC to necessary training relative to At least one (1) copy of proof of training such as
promoting environmental protection, preservation and awareness Certificate of Completion and/or Participation
not earlier than 2020
6.1.4 Accomplishment Reports: Three (3) Monthly Accomplishment Reports covering

July-September 2023
Monthly Accomplishment Reports were submitted


physical targets in the BESWMP

activities/projects reflected in the BESWMP) x 100
OR
b. At least 50% utilization rate of CY 2023

BESWM Budget
(as of Dec. 31, 2023):
BESWM Plan:
YES NO
Functionality of the Barangay Ecological Solid
Waste Management Committee (BESWMC)?
6.2. Existence of a Solid Waste Management Facility Pursuant to R.A. 9003

6.2.1 Presence of a Materials Recovery Facility (MRF)/ Materials

Recovery System (MRS) Instruction: Put a check ✓ on the box that corresponds to your
assessment.
• Established MRF operated by the barangay A. For MRF operated by the barangay:
• MRS Photo documentation of the MRF/MRF Records of the
• Clustered MRF barangay
OR
B. For MRS:
MOA with junkshop;
Mechanism to process biodegradable wastes;
MOA with service provider for collection of

biodegradable and rrcyclables for treatment temporary
storage
OR
C. For Clustered MRFs:
MOA with the host barangay (applicable for barangay-
clustered MRFs);
MOA or LGU document indicating coverage of

city/municipal MRF (applicable for barangays clustered
to the Central MRF of City/Municipality)

YES NO
Existence of a Solid Waste Management
Facility Pursuant to R.A. 9003?
6.3. Provision of Support Mechanisms for Segregated Collection

6.3.1 Enacted Barangay Ordinance or similar issuance on segregation of EO (signed by the PB) or similar issuance
wastes at-source (resolution/ordinance signed by the PB, Barangay
Secretary and SBMs) on segregation of wastes at-source

Date of approval

YES NO
Provision of Support Mechanisms for
Segregated Collection?
End of Essential Governance Area No. 3: Environmental Management

Data Capture Form
CERTIFICATION
I hereby certify that all information contained in this assessment report are true and correct, and are correspondingly s
by MOVs as reviewed by the undersigned.
City/Municipal SGLGB Assessor
Name and Signature of the SGLGB Assessor (City Director/C/MLGOO)

orrespondingly supported

2024 SGLGB Data Capture Form (DCF)

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2024 SGLGB Data Capture Form (DCF)

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2024 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY

Year Under Review: CY 2023

Core Governance Area No. 1:

b. Barangay Budget; Two (2) Photo Documentation of the BFDP board

e. Annual Procurement Plan or Procurement List; ANNUAL REPORT

d. 20% Component of the NTA Utilization;

e. Annual Procurement Plan or Procurement List;

f. List of Notices of Award (1st - 3rd Quarter of CY 2023)

Please supply the number of documents submitted:

Please supply the number of documents submitted:

REMARKS PROCESSING OF RESULTS

Certification on Increase in Local Resources signed by

Total amount obtained from local resources in:

REMARKS PROCESSING OF RESULTS

1.3. Approval of the Barangay Budget on the Specified Timeframe

Consideration: Approval until March 31, 2023.

REMARKS PROCESSING OF RESULTS

Senior Citizens and Persons with Disabilities;

Implementation of the programs of the Local Councils

Annual Investment Program signed by Barangay

REMARKS PROCESSING OF RESULTS

1.5. Posting of the Barangay Citizens’ Charter (CitCha)

REMARKS PROCESSING OF RESULTS

1.6. Release of the Sangguniang Kabataan (SK) Funds by the Barangay

1.6.1.1. MOVs for 1.6.1.1:

b) Proof of deposit reflecting the Account No./ Name of

Consideration: In the absence of deposit slips, bank

1.6.1.2. MOV for 1.6.1.2:

Consideration: In the absence of deposit slips, bank

1.6.1.3. MOV for 1.6.1.3:

Approved Resolution approving the 2023 SK

An Approved 2023 ABYIP signed by the SK Chairperson

If the barangay has 4 and below SK Officials:

Certification from the C/MLGOO on number of SK

REMARKS PROCESSING OF RESULTS

1.7. Conduct of Barangay Assembly for CY 2023

REMARKS PROCESSING OF RESULTS

End of Core Governance Area No. 1: Financial Administration and Sustainability

Core Governance Area No. 2:

Minimum Composition of the BDRRMC: Please supply the required information:

Certification on the list of barangays with approved and

2.1.3 Budget: Certification on the allocation of at least 5% of the

Please supply the following information:

2.1.4 Accomplishment Report:

Accomplishment Report; and

Certification on the submission and correctness of

To compute Physical Accomplishment Rate: Please supply the required information:

b. At least 50% fund utilization of the 70%

Annual BDRRMF Utilization Report; and

Certification on the submission and correctness of fund

To compute % utilization: Please supply the required information:

REMARKS PROCESSING OF RESULTS

2.2. Extent of Risk Assessment and Early Warning System (EWS)

REMARKS PROCESSING OF RESULTS

2.3. Extent of Preparedness For Effective Response And Recovery

Certification on the presence and location of a

2.3.2 Photo Documentation for each of disaster supplies

a. Communication equipment (i.e., 2 way radio mobile phone,

b. Rescue vehicle/Alternative vehicle (i.e., ambulance;

c. Generator set/alternative sources of energy (i.e., portable c. Generator set/alternative sources of

d. First aid kit; d. First aid kit;

e. Flashlight; and e. Flashlight; and

f. Personal Protective Equipment. f. Personal Protective Equipment.

REMARKS PROCESSING OF RESULTS