POPCEN - CBMS FORM 5 Republic OF THE PHILIPPINES

PSA Approval Number : PSA-2418-01

Expiry Date: 30 April 2025 PHILIPPINE STATISTICS AUTHORITY
2024 CENSUS OF POPULATION AND COMMUNITY-BASED MONITORING SYSTEM
BARANGAY PROFILE QUESTIONNAIRE
Dear Sir/Madam,

The Philippine Statistics Authority (PSA) is currently conducting the 2024 Census of Population (POPCEN) and Community-Based Monitoring System (CBMS), or
2024 POPCEN-CBMS. The POPCEN aims primarily to update the population count in all barangays nationwide. The CBMS, on the other hand, refers to an organized
technology-based system of collecting, processing, and validating necessary disaggregated data that may be used for planning, program implementation, and impact
monitoring at the local level while empowering communities to participate in the process.

The conduct of the POPCEN is pursuant to RA 10625 (Philippine Statistics Act of 2013) and Executive Order No. 325. The conduct of the CBMS, on the other hand,
is pursuant to Republic Act (RA) No. 11315, otherwise known as the CBMS Act, which authorizes the PSA to prepare and conduct periodic compendium of localized
facts, figures, and maps on the different dimensions of poverty such as health, nutrition, water, sanitation, shelter, education, income, employment, security, and
participation every three years.

Section 25 of RA 10625, states that all respondents, whether natural or legal persons including all barangay Local Government Units (LGUs) are obliged to provide
TRUTHFUL AND COMPLETE ANSWERS. Hence, please answer all the questions that will be asked by our census interviewer.

By responding to this questionnaire, you are providing information and authorizing the PSA to collect data about your barangay, in which such data may also be
shared to the national government agencies for monitoring purposes and for possible assistance that may be extended by your LGU. The data that you will provide in
this BPQ will also be stored and archived in the PSA's National CBMS Databank. Moreover, the BPQ data will be used to update the urban-rural classification of
barangays and for other purposes.

Rest assured that the data that you will furnish in this data collection activity shall be considered PRIVILEGED COMMUNICATION and as such shall be inadmissible
as evidence in any legal proceeding. Moreover, Section 4(e) of RA 10173 (Data Privacy Act of 2012) states that data privacy does not apply to “information necessary
in order to carry out the functions of public authority which includes the processing of personal data for the performance by the independent agencies of their
constitutionally and statutorily mandated functions.”

This 2024 POPCEN-CBMS was reviewed and cleared under the Statistical Survey Review and Clearance System (SSRCS) with clearance number and expiration
date provided in the upper left-hand corner of this questionnaire.

We appreciate your utmost cooperation and support for the success of the 2024 POPCEN-CBMS. If you have inquiries, you may send your message through the e-
mail addresses cbms@psa.gov.ph and/or phcd.staff@psa.gov.ph.

Thank you very much.

CLAIRE DENNIS S. MAPA, PhD

Undersecretary
National Statistician and Civil Registrar General

GEOGRAPHIC IDENTIFICATION

REGION CITY/MUNICIPALITY
PROVINCE / HIGHLY URBANIZED CITY BARANGAY
NAME OF PUNONG
BARANGAY LAST NAME FIRST NAME SUFFIX MIDDLE NAME
COMPLETE ADDRESS
OF THE BARANGAY HALL FLOOR NO. BUILDING NAME/NO. BLOCK/LOT NO. STREET NAME PUROK/ZONE/SITIO/VILLAGE

BARANGAY CITY/MUNICIPALITY PROVINCE / HIGHLY URBANIZED CITY

EMAIL ADDRESS
CONTACT NUMBER OF THE BARANGAY
INTERVIEW RECORD
DATE OF VISIT TIME BEGAN TIME ENDED
MONTH/DAY MM/DD HOUR:MINUTE HH/MM HOUR:MINUTE HH/MM
MODE OF DATA COLLECTION
1 - COMPUTER-ASSISTED PERSONAL INTERVIEW (CAPI) 3 - SELF-ADMINISTERED QUESTIONNAIRE -DIGITAL (SAQ-D)
2 - PAPER AND PENCIL PERSONAL INTERVIEW (PAPI) 4 - SELF-ADMINISTERED QUESTIONNAIRE -PAPER (SAQ-P)
CERTIFICATION FROM THE BARANGAY

RESPONDENT PUNONG BARANGAY OTHER BARANGAY OFFICIAL/PERSONNEL

BARANGAY OFFICIAL/
PERSONNEL LAST NAME FIRST NAME SUFFIX MIDDLE NAME POSITION
OTHER BARANGAY
OFFICIAL/PERSONNEL LAST NAME FIRST NAME SUFFIX MIDDLE NAME POSITION
I hereby certify that the data provided are true and complete based on my knowledge and records of the barangay.

PUNONG BARANGAY / BARANGAY OFFICIAL / PERSONNEL DATE OF COMPLETION

SIGNATURE OVER PRINTED NAME DD/MM/YYYY
CERTIFICATION
I hereby certify that the data in this questionnaire were personally obtained/reviewed by me and in accordance with the instructions given by the PSA.

STATISTICAL RESEARCHER CO/RSSO/PSO SUPERVISOR/HEAD CAS

SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME
POPCEN - CBMS FORM 5 BPQ 1 of 6
 2024 CENSUS OF POPULATION AND COMMUNITY-BASED MONITORING SYSTEM
BARANGAY PROFILE QUESTIONNAIRE
GENERAL INSTRUCTIONS:
1. Boxes are found all throughout the questionnaire. Each box corresponds to alpha/numeric response/s. Make sure that each number/letter is written
inside the box.
2. Use the prescribed alphanumeric characters. If the response category for the question is number-coded, only one answer is allowed. If it’s letter-coded,
multiple answers are allowed.
3. If lines are provided, write the specific answer. Always use capital letters for write-in entries.
4. Follow the skipping instructions.
5. Use a pencil when filling out the questionnaire. Do not use a pen, ballpen or marker.
6. Use an eraser in case there is a need to correct an entry. Do not use liquid eraser or correction tape. Make sure that each incorrect entry is properly
erased.
7. Complete all the information to maintain data accuracy and consistency.
8. Write neatly and legibly.
9. If an answer needs further explanation or clarification, write it down in the “Remarks” portion of the questionnaire. Do not forget to indicate the section
and item number being referred to.
A. BARANGAY CHARACTERISTICS AND COMMUNITY FACILITIES
We would like to know about the physical characteristics of your barangay.
01. Is your barangay, a …
............................................................... ................................................................ ..........
a. former población or central district of the city/municipality? 1 - YES 2 - NO
b. población/central district or part of the población/central district? 1 - YES 2 - NO
02. Does your barangay have a street pattern, that is, a network of at least three (3) streets or roads? 1 - YES 2 - NO
03. Are there puroks or zones in the barangay? 1 - YES 2 - NO, GO TO A05
............................................................... ................................................................ ..........
04. What are the puroks or zones in the barangay? _________________ _________________
LIST ALL PUROKS OR ZONES. _________________ _________________
_________________ _________________
_________________ _________________
_________________ _________________

05. Are there sitios in the barangay? 1 - YES 2 - NO, GO TO A07

............................................................... ................................................................ ..........
06. What are the sitios in the barangay? _________________ _________________
LIST ALL SITIOS. _________________ _________________
_________________ _________________
_________________ _________________
_________________ _________________

07. Which of the following types of land use does the barangay have? 1– YES; 2– NO

a. Residential ……………………...…………...
b. Commercial ………………………………….
c. Industrial ……………………………………..
IF YES,
d. Forest, Forestland, or Agriculture…….…... GO TO 07.1
e. Water …..…………………………………….
f. Institutional …………………………………...
z. Others, specify _________________ …….

............................................................... ................................................................ ..........

07.1. Is your barangay engaged in palay farming? 1 - YES 2 - NO, GO TO A07.2
a. Total agricultural land used in growing palay (ha) (ASK THE RESPONDENT FOR THE TOTAL PALAY
AREA IN THE BARANGAY.)
. in hectares
b. Has there been any palay harvested in the barangay for the past two years (01 May 2022 to 30 April 2024)? 1 - YES 2 - NO
............................................................... ................................................................ ..........
07.2. Is your barangay engaged in corn farming? 1 - YES, GO TO A07.2a 2 - NO, GO TO A08
a. Total agricultural land used in growing corn (ha) (ASK THE RESPONDENT FOR THE TOTAL CORN AREA
IN THE BARANGAY.) . in hectares
b. Has there been any corn harvested in the barangay for the past two years (01 May 2022 to 30 April 2024)? 1 - YES 2 - NO
08. Is this barangay accessible from the national highway? 1 - YES 2 - NO, GO TO A09
............................................................... ................................................................ ..........
08.1. IF YES, what is the distance in kilometers between the nearest point of this barangay and the national 1 - two (2) kms. or less 2 - more than two (2) kms.
highway using the access road?
09. In the barangay, is there a/an ...
............................................................... ................................................................ ..........
a. town/city hall or provincial capitol? 1 - YES, GO TO A09b 2 - NO
a.1. IF NO, what is the distance of the nearest town/city hall or provincial capitol from the barangay hall? 1 - two (2) kms. or less 2 - more than two (2) kms.

b. church, chapel or mosque where religious service is held at least once a month? 1 - YES, GO TO A09c 2 - NO

b.1. IF NO, what is the distance of the nearest church, chapel or mosque (where religious service is held at least 1 - two (2) kms. or less 2 - more than two (2) kms.
once a month) from the barangay hall?
c. public plaza or park for recreation? 1 - YES, GO TO A09d 2 - NO

c.1. IF NO, what is the distance of the nearest public plaza or park for recreation from the barangay hall? 1 - two (2) kms. or less 2 - more than two (2) kms.

d. cemetery? 1 - YES, GO TO A09e 2 - NO

d.1. IF NO, what is the distance of the nearest cemetery from the barangay hall? 1 - two (2) kms. or less 2 - more than two (2) kms.
e. market place or building where trading activities are carried out at least once a week? 1 - YES, GO TO A09f 2 - NO

e.1. IF NO, what is the distance of the nearest market place or building (where trading activities are carried out at
1 - two (2) kms. or less 2 - more than two (2) kms.
least once a week) from the barangay hall?
f. elementary school? 1 - YES, GO TO A09g 2 - NO
f.1. IF NO, what is the distance of the nearest elementary school from the barangay hall? 1 - two (2) kms. or less 2 - more than two (2) kms.

POPCEN - CBMS FORM 5 BPQ 2 of 6

A. BARANGAY CHARACTERISTICS AND COMMUNITY FACILITIES
g. high school? 1 - YES, GO TO A09h 2 - NO
g.1. IF NO, what is the distance of the nearest high school from the barangay hall? 1 - two (2) kms. or less 2 - more than two (2) kms.
h. college/university? 1 - YES, GO TO A09i 2 - NO
h.1. IF NO, what is the distance of the nearest college/university from the barangay hall? 1 - two (2) kms. or less 2 - more than two (2) kms.
i. library? 1 - YES, GO TO A09j 2 - NO
i.1. IF NO, what is the distance of the nearest library from the barangay hall? 1 - two (2) kms. or less 2 - more than two (2) kms.
j. hospital? 1 - YES, GO TO A09k 2 - NO
j.1. IF NO, what is the distance of the nearest hospital from the barangay hall? 1 - two (2) kms. or less 2 - more than two (2) kms.
k. puericulture center, barangay health center/station or clinic? 1 - YES, GO TO A09l 2 - NO
k.1. IF NO, what is the distance of the nearest puericulture center, barangay health center/
1 - two (2) kms. or less 2 - more than two (2) kms.
station or clinic from the barangay hall?
l. fire station or public fire protection service? 1 - YES, GO TO A09m 2 - NO
l.1. IF NO, what is the distance of the nearest fire station or public fire protection service from
1 - two (2) kms. or less 2 - more than two (2) kms.
the barangay hall?
m. seaport in operation? 1 - YES, GO TO A09n 2 - NO
m.1. IF NO, what is the distance of the nearest seaport in operation from the barangay hall? 1 - two (2) kms. or less 2 - more than two (2) kms.
n. traditional fish landing center? (e.g. seashore) 1 - YES, GO TO A09o 2 - NO
n.1. If NO, what is the distance of the nearest traditional fish landing center from the barangay hall? 1 - two (2) kms. or less 2 - more than two (2) kms.
o. non-traditional fish landing center? (e.g. managed by PFDA, LGU, or private) 1 - YES, GO TO A09p 2 - NO
o.1. If NO, what is the distance of the nearest non-traditional fish landing center from the barangay
1 - two (2) kms. or less 2 - more than two (2) kms.
hall?
p. community waterworks system? 1 - YES, GO TO A09q 2 - NO
p.1. IF NO, what is the distance of the nearest place with a community waterworks system from
1 - two (2) kms. or less 2 - more than two (2) kms.
the barangay hall?
q. post office or postal service? 1 - YES, GO TO A09r 2 - NO
q.1. IF NO, what is the distance of the nearest post office or postal service from the barangay hall? 1 - two (2) kms. or less 2 - more than two (2) kms.
r. landline telephone system or calling station? 1 - YES, GO TO A09s 2 - NO
r.1. IF NO, what is the distance of the nearest place with a landline telephone system or calling
1 - two (2) kms. or less 2 - more than two (2) kms.
station from the barangay hall?
s. public street sweeper? 1 - YES 2 - NO

t. stock room or warehouse used as storage for relief goods? 1 - YES 2 - NO

10. In the barangay, is there at least one establishment with 100 employees or more? 1 - YES 2 - NO
10.1. How many establishments with 10 to 99 employees are there in this barangay? 1 - None 2 - One to Four 3 - Five or More

B. COMMUNITY INSTITUTIONS
In this section, we would like to get information about the different institutions in your barangay.
01. Which of the following barangay-based institutions
is/are present in the barangay?
02. Which of the following barangay-level helpdesks
is/are present in the barangay?
1– YES; 2– NO
a. Barangay Development Council (BDC) …………..…………………………………………………....……..….
b. Barangay Peace and Order Committee (BPOC) …..……………………………………………………………
c. Barangay Council for the Protection of Children (BCPC)………………………………………………………..
d. Barangay Anti-Drug Abuse Council (BADAC) ………..………………………………………………………….
e. Barangay Ecological Solid Waste Management Committee (BESWMC) .……………………………………
f. Barangay Physical Fitness and Sports Development Council (BPFSDC) ………...………………………….
z. Other Committees, specify _____________________________________________ ………….………….
1– YES; 2– NO
a. Violence Against Women (VAW) Desk/Office ……………………………………………………………………
b. Senior Citizens’ Welfare Desk/Office ……………………………………………………………………………..
c. Persons with Disability (PWD) Desk/Office ………………………………………………………………………
z. Others, specify ______________________________________________________ ……………………...

C. SOURCE OF ELECTRICITY
FOR ALL BARANGAYS WITH BARANGAY HALLS/OFFICES ONLY
In this section, we would like to know the different electricity sources that are being used in your barangay hall.
1 - YES
01. Is electricity available in the barangay hall? 2 - NO GO TO SECTION D
3 - NOT APPLICABLE
1 - ELECTRIC COMPANY
2 - GENERATOR
02. What is the main source of electricity available in the barangay hall? 3 - SOLAR
4 - BATTERY
9 - OTHERS, SPECIFY ________________________________
D. GARBAGE AND WASTE DISPOSAL
Now, we would like to get information on the different garbage and waste disposal in your barangay.
1– YES; 2– NO

a. Waste collection trucks or vehicle…………………….………...

01. Are the following garbage and waste collection equipment available in the barangay? b. Waste collection bins …………..…………………………………
c. Waste collection cart ………………………………………………
z. Others, specify ____________________………………………..

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D. GARBAGE AND WASTE DISPOSAL
02. Are garbage from households being collected in this barangay? 1 - YES 2 - NO, GO TO SECTION E

1 - COLLECTOR FROM MUNICIPAL/ CITY LGU

2 - COLLECTOR FROM BARANGAY LGU

03. Who primarily collects the garbage from households? 3 - PRIVATE COLLECTOR (ESTABLISHMENT)
4 -“BOTE DYARYO”, WASTE PICKERS
9 - OTHERS, SPECIFY ____________________________________

1 - YES 2 - NO
04. Is waste collection done only for segregated garbage from households?
1 - YES, GO TO SECTION E 2 - NO
05. Is the current garbage collection system able to serve the whole barangay?

____________________ _________________________ ___________________

06. What specific areas (zone/purok/sitio) are not reached by the barangay and city/ ____________________ _________________________ ___________________
municipality garbage collection?
____________________ _________________________ ___________________

E. INFORMATION AND COMMUNICATION TECHNOLOGY

Now, we would like to know the different information and communication technology facility and its uses in your barangay.
01. Is cellphone network signal available in the barangay?
1 - YES 2 - NO, GO TO E03

02. What is the coverage of cellphone network signal in the barangay? 1 - WHOLE BARANGAY
2 - SOME AREAS IN THE BARANGAY
3 - WITHIN THE BARANGAY HALL AND/OR GOVERNMENT
OFFICES ONLY
9 - OTHERS, SPECIFY __________________________________
03. Is free Wi-Fi available in the barangay? 1 - YES 2 - NO, GO TO E05
04. What is the coverage of the free Wi-Fi? 1 - WHOLE BARANGAY
2 - SOME AREAS IN THE BARANGAY
3 - WITHIN THE BARANGAY HALL AND/OR GOVERNMENT
OFFICES ONLY
9 - OTHERS, SPECIFY __________________________________

05. Is there access to internet in the Barangay Hall? 1 - YES

2 - NO GO TO E07
3 - NOT APPLICABLE
06. What types of internet connection are available in the Barangay Hall? 1– YES; 2– NO
a. Fixed (Wired) Narrowband/Broadband Network [e.g., via Digital Subscriber Line (DSL), cable modem, high speed leased line,
fiber-to-the-home/building, powerline, and other fixed (wired) broadband] …………………………………………………………………………………………..
b. Fixed (Wireless) Broadband Network [e.g., via WiMAX and fixed Code Division Multiple Access (CDMA)] …………………………………………………….
c. Satellite Broadband Network ………………………………………………………………………………………………………………………………………………
d. Mobile Broadband Network [e.g., via handset, card (e.g., integrated SIM card) or USB modem] …………………………………………………………..…….
07. Does this barangay have an official website (gov.ph) (to disseminate news, provide 1 - YES 2 - NO, GO TO E09
barangay services, etc.) ?
08. What is the official website Uniform Resource Locator (URL) of the barangay? _________________________________________________
09. Does this barangay have a social media account ? 1 - YES 2 - NO, GO TO SECTION F

10. Does this barangay answer disaster/emergency concerns using social media account? 1 - YES 2 - NO

11. What is the social media account page URL of the barangay? _________________________________________________
F. DISASTER RISK REDUCTION AND MANAGEMENT
Now, we would like to talk about the disaster preparedness of the barangay.

01. Does this barangay have a written disaster risk reduction and management plan? 1 - YES 2 - NO

02. Does this barangay have a disaster management committee? 1 - YES 2 - NO

03. Does this barangay have a disaster/emergency response team? 1 - YES 2 - NO

04. Does this barangay have a disaster/emergency hotline? 1 - YES 2 - NO, GO TO F06

05. What is the barangay’s disaster/emergency hotline? __________________________________

06. In the past 12 months (01 May
2023 to 30 April 2024), which of the
TYPE OF DISASTER following disasters happened/were
experienced in the barangay?
07.1. Does this barangay monitor 07.2. Does this barangay disseminate
08. Does this barangay have a
hazards using information from and communicate warnings and disaster contingency plan/
early warning system/devices
announcements to the public about containment strategies for the
and/or reports from local
the following disasters? following types of disasters?
authorities?

1 -YES 2 -NO

a. Typhoon

b. Flooding

c. Storm surge

d. Dry spell/drought

e. Landslide/mudslide

f. Volcanic eruption

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F. DISASTER RISK REDUCTION AND MANAGEMENT

07.1. Does this barangay 07.2. Does this barangay

06. In the past 12 months (01 May 2023
to 30 April 2024), which of the following
disasters happened/were experienced
TYPE OF DISASTER
in the barangay?
monitor hazards using
information from early warning
system/devices and/or reports
from local authorities?
08. Does this barangay have a
disseminate and communicate
disaster contingency plan/
warnings and announcements to
containment strategies for the
the public about the following
following types of disasters?
disasters?

1 -YES 2 -NO

g. Tsunami

h. Forest fire

i. Earthquake

j. Epidemic/pandemic

k. Pest infestation

l. Livestock diseases

m. Poultry diseases

n. Fish kill

o. Red tide

p. Fire

q. Armed conflict

z. Others, specify

_____________________

09. Does this barangay have an evacuation map? 1 - YES 2 - NO, GO TO F11

10. When was the evacuation map last updated?

YYYY
11. Does this barangay have a hazard map? 1 - YES 2 - NO, GO TO F13

12. When was the hazard map last updated?

YYYY
13. In the past 12 months (01 May 2023 to 30 April 2024), did this barangay conduct a disaster
1 - YES 2 - NO, GO TO F16
preparedness seminar/training (may be funded by LGU or National Government Agency (NGA))?
14. When was the last time the barangay conducted disaster preparedness seminar/training?
MM//YYYY
15. How many participants attended the last/most recent seminar/training? (WRITE THE NUMBER IN THE BOXES.)

16. How many of the following disaster/emergency response supplies/equipment does the barangay own as of 01 May 2024? (WRITE THE NUMBER IN THE BOXES.)
a. First-aid kits (piece)

b. Boats/vans/buses (unit)

c . Ambulance (unit)

d. Amphibian vehicle (unit)

e. Backhoe/dumptruck/tractor/scoop loader (unit)

f. Siren (piece)

g. Two-way radio and other communication equipment (including satellite phone) (piece)

h. Portable generator and solar powered generator (piece)

i. Emergency lights (piece)

17. In 2023, how much is the total expenditures on Disaster Risk Reduction and Management .
operations in your barangay? …………….. PhP
G. SUPPORT TO FOOD SECURITY AND AGRICULTURE/FISHERY ACTIVITIES
Now, we would like to know the support of the barangay to food security and agriculture/fishery activities.
1– YES; 2– NO

a. Training/Technology/Technical Assistance ………..……………

b. Inputs/Supplies (e.g., Seeds, Fertilizer, etc.) …………………...
c. Cash/Credit Assistance …..……………………………………….
d. Farm Operation Management …..………………………………..

01. During the past 12 months (01 May 2023 to 30 April 2024), which of the following agriculture and e. Fishing Operation Management …..……………………………..
fishery extension services were offered in the barangay? f. Marketing (e.g. Kadiwa, community market, etc.) .…..………….
g. Irrigation …..………………………………………………………...
h. Farm machineries …..……………………………………………..
i. Fishery equipment …..……………………………………………...
j. Insurance (i.e., Crop, Fisheries, etc.,) …………………………….
z. Other Assistance, specify ____________________ …………..
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 G. SUPPORT TO FOOD SECURITY AND AGRICULTURE/FISHERY ACTIVITIES
02. During the past 12 months (01 May 2023 to 30 April 2024), did your barangay provide programs
or services for the following?
............................................................... ........................................................
A. Agriculture and food systems 1– YES; 2– NO

a. Vertical gardens …...……………………………………………….

b. Vegetable nurseries …..…………………………………………...
c. Community model farms/ gardens …...…………………………..
d. Hydroponics and aquaponics ……..……………………………...
e. Production of organic fertilizers …..………………………………
f. Food processing …..………………………………………………..
g. Aquaculture …..…………………………………………………….
h. Livestock production …..…………………………………………..
i. Poultry production …..………………………………………………
z. Others, specify __________________________ ..…………….
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
B. Food security and nutrition 1– YES; 2– NO

a. Feeding program ...…………………………………………………

b. Operation Timbang Plus ...………………………………………...
c. Distribution of relief goods during calamities/ disasters ..……...
z. Others, specify __________________________ ………………
1– YES; 2– NO
a. Gulayan sa Barangay ……………………………………………...
03. During the past 12 months (01 May 2023 to 30 April 2024), was there a communal vegetable b. Gulayan sa Pamayanan …………………………………………..
garden or farm in your barangay operated by an association, organization, cooperative, school,
or private group that was initiated by a national government agency or local government unit c. Gulayan sa Paaralan ………………………………………………
through any of the following projects/programs? c1. Public Primary Schools ……………………………………….
c2. Public Secondary Schools ………………………………...…
d. Other Projects/Programs, specify ______________________..

REMARKS

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