Individual Record of Barangay Inhabitant
Uploaded by
Glenn GabuleIndividual Record of Barangay Inhabitant
Uploaded by
Glenn GabuleRBI Form B
INDIVIDUAL RECORD OF BARANGAY INHABITANT
REGION:
PROVINCE:
CITY:
BARANGAY:
PERSONAL INFORMATION
NAME:
(LAST) (FIRST) (MIDDLE) (EXT)
DATE OF BIRTH: PLACE OF BIRTH:
MM DD YYYY
SEX: MARITAL STATUS:
MAL FEMAL SINGL MARRIE WIDOW/E SEPARATED
E E E D R
CITIZENSHIP: PROFESSION/OCCUPATION
RESIDENCE ADDRESS:
HOUSE NO. STREET NAME PUROK/ZONE SITIO
I hereby certify that the above information is true and correct to the best of my knowledge.
______________________ _________________________________________________
Date Accomplished Name and Signature of the Person Accomplishing the Form
Attested by:
GLENN C. GABULE RN
Barangay Secretary
