4-Badac Data Capture Forms
4-Badac Data Capture Forms
INDICATOR POSITION FIRST NAME LAST NAME SEX BIRTHDATE CIVIL STATUS ADDRESS CONTACT #
Chairperson / ZONE 4, ARTACHO, BAUTISTA,
Punong Barangay NOVEL NIŇO M 11/15/1969 Married PANGASINAN 9182256025
Vice-Chairperson /
Peace & Order ZONE 3, ARTACHO, BAUTISTA,
Committee Chair DANILO LIBAG M 12/1/1978 Married PANGASINAN 9085521417
Members:
Chair of Women & ZONE 4, ARTACHO, BAUTISTA,
Family Committee EVANGELINE TADEO F 11/12/1963 Married PANGASINAN 9265510658
ZONE73, ARTACHO, BAUTISTA,
BADAC is SK Chairperson ANGELA MAE LUMBANIA F 12/27/1997 Single PANGASINAN 9182252625
composed of
School Principal / ZONE 5, ARTACHO, BAUTISTA,
seven (7)
Representative MARIBEL BRACEROS F 2/16/1980 Married PANGASINAN 9152265454
members
Brgy Chief Tanod ZONE 1, ARTACHO, BAUTISTA,
ARMANDO MAYO M 2/14/1957 Married PANGASINAN
NGO / CSO ZONE 5, ARTACHO, BAUTISTA,
Representative JAMS BANGIS M 9/2/1979 Married PANGASINAN 9095642525
Faith-based Org ZONE 2, ARTACHO, BAUTISTA,
Representative LERIO CABALTEJA M 4/12/1952 Married PANGASINAN 9104562821
Adviser:
Local PNP Chief /
Representative PAUL VINSENT TADEO M 10/12/1990 Married ABRA
Chairperson / Peace
& Order Committee ZONE 3, ARTACHO, BAUTISTA,
BADAC Chair DANILO LIBAG M 12/1/1978 Married PANGASINAN 9085521417
Committee on Members:
Operations is
Brgy Chief Tanod ZONE 1, ARTACHO, BAUTISTA,
organized ARMANDO MAYO M 2/14/1957 Married PANGASINAN
BADAC Auxiliary
Refer to BADAC Auxiliary Team Profile
Team
Chairperson / ZONE 4, ARTACHO, BAUTISTA,
Women & Family EVANGELINE TADEO F 11/12/1963 Married PANGASINAN 9265510658
Committee
Members: Chair
SK Chairperson ZONE73, ARTACHO, BAUTISTA,
BADAC ANGELA MAE LUMBANIA F 12/27/1997 Single PANGASINAN 9182252625
Committee on School Principal / ZONE 5, ARTACHO, BAUTISTA,
Advocacy is Representative MARIBEL BRACEROS F 2/16/1980 Married PANGASINAN 9152265454
organized NGO / CSO ZONE 5, ARTACHO, BAUTISTA,
Representative JAMS BANGIS M 9/2/1979 Married PANGASINAN 9095642525
Faith-based Org ZONE 2, ARTACHO, BAUTISTA,
Representative LERIO CABALTEJA M 4/12/1952 Married PANGASINAN 9104562821
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BADAC DATA CAPTURE FORM 1
INDICATOR POSITION FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
ZONE 5, ARTACHO, BAUTISTA,
BRGY. SEC. JOMAR SAMOY M 1/23/1988 single PANGASINAN 9567710624
ZONE 7, ARTACHO, BAUTISTA,
BHW EVANGELINE LUMBANIA F 9/11/1967 married PANGASINAN 9185421417
ZONE 3, ARTACHO, BAUTISTA,
BHW JOSEPHINE MACAMUS F 6/2/1962 married PANGASINAN 9184584245
ZONE 5, ARTACHO, BAUTISTA,
BHW FLORA ACOSTA F 3/6/1955 married PANGASINAN 9152452424
ZONE 1, ARTACHO, BAUTISTA,
BHW FILOMENA CABONCE F 8/10/1980 married PANGASINAN 9174584747
ZONE 5, ARTACHO, BAUTISTA,
BHW CHONA ROSARIO F 4/1/1979 married PANGASINAN 9254410623
ZONE 4, ARTACHO, BAUTISTA,
BHW FEDILA MACAMOS F 4/24/1972 married PANGASINAN 9567245151
ZONE 5, ARTACHO, BAUTISTA,
SK OFFICIALS JERICK BRACEROS M 1/7/1998 single PANGASINAN 9125472124
ZONE 1, ARTACHO, BAUTISTA,
SK OFFICIALS BENNY CORPUZ M 5/12/1998 single PANGASINAN 9568814247
ZONE 5, ARTACHO, BAUTISTA,
SK OFFICIALS IVY ROSARIO F 9/4/2000 single PANGASINAN 9475511222
ZONE 4, ARTACHO, BAUTISTA,
SK OFFICIALS LORD JOHN ESTEVENNAMA M 9/7/1999 single PANGASINAN
BADAC ZONE 6, ARTACHO, BAUTISTA,
Auxiliary Team BHW MELANIE MATCHICA M 4/10/1981 married PANGASINAN 9175521476
(BAT) is ZONE 6, ARTACHO, BAUTISTA,
organized BHW ARLENE GALEON F 6/10/1964 married PANGASINAN 9665236568
ZONE 3, ARTACHO, BAUTISTA,
BRGY. TREAS. MANUEL TADEO M 12/5/1959 married PANGASINAN 9561531417
ZONE 2, ARTACHO, BAUTISTA,
BHW VICTORIA SALONGA F 4/12/1967 married PANGASINAN 9551261418
ZONE 4, ARTACHO, BAUTISTA,
SK OFFICIALS ARVIN EUGENIO M 2/5/1998 single PANGASINAN
ZONE 6, ARTACHO, BAUTISTA,
SK OFFICIALS JUDY ANN PASCUA F 4/22/1998 single PANGASINAN 9165472223
ZONE 3, ARTACHO, BAUTISTA,
SK OFFICIALS JAYSON MUNAR M 4/24/1998 single PANGASINAN 9164522828
ZONE 5, ARTACHO, BAUTISTA,
SK OFFICIALS VIRGO PACLIBON M 8/8/1997 single PANGASINAN 9162242527
ZONE 1, ARTACHO, BAUTISTA,
SK OFFICIALS MARY JOY EUGENIO F 12/23/1998 single PANGASINAN 9185421817
ZONE 3, ARTACHO, BAUTISTA,
CSO IRENE LIBAG F 11/14/1969 married PANGASINAN 9541785152
CSO ZONE 2, ARTACHO, BAUTISTA,
ROMEO NIŇO M 6/16/1994 married PANGASINAN 9165475858
TEACHER ZONE , ARTACHO, BAUTISTA,
RONA PADUA F 9/22/1983 married PANGASINAN 9561138584
TEACHER ZONE 2, ARTACHO, BAUTISTA,
CRICELA GARILLO F 8/14/1982 married PANGASINAN 9175648582
Note: Use additional page if necessary. BAT shall be composed of one member per 80 residents; 25 members per 2,000 residents.
INDICATOR UNIT OF CLUSTER FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
ZONE 1, ARTACHO, BAUTISTA,
Purok 1 Ferdinand Mayo M 10/12/1972 married PANGASINAN 9162552324
ZONE 2, ARTACHO, BAUTISTA,
Purok 2 Armando Tejaro M 10/12/1964 married PANGASINAN 9184747521
ZONE 3, ARTACHO, BAUTISTA,
Purok 3 Roger Cabonce M 12/26/1979 married PANGASINAN 9178541712
BADAC House
Clusters are ZONE 4, ARTACHO, BAUTISTA,
organized Purok 4 EVANGELINE TADEO F 11/12/1963 married PANGASINAN 9265510658
ZONE 5, ARTACHO, BAUTISTA,
Purok 5 Roger BRACEROS M 11/211973 married PANGASINAN 9175458811
ZONE 6, ARTACHO, BAUTISTA,
Purok 6 Danilo Libag M 12/1/1978 married PANGASINAN 9085521417
ZONE 7, ARTACHO, BAUTISTA,
Purok 7 Benigno, Jr. Aranda M 11/2/1969 married PANGASINAN 9154542333
Note: Use additionalCONCURRENT
page if necessary. Examples of Unit of Cluster are by purok, by sitio, by block, by zone, by street, etc.
INDICATOR DESIGNATION FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
(if applicable) ZONE 1, ARTACHO, BAUTISTA,
CVO ARMANDO MAYO M Married
2/14/1957 PANGASINAN
Conduct of Youth-
led IEC Campaign
Activities BARKADA KONTRA DROGA IN
OBSERVANCE OF THE DRUG ABUSE 10:00 A.M ZONE 1-7 BRGY. ARTACHO YOUTH 34 21
PREVENTION AND CONTROL WEEK 11/20/2020
Data provided herein are those recorded within the months of: January to June ( ) July to December ( / ) Year (YYYY): 2020
Submission of Updated
Submission of Updated Number
Number of Residents who 0 0 0 0 0 0 0 0 0 0
of Referred Surrenderers
Surrenderred
General
Low 0 0 0 0 0 0 0 0 0 0
Interventions
Community-based
Mild 0 0 0 0 0 Submission of Treatment & 0 0 0 0 0
Submission of Rehab
Updated
Updated Number
Number of
of Assessed Health Facility-
Enrolled
Surrenderers based Outpatient
Moderate 0 0 0 0 0 Surrenderers 0 0 0 0 0
Treatment &
Rehab
Inpatient
Severe 0 0 0 0 0 Treatment & 0 0 0 0 0
Rehab
Data provided herein are those recorded within the months of: January to June ( ) July to December ( / ) Year (YYYY): 2020
The purpose of this form is to determine the number of residents enrolled in CSAR Program, or its equivalent, per semester (January-June, July-December), and monitor the number of
who, among those enrolled, have completed the CSAR program within the 6-month time frame. Counting shall restart at the onset of the new semester; meaning, the data on those
enrolled in the previous semester shall no longer be accounted in the next, regardless of whether they have been referred or assessed in the following semester.
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BADAC DATA CAPTURE FORM 6
SUMMARY OF CONSOLIDATED INFORMATION REPORT
as per Section 8 of DDB Board Regulation No. 3, s. 2017
Year (YYYY): 2020
Data provided herein are those recorded within the months of: January to March ( ) April to June ( ) July to September ( ) October to December ( / )
0 0 ABSENT
ABSENT ABSENT ABSENT ABSENT
Submission of
Updated Summary of CLANDESTINE CHEMICAL MARIJUANA CULTIVATION DRUG DEN, DIVE OR DRUG PROTECTOR /
CLANDESTINE DRUG WAREHOUSE
Consodated WAREHOUSE SITE / PLANTATION RESORT CODDLER & FINANCIER
Information Report
(CIR)
ABSENT
ABSENT ABSENT ABSENT ABSENT