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4-Badac Data Capture Forms

The document contains profiles of members of several committees in the Barangay Advisory Council (BADAC) and Auxiliary Team (BAT) in Artacho, Bautista, Pangasinan. It lists the names, positions, sex, birthdates, civil statuses, addresses, and contact numbers of 27 committee members and auxiliary team members. The BADAC is organized into 3 committees: the Committee on Operations, Committee on Advocacy, and the BAT. Each committee is comprised of 7 members from the barangay.
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100% found this document useful (3 votes)
4K views13 pages

4-Badac Data Capture Forms

The document contains profiles of members of several committees in the Barangay Advisory Council (BADAC) and Auxiliary Team (BAT) in Artacho, Bautista, Pangasinan. It lists the names, positions, sex, birthdates, civil statuses, addresses, and contact numbers of 27 committee members and auxiliary team members. The BADAC is organized into 3 committees: the Committee on Operations, Committee on Advocacy, and the BAT. Each committee is comprised of 7 members from the barangay.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 13

Page 1

BADAC DATA CAPTURE FORM 1

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
Page 2
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

CVO LORENZO MUNAR M 6/12/1959 Married ZONE 5, ARTACHO, BAUTISTA,


PANGASINAN

CVO ROLANDO MON M 3/17/1979 Married ZONE 7, ARTACHO, BAUTISTA, 9185472321


PANGASINAN

CVO RODOLFO FERNANDEZ M 2/17/1950 Married ZONE 6, ARTACHO, BAUTISTA,


PANGASINAN

CVO FELIPE EUGENIO M 11/6/1957 Married ZONE 5, ARTACHO, BAUTISTA,


PANGASINAN

CVO JESSIE GASPAR M 2/1/1970 Married ZONE 3, ARTACHO, BAUTISTA, 9561121518


PANGASINAN

CVO CELSO ROSARIO M 8/12/1976 Married ZONE 5, ARTACHO, BAUTISTA, 9543326262


Barangay Duty PANGASINAN
Officers are
designated CVO ALFREDO NIŇO M 3/4/1957 Married ZONE 4, ARTACHO, BAUTISTA, 9552342125
PANGASINAN
Officers are
designated

CVO ALFREDO NIŇO M 3/1/1965 Married ZONE 1, ARTACHO, BAUTISTA,


PANGASINAN

CVO M Married ZONE 7, ARTACHO, BAUTISTA,


GREGORIO FELICITAS 12/4/1963 PANGASINAN 9154784545

CVO M Married ZONE 5, ARTACHO, BAUTISTA,


JOEL BALDONADO 1/13/1971 PANGASINAN 915475555
CVO M Married ZONE 5, ARTACHO, BAUTISTA,
MARCELO EUGENIO 7/4/1958 PANGASINAN 9161251414
CVO M Married ZONE 4, ARTACHO, BAUTISTA,
DIOSDADO BERNARDINO 12/2/1961 PANGASINAN

CVO M Married ZONE 2, ARTACHO, BAUTISTA,


RAFFY CABONCE 10/13/1981 PANGASINAN 9189542520
Note: Use additional page if necessary. Concurrent Designation refers to the primary appointment / item of the designated Brgy Duty Officer in the barangay, e.g. Barangay
Health Worker, VAWC Desk Officer, etc.
Page 3
BADAC DATA CAPTURE FORM 2
DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME FACILITATOR
Strengthening of Barangay Anti-Drug 8:00 A.M - Events Auditorium, VARIOUS PNP & DILG, Pangasinan
Trainings Attended 09/04/2018
Abuse Councils 5:00 P.M Bayambang, Pangasinan MLGOO Provincial Office
by Punong
Barangay on
Strengthening
BADACs

Note: Use additional page if necessary.


DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME FACILITATOR
(WEBINAR SERIES)TALAKAYANG
Trainings / REHAB: A SYMPOSIUM ON BARANGAY HALL,
Planning Session COMMUNITY-BASED DRUG 9/29/2020 8:00 A.M ARTACHO, BAUTISTA, DILG
Attended by REHABILITATION PROGRAM AMIDST PANGASINAN
Punong Barangay PANDEMIC
on CSAR

Note: Use additional page if necessary.


NO. OF
DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE PARTICIPANTS
DATE (MM/DD/YYYY) TIME FACILITATOR MALE FEMALE
BARANGAY HALL,
Trainings STRENGTHENING HOUSE CLUSTER BADAC EXECUTIVE
01/24/2020 7:00 P.M ARTACHO, BAUTISTA, 6 1
Conducted by LEADERS COMMITTEE
PANGASINAN
BADAC for House
Cluster Leaders

Note: Use additional page if necessary.


NO. OF
DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE PARTICIPANTS
DATE (MM/DD/YYYY) TIME FACILITATOR MALE FEMALE
BARANGAY HALL,
Trainings STENGTHENING BADAC AUXILIARY BADAC EXECUTIVE
01/24/2020 7:00 P.M ARTACHO, BAUTISTA, 9 11
Conducted by TEAM COMMITTEE
PANGASINAN
BADAC for BADAC
Auxiliary Team

Note: Use additional page if necessary.


DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME FACILITATOR
Strengthening of Barangay Anti-Drug 8:00 A.M - Events Auditorium, VARIOUS PNP & Municipal Mayor &
Trainings Attended 09/04/2018
Abuse Councils 5:00 P.M Bayambang, Pangasinan MLGOO MLGOO
by Barangay Duty
Officers
Note: Use additional page if necessary.
Page 4
BADAC DATA CAPTURE FORM 3

DURATION NO. OF PARTICIPANTS


INDICATOR ACTIVITY TITLE VENUE PRESIDING OFFICER
DATE (MM/DD/YYYY) TIME MALE FEMALE
CONSULTATIVE MEETING WITH
Conduct of STAKEHOLDERS IN OBSERVANCE OF 06/20/2020 8:00 A.M BARANGAY PARK PNP-BAUTISTA 12 1
BADAC THE IDADAIT
Consultative
Meetings

Note: Use additional page if necessary.


DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE PRESIDING OFFICER
DATE (MM/DD/YYYY) TIME MALE FEMALE
10:00A.M -
REORGANIZATION OF BADAC 01/05/20 BARANGAY HALL PB NOVEL M. NIŇO 5 3
11:32 A.M
SPECIAL MEETING UPDATE ON E.O. 8:00 A.M -
01/15/20 BARANGAY HALL PB NOVEL M. NIŇO 6 3
NO. 3, 2019 10:00 P.M
REGULAR MONTHLY MEETING MONTH OF 9:00A.M-
FEBRUARY
02/01/20 BARANGAY HALL PB NOVEL M. NIŇO 4 4
10:25A.M
CONDUCT OF IEC ON ANTI-ILLEGAL 9:00A.M-
03/10/20 BARANGAY HALL PB NOVEL M. NIŇO 3 2
DRUGS 11:00A.M
9:00A.M-
SUBJECT & SCHEDULE OF IEC 04/10/20 BARANGAY HALL PB NOVEL M. NIŇO 3 2
11:00A.M
ANG HUWARANG PAMILYANG PINOY 9:00A.M-
05/10/20 BARANGAY HALL PB NOVEL M. NIŇO 2 2
IPAGMALAKI 11:00A.M
Conduct of INTERNATIONAL DAY AGAINST DRUG 9:00A.M-
BADAC Monthly 06/10/20 BARANGAY HALL PB NOVEL M. NIŇO 3 2
AND ILLICIT TRAFFICKING (IDADAIT) 11:30A.M
Meetings 10:00A.M -
DRUG TEST 07/10/20 BARANGAY HALL PB NOVEL M. NIŇO 4 2
11:32 A.M
ACTIVITIES AND RPOGRAMS OF 9:00A.M-
08/10/20 BARANGAY HALL PB NOVEL M. NIŇO 6 2
BADAC 10:30A.M
9:00A.M-
BADAC PLAN OF ACTION CY 2021 09/10/20 BARANGAY HALL PB NOVEL M. NIŇO 6 2
11:30A.M
9:00A.M-
BADAC PLAN OF ACTION CY 2021 10/10/20 BARANGAY HALL PB NOVEL M. NIŇO 6 2
11:30A.M
9:00A.M-
UPDATE ON DRUG SURRENDERS 11/10/2020 BARANGAY HALL PB NOVEL M. NIŇO 3 0
11:00A.M
9:00A.M-
FUN RUN ACTIVITY 12/10/2020 BARANGAY HALL PB NOVEL M. NIŇO 4 2
11:00A.M
Note: Use additional page if necessary.
DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE

Organization/Co- ANG LOVE KO'NG DRIVER, DRUG


02/07/2020 10:00 A.M ZONE 1-7 DRIVERS 15 9
organization of FREE FOREVER
Community-based
IEC Campaign
Activities ANG HUWARANG PAMILYANG PINOY
01/15/20 10:00 A.M ZONE 1-7 FAMIL MEMBERS 19 18
IPAGMALAKI

Note: Use additional page if necessary.


DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE
9A.M- ARTACHO ELEMENTARY
EDUKASYON KONTRA DROGA 2/10/2020 GRADE SIX PUPILS 16 12
10:00A.M SCHOOL
Organization/Co-
organization of
School-based IEC
Campaign
Activities

Note: Use additional page if necessary.


Page 5
BADAC DATA CAPTURE FORM 3

DURATION NO. OF PARTICIPANTS


INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE
11/20/20

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

Note: Use additional page if necessary.


DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE
1:00 P.M
CSO IEC CAMPAIGN "PUBLIC HEARING ARTACHO ELEMENTARY BARANGAY
03/08/2020 TO 5:00 50 15
Conduct of CSO- ON ILLEGAL DRUGS AWARENESS" SCHOOL INHABITANT
P.M
led IEC Campaign
Activities
Note: Use additional page if necessary.
DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE

CONSULTATIVE MEETING WITH


Organization/Co- STAKEHOLDERS IN OBSERVANCE OF 06/20/2020 8:00 A.M BARANGAY PARK DUTY OFFICERS 12 1
organization of THE IDADAIT
Activities in
Observance of the
IDADAIT

Note: Use additional page if necessary.


DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE

BARKADA KONTRA DROGA IN


Organization/Co- OBSERVANCE OF THE DRUG ABUSE 10:00 A.M ZONE 1-7 BRGY. ARTACHO YOUTH 34 21
organization of PREVENTION AND CONTROL WEEK
Activities in 11/20/2020
Observance of the
DAPC Week

Note: Use additional page if necessary.


Page 6
BADAC DATA CAPTURE FORM 4
UNIFIED BARANGAY REPORT ON REFERRAL ACTION (UBRRA)

Data provided herein are those recorded within the months of: January to June ( ) July to December ( / ) Year (YYYY): 2020

NO. OF SURRENDERERS NO. OF REFERRED SURRENDERERS


INDICATOR INDICATOR
MALE FEMALE MALE FEMALE
TOTAL TOTAL
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18

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

NO. OF SURRENDERERS ENROLLED IN WELLNESS &


STATUS / STATUS AND NO. OF ASSESSED SURRENDERERS WELLNESS & RECOVERY INTERVENTIONS
INDICATOR LEVEL OF INDICATOR RECOVERY
RISK MALE FEMALE INTERVENTIONS MALE FEMALE
TOTAL TOTAL
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18

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

NO. OF SURRENDERERS WHO COMPLETED WELLNESS &


RECOVERY INTERVENTIONS The purpose of this form is to determine the number of surrenderers per semester (January-June,
INDICATOR
MALE FEMALE July-December), and monitor the number of who, among those surrenderers, have been referred,
TOTAL assessed, and who have completed any Wellness and Recovery Program interventions within the
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18
6-month time frame. Counting shall restart at the onset of the new semester; meaning, the data on
Submission of Updated
those who surrendered in the previous semester shall no longer be accounted in the next,
Number of Surrenderers Who
0 0 0 0 0 regardless of whether they have been referred or assessed in the following semester.
Completed Wellness &
Recovery Interventions
6-month time frame. Counting shall restart at the onset of the new semester; meaning, the data on
Submission of Updated
those who surrendered in the previous semester shall no longer be accounted in the next,
Number of Surrenderers Who
0 0 0 0 0 regardless of whether they have been referred or assessed in the following semester.
Completed Wellness &
Recovery Interventions
Page 7
BADAC DATA CAPTURE FORM 5
COMMUNITY SUPPORT, AFTERCARE AND REINTEGRATION (CSAR)

Data provided herein are those recorded within the months of: January to June ( ) July to December ( / ) Year (YYYY): 2020

NO. OF CSAR ENROLLEES NO. OF CSAR GRADUATES


INDICATOR INDICATOR
MALE FEMALE MALE FEMALE
TOTAL TOTAL
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18
Submission of
Submission of Updated Updated Number of
Number of Residents Residents Who
0 0 0 0 0 0 0 0 0 0
Enrolled in CSAR Program, Completed the
or its equivalent CSAR Program, or
its equivalent

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.
Page 8
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 ( / )

DRUG SUPPLY DRUG TRANSIT / CLANDESTINE


DRUG PUSHER DRUG USER / DEPENDENT
INDICATOR AVAILABILITY TRANSHIPMENT ACTIVITY LABORATORY

PRESENT / ABSENT TOTAL PRESENT / ABSENT TOTAL PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT

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)

PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT

ABSENT
ABSENT ABSENT ABSENT ABSENT

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