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Barangay Official'S Information Sheet: Term in The Present Position

This document is a barangay official's information sheet that collects personal and professional information. It requests information such as name, birthdate, address, education level, occupation, position held, term of office, and beneficiary information. The official certifies that the information provided is true and correct, and consents to the processing of their personal data by the Department of the Interior and Local Government in accordance with the Philippine Data Privacy Act of 2012.

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Denver Diocares
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2K views1 page

Barangay Official'S Information Sheet: Term in The Present Position

This document is a barangay official's information sheet that collects personal and professional information. It requests information such as name, birthdate, address, education level, occupation, position held, term of office, and beneficiary information. The official certifies that the information provided is true and correct, and consents to the processing of their personal data by the Department of the Interior and Local Government in accordance with the Philippine Data Privacy Act of 2012.

Uploaded by

Denver Diocares
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BOIS Form Revised ANNEX

Republic of the Philippines


Department of the Interior and Local Government
DILG-NAPOLCOM Center, EDSA corner Quezon Avenue, Quezon City

BARANGAY OFFICIAL’S INFORMATION SHEET

REGION : __________________________ CITY/MUN : _______________________________

PROVINCE : __________________________ BARANGAY : _______________________________

ELECTIVE AND APPOINTIVE POSOTION


Punong Barangay Barangay Treasurer
Sangguniang Barangay Member Barangay Secretary
Rank (1, 2, 3, 4, 5, 6, 7) SK Treasurer
SK Chairperson SK Secretary
SK Member (Rank 1, 2, 3, 4, 5, 6, 7) IPMR
Relationship with the Appointing Authority: ______________________
TERM IN THE PRESENT POSITION: Other Appointive Barangay Official:
1st 2nd 3rd __________________________________________________

PERSONAL INFORMATION

(Last Name) (Suffix e.g. Jr., I, II, III) (First Name) (Middle Name)

(Birth Date: mm/dd/yyyy) (Birth Place) (Sex) (Civil Status) (Religion)

(Residence Address) ( Residence Telephone No.)

(Mobile Number) (Barangay Hall Telephone No.) (E-mail Address)

HIGHEST EDUCATIONAL ATTAINMENT: ELEMENTARY HIGH SCHOOL COLLEGE POST GRAD VOCATIONAL
Please specify: Graduate Under Graduate

OCCUPATION: HONORARIUM:
BENEFICIARES: (optional for the other appointive barangay officials)

NAME DATE OF BIRTH RELATIONSHIP

1. ______________________________________________________________ ______________________________________ __________________________________________________________


2. ______________________________________________________________ ______________________________________ __________________________________________________________
3. ______________________________________________________________ ______________________________________ __________________________________________________________
4. ______________________________________________________________ ______________________________________ __________________________________________________________

(Please use additional Sheet if necessary)

I hereby certify that the above information are true and correct to the best of my knowledge. I understand that for the DILG to carry out its mandate
They must necessarily process my personal information. Therefore, I grant my consent and recognuize the authority of the DILG to process my
personal
information, pursuant to the Philippine Data Privacy Act of 2012.

_______________________________ __________________________
(Signature over Printed Name) (Date Accomplished)

Verified and validated by:

_______________________________________
CD/CLGOO/MLGOO
(Signature over Printed Name)

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