KR Form 2

KASAMBAHAY MASTERLIST
Barangay ______________________
City/Municipality _______________
Province ______________________

Educational Employment
Nature of Work Salary
Attainment Arrangement
Membership
Name of Kasambahay
1. Elem. Undergrad 1-General househelp 1-Live-in 1- P1,500 (Write Y for Yes,and N for No)
Registation 2.Elem. Grad 2-Yaya 2-Live out 2- P 2,000
Civil Name of Employer's
Control Home Address Sex Age Status 3. HS Undergrad 3- Cook 3- 2,500 Employer Complete Address
Number 4. HS Grad 4- Gardener 4-above 2,500
5. College Undergrad 5-Laundry person but less
6. College Grad 6-Others thanP5,000 5-
Last Name First Name Middle Name 7. Vocational P5,000 & above

SSS Pag-ibig PhilHealth

Prepared by:

Kasambahay Desk Officer

Date: __________________________
KR Form 3

MONTHLY BARANGAY CONSOLIDATED KASAMBAHAY REPORT

For the Month of ______________

Barangay: MANLAYAG
Mun/City: DANAO CITTY
Region: VII

NO. OF KASAMBAHAY BY: (2)

EDUCATIONAL ATTAINMENT (d) WORK INFORMATION ( e )
SEX (a) AGE (b) CIVIL STATUS (c) ELEMENTARY HIGH SCHOOL COLLEGE NATURE OF WORK SALARY
V
TOTAL NO. OF O
REGISTERED C
KASAMBAHAY A
(1) 15 to T GEN.
45 and UNDER UNDER UNDER I LAUNDRY Php1,500 - Php2,500 - Php5,000
F M below 18-30 31-45 below S M W SEPARATED
GRAD GRAD GRAD GRAD GRAD GRAD HOUSE YAYA COOK GARDENER
PERSON
OTHERS
below 2,500 below 5,000 and above
18 O HELP
N
A
L

Prepared by: Noted by:

HON. ROGER J. OLIVAR
Desk Officer Punong Barangay
KR Form 4
MONTHLY CONSOLIDATED KASAMBAHAY REPORT
As of _____________________________

Municipality/City: COMPOSTELA Province: CEBU Page ____ of _____ Pages

NO. OF KASAMBAHAY BY: (3)

EDUCATIONAL ATTAINMENT(d) WORK INFORMATION €
SEX
AGE (b) CIVIL STATUS (c) ELEMENTARY HIGH SCHOOL COLLEGE
TOTAL NO. (a) NATURE OF WORK SALARY
BARANGAY OF (a) (b) (c)
REGISTERED
(1) KASAMBAHA VOCATI
Y (2) ONAL LAUND Php Php
15 to GEN. Php 1,500
below 18-30 31-45 46 and
SEPAR UNDERG GRAD UNDER GRAD UNDER GRAD
HOUSE YAYA COOK GARDE
RY 2,500 5,000
F M S M W OTHERS below
above ATED RAD GRAD GRAD NER PERSO below and
18 HELP 2,500
N 5,000 above

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
TOTAL
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Prepared by: Submitted by:

___________________________________________ _____________________________________
PESO Staff Head, PESO
KR Form 5

CITY/MUNICIPAL CONSOLIDATED KASAMBAHAY REPORT

As of January 6, 2014

Mun/City: COMPOSTELA
Province: CEBU
Region: VII

TOTAL NO. OF BARANGAYS NO. OF BARANGAYS WITH TOTAL NO. OF KASAMBAHAY

REGISTERED KASAMBAHAY

17 0 0

Prepared by: Submitted by:

__________________________________ EVALYN R. QUIROS

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