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Rbi Form A

This document is a household record of barangay inhabitants (RBI) form for a specific barangay in Tagaytay City, Cavite. It collects identifying information about household members such as name, address, date of birth, citizenship, occupation, and relationship to the household head. The form provides instructions on how to fill it out and defines key terms like household and qualifiers. It is certified by the barangay secretary and validated by the punong barangay.

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Rose Martinez Bay
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556 views1 page

Rbi Form A

This document is a household record of barangay inhabitants (RBI) form for a specific barangay in Tagaytay City, Cavite. It collects identifying information about household members such as name, address, date of birth, citizenship, occupation, and relationship to the household head. The form provides instructions on how to fill it out and defines key terms like household and qualifiers. It is certified by the barangay secretary and validated by the punong barangay.

Uploaded by

Rose Martinez Bay
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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RBI FORM A

HOUSEHOLD
RECORD OF BARANGAY INHABITANTS (RBI)
PSG

A. REGION : _____________IV-A___________________
B. PROVINCE : ____________CAVITE_________________
C. CITY : ____________TAGAYTAY______________
D. BARANGAY : ____________MAHARLIKA WEST________
E. HOUSEHOLD NO.: ___________________________________
NAME ADDRESS
1 2 RELATIONSHIP
PLACE OF CIVIL CITIZENSHIP
DATE OF BIRTH SEX OCCUPATION HOUSEHOLD
BIRTH STATUS OCCUPATION
LAST FIRST MIDDLE QUALIFIER NUMB STREET NAME OF (4) (5) (8) HEAD
(3) (6) (7)
(1.1) (1.2) (1.3) (1.4) ER NAME SUBD/ZONE/SITIO (9)
(2.1) (2.2) /PUROK
(2.3)

Legend:
PSGC Philippine Standard geographical Code Shall be made available by DILG City/Municipal Offices
HOUSEHOLD is a social Unit Consisting of a person living alone or group of person who
(1) Sleep in the same housing unit and (2) have common arrangement in the preparation and consumption of food
(2) QUALIFIER is the addition and for inclusion of the word “JR’’”Sr.”, “II”, etc as the case maybe after the person’s suname(s)

Prepared by:____________________________________ Certified Correct :__________________ Validated by:_____________________


VOLUNTER HEALTH WORKER ROSEMARIE M. BAY HON. PABLO B. LUNA
Barangay Secretary Punong Barangay

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