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RBI Form 1

This document contains a template for recording individual records of barangay inhabitants in the Philippines. It includes fields for personal information such as name, address, date and place of birth, sex, civil status, occupation, citizenship, and relationship to household head. The inhabitant or barangay secretary must sign and provide thumbmarks to certify the accuracy of the reported information.

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Ruby Joy G. Bugtong
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157 views2 pages

RBI Form 1

This document contains a template for recording individual records of barangay inhabitants in the Philippines. It includes fields for personal information such as name, address, date and place of birth, sex, civil status, occupation, citizenship, and relationship to household head. The inhabitant or barangay secretary must sign and provide thumbmarks to certify the accuracy of the reported information.

Uploaded by

Ruby Joy G. Bugtong
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
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Republic of the Philippines

Office of the Punong Barangay


Barangay Calaocan, Municipality of Bambang
Province of Nueva Vizcaya
~~oOo~~
INDIVIDUAL RECORD OF BARANGAY INHABITANTS

HOUSEHOLD NUMBER (HN) ________

Region I I

Barangay C A L A O C A N

PERSONAL INFORMATION

Last Name Qualifier

First Name

Middle Name

Address
No. Street Name of Subdivision/Zone/Sitio/Purok

City/ Municipality Provice

Date of Birth - -
(mm-dd- yyyy)

Place of Birth

Sex Male Female

Civil Status Single Married Widower Separated

Occupation

Citizenship

Relationship to
Household Head

I hereby certify that the above information are true and correct to the best of my knowledge

Name/Signature of Person Acoomplishing this Form

Date Accomplished

Attested by:
Left Right
_____________________ Thumbmark Thumbmark
Barangay Secretary (In case inhabitant is unable to read and write)
Note: The HN shall be filled up by the Barangay Secretary

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