KR Form 3
MONTHLY BARAN GAY CONSOLIDATED KASAMBAHAY REPORT
For the Month of _
Barangay:
Mun/City:
Province:
Region:
NO. OF KASAMBAHAY BY: (2)
EDUCATIONAL ATTAINMENT (d) WORK INFORMATION (e)
SEX AGE
CIVIL STATUS (e)
TOTAL NO. OF (a) (b)
ELEMENTARY HIGH SCHOOL COLLEGE NATURE OF WORK SALARY
REGISTERED
KASAMBAHAY (11
Php
15 to 46 GEN. Php Php Php
SEPA- UNDER UNDER UNDER GARDE LAUNDRY 5,000
F M below 18 -30 31-45 and S M W GRAD GRAD GRAD HOUSEH YAYA COOK PERSON
OTHERS 1,500- 2,000- 2,500-
RATED GRAD GRAD GRAD
ELP
NER and
18 above P1,999 P2,499 P4,999
above
Prepared by:
Submitted by:
Kasambahay Desk Officer
Punong Barangay