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Rbi Forms

The document consists of forms for recording barangay inhabitants by household and individual records in Vintar, Ilocos Norte. It includes sections for personal information, address, and civil status, along with certifications by the barangay secretary. Additionally, there is a mention of a Clean & Green evaluation sheet, indicating a focus on community development.

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43 views5 pages

Rbi Forms

The document consists of forms for recording barangay inhabitants by household and individual records in Vintar, Ilocos Norte. It includes sections for personal information, address, and civil status, along with certifications by the barangay secretary. Additionally, there is a mention of a Clean & Green evaluation sheet, indicating a focus on community development.

Uploaded by

cabayocouncil
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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RBI FORM A

RECORD OF BARANGAY INHABITANTS BY HOUSEHOLD

A. REGION I. PSG
B. PROVINCE ILOCOS NORTE C
O
C. CITY/MUNICIPALITY VINTAR D
E
D. BARANGAY #33 Cabayo S
E. HOUSEHOLD NO. DATE ACCOMPLISHED:

NAME (1) ADDRESS (2)


NAME OF
SUBDIVISION/ PLACE OF DATE OF SEX CIVIL OCCUPATION
LAST NAME FIRST NAME MIDDLE NAME EXT. NO. STREET NAME ZONE/ CITIZENSHIP (7)
BIRTH (3) BIRTH (4) (5) STATUS (6) (8)
(11) (12) (13) (14) (21) (22) SITIO/PUROK
(If applicable)
(23)

Prepared by: Cetified Correct: Validated by:

JOCELYN C. REYES SAMUEL A. AGTANG


Name of Household Head/Member Barangay Secretary Punong Barangay
RBI FORM B
INDIVIDUAL RECORD OF BARANGAY INHABITANT
REGION I CITY/MUN: V I N T A R

PROVINCEI L O C O S N O R T E BRGY: #33 C A B A Y O


I. PERSONAL INFORMATION
NAME
(Last) (First) (Middle) (Ext.)

DATE OF BIRTH PLACE OF BIRTH


M M D D Y Y Y Y

SEX MALE CIVIL STATUS SINGLE WIDOW/ER

FEMALE MARRIED SEPARATED

CITIZENSHIP F I L I P I N O

PROFESSION/OCCUPATION

RESIDENCE ADDRESS
House No. Street Name

Subdivision Name/ Zone/ Sitio/ Purok

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

Date Accomplished Name/Signature of Person Accomplishing the Form

Attested by:

Left Right
JOCELYN C. REYES Thumbmark Thumbmark
Barangay Secretary

Household Number
Note: The Household No. shall be filled up by the Barangay Secretary

RBI FORM B
INDIVIDUAL RECORD OF BARANGAY INHABITANT
REGION I CITY/MUN: V I N T A R

PROVINCEI L O C O S N O R T E BRGY: #33 C A B A Y O


I. PERSONAL INFORMATION
NAME
(Last) (First) (Middle) (Ext.)

DATE OF BIRTH PLACE OF BIRTH


M M D D Y Y Y Y

SEX MALE CIVIL STATUS SINGLE WIDOW/ER

FEMALE MARRIED SEPARATED

CITIZENSHIP F I L I P I N O

PROFESSION/OCCUPATION

RESIDENCE ADDRESS
House No. Street Name

Subdivision Name/ Zone/ Sitio/ Purok

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

Date Accomplished Name/Signature of Person Accomplishing the Form

Attested by:

Left Right
JOCELYN C. REYES Thumbmark Thumbmark
Barangay Secretary

Household Number
Note: The Household No. shall be filled up by the Barangay Secretary
CLEAN & GREEN
EVALUATION SHEET
CRITERIA

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