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RBI Form B Individual Record of Inhabitant

The document is an RBI Form B for recording individual household information in the National Capital Region, specifically for the City of Caloocan. It requires personal details such as name, address, date of birth, sex, civil status, occupation, and relationship to the household head, along with consent for data processing under the Philippine Data Privacy Act of 2012. The form must be signed by the individual and attested by the Barangay Secretary, with provisions for thumbprints if the applicant cannot read or write.

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barangay112caloocan
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21 views2 pages

RBI Form B Individual Record of Inhabitant

The document is an RBI Form B for recording individual household information in the National Capital Region, specifically for the City of Caloocan. It requires personal details such as name, address, date of birth, sex, civil status, occupation, and relationship to the household head, along with consent for data processing under the Philippine Data Privacy Act of 2012. The form must be signed by the individual and attested by the Barangay Secretary, with provisions for thumbprints if the applicant cannot read or write.

Uploaded by

barangay112caloocan
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 B (DILG MC 2008-114) Household Number (HN)

INDIVIDUAL RECORD OF BARANGAY INHABITANT


Region: National Capital Region
City: City of Caloocan
Barangay:

PERSONAL INFORMATION
Please write all entries in CAPITAL letters.

Last Name:
First Name:
Middle Name:
Qualifier: (JR/III)
Address:
Date of Birth:
(mm-dd-yyyy)
Sex: ( ) Male ( ) Female
Civil Status: ( ) Single ( ) Married ( ) Widower ( )
Separated

Occupation:
Citizenship:
Relationship to Household Head:

I hereby certify that the above pieces of information are true and
correct to the best of my knowledge. I understand that for the
Barangay to carry out its mandate, they must necessarily process my
personal information. Therefore, I grant my consent and recognize the
authority of the Barangay to process my personal information,
pursuant to the Philippine Data Privacy Act of 2012.

Name and Signature of Person Accomplishing this Form

Date Accomplished

Attested by:

Barangay Secretary

Left Thumbmark Right


Thumbmark
(If the applicant is unable to read and
write)
Note: The Household Number (HN) shall be filled up by the Barangay Secretary

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