CDD B-01: Form
BARANGAY PROFILE FORM
BASIC INFORMATION
IV-A CALABARZON
Region
Quezon
Province
Municipality
Quezon
Barangay
Cycle
No. of Sitios/ Puroks
Inclusive Years under KC
2014 - 2022
POPULATION PROFILE
1. Total Number of households
2. Total number of Families
3, No. of male
4. No. of female
5. No. of male children ages 0-5 years old
6. No. of female children ages 0-5 years old
7. No. of male children ages 6-12 years old
8. No. of female children ages 6-12 years old
9. No. of male children ages 13-17 years old
10. No. of female children ages 13-17 years old
11. Total male voting population
12. Total female voting population
13. Total male labor force
14. Total female labor force
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CDD B-01-PMNP: Form
BARANGAY PROFILE FORM
BASIC INFORMATION
Region
Province
Municipality
Barangay
Cycle
No. of Sitios/Puroks
Inclusive Years under KC
Population Profile
1. Total number of households
2. Total number of families
3. No. of male
4. No. of female
5. No. of male children under 5 years old
6. No. of female children under 5 years old
7. No. of male children ages 6-12 years old
8. No. of female children ages 6-12 years old
9. No. of male children ages 13-17 years old
10. No. of female children ages 13-17 years old
11. No. of women of reproductive age (15-49 years old)
12. No. of IP women of reproductive age (15-49 years old)
13. No. of pregnant women
14. No. of pregnant IP women
15. No. of lactating women
16. No. of lactating IP women
17. Total male voting population
18. Total female voting population
19. Total male labor force
20. Total female labor force
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Indigenous People
Are there indigenous people (IP) in your barangay? ____________________________________
IP Group Location/ Total Total Total Male Total Female
Sitio Households Families
None None None None None None
None None None None None None
None None None None None None
Conflict- affected/ Pantawid Pamilya and SLP Beneficiaries
Is the barangay affected by armed conflict?_____
If yes, please give additional details of the armed conflict in the area
____________________________________________________________________________
____________________________________________________________________________
No. of Pantawid Pamilya household beneficiaries in the barangay _____
No. of Pantawid Pamilya family beneficiaries in the barangay _____
No. of SLP household beneficiaries in the barangay _____
No. of SLP family beneficiaries in the barangay ____
AREA PROFILE
Is this a Poblacion Barangay? ____
If not, how many hours does it take to travel to Poblacion? _____
No. of kilometers from the Poblacion _____
What is the geographic characteristic of the Barangay? (i.e.upland/ steep, hilly /undulating, lowland/ flat,
island, coastal)? ___________________
Is the barangay isolated from the rest of the barangays? ___
Affected by any of the following Peace and Social Cohesion issues? Check if “YES”.
__no__Armed conflict
__no__Boundary and territorial disputes
__no__Political and extra judicial killings
__no__Family and gender- based violence
__no__RIDO or clan wars/tribal wars of “pangayao”
__no__Crime
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Conflict- affected/ Pantawid Pamilya and SLP Beneficiaries
Is the barangay affected by armed conflict?___
If yes, please give additional details of the armed conflict in the area
____________________________________________________________________________
____________________________________________________________________________
No. of Pantawid Pamilya household beneficiaries in the barangay __
No. of Pantawid Pamilya family beneficiaries in the barangay ____
No. of SLP household beneficiaries in the barangay ____
No. of SLP family beneficiaries in the barangay ____
AREA PROFILE
Is this a Poblacion Barangay? ___
If not, how many hours does it take to travel to Poblacion? ______
No. of kilometers from the Poblacion _________
What is the geographic characteristic of the Barangay? (i.e.upland/ steep, hilly /undulating, lowland/ flat,
island, coastal)? _______________
Is the barangay isolated from the rest of the barangays? ____
Affected by any of the following Peace and Social Cohesion issues? Check if “YES”.
__no__Armed conflict
__no__Boundary and territorial disputes
__no__Political and extra judicial killings
__no__Family and gender- based violence
__no__RIDO or clan wars/tribal wars of “pangayao”
__no__Crime
BARANGAY ORGANIZATION
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What organizations operate within the barangay? (Use another sheet for more organizations)
Organization 1 Organization 2 Organization 3
MOVE
Name KALIPI SENIOR
Type of Organization (ex.
PO, NGO, Private
institution/CSR)
Formal?
(Registered, answer yes
or no)
LGU-accredited?
(Yes or No)
Advocacy/Thrust(Savings,
religious, farmers,
fisherfolk, women,
etc.)
Area of operation (ex.
Nationwide, municipal,
diff. barangays, etc.)
Years operating in
barangay
Active or inactive
organization?
Activities (Identify major
activities)
Total male members from
barangay
Total female members
from barangay
Male IP members from
barangay
Female IP members from
barangay
Marginalized sectors
represented
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LOCAL GOVERNANCE
BLGU Officials’ Profile
Name of Non-
Civil IP Educational Position in Inclusive Date (Start
Name Sex Age KC
Status group Attainment Barangay. Council and End Date)
Organization
*to be updated once the Program starts
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Barangay Development Council Profile (Identify only those not listed in BLGU Officials’ Profile)
Position in Inclusive Date Name of Non-
Civil IP Educational Sector
Name Sex Age Barangay. (Start and End KC
Status group Attainment Represented
Council Date) Organization
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During the past year, how many times were the BAs conducted?
On the average, how many barangay households are present during the meetings?
How many male residents were present?
How many female residents were present?
How many IP households were present?
What other sectors were present?
During the past year, how many times did the BDC meet?
How many, on the average, attend the BDC meetings? (refer to attendance sheet)
Male BLGU Officials
Female BLGU Officials
Male PO/CBO representatives
Female PO/CBO representatives
What is the total annual budget of the barangay? How much was the IRA the past
year? What are other sources of funds of the barangay?
Source of Fund Amount
IRA
Other Sources:
Business Tax And Community Tax
Real Property Tax
Subsidy from other LGU
Clearance and Certifications
Rent income
Income from grants and donation
Interest Income
Miscellaneous Income
Total
How were barangay funds allocated in the previous year?
(refer to Barangay Annual Investment Plan)
Category Amount
Environment
Economic Sector
Infrastructure
Social development
Institutional Sector
Gender and Development
DRRM(Disaster Risk Reduction Management)
Other allocation:
PS,MOOE,Capital Outlay
TOTAL
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How was the 5% GAD fund utilized by the barangay?
Activity Cost
Food packs for Solo Parents
Bed for Pregnant women
Swivel Chair
Livelihood program
Camera
First aid kit
Breast Feed Corner
Training
Medical Equipment
TOTAL
Over the past year, what development project(s) has been implemented in your
barangay?
Scope Beneficiaries
(Coverage Cost
Cost of Source
Project Location , Unit, Sharing
Project of Funds M F IP’s
Physical (%)
Target)
Examples of Development Projects Types of Source of Funds
1. Roads 1. Barangay Fund
2. Water Supply 2. Municipal Fund
3. Toilet 3. Provincial Fund
4. Livelihood 4. National government agencies
5. Education (e.g. DSWD, DA, etc.)
6. Electrification 5. ODA ( Foreign-assisted projects)
7. Health And Nutrition 6. Others
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POVERTY
Identify top three economic activities in the barangay
1.
2.
3.
Identify major crops in the barangay
1.
2.
3.
What is the average annual household income in the barangay?
What is the average annual income for males?
What is the average annual income for females?
What is the average annual income for IPs?
What types of road traverse through the barangay?
Types of Road %
Dirt
Gravel
Asphalted
Cemented/ All weather road
What are the modes of transportation available?
1.
2.
3.
Which of the following establishments and services are available in the barangay? If not
available, how far is your barangay to the nearest establishment/service provider? (If the
listed services/establishments are not applicable or “no use” to your barangay, write n/a)
Facilities/ Establishment Please check if If none, Mode of transport and
Services available distance to the cost
nearest facility
10
(hour)
Barangay hall
Multi-purpose building
Tribal hall
Evacuation center
Market place/bagsakancenter
Stores
Mini port
Daycare Center
Elementary School
Secondary School
College or university
Health station
Hospital
Irrigation
Pre/Post Harvest Facilities
Water supply system
Drainage System
Waste facility
Cemetery
Electricity
Telecommunication Access
Bank
Credit facility
Tanod/police
Emergency services
Environmental Protection
Postal Service
Capability/Skills training
●Health
●Organizational Development
●Agriculture and enterprise
●Education
●Others , specify
What are the main problems in the barangay? Identify.
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Are these
problems being
Problems Details Remarks
addressed
properly?
Access/ Mobility …
Water and Sanitation …
Health and Nutrition …
Literacy/Education …
Employment/Income
Generation …
Land Ownership/Asset
Distribution …
Agricultural Service
Facilities (i.e. post
harvest)
Peace and Order …
Environment …
Power Supply …
Communications …
Others, specify
POVERTY PROFILE
Indicators Value Reference
Health
1. Proportion of children aged 0-5 years old who died
a) Number of children aged 0-5 years old who died
b) Total children aged 0-5 years old
2. Proportion of women who died due to pregnancy-related causes
a) Number of pregnant women who died due to pregnancy related
causes
b) Total pregnant women
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Nutrition
3. Proportion of children aged 0-5 years old who are malnourished
a) Number of children aged 0-5 years old are malnourished
b) Total children aged 0-5 years old
Access to Basic Amenities
4. Proportion of households with access to safe water
a) Number of households with access to potable water (within
250m)
b.) Total number of households
5. Proportion of households with access to sanitary toilet facilities
a.) Number of households with access to sanitary toilet facilities
b.) Total number of households
Shelter
6. Proportion of households who are squatting
a.) Number of households who are squatting
b.) Total number of households
7. Proportion of households living in makeshift housing
a.) Number of households living in makeshift housing
b.) Total number of households
Peace and Order
8. Proportion of households with members victimized by crimes
a.) Number of households with members victimized by crimes
b.) Total number of households
Income
9. Proportion of households with income less than the poverty
threshold
a.) Number of households with income less than the poverty
threshold
b.) Total number of households
10. Proportion of households with income less than the food threshold
a.) Number of households with income less than the food threshold
b.) Total number of households
11. Proportion of households who eat less than three (3) meals a day
a.) Number of households who eat less than three (3) meals a day
b.) Total number of households
12. Proportion of 6-12 years old children who are not in elementary
school
a.) Number of children 6-12 years old who are not in elementary
school
b.) Total number of children 6-12 years old
13. Proportion of 13-16 years old children who are not in secondary
school
a.) Number of children 13-16 years old who are not in secondary
school
b.) Total number of children 13-16 years old
Employment
14. Proportion of the members of the labor force who are not working
a.) Number of labor force who are not working
b.) Total number of labor force
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Signature over printed name Signature over printed name
Community Empowerment Facilitator Area Coordinator
Date Started: July 21, 2022
Date Accomplished: August 25, 2022
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