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RBI-FORM-A-By Household - Revised 2024

The document is a revised form for recording household inhabitants in a barangay, including details such as names, birth dates, civil status, and occupations. It requires certification from the household head, barangay secretary, and punong barangay, affirming the accuracy of the information provided. Additionally, it includes a consent clause for processing personal information in accordance with the Philippine Data Privacy Act of 2012.

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54 views1 page

RBI-FORM-A-By Household - Revised 2024

The document is a revised form for recording household inhabitants in a barangay, including details such as names, birth dates, civil status, and occupations. It requires certification from the household head, barangay secretary, and punong barangay, affirming the accuracy of the information provided. Additionally, it includes a consent clause for processing personal information in accordance with the Philippine Data Privacy Act of 2012.

Uploaded by

abcoffice2023
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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RBI FORM A (Revised 2024)

RECORDS OF BARANGAY INHABITANTS BY HOUSEHOLD

REGION :
PROVINCE:
CITY/MUNICIPALITY:
BARANGAY :
HOUSEHOLD ADDRESS :
NO. OF HOUSEHOLD MEMBERS:

NAME
Indicate if Labor/employed,
Unemployed, PWD, OFW,
CITIZENSHI
PLACE OF BIRTH DATE OF BIRTH AGE SEX CIVIL STATUS OCCUPATION Solo Parent, Out of School
LAST NAME FIRST NAME MIDDLE NAME EXT P
Youth (OSY), Out of School
Children (OSC) and/or IP

Prepared by: Certified Correct: Validated by:

RINALYN V. GABIA BENERANDO B. TURTOR


Name of Household/Head Member Barangay Secretary Punong Barangay
(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)

I hereby certify that the above information are true and correct to the best of my knowledge. I understand that for the Barangay to carry out its mandate pursuant to Section 394 (d)(6) of the Local Government Code of 1991, they must necessarily process my personal
information for easy identification of inhabitants, as a tool in planning, and as an updated reference in the number of inhabitants of the Barangay. Therefore, I grant my consent and recognize the authority of the Barangay to process my personal information, subject to the
provision of the Philippine Data Privacy Act of 2012.

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