Barangay Official Information Sheet Form
Uploaded by
rberoBarangay Official Information Sheet Form
Uploaded by
rberoBARANGAY OFFICIAL’S INFORMATION SHEET
(ELECTIVE OFFICIALS)
REGION______________________ CITY/MUN _______________________
PROVINCE____________________ BARANGAY_______________________
POSITION: Punong Barangay Sangguniang Barangay Member
TERM IN THE PRESENT POSITION First Second Third
PERSONAL INFORMATION
NAME
(Last) (First) (Middle) (Ext)
Date of Birth Place of Birth__________________________
MM DD YYYY
Sex Male Civil Status SINGLE WIDOW/ER
Female MARRIED SEPARATED
HIGHEST EDUCATIONAL ATTAINMENT ELEM HIGH SCH COLLEGE POST GRAD.
Please Specify Graduate Under Graduate
OCCUPATION ___________________________________________________________
RESIDENCE ADDRESS ___________________________________________________________
House No./ Street Name
CONTACT NUMBER
BGY. HALL TEL NO. RES TEL NO.
CELLPHONE NO. EMAIL ADD__________________________
BENEFICIARIES
NAME DATE OF BIRTH RELATIONSHIP
1._______________________________ _________________________ ______________________
2._______________________________ _________________________ ______________________
3._______________________________ _________________________ ______________________
4._______________________________ _________________________ ______________________
5._______________________________ _________________________ ______________________
I hereby certify that the above mention are true and correct to the best of my knowledge
________________________ ________________________
Signature Over Printed Name Date Accomplished
Certified by:
RAFUNZEL S. BERO
MLGOO
BARANGAY OFFICIAL’S INFORMATION SHEET
(APPOINTED OFFICIALS)
REGION______________________ CITY/MUN _______________________
PROVINCE____________________ BARANGAY_______________________
POSITION: Barangay Treasurer Barangay Secretary Sangguniang Barangay Member
TERM IN THE PRESENT POSITION First Second Third
PERSONAL INFORMATION
NAME
(Last) (First) (Middle) (Ext)
Date of Birth Place of Birth__________________________
MM DD YYYY
Sex Male Civil Status SINGLE WIDOW/ER
Female MARRIED SEPARATED
HIGHEST EDUCATIONAL ATTAINMENT ELEM HIGH SCH COLLEGE POST GRAD.
Please Specify Graduate Under Graduate
OCCUPATION ___________________________________________________________
RESIDENCE ADDRESS ___________________________________________________________
House No./ Street Name
CONTACT NUMBER
BGY. HALL TEL NO. RES TEL NO.
CELLPHONE NO. EMAIL ADD__________________________
BENEFICIARIES
NAME DATE OF BIRTH RELATIONSHIP
1._______________________________ _________________________ ______________________
2._______________________________ _________________________ ______________________
3._______________________________ _________________________ ______________________
4._______________________________ _________________________ ______________________
5._______________________________ _________________________ ______________________
I hereby certify that the above mention are true and correct to the best of my knowledge
________________________ ________________________
Signature Over Printed Name Date Accomplished
Certified by:
RAFUNZEL S. BERO
MLGOO