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    RBI FORM B Individual - Revised 2024 2

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    barangay three
    This document is an individual record form containing personal information for inhabitants of a barangay. It collects details such as name, birthdate, address, occupation, education level, and includes a certification by the individual granting the barangay permission to process their personal data in accordance with privacy laws.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    RBI FORM B Individual - Revised 2024 2

    Uploaded by

    barangay three
    4K views1 page
    This document is an individual record form containing personal information for inhabitants of a barangay. It collects details such as name, birthdate, address, occupation, education level, and includes a certification by the individual granting the barangay permission to process their personal data in accordance with privacy laws.

    Original Title

    RBI-FORM-B-Individual_Revised-2024-2

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    This document is an individual record form containing personal information for inhabitants of a barangay. It collects details such as name, birthdate, address, occupation, education level, and includes a certification by the individual granting the barangay permission to process their personal data in accordance with privacy laws.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    4K views1 page

    RBI FORM B Individual - Revised 2024 2

    Uploaded by

    barangay three
    This document is an individual record form containing personal information for inhabitants of a barangay. It collects details such as name, birthdate, address, occupation, education level, and includes a certification by the individual granting the barangay permission to process their personal data in accordance with privacy laws.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    RBI Form B (Revised 2024)

    INDIVIDUAL RECORDS OF BARANGAY INHABITANT

    REGION : ____ CITY/MUN :

    PROVINCE : BARANGAY :

    PERSONAL INFORMATION

    (PhilSys Card No.)

    (Last Name) (Suffix, e.g., Jr., I, II, III) (First Name) (Middle Name)

    (Birth Date: mm/dd/yyyy) (Birth Place) (Sex) (Civil Status) (Religion)

    (Residence Address) (Citizenship)

    (Profession / Occupation) (Contact Number) (E-mail Address)

    HIGHEST EDUCATIONAL ATTAINMENT: ELEMENTARY HIGH SCHOOL COLLEGE POST GRAD VOCATIONAL

    Please specify: Graduate Under Graduate

    I hereby certify that the above information is 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.

    ___________________________ --------------------------------------------------------------------
    Date Accomplished Name/Signature of Person Accomplishing the Form

    Attested By:

    ______________________________
    Barangay Secretary Left Thumbmark Right Thumbmark

    Household Number:

    Note: The household number. shall be filled up by the Barangay Secretary.

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