Republic of the Philippines
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
DILG-NAPOLCOM Center, EDSA cor. Quezon Ave., Quezon City
Telephone Number (02) 925-1137
BADAC FUNCTIONALITY SELF-ASSESSMENT AND AUDIT FORM
For the Year 2020
CERTIFICATION OF TRUTH, ACCURACY, AND COMPLETENESS
The undersigned certify under penalty of law, based on information and belief formed after reasonable inquiry, the
Statements and information contained in this document are true, accurate, and complete.
BARANGAY KAGAWAD AMILIA G. BACANI BARANGAY KAGAWAD AURELIO N. CATBAGAN
Chair of Committee on Advocacy Chair of Committee on Operations
Date signed: January 24, 2020 Date signed: January 24, 2020
PUNONG BARANGAY ALEX A. EBREO
Punong Barangay / BADAC Chairperson
Date signed: January 24, 2020
Noted by:
YOLANDA P. VERGARA HON. ARTURO P. VALDRIZ
Municipal LGOO Municipal Mayor
Date signed: January 24, 2020 Date signed: January 24, 2020