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Record of Barangay Inhabitants by Household: PSG C O D E S

This document contains a record of inhabitants by household for Barangay San Agustin 1 in Dasmarinas City, Cavite. It includes columns for the household number, names, address, date and place of birth, sex, civil status, and occupation. The form was prepared by Giselle C. Frivaldo, certified correct by her, and validated by Hon. Darwin P. Torres, the Punong Barangay.

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Giselle Khrystine
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7K views

Record of Barangay Inhabitants by Household: PSG C O D E S

This document contains a record of inhabitants by household for Barangay San Agustin 1 in Dasmarinas City, Cavite. It includes columns for the household number, names, address, date and place of birth, sex, civil status, and occupation. The form was prepared by Giselle C. Frivaldo, certified correct by her, and validated by Hon. Darwin P. Torres, the Punong Barangay.

Uploaded by

Giselle Khrystine
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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RBI FORM A

RECORD OF BARANGAY INHABITANTS BY HOUSEHOLD


PSG
REGION: IV - A
PROVINCE: CAVITE C
O
CITY/MUNICIPAL: DASMARIÑAS
D
BARANGAY: SAN AGUSTIN 1 E

S
HOUSEHOLD NO .:
DATE ACCOMPLISHED:
NAME (1) ADDRESS (2)
LAST NAME FIRST NAME MIDDLE NAME (2.2) EXT NO. STREET NAME Name OF DATE OF CIVIL
SUBDIVISION/ZONE/SITIO/P PLACE OF BIRTH BIRTH
SEX
STATUS
OCCUPATION
(1.1) (1.2) (1.4) (92.1) (2.2) UROK (if applicable ) (2.3) (3) (5) (8)
(4) (6)

Prepared by: Certified Correct: Validation by:

GISELLE C. FRIVALDO HON.DARWIN P. TORRES


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

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