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BOIS Revised Form 2022

This document is a Barangay Official's Information Sheet that collects personal and professional information. It begins by asking for the region, province, city/municipality, and barangay of the official. It then requests the elective or appointive position held, the term in the current position, and relationship to the appointing authority. Personal information collected includes the name, birthdate, birthplace, contact details, education level, occupation, and list of beneficiaries. The official certifies the information is true and correct, and consents to the DILG processing their personal data. The form is then verified and validated by a local government official.

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Barangay Mintal
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2K views2 pages

BOIS Revised Form 2022

This document is a Barangay Official's Information Sheet that collects personal and professional information. It begins by asking for the region, province, city/municipality, and barangay of the official. It then requests the elective or appointive position held, the term in the current position, and relationship to the appointing authority. Personal information collected includes the name, birthdate, birthplace, contact details, education level, occupation, and list of beneficiaries. The official certifies the information is true and correct, and consents to the DILG processing their personal data. The form is then verified and validated by a local government official.

Uploaded by

Barangay Mintal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BOIS Form Revised 2022 ANNEX “A”

Republic of the Philippines


Department of the Interior and Local Government
DILG-NAPOLCOM Center, EDSA corner Quezon Avenue, Quezon City

BARANGAY OFFICIAL’S INFORMATION SHEET

REGION : CITY/MUN :

PROVINCE : BARANGAY :

ELECTIVE AND APPOINTIVE POSITION


Punong Barangay Barangay Treasurer
Sangguniang Barangay Member Barangay Secretary
Rank (1,2,3,4,5,6,7) SK Treasurer
SK Chairperson SK Secretary
SK Member IPMR
Relationship with the Appointing Authority: _______________
TERM IN THE PRESENT POSITION Other Appointive Barangay Official:

1 st
2nd
3 rd
_____________________________

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) (Residence Telephone No.)

(Mobile Number) (Barangay Hall Telephone Number) (E-mail Address)

HIGHEST EDUCATIONAL ATTAINMENT: ELEMENTARY HIGH SCHOOL COLLEGE POST GRAD VOCATIONAL

Please specify: Graduate Under Graduate

OCCUPATION: HONORARIUM:

BENEFICIARIES:
NAME DATE OF BIRTH RELATIONSHIP

1.

2.

3.

4.

5.
(Please use additional sheet if necessary)

I hereby certify that the above information are true and correct to the best of my knowledge. I understand that for the DILG to carry out its
mandate they must necessarily process my personal information. Therefore, I grant my consent and recognize the authority of the DILG to
process my personal information, pursuant to the Philippine Data Privacy Act of 2012.
(Signature Over Printed Name) (Date Accomplished)

Verified and validated by:

CD/CLGOO/MLGOO Date
(Signature over Printed Name)

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