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Rbi Form 1

This document is an RBI Form A, which is used to record information about inhabitants by household in a specific Barangay. It collects details such as the name, address, date of birth, sex, civil status, citizenship, and occupation of each household member. The form includes sections for the region, province, city/municipality, and specific Barangay where the household is located. It is certified as correct by the Barangay Secretary and validated by the Punong Barangay.

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Tell Ann Ravago Revilla
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260 views

Rbi Form 1

This document is an RBI Form A, which is used to record information about inhabitants by household in a specific Barangay. It collects details such as the name, address, date of birth, sex, civil status, citizenship, and occupation of each household member. The form includes sections for the region, province, city/municipality, and specific Barangay where the household is located. It is certified as correct by the Barangay Secretary and validated by the Punong Barangay.

Uploaded by

Tell Ann Ravago Revilla
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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RBI FORM A RECORD OF BARANGAY INHABITANTS BY HOUSEHOLD

PSG
A. REGION: C
B. PROVINCE: O
D
C. CITY/MUNICIPALITY: E
S
D. BARANGAY:
E. HOUSEHOLD NO:
DATE ACCOMPLISHED:
NAME (1) ADDRES
S (2)

LAST NAME FIRST NAME MIDDLE NAME EXT NO STREET NAME OF PLACE OF BIRTH DATE SE CIVIL CITIZEN- OCCUPATIO
(1.1) (1.2) (1.3) (1.4 (2.1 NAME SUBDIVISION/Z (3) OF X STATU SHIP N
) ) (2.2) ONE/SITIO/PUR BIRTH (5) S (7) (8)
OK (IF
(4) (6)
APPLICABLE)
(2.3)

Prepared by: Certified Correct: Validated by:

__________________________________ __KRISTELL ANN R. REVILLA___ HON. RODELIO M. CAMBALON SR.


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

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