Bgpms Form 2017
Bgpms Form 2017
Bgpms Form 2017
BARANGAY:
GENERAL INFORMATION
Region: Congressional District:
Province: City/Municipality:
NOTE: Please accomplish the form properly and completely by putting a check on the box
corresponding to your answer and by supplying all information asked.
POLITICAL INFORMATION
Legal Basis of Creation: No. of Registered Voters:
PHYSICAL INFORMATION
Major Economic Source: (select what is appropriate) Agricultural Fishing Commercial Industrial
FISCAL INFORMATION
Total Income:
A. External Sources
Internal Revenue Allotment (IRA) Php
Others Php
( s hare from Natl Wealth, share from E-VAT, subsidy, etc )
DEMOGRAPHIC INFORMATION
POPULATION Total: PSA RBI CBMS NHTS Year Captured:
No. of Households:
1.1.3 Complied with the minimum required number of Regular Sessions (twice a month or 24 times a year) Yes No
If NO , indicate below the number of sessions completed in the preceding year:
20-23 sessions 12-15 sessions
16-19 sessions 11 and below sessions
1.1.6 Approved Annual Budget for the Ensuing Fiscal Year w/in the Budget Calendar Yes No
1.1.9 Presence of Furniture, Fixtures, Equipment and the Minutes of Meeting in the Session Hall:
1.1.9.1 Conference table Yes No
1.1.9.2 Chairs Yes No
1.2.1 Submitted Annual Report not later than March 31 of the ensuing year Yes No
If NO, select between the two choices
Submitted Annual Report later than March 31 So submission given
1.2.2 Reported Semestral Accomplishments during Barangay Assembly Day (BAD) of the preceding year Yes No
If NO , select the frequency of Semestral Accomplishments reported during BAD:
Once None
1.2.3 Posted Itemized Monthly Collections & Disbursement of the preceding year in Conspicuous Places Yes No
1.2.4 Posted Annual Summary of Income & Expenditures of the preceding year in Conspicuous Places Yes No
1.2.5 Posted Barangay Ordinances & Resolutions of the preceding year in at least three (3) Conspicuous Places Yes No
1.3.3 Inclusion of Civil Society Organization (CSO)/PO Representative as Member in the following:
1.3.3. 1 Barangay Development Council (not less than 1/4 of the council) Yes No
If NO , please state reason:
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1.4.2 Conducted BDC meetings at least once every six months Yes No
If NO, please indicate number of meeting/s:
Once None
1.4.7 Adopted measures/plans to prevent and control the proliferation of informal settlers and Yes No NA
mendicants in the barangay.
1.4.8 Developed/Updated the following Data:
1.4.8.1 Registry of Barangay Inhabitants Yes No
1.4.8. 2 Socio-Economic Profile Yes No
1.4.8.3 Inventory of Barangay Properties, Facilities and Equipments Yes No
1.5.1 Enacted Barangay Tax Ordinance with public hearing in the preceding year Yes No
1.5.5 Implemented Financial Management System following Commission On Audit (COA) Standards Yes No
1.6.1.6 1% of the IRA for Barangay Council for the Protection of Children (BCPC) Yes No
1.6.1.7 1 % of the IRA for Senior Citizens and Differently-Abled Persons Yes No
1.6.2 Allocated/Utilized fund more than the minimum required by law as follows: Yes No NA
(If the answer is NO or NA, no need to answer 1.6.2.1 to 1.6.2.5)
1.6.2. 5 More than 1% of the IRA for Senior Citizens and Differently-Abled Persons Yes No
1.7.1 Prepared Certified Statement of Actual Income & Expenditures of the preceding year Yes No
1.7.3 Formulated Annual Procurement Plan using National Government Accounting Systems (NGAS) Yes No
1.8.2 Presence of Functional Properties and Equipment in the Barangay Hall as Support
to the Operations of the Barangay:
1.8.4.1 Created Barangay Task Force through an Executive Order to develop and monitor the Yes No
implementation of the Citizen's Charter
1.8.4.2 Enacted barangay ordinance for the adoption and implementation of the Citizen's Charter Yes No
1.8.5 Facilitated the issuance of Barangay Clearance in compliance to the provision on timeliness in the Yes No
Citizen's Charter of the concerned barangay
1.8.6 Facilitated the issuance of Barangay Certification based on the provisions on timeliness in the Yes No
Citizen Charter of the concerned barangay
1.9.3 Attendance to Training of the following Barangay Officials to capacitate their specific roles and functions
1.9.3.1 Disaster Risk Reduction and Management (DRRM) and Climate Change Adaptation (CCA) Yes No
Training of Barangay Officials
1.9.3.2 Barangay Newly-Elected Officials(BNEO) Training of Punong Barangay Yes No NA
1.9.3.12 Skills Enhancement Training of Barangay Human Rights Action Officer (BHRAO) Yes No
1.9.3.13 Conducted Capacity Development on Gender & Development for GAD Focal Point Yes No
System, Employees of the Barangay and Women Sector
2.3.1 Organized Functional Barangay Council for the Protection of Children (BCPC)
2.3. 1.1 Issued Barangay Executive Order(EO) Organizing BCPC Yes No
2.3.2 Implemented Republic Act No. 9262, or "Anti-Violence Against Women and Their Children Act of 2004"
2.3.2.2 Recorded and referred cases of Violence Against Women and their Children (VAWC) Yes No NA
to either LSWDO, PNP, Court, or Health Office
2.3.3.4 Submitted monthly report to Public Employment Service Office (PESO) Yes No
2.3.4 Implemented Republic Act No. 9344 or "Juvenile Justice Welfare Act" as amended by RA 10630
2.3.4.1 Implemented community-based intervention programs for Yes No
Children In Conflict with the Law (CICL) and Children At Risk (CAR)
2.3.4. 2 Developed/Instituted a Comprehensive Juvenile Intervention Program (CJIP) Yes No
2.3.4.3 Allocated an Amount in the Annual Budget for the Implementation of the CJIP Yes No
Service Area 2.4 Public Safety and Disaster Risk Reduction Management
2.4.2 Established Barangay Disaster Risk Reduction and Management(BDRRM) Evacuation Center
2.4.2.1 Enacted Executive Order organizing BDRRMC Yes No
3.1.2 Organized Barangay Fisheries and Aquatic Resource Management Committee (BFARMC)
3.1.2.1 Implemented Barangay Fisheries Development Program Yes No NA
3.1.2.2 Installed communal or backyard fishponds Yes No NA
3.1.3 Maintained Farm-to-Market Roads and Bridges / Access to Core Road Yes No NA
3.2.2 Established Barangay Livelihood Program (e.g. soap making, candle making, handicraft making, Yes No NA
chocolate making, etc)
3.2.3 Registered Barangay Micro Business Enterprise (BMBE) in the BMBE Registry Yes No
4.1.1.3 Conducted Tree Planting and Preservation Activities or Urban Greening Yes No
4.1.2 Support to Conservation Program (i.e. mangrove preservation, artificial reef, fish sanctuary, Yes No NA
forest conservation, etc)
Accomplished by:
___________________________________________ ___________________________________________
(Signature Over Printed Name) (Signature Over Printed Name)
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Punong Barangay