KR Form 4

MONTHLY CONSOLIDATED KASAMBAHAY

MONTHLY CONSOLIDATED R
KASAMBAHAY REPORT
As of __________________________

Municipality/City : Province: Page of Pages

NO. OF KASAMBAHAY BY: (3)

TOTAL NO. SEX AGE EDUCATIONAL ATTAINMENT (d) WORK INFORMATION (e)
BARANGAY OF (a) (b) CIVIL STATUS (c) HIGH SCHOOL
(1) ELEMENTARY COLLEGE (d.3) NATURE OF WORK (e.l) SALARY (e.2)
REGISTERED (d.2)
KASAMBAHA below SEPARATE UNDER UNDER UNDER HOUSEH GARDE LAUNDRY 1,500 2,000 2,500 5,000 and
F M 18-30 31-45 and above S M w GRAD GRAD GRAD YAYA COOK OTHERS
18 D GRAD GRAD GRAD ELP NER PERSON PI,999 P2,499 p4,999 above

1 Urbiztondo 300 150 150 25 150 75 50 200 100 125 50 75 25 20 5 100 25 50 125 180 100 20
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TOTAL

Prepared by: Submitted by:

PESO Staff Head, PESO

KR Form 3
MONTHLY BARANGAY CONSOLIDATED KASAMBAHAY REPORT
For the month of _________________________________

Barangay
Mun.City:
Province
Region

NO. OF KASAMBAHAY BY: (2)

EDUCATIONAL ATTAINMENT (d) WORK INFORMATION (e)

SEX (a) AGE CIVIL STATUS (c)
TOTAL NO. OF ELEMENTARY HIGH SCHOOL COLLEGE NATURE OF WORK SALARY
REGISTERED
KASAMBAHAY (1)

46 and SEPARATE UNDER UNDER UNDER HOUSEHEL LAUNDRY Php 1,500- Php 2,000- Php Php 5,000
F M below 18 18-30 31-45 above s M W D GRAD GRAD GRAD GRAD GRAD GRAD PER YAYA COOK GARDENER PERSON OTHERS I,999 2,499 2,500- and above
4,999

Prepared by: Prepared by:

Kasambahay Desk Officer Punong Barangay

KR Form 2
KASAMBAHAY MASTERLIST
Quarterly Report
For the Period July - September 30, 2013
Barangay GUILANG-GUILANG
Mun.City: MANOLO FORTICH
Province BUKIDNON
Region X

Educational Nature of Employm

Attainment Work ent Salary Membership

I -Gen.
I. Elem househeip Arrangem
Undergrad ent 1 PI, 500 -P1.999 (Write Y for Yes, and N for No)
(all around);

I - Live-in
2. Elem. Grad 2 •Yaya 2 - Live 2. P2,OOO- P2.499
out
Registration Civil
Control Number Name of Kasambahay Home Address Sex Age Status Name of Employer
3. HS 3. P2500 - P4,999
3 • Cook
Undergrad
4. P5,ooo and above
4. HS Grad 4 - Gardener

5. Coll. 5 - Laundry
Undergrad person
6. coll. Grad 6 - Others

7. Vocational SSS Pag-lBlG Phil-Health

2013-0001 Santos Ana Martinez 2 Zamora St., San Jose S 25 1 2 3 N Juan dela Cruz

ZONE-1,GUILANG-
2022-0001 ANLICAO MERYNIEL LINONSAG GUILANG, MANOLO F 27 M 2 2 1 4
FORTICH, BUKIDNON

ZONE-1,GUILANG-
MOHAMED SAEED
2022-0002 BAYO SECHEL PACULBA GUILANG, MANOLO F 42 M 3 1 1 4 811359759 #FMT 20261233674
SULTAN MOHAMED
FORTICH, BUKIDNON

ZONE-5,GUILANG-
2022-0003 CAYASAN JEA SAPUNON GUILANG, MANOLO F 18 S 3 2 1 3
FORTICH,BUKIDNON

ZONE-1,GUILANG-
CHERRY MAE
2022-0004 COLLANTES HAZEL JOY ESPINOSA GUILANG, MANOLO F 19 S 5 2 1 3
SEPULVEDA
FORTICH, BUKIDNON

ZONE-6, GUILANG-
2022-0005 LAYAON NELBERT BACTALAN GUILANG, MANOLO M 20 S 3 1 1 3 ANITA MONTOYA
FORTICH, BUKIDNON

ZONE-2, GUILANG-
2022-0006 SAMBILE ROSEMARIE TUNOS GUILANG, MANOLO F 17 S 3 5 1 4 JOEL VEGA
FORTICH, BUKIDNON
 Prepared and submitted by:
(Signature over Printed Name)

Position / Designation

Prepared by:

Kasambahay Desk Officer

 Employer's Complete

5 Leon Guinto St.,

Ermita,

MADINAT ZAYED
WESTERN REGION ABU
DHABI CITY

CANITO-AN, PAGATPAT,
CAGAYAN DE ORO CITY

ST. JOSEPH, MANOLO

FORTICH BUKIDNON

WAO, LANAO DEL SUR

UPPER CARMEN,
CAGAYAN DE ORO CITY
Prepared by:

Punong Barangay
KR Form 5
CONSOLIDATED KASAMBAHAY REPORT
As of SEPTEMBER

Mun/City MANOLO FORTICH

Province: BUKIDNON
Region: X

TOTAL NO. OF BARANGAYS

NO. BARANGAYS WITH REGISTERES KASAMBAHAYTOTAL NO. OF KASAMBAHAY

Prepared by: Submitted

by:

________________________ ________________________
MLGOO/CLGOO/CITY DIRECTOR
Prepared by:
KR Form 3
MONTHLY BARANGAY CONSOLIDATED KASAMBAHAY REPORT
For the month of _________________________________

Barangay GUILANG-GUILANG
Mun.City: MANOLO FORTICH
Province BUKIDNON
Region X

NO. OF KASAMBAHAY BY: (2)

EDUCATIONAL ATTAINMENT (d) WORK INFORMATION (e)

NAME OF KASAMBAHAY SEX (a) AGE CIVIL STATUS (c)
ELEMENTARY HIGH SCHOOL COLLEGE NATURE OF WORK SALARY

F M below 18 18-30 31-45 46 and s M W SEPARATED UNDER GRAD UNDER GRAD UNDER GRAD HOUSEHEL YAYA COOK GARDENER LAUNDRY OTHERS Php 1,500- Php 2,000- Php 2,500- Php 5,000
above GRAD GRAD GRAD PER PERSON I,999 2,499 4,999 and above
SURNAME FIRST NAME MIDDLE NAME

ANLICAO MERYNIEL LINONSAG X X

BAYO SECHEL PACULBA X X
CAYASAN JEA SAPUNON X X
COLLANTES HAZEL JOY ESPINOSA X X
LAYAON NELBERT BACTALAN X X

Prepared by: Prepared by:

Kasambahay Desk Officer Punong Barangay