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    Bois Form - Appointive Officials

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    Mapulang Lupa Valenzuela City
    This document is a barangay official's information sheet for an appointive barangay position. It collects personal details such as name, date of birth, contact information, education level, occupation and residence address of the official. It also lists their designated beneficiaries. The official signs to certify the truthfulness of the provided information, which is then certified by a barangay officer.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Bois Form - Appointive Officials

    Uploaded by

    Mapulang Lupa Valenzuela City
    429 views1 page
    This document is a barangay official's information sheet for an appointive barangay position. It collects personal details such as name, date of birth, contact information, education level, occupation and residence address of the official. It also lists their designated beneficiaries. The official signs to certify the truthfulness of the provided information, which is then certified by a barangay officer.

    Original Title

    BOIS FORM_APPOINTIVE OFFICIALS

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    This document is a barangay official's information sheet for an appointive barangay position. It collects personal details such as name, date of birth, contact information, education level, occupation and residence address of the official. It also lists their designated beneficiaries. The official signs to certify the truthfulness of the provided information, which is then certified by a barangay officer.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    429 views1 page

    Bois Form - Appointive Officials

    Uploaded by

    Mapulang Lupa Valenzuela City
    This document is a barangay official's information sheet for an appointive barangay position. It collects personal details such as name, date of birth, contact information, education level, occupation and residence address of the official. It also lists their designated beneficiaries. The official signs to certify the truthfulness of the provided information, which is then certified by a barangay officer.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    DILG-NBOO-ISTMS BOIS Form 2013-1B

    BARANGAY OFFICIAL’S INFORMATION SHEET


    1X1
    (APPOINTIVE OFFICIALS) ID Picture

    REGION CITY/MUN

    PROVINCE BARANGAY

    POSITION: Barangay Secretary Barangay Treasurer

    NAME:
    (Last) (First) (Middle) (Ext)

    DATE OF BIRTH PLACE OF BIRTH


    MM DD YYYY

    SEX: MALE CIVIL STATUS: SINGLE WIDOW / ER

    FEMALE MARRIED SEPARATED

    HIGHEST EDUCATIONAL ATTAINMENT: ELEM HIGH SCH COLLEGE POST GRAD

    Please specify: Graduate Under Graduate

    OCCUPATION:

    RESIDENCE ADDRESS:
    House No / Street Name

    CONTACT NUMBERS:

    BGY. HALL TEL NO RES. TEL NO

    CELLPHONE NO E-MAIL ADD

    BENEFICIARIES:
    NAME DATE OF BIRTH RELATIONSHIP
    1.

    2.

    3.

    4.

    5.

    I hereby certify that the above information are true and correct to the best of my knowledge.

    Signature Over Printed Name Date Accomplished

    Certified by:

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

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