Republic of the Philippines
Department of the Interior and Local Government 1x1
Province of Zamboanga del sur ID Picture
Municipality of Tambulig
-oOo-
BARANGAY OFFICIAL’S INFORMATION SHEET
REGION: IX MUNICIPALITY: TAMBULIG
PROVINCE: ZAMBOANGA DEL SUR BARANGAY:
ELECTIVE AND APPOINTIVE POSITION
Punong Barangay Barangay Treasurer
Sangguniang Barangay Member Barangay Secretary
Rank (1, 2, 3, 4, 5, 6, 7) Relationship with the Appointing Authority_________
SK Chairperson IPMR
SK Member Other Appointive Barangay Official
TERM IN PRESENT POSITION _____________________________
1ST 2ND 3RD
PERSONAL INFORMATION
(Last Name ) (Suffix eg Jr.I,II,III) (First Name) (Middle Name)
Birth Date mm,dd,yy Birth Place Sex Civil Status Religion
(Residence Address) (Residence Telephone No.)
( Mobile Number) (Brgy. 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 BIRTH RELATIONSHIP
1. _________________________ _________________ __________________
2. ____________________________ _________________ __________________
3. ____________________________ _________________ __________________
4. ____________________________ _________________ __________________
I hereby certify that the above mention are true and correct to the best of my knowledge.
Signature Over Printed Name Date Accomplished
Verified and validated by:
ALFREDO L. ANGON
LGOO VI - DILG Date