Escolar Documentos
Profissional Documentos
Cultura Documentos
Interviewer__________________________ Municipality___________________________
Church_____________________________ Barangay______________________________
Name of Household_______________________________________________Age_________ Sex_________ Status: Married _________Single _________Widowed _________ Separated _________
Occupation _____________________________________________Wage ___________ / Daily_____________ / Weekly Status of Employment: Self Employed ___________ Employed__________
Name of Spouse _______________________________________ Age ________ Sex ________ Occupation _________________ No. of Children: Total ________ Male ________Female _________
Address ____________________________________________________________________________________________ Other Dependents No.: Total ________ Male ________Female _________
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Fill-up Directions
1. Check the column that applies to your answer: (y=yes); (n=no); blank (important details)
2. Submit accomplished form submit to Church Monitoring Team (CMT) to Barangay Monitoring Team (BMT) for Barangay Budget Allocation every semester SM1: January 10 SM2: June 1 of the year.