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Individual Record of Barangay Inhabitant

This document is an individual record form containing personal information about a barangay inhabitant, including their name, date and place of birth, sex, civil status, citizenship, profession, residence address, and signatures. It certifies that the information provided is true and correct. The barangay secretary is responsible for filling in the household number and attesting to the individual's identity.

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Christy Ledesma-Navarro
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16K views2 pages

Individual Record of Barangay Inhabitant

This document is an individual record form containing personal information about a barangay inhabitant, including their name, date and place of birth, sex, civil status, citizenship, profession, residence address, and signatures. It certifies that the information provided is true and correct. The barangay secretary is responsible for filling in the household number and attesting to the individual's identity.

Uploaded by

Christy Ledesma-Navarro
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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RBI FORM B

INDIVIDUAL RECORD OF BARANGAY INHABITANT

REGION: CITY/MUN
PROVINCE: BRGY

I. PERSONAL INFORMATION
NAME
(Last) (First) (Middle) (Ext.)
DATE OF BIRTH: PLACE OF BIRTH:
MM DD YYYY
SEX: MALE CIVIL STATUS SINGLE WIDOW/ER
FEMALE MARRIED SEPARATED

CITIZENSHIP

PROFESSION/OCCUPATION

RESIDENCE ADDRESS:
House No. Street Name

Subdivision Name/Zone/Sitio/Purok

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

Date Accomplished Name/Signature of Person Accomplishing the Form

Attested by: Left Right


Thumbmark Thumbmark

Barangay Secretary
Household Number

Note: The Household no. shall be filled up by the Barangay Secretary.

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