CDD-03:

Form

Barangay/Community Assembly Attendance Sheet

Province:

_______________________________________

Date/Duration: __________________________________

Municipality:

_______________________________________

Cycle:

__________________________________

Venue:

__________________________________

Barangay Community: _______________________________________

Program/Project (e.g. NCDDP, KC-MCC, etc): _______________________________________

Purpose of BA:

___________________________________________________________________________________________________

NAME
Last Name

First Name

M.I.

PUROK/SITIO

IP

Age

Male

Sex
Female

Signature

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