Beruflich Dokumente
Kultur Dokumente
1.General Rule:
* Professional Cook and Eatery Operators are not allowed to participate
* Each contestant must be in proper cooking attire
* Observe safety measures during contest duration
* The entry dish should represent filipino style.
* No duplication of menu.
* Each contestant must submit personal data on or before December
08,2014.Application Form is available at MSWD Office
* Must be a member of an accredited/registered organization within Siay.
--------------- ----------------------------- - - - - - - - - - - - - - -- - - - - - - - - - - - -- - - - - - - - - -- - - - - - - - - - - - - - - - - -- - - - - - -- - -- - -
30 %
40%
20%
10%
100%
Acknowledgement Receipt
Received the amount of _____________________________________(P
from MSWD Office intended for _________________________________ Assistance.
_____________________________________________________________________________
Acknowledgement Receipt
Received the amount of _____________________________________(P
from MSWD Office intended for _________________________________ Assistance.
Signed this ________ day of _______________200____at MSWD Office-Siay
Zamboanga Sibugay.
_______________________________
Client
__________________________________
Address
Released by:
________________________
MSWD Sta
______________________
______________________________
-------------------------------------------------Sir/Madam;
Greetings of Peace.
I am respectfully referring a client who wish to take a C1-30 ride this last week of
May, 2015. Below is her personal data and other information:
Name
Age
: 31 year old
Address
Civil Status
: Widow
some
pay the
retrieve her
constraint.
She worked in a certain private firm, RD Construction at Imus, Cavite since 20052014. When she go home in Salinding, she left her personal belongings and
appliances at Premaroza Ramirez Compund-Imus, Cavite and she continuously
monthly rental. Lately, she was contacted by the boardinghouse owner to
things since they need to renovate the building. However, she is financially
With this, we do hope that your good office can accommodate our request.
Thank you and God Bless.
Name of Contestant
Cost
Saving
Total
(10%)
(100%)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38
39.
40.
-------------------------------------------------
Prepared by:
_______________________________________
Approved by:
JASMIN A. ALBELDA
SWO 11/SWADT-Team Leader
Prepared by:
_______________________________________
Approved by:
JASMIN A. ALBELDA
SWO 11/SWADT-Team Leader
To our energetic Mun. Mayor Hon. Julius T. Acosta, To our young and dynamic
Mun. Vice-Mayor,Hon. Gerald M. Acosta, to our Congresswoman Dr. Ann K. Hofer
likewise our visitor from Dole Ms. Jocelyn V. Buen, our very own MSWD Officer Mrs.
Marina T. Bayawa , LGU family, SB Members, Womens President and members
coming from 29 brgys., visitors a pleasant morning to each one of us.
Today is March 24, 2015 the most awaited time among our womens since this is
the day that they could show their talent in dancing, singing likewise their skills in
cooking of which we will soon witness.
My task is to introduce to you our Board of Judges from Drum Corp, Singing and
Dancing contest of which the dancing contest will be presented this afternoon.
Our 1st judge is single and negotiable, earned his Diploma at
____________________________ _______________________ and presently connected at Siay
National High School. Pls. Welcome Teacher 1 Earl Bryan Pantollana.
Our 2nd judge is ___________,years old
For the information of everybody, this three (3) activities (drumcorp., singing and
dancing) will be judge by the 3 judges.
Our 3rd judge at the same time the chairman of the board of judges is
__________years old. a graduate of Bachelor of
__________________________________________, presently working at Siay
National High School as a coordinator on Technology and Livelihood Education. The
Chairman of the board of judges no other than Mrs. Agne
ENDORSEMENT LETTER
November -------, 2014
CRESENCIO S. JORE
Municipal Mayor
Diplahan,Zamboanga Sibugay
Sir:
Greetings.
One of my constituents __________________________________, of legal age, a resident of
barangay ________, Siay,ZSP has been confined in your hospital since
______________________. The subject patient is a Non-Philthealth
With this, I am requesting your good office that the above-named person can avail the free
hospitalization benefits through point of care system.
Thank you and more po
Excerpt from the minutes of the staff Meeting held at MSWDOs residence, Kimos Siay,
Zamboanga Sibugay on October 6, 2014 at exactly 2:00 oclock in the afternoon.
Present:
1.
2.
3.
4.
5.
6.
Marina T. Bayawa
Myrna I. Muyco
Arden Luz Advento
Ma. Leila Fajardo
Ofelia C Fabillar
Orlando Eballa
Absent:
1. Brenda Temblor
-MSWDO
-SWO 11
-SWA
-Admin. Aide 111
-Admin. Aide
-Admin. Aide
Admin. Aide 111
AGENDA:
Note: Secure list of Volunteers from the council of the Greeks, Women and DCW.
+ Records and Management
MT Bayawa explained that each one need to strengthened and or improve the
record/file of their individual program.
It must be seen easily if one is on leave and or in the
trainings.
Note: Accomplishment Report must have photos and or documentation
+Programs and Services Implemented
-Child Welfare- Must- at least two (2) programs- Day Care and Supplemental
Feeding
-Women
-medical Outreach, Referral for livelihood
-PWD
-Referral for assistive Device
-Senior Citizen
- Issuance of booklet, burial assistance and referral for social
pension
-Family & Community- AICS and Referrals, PMC
Note: MIM to enhance the flow and or steps in Pre-Marriage Counseling
-Other services during disaster
-Conduct post disaster needs
-MSWDO needs to make a terminal report
Note :
F.O personnel advised to continue in using the Family Access Card during
disaster
-Evacuess -(IDP) Individual Displaced Persons
-Need Shelter Assistance
-The office need to conduct a semi-annual monitoring
-MSWDO to make Annual Accomplishment Report
Reminder to MIM
-Prepare set-up for the 20 barangays and travel for the cash advance
within this week Oct.7-9
-Day Care Assessment tool orientation for the concern personnel
October 09, 2014
(Mary Jane Balaoing, Leila Fajardo, Arden Luz Advento, Ofelia Fabillar)
-October 10, 2014- In the morning Counting for the incoming (Mr &
Ms.little congress)
in the afternoon of the same day--preparation of the entries in the
program for the incoming
-October
Note: MIM to provide cartridge to be used for the printing of the DC Childrens
Congress program.
since
an
Pursuant to Sec. No. 96 of Republic Act 7160 of 1991, I have the honor to request
permission to travel from my station and proceed to PSWDO and SWADT-Ipil for
Official transaction thereat on September 25, 2014.
Very truly yours,
MARINA T. BAYAWA,RSW
MSWDO
________________________________________________________________________________________
Activities to be
Conducted
Physical
Target
30 Clients
Expected Output
30 indigent clients
interviewed and
served.
-All necessary
documents complied
-Process approval of
the Petty cash and or
Disbursement Voucher
Of the indigent client
(LGU)
25 Clients
Referred 25 indigent
Clients
Issuance of certificate
Of Indigency
25 Clients
Issued certificate of
indigency to 25
indigent clients
Produced various
supporting forms
Prepared by:
OFELIA C. FABILLAR,RSW
Name of DCW
Barangay
1.Bagong Silang
2. U. Balagon
P. Balagon
3. Balucanan
4. Batu
5. Balingasan
6. Boyugan
7.Camanga
8. Upper Coloran
Proper Coloran
9. Dacanay
10.Kimos
11.Labasan
12.Proper Laih
Kabug Laih
13. Lagting
14. Logpond
15. Maniha
16.Maligaya
17.Magsaysay
18.Minsulao
19. Mahayahay
20.Maligaya
21.Magsaysay
22. Minsulao
23.Mirangan
24,Monching
25.Paruk
26.P. Sumama
27.Poblacion
28. Salinding
29.San Isidro
30. Siloh
31.Sibuguey
32.Villagracia
LGU
500.00
500.00
500.00
600.00
700.00
500.00
500.00
600.00
500.00
500.00
650.00
500.00
500.00
500.00
500.00
700.00
500.00
500.00
600.00
500.00
500.00
775.00
600.00
500.00
500.00
500.00
500.00
500.00
500.00
775.00
625.00
500.00
500.00
500.00
625.00
P17,650.00
Barangay
P 1,000.00
1,300.00
1,300.00
2,000.00
1,100.00
1,100.00
1,400.00
800.00
1,000.00
1,250.00
1,200.00
1,000.00
800.00
800.00
800.00
900.00
1,400.00
2,000.00
1,100.00
700.00
1,100.00
1,200.00
1,100.00
700.00
1,100.00
1,000.00
1,500.00
2,000.00
1,000.00
1,500.00
1,200.00
800.00
1,100.00
1,300.00
1,000.00
P39,950.00
Prepared by:
MYRNA I.MUYCO,RSW
SWO 11
Noted:
MARINA T. BAYAWA,RSW
MSWDO
Total
P 1,500.00
1,800.00
1,800.00
2,600.00
1,800.00
1,600.00
1,900.00
1,400.00
1,500.00
1,750.00
1,850.00
1,500.00
1,300.00
1,300.00
1,300.00
1,600.00
1,900.00
2,500.00
1,700.00
1,200.00
1,600.00
1,975.00
1,700.00
1,200.00
1,600.00
1,500.00
2,000.00
2,500.00
1,500.00
2,275.00
1,825.00
1,300.00
1,600.00
1,800.00
1,625.00
57,600.00
Barangay
Name of DCW
LGU
1.Balucanan
2. Lagting
3. Logpond
4. Siloh
1..Razel D. Dionio
2. Jessica B. Ramos
3.Marivic D. Dela Pena
4.Glodelyn Anduyan
500.00
500.00
500.00
500.00
2,000.00
Barangay
700.00
1,500.00
700.00
800.00
3,700, 00
Prepared by:
MYRNA I.MUYCO,RSW
SWO 11
Noted:
MARINA T. BAYAWA,RSW
MSWDO
Total
1,200.00
2,000.00
1,200.00
1,300.00
P5,700.00
Name of Victim
Address
Session Provided
Case
Status
Name of C I C L
Address
C I C L CASES
January-July, 2014
Age Date of Type of
Incident Offense
Services Provided
Case
Status
Submitted b
CERTIFICATE OF INDIGENCY
This is to certify that EDMAR B. QUIRIT, 32 years old, single, resident of barangay
Mahayahay, Siay, Zamboanga Sibugay belongs to low income family.
Certifying further that patient is presently confined at Diplahan Wilfredo C. Palma
Memorial Hospital on November 15, 2014 until this date due to diarrhea associated with
vomiting and fever.
This certification is issued upon request of the above named client purposely to avail of
any access for medical support. Thus, recommending him to be accommodated under Point
of Care program.
Given this 17th day of November, 2014 at Municipal Social Welfare and Development
Office Siay, Zamboanga Sibugay.
MARINA T. BAYAWA,RSW
MSWDO
CERTIFICATE OF INDIGENCY
RAMON L. RAMOS
Barangay Chairman
CERTIFICATE OF INDIGENCY
This is to certify that Julieth C. Dela Cerna, 17years old, single, resident of barangay
Siloh, Siay, Zamboanga Sibugay belongs to low income family.
Certifying further that she is presently enrolled at WMSU-ESU Siay taking up Bachelor
of Science in Elementary Education (BEED-2nd year.) Her father engaged in rubber tapping
activity whose income could hardly suffice for their daily subsistence to include her educational
needs.
This certification is issued upon request of the named student purposely to avail
educational assistance from Provincial Government of Zamboanga Sibugay.
Given this 29th day of January, 2015 at Municipal Social Welfare and Development
Office (MSWDO)-Siay Zamboanga Sibugay, Philippines.
MARINA T. BAYAWA,RSW
MSWDO
CERTIFICATE OF INDIGENCY
HON.ROGELIO B. AGRAVIADOR
Punong Barangay
CERTIFICATE OF INDIGENCY
This is to certify that Anison V. Arellano, 14 years old, single, resident of barangay
logpond, Siay, Zamboanga Sibugay belongs to low income family.
Certifying further that he is one of the CICL, a grade 9 student and presently enrolled in
Siay National High School.
This certification is issued upon request of the above named person purposely to avail
educational assistance from Provincial Social Welfare and Development Office (PSWDO)-Ipil.
Given this 8th day of October, 2014 at Barangay Logpond, Siay, Zamboanga Sibugay
Philippines.
ERNESTO J. DOLAR
Barangay Chairm
BARANGAY
TYPE OF ASSISTANCE
1. Fedila Malayo
2. Medelyn P. Bacong
3. Cheryl Valenciano
Siloh
Poblacion
Batu
Burial Assistanc
Burial Assistance
Burial Assistance
Maam:
Greetings ..
Furnishing you herewith the School records of Nova Mae A. Rapada. She is presently
under the custody of Balay Dangpanan Sa Kabataan, Polanco,Zamboanga del Norte.
Please acknowledge upon receipt.
Activity Profile
1. Type of Activity
11. Location
: 16 Contestants
: 16 Parents/Escort
: 12 Teachers
: 9 SILs/SWA/Prov. Rep.
: 3 MSWD
: 4 Board of Judges & Emcee
60
Total
V. Funding Requirements
:P 6,800.00
V. Rationale:
In consonance with the Pantawid Pamilyang Pilipino Program (4Ps), the National
Government aims to develop childrens potentials through Health and Education aspect. In this
way, they will be capacitated to contribute to nation- building as they grow up. Relevant to this,
there was a national designed activity for children who are 4Ps beneficiaries age 10-14 years
old known as; The search for 4Ps Exemplary Child from Municipal, Provl., Regional up to
National level. This is intended for 4Ps children who excel in their school performance.
V111. Objectives;
-To expose and recognize 4 Ps Childrens ability;
-To motivate children to be good in their school involvement;
-To encourage other parents to give value on education concern.
1X. Description:
The concern Municipal Link/Pantawid Worker are tasks to identify 4Ps dependent who
are good performer/Honor Student. There are Sixteen (16) qualified contestants from different
barangays. The search was rated according to the prescribed criteria furnished to us. School
card and other documents that shows students involvement in school and community activities
are also considered as plus factor. There are three (3) Board of Judges to rate the contestants.
X. Funding Requirements:
A.) Meals and Snacks:
60 persons x P100.00 -------P 6,000.00
B. Incidental Expenses
----- -800.00
Total P 6,800.00
X1. Recommendation:
This activity will promote encouragement to our students and it is one way of motivation
for them to be challenged to achieve good school performance. Thus, we hereby recommend
for the approval of this proposal involving an amount of Six Thousand Eight Hundred Pesos
Only (P 6,800.)
Prepared by:
MARINA T. BAYAWA, RSW
MSWDO
Recommending Approval:
CRESTITA L. GABATO
Municipal Budget Officer
Approved:
HON. JULIUS T. ACOSTA,SR.
Municipal Mayor
1X. Methodology:
The Supplementary Feeding Program is the provision of food in addition to
the regular meals to young children within 120 days to currently enrolled children
in a form of Hot Meal. Identification of beneficiaries will be done.DCWs,
Review, summary and submission is under the MSWD Office. Fund transfer will
be done by DSWD-09. Then weekly allocation will be released by the MSWDO
to concern Day Care Workers and the procurement of food items will be done by
the parents subject to DCWS supervision. After a week time, DCW will submit
liquidation reports and its pertinent documents. On the other hand, the parents
will be formed into sub-groups to handle the cooking and feeding activities..
X. Funding Requirements:
893 Children x P13.00x120 days= P 1,393,080.00
X1. Recommendation:
This program is found beneficial to our growing young children. It has a
multiple developmental contribution to the recipients. In addition, it will also
develop parents responsibility towards childrens nutrition, education and health
concerns. Relative to this, we hereby recommend for the approval of this
proposal.
Prepared by:
MARINA T. BAYAWA ,RSW
MSWDO
Recommending Approval:
JULIUS T. ACOSTA,SR.
Municipal Mayor
Personal Data for the Applicant of Cooking Contest on December 16, 2014
Name
:____________________________________________
Age
:____________________________________________
Address
:___________________________________________
Name
:____________________________________________
Age
:____________________________________________
Address
:___________________________________________
Dole
SB
SEC
CDA
______Viand/Sud-an (Fish)
______ Dessert/Sweets (Calabasa)
Note:
ERLITA L. ACUESTA
Pres. Federated Women Assn.
Noted:
________________________________
________________________________
________________________________
Maayong Adlaw.
Maayong Adlaw.
Pwede na nimo makuha ang imong financial assistance diri sa Municipal Social Welfare
and Development Office (MSWDO) karong November 13, 2014
Palihog magdala ka ug 2014 Cedula ug ID cards.
Salamat.
Ang Nagpahibalo,
MARINA T. BAYAWA, RSW
MSWDO
________________________________
________________________________
Maayong Adlaw.
Maayong Adlaw.
Pwede na nimo makuha ang imong financial assistance diri sa Municipal Social Welfare
and Development Office (MSWDO) karong November 13,,2014
Palihog magdala ka ug 2014 Cedula ug ID cards.
Salamat.
Ang Nagpahibalo,
MARINA T. BAYAWA, RSW
M
The Cashier
Zamboanga Sibugay Provincial Hospital
Ipil, Zamboanga Sibugay
I hereby remit the amount of One Thousand Pesos (P1,000.00) as payment of the
account of the patient Felisa Olandag who was confined on your hospital last April 22, 2014May 12, 2014. Relevant to this, may we request for the issuance of an official receipt for our
documentation purposes.
SIGNED:
OFELIA C. FABILLAR
Admin. Aide
Noted:
MARINA T. BAYAWA, RSW
MSWDO
PROMISORY
Undersigned hereby promised to remit financial assistance to Zamboanga Sibugay Provincial
Hospital in the amount of Five Hundred Pesos (P 500.00) in favor of patient named Roselyn Repalbor,
41 years old, resident of barangay Logpond, Siay, Zamboanga Sibugay.
Signed this 12th day of February, 2014 at Municipal Social Welfare and Development
Office- Siay, Zamboanga Sibugay.
V.
Inform MSWD and WCPD about childs school attendance and performance.
Conduct individual conference/counseling with the child every week and document it.
Invite parents once a month for some updates.
This contract has been signed on: _____________
Date
JADE MARK D. LOGUERAS
CICL
RODITA D. LOGUERAS
Mother
yoo
ERNESTO J. DOLAR
Punong Barangay
MARINA T. BAYAWA,RSW
MSWDO
1.Identifying Data:
Name of client
Address
Birth Date
Birth Place
Civil Status
Religion
Occupation
Educational Attment
Age
45
20
16
15
13
12
11
9
Relationship to client
Occup./Remarks
Husband
Lemon Picker
Son
JanitorP 2,300 Z. C
Son
Factory Worker P1,000
Daughter In Sch. Grade V11
-doGrade V1
Son
Grade 1V
Son
Grade 111
Daughter
Grade 111
Julito Dumpor
48 years old
Balucanan, Siay, Zamboanga Sibugay
February 17, 1966
Molave, Zamboanga del Sur
Roman Catholic
Married
Farmer
1st year College
Age
Relationship to client
Alma Dumpor
Jomar Dumpor
Aldrin Dumpor
38
19
17
Wife
Son
Son
Eduardo Soquias
Margarita Soquias
Anthony Soquias
Oliver Soquias
60
59
15
14
Father (Patient)
Mother -mentally ill
Brother
-OSY
Brother
OSY
Occup./Remark
Housekeeper
Out of School-Grade V
Grade V
Alma Dumpor
38 years old
Balucanan, Siay, Zamboanga Sibugay
February 17, 1966
Malangas, Bakhao, Zamboanga del Sur
Piniling Nasud
Married
Housekeeper
Elementary Graduate
38
19
17
60
59
15
14
Relationship to client
Occup./Remark
Wife
Housekeeper
Son
Out of School-Grade V
Son
Grade V
Father (Patient)
Mother-mentally
Brother
- OSY
Brother
-OSY
OFELIA C. FABILLAR,RSW
Admin. Aide
Age
51
Relationship to client
Occup./Remarks
Husband
Farming
Prepared by:
OFELIA C. FABILLAR, RSW
Admin. Aide
Noted:
MARINA T. BAYAWA,RSW
MSWDO
Republic of the Philippines
Province of Zamboanga Sibugay
Municipality of Siay
MUNICIPAL SOCIAL WELFARE AND DEVELOPMENT OFFICE
______________________________
CERTIFICATE OF ELIGIBILITY
This is to certify that _______________________________________residing at
___________________________has been found eligible for financial assistance under Emergency
Program after interview and Case Study has been made.
Records of the Social Case Study Report dated ______________ are in the confidential file
at Provincial Social Welfare and Development Office (PSWDO).
Client is recommended for financial Assistance in the amount of _______________________
_____________________________________
Signature of Client over Printed Name
Prepared by:
OFELIA C. FABILLAR,RSW
Admin. Aide
NOTED:
MARINA T. BAYAWA,RSW
MSWDO
________________________________________________________________________________________
OFELIA C. FABILLAR,RSW
Admin. Aide
l.Identifying Data:
Name of client
Age
Address
Birth Date
Jessie Zulueta
50 years old
Purok 1, Batu,Siay,SP
June 05, 1964
Birth Place
Civil Status
Educ. Attainment
Occupation
Age
Elizabeth Zulueta
Francis Zulueta
Jestoni Zulueta
Jesse John Zulueta
50
18
17
11
Relationship to client
Wife
Son
Son
Son
Occup./Remarks
Housekeeper
In School-1st year College
-4th year High School
-Grade 1V
Gary Tinaan
24 years old
Purok 1, Mahayahay, Siay, Zamboanga Sibugay Province
April 19, 1990
Mahayahay,Zamboanga del Sur
With live in partner
None
Roman Catholic
2nd year College
Age
52
51
26
24
2
1
Relationship to client
Father
Mother
Sister (Disable)
live- in partner of the patient
Son
Son
Occup./Remarks
Farming
DCW
None
Housewife
Marichu B. Sy
27 years old
Poblacion, Siay, Zamboanga Sibugay
November 04, 1986
Kulasian, Payao,ZSP
Married
Housekeeper
Roman Catholic
Grade V1
Age
Sherlon Sy
Cherry Mae Sy
Jayson Sy
Jorik Sy
Ivan Sy
30
9
7
5
2
Relationship to client
Husband
Daughter
Son
Son
Son
Occup./Remarks
In jail since April 14, 2014
In School- Grade 11
-Grade 1
:
:
:
:
:
:
:
Artemio Quiapo
54 years old
Purok 6, Batu, Siay, Zamboanga Sibugay Province
May 19, 1960
San Pablo, Zamboanga del Sur
Married
Elementary Graduate
Fishing
Age
Rosalina Quiapo
Jun Mark Quiapo
Michelle Quiapo
44
16
6
Relationship to client
Wife
Son
Daughter
Occup./Remarks
Housekeeper
In School-Grade 8
-Grade 1
MSWDO
Zuriel A. Bantingan
18 years old
Purok 3, mirangan,Siay, Zamboanga Sibugay
April 16,1998
Mirangan, Siay, ZDS
Live-in partner
None
Born Again
Grade V111
Age
Relationship to client
Occup./Remarks
36
Father
Bus Inspector
42
Step Mother
Housekeeper
15
Brother
OSY
13
Sister
In Sch. Grade V
10
Sister
-Grade 11
Half Sister
OSY
14
Half Sister
In School-Grade V111
10
Half Brother
-Grade V
16
Live-in partner (Patient)
7 days Daughter
Prepared by:
OFELIA C. FABILLAR, RSW
Administrative Aide
Noted:
MARINA T. BAYAWA, RSW
MSWDO
Myrna Ragindin
30 years old
Purok 6, Boyugan,Siay, Zamboanga Sibugay
December 29, 1983
Pagasinan
livein partner
Housekeeper
Roman Catholic
4th year High School
11.Family Composition:
Name
Age
1. Ronald Revilla
2. Ranie Ragindin
Relationship to client
30
2 days old
Occup./Remarks
Live-in partner
(Deceased-Nov.20,2014)
Farming
Prepared by:
OFELIA C. FABILLAR, RSW
Administrative Aide
Noted:
MARINA T. BAYAWA, RSW
MSWDO
Myrna A. Calalang
50 years old
Purok 3, Dacanay,Siay, Zamboanga Sibugay
September 27, 1963
Malangas, Zamboanga del Sur
Married -1982
Housekeeper
Iglesia Ni Cristo
3rd year High School
Age
52
19
9
6
Relationship to client
Husband
Son
Granddaughter In School
Granddaughter
Occup./Remarks
Laborer
None
-Grade 111
Grade 1
Prepared by:
OFELIA C. FABILLAR, RSW
Administrative Aide
Noted:
Ruben B. Matulac
46 years old
Purok 6, Batu, Siay, Zamboanga Sibugay
March 30, 1968
Nazareth, Kabasalan,ZDS
Married
Fisherman
Roman Catholic
College level
Narcisa Dag-uman
51 years old
Maligaya, Siay, Zamboanga Sibugay
January 02, 1964
Liloy, Zamboanga del Norte
Married
Housekeeper
Roman Catholic
Grade Vl
JULIUS T. ACOSTA
Municipal Mayor
Republic of the Philippines
Province of Zamboanga Sibugay
Republic of the Philippines
Province of Zamboanga Sibugay
MUNICIPALITY OF SIAY
MUNICIPAL SOCIAL WELFARE AND DEVELOPMENT OFFICE
August 12, 2014
Brief Social Case Study Report
1.Identifying Data:
Name of the Client
Age
:
Address
Birth Date
:
Birth Place
:
Civil Status
Occupation
:
Religion
:
Educational Attnment:
Lenelyn G. Suiza
25 years old
Purok 6, Logpond,Siay, Zamboanga Sibugay
June 24, 1989
Gaulan,Diplahan, Zamboanga Sibugay
Married
Student
Pentecostal
11-BEED
Age
26
4
3
47
27
13
Relationship to client
Husband
Daughter
Son
Mother
Father (Deceased)
Brother
Occup./Remarks
laborer
Day Care
None
manicurist
In School-Grade V1
Anizon V. Arellano
14 years old
Purok 2, Logpond,Siay, Zamboanga Sibugay
November 24,1999
Timbabawan,Tungawan, ZDS
Single
Student
Roman Catholic
Grade 9
Relationship to client
(Deceased)
9
brother
8
sister
Occup./Remarks
In School
-Grade 1V
-Grade 11
PSWDO
Provincial Governo
Rodita D. Logueras
40 years old
Purok 3, Logpond,,Siay,ZSP
November 09, 1973
Logpond,,Siay,ZDS
Live-in
fish vending
Roman Catholic
High School Graduate
AGE
1.Joeren A. Obido
2.Roderick D. Logueras
3.Jade Mark D. Logueras
4.Mary Cris Logueras
5.Kenneth Logueras
6.Joerelyn D. Obido
32
17
14
12
9
5
live-in partner
Son
Son
Daughter
Son
Daughter
OCCUPATION/REMARKS
Carpenter
OSY-4th year High School
In Sch.-Grade 9
-Grade V
-Grade 1V
Kinder
MSWDO
Approved:
Roger T. Jumawan
41 years old
Purok 3, Kimos,Siay, Zamboanga Sibugay
February 22, 1973
Kimos, Siay,,Zamboanga del Sur
Married
Habal-habal Driver
Seventh Day Adventist
Elementary Graduate
Age
36
16
14
10
4
62
63
Relationship to client
Occup./Remarks
Wife
Housekeeper
th
Daughter
In School-4 year High School
Son
-Grade V111
Son
-Grade V
Daughter
-Day Care
Mother
-None
Father (Died-September 11, 2014)
Recommending Approval:
CHERLITA A. GARATE, RSW-MPA
Approved:
PSWDO
ATTY. WILTER YAP PALMA
Provincial Governor
Relationship to client
Occup./Remarks
Step Father
Carpenter
Mother
Sales Clerk
Brother
OSY-4th year High School
Sister
In Sch
.-Grade V
Brother
-Grade 1V
Step-sister
-Kinder
Recommending approval:
CHERLITA A. GARATE,RSW-MPA
Approved:
PSWDO
ATTY.WILTER YAP PALMA
Provincial Governor
Relationship to client
Grandfather
Grandmother
Mother
Occup./Remarks
Farming
Housekeeper
House helper
Recommending approval:
MARINA T. BAYAWA,RSW
Josephine T. De Asis
36 years old
Purok 1, Coloran, Siay, Zamboanga Sibugay Province
December 24, 1977
Rizal, Zamboanga del Norte
Married-2007
Housekeeper
Roman Catholic
AB Pol. Science Graduate
Relationship to client
36
6
Husband
Son
(Patient)
Occup./Remarks
Laborer
In School-Grade 11
Approved:
HON.JULIUS T. ACOSTA
Municipal Mayor
Prepared by:
Noted:
MARINA T. BAYAWA,RSW
MSWDO
Belen Diaz
Municipal Social Welfare & Devt. Officer
Payao, Zamboanga Sibugay
Greetings.
May I refer to your good office one (1) CICL named Dexter James Canong Raguro, 15
years old, bonafide resident of Purok Nangka, Kima, Payao, Zamboanga Sibugay. CICL and
his father Josing Velasco Raguro were allegedly charge of Illegal Possession of Explosive.
Attached herein his Sworn Statement.
Undersigned met the above mentioned CICL and initially gave him advise/counseling.
But I am referring him for further inputs and possible services that would fit to his needs.
I wish to hear feedback from your end for documentation purposes. Thank you.
1.)
Name
Age
Address
Educ. Attn.
Birth Date
Mother
Father
Case
:
:
;
:
:
:
:
:
2.)
Date Arressted
Name
Age
Address
Educ. Attn.
Birth Date
Mother
Civil Status
Case
:
:
:
:
:
:
:
:
Date Arrested
Romnick P. Constantino
17 years old
Purok 5-, Buayan, Kabasalan,ZSP
Grade 9
August 04, 1997
Marcelita Constantino- Housekeeper
Ronald Constantino - Farmer
Accessory of an adult named Rodolfo F. Ibarra who is
allegedly charge of Illegal Possession of Drugs.
Mr & Mrs. Rogelio Melendez
Purok 5, Buayan, Kabasalan,ZSP
May 10, 2015 @ 10: 45 P.M.
Edris M. Buhisan
14 years old
Purok 5-Buayan, Kabasalan,ZSP
Grade 1x
December 03, 2000
Ana Manatad
Separated
Accessory of an adult named Rodolfo F. Ibarra who is
charged of Illegal Possession of Drugs.
May 10, 2015 @ 10:45 P.M.
Signed:
MARINA T. BAYAWA,RSW
MSWDO
Name
Age
Address
Educ. Attn.
Birth Date
Religion
Mother
Father
:
:
;
:
:
:
:
:
Case
Date Arrested
MARINA T. BAYAWA,RSW
MSWDO
I. Identifying Data:
Name of client
:
Age
:
Address
:
Birth Date
:
Birth Place
:
Civil Status
:
Occupation
:
Religion
:
Educational Attnment:
Flordeliza E. Limpong
39 years old
Mirangan , Siay, Zamboanga Sibugay Province
January 17,1970
Bawang, La Union
Widower
Occupation
Religion
Educational Attnment
Housekeeper
Roman Catholic
High School Graduate
Age
44
10
8
6
3
2
Relationship to client
Husband
Son
Son
Son
Son
Son (Patient)
Occup./Remark
Grade 11
Grade ll
Day Care
Birth Date
:
February 18, 1996
Birth Place
:
Poblacion,Siay,Zamboanga del Sur
Civil Status
:
Married
Occupation
:
Student
Religion
:
Pentecostal
Educational Attnment:
1st year BEED
II. Family Composition:
Name
Age
Relationship to client
Occup./Remark
Rufino Capanas
61
Father (Patient) Casual employee-resigned Apr.30,2014
Faustina Capanas
58
Mother
Housekeeper
Maricel Capanas
29
Sister
House Helper
Maria Ruffa Capanas
19
Sister
In School-3rd r. College
Rose Mae Capanas
15
Sister
4th year High School
Charles Angel Capanas
13
Sister
Grade 7
Dexter Trono
5
Nephew
Kinder 2
III. Problem Presented:
Clients father named Rufino Capanas, 61 year old undergone medical check-up at
Devilla Hospital on March 28, 2014. Thereat, he was diagnosed to have a severe intestinal
problem that needs immediate surgical intervention. Hence, the Physician advised him to
undergo for operation and it was done last April 06, 2014 at the mentioned hospital. Patient
period of confinement lasted for more than two (2) weeks from April 06-17, 2014. Fortunately,
he is a Philhealth card holder however; the remaining amount from the Philhealth deductions is
One Hundred Twenty Eight Thousand Six Hundred Twenty Seven Only (128,627.00) with this,
the family indebted big amount from their relatives and private money lenders with high interest
rate just to cope-up his hospital bill. Hence, tap PSWDOS financial support that could help in
paying their accounts.
IV. Findings.
Client is a bonafide resident of Barangay Poblacion, Siay, Zamboanga Sibugay. She
has seven (7) sisters and one (1) brother of whom three (3) are already married. Four (4) of
them are in school; two (2) in college, one (1) in high school and one (1) in primary grade. Her
eldest sister is working as a house Helper earning a minimal income of which at present she is
the sole bread earner in the family since her father, the patient can no longer engaged in any
heavy works. His father before is employed at LGU-Siay as a casual employee however,due to
his ailment he was forced to resigned from his job on April 30, 2014. Her married brother/sister
s is also extending minimal support but they are also living below poverty threshold. Said
source of living is so meager for their daily subsistence having seven (7) dependents to feed to
exclude her sister who is working. The recent hospitalization of her father really adds their
financial burden.
V. Recommendation:
In view hereof, client is found financially burdened. With this, she is hereby highly
recommended to avail financial support from Zamboanga Sibugay Provincial Government
through Provincial Social Welfare and Development Office (PSWDO)-Ipil.
.
Prepared by:
Noted
Recommending Approval:
ATTY. WILTER YAP PALMA
Birth Date
:
February 18, 1996
Birth Place
:
Poblacion,Siay,Zamboanga del Sur
Civil Status
:
Married
Occupation
:
Student
Religion
:
Pentecostal
Educational Attnment:
1st year BEED
II. Family Composition:
Name
Age
Relationship to client
Occup./Remark
Rufino Capanas
61
Father (Patient) Casual employee-resigned Apr.30,2014
Faustina Capanas
58
Mother
Housekeeper
Maricel Capanas
29
Sister
House Helper
Maria Ruffa Capanas
19
Sister
In School-3rd r. College
Rose Mae Capanas
15
Sister
4th year High School
Charles Angel Capanas
13
Sister
Grade 7
Dexter Trono
5
Nephew
Kinder 2
III. Problem Presented:
Clients father named Rufino Capanas, 61 year old undergone medical check-up at
Devilla Hospital on March 28, 2014. Thereat, he was diagnosed to have a severe intestinal
problem that needs immediate surgical intervention. Hence, the Physician advised him to
undergo for operation and it was done last April 06, 2014 at the mentioned hospital. Patient
period of confinement lasted for more than two (2) weeks from April 06-17, 2014. Fortunately,
he is a Philhealth card holder however; the remaining amount from the Philhealth deductions is
One Hundred Twenty Eight Thousand Six Hundred Twenty Seven Only (128,627.00) with this,
the family indebted big amount from their relatives and private money lenders with high interest
rate just to cope-up his hospital bill. Hence, tap PSWDOS financial support that could help in
paying their accounts.
IV. Findings.
Client is a bonafide resident of Barangay Poblacion, Siay, Zamboanga Sibugay. She
has seven (7) sisters and one (1) brother of whom three (3) are already married. Four (4) of
them are in school; two (2) in college, one (1) in high school and one (1) in primary grade. Her
eldest sister is working as a house Helper earning a minimal income of which at present she is
the sole bread earner in the family since her father, the patient can no longer engaged in any
heavy works. His father before is employed at LGU-Siay as a casual employee however,due to
his ailment he was forced to resigned from his job on April 30, 2014. Her married brother/sister
s is also extending minimal support but they are also living below poverty threshold. Said
source of living is so meager for their daily subsistence having seven (7) dependents to feed to
exclude her sister who is working. The recent hospitalization of her father really adds their
financial burden.
V. Recommendation:
In view hereof, client is found financially burdened. With this, she is hereby highly
recommended to avail financial support from Zamboanga Sibugay Provincial Government
through Provincial Social Welfare and Development Office (PSWDO)-Ipil.
.
Prepared by:
Noted
Recommending Approval:
ATTY. WILTER YAP PALMA
Name of client
Age
:
Address
:
Birth Date
:
Birth Place
:
Civil Status
:
Occupation
:
Religion
:
Educational Attnment:
Merlyn Fernandez
46 years old
Purok 3 Siay, Zamboanga Sibugay
May 19, 1968
La Roxas, Maramag, Bukidnon
Married
Housekeeper
Miracle Life
General Management
Relationship to client
Occup./Remarks
Husband
Pastor P ,1500
Son
In School- Grade 8
Son
-Grade 1V
Son
Grade 1V
Mother (Died-August 19, 2014)
Noted:
MARINA T. BAYAWA, RSW
MSWDO
Recommending Approval:
CHERLITA A. GARATE,RSW-MPA
PSWDO
Approved:
I. Identifying Data:
Name of client
:
Age
:
Address
:
Birth Date
:
Birth Place
:
Civil Status
:
Occupation
:
Religion
:
Educational Attnment:
II. Family Composition:
Name
Alma Dumpor
Jomar Dumpor
Aldrin Dumpor
Joan Dumpor
Juvy Dumpor
Lito Dumpor
Julito Dmpor
48 years old
Balucanan,Siay, Zambaonga Sibugay
February 17, 1966
Molave, Zamboanga del Sur
Married
Farmer
Roman Catholic
Grade V1
Age
38
19
17
15
9
2
Relationship to client
Wife
Son
Son
Daughter
Daughter
Son
Occup./Remarks
Housekeeper
Out of School-Grade V
-Grade V
-Grade V11
-Grade 111
Reylan Cuentro
25 years old
Purok 2, Balingasan, Siay, Zamboanga Sibugay
October 09, 1989
Balingasan, Siay, Zamboanga del Sur
Single
None
Methodist
3rd year College
60
14
Relationship to client
Mother
Sister
In Sch.
Occup./Remarks
Sewing
Grade 9
Prepared by:
OFELIA C. FABILLAR,RSW
Administrative Aide
Noted:
MARINA T. BAYAWA,RSW
MSWDO
Arthur B. Balmatero
70 years old
Purok 2 Monching, Siay, Zamboanga Sibugay Province
July 20, 1944
Capiz, Roxas City
None
Roman Catholic
BSED Graduate
Relationship to client
Occup./Remarks
November 4, 2014
Brief Social Case Study Report
1.Identifying Data:
Name of client
:
Age
:
Address
:
Birth Date
:
Birth Place
:
Civil Status
:
Occupation
:
Religion
:
Educational Attnment:
Rolando Ayroso
37 years old
Purok 2, Balingasan, Siay, Zamboanga Sibugay Province
February 24,1976
Balingasan, Siay, Zamboanga del Sur
Married-2008
Farming
Baptist
Grade V1
Occup./Remarks
Housekeeper
In Sch. Pre-School
MARINA T. BAYAWA,RSW
MSWDO
Republic of the Philippines
PROVINCE OF ZAMBOANGA SIBUGAY
Municipality of Siay
Raquel C. Ronamo
51 years old
Purok 3, Dacanay, Siay, Zamboanga Sibugay Province
October 5,1963
Tukuran, Luy-a, Zamboanga del Sur
Married
Housekeeper
Church of Christ
1st year High School
55
25
11
Relationship to client
Husband
Son
Son
Occup./Remarks
In School-
Laborer
laborer
Grade 111
Approved:
HON. JULIUS T. ACOSTA,SR.
Municipal Mayo
Roberto Ferrer
34 years old
Purok 6, Balagon, Siay, Zamboanga Sibugay Province
December 1,1961
Balagon,, Zamboanga del Sur
Married
Farming
Baptist
High School Graduate
53
29
27
Relationship to client
Wife
Son
Daughter
Occup./Remarks
Housekeeper
Laborer
Special Child
Arceli Candol
43 years old
Monching, Siay, Zamboanga Sibugay Province
May 10, 1966
Alicia, Zamboanga del Sur
Married
Housekeeper
Roman Catholic
Grade V
Age
Juan Candol
Roger Candol
Danilo Candol
Marycris Candol
Rogian Candol
Liezel Grace Candol
Relationship to client
Occup./Remark
49
28
26
25
7
17
Husband (Patient)
Laborer
Son
Laborer
Married Son
Diker
Daughter in law
Housekeeper
Grandson
Grade 11
Daughter
In-School-4th yr. H.S.
Approved:
JULIUS T. ACOSTA, SR.
Approved:
ATTY. WILTER YAP PALMA
Provincial Governor
Municipality of Siay
MUNICIPAL SOCIAL WELFARE AND DEVELOPMENT OFFICE
February 1, 2013
Brief Social Case Study Report
Identifying Data:
Name of client
Age
Address
Birth Date
Birth Place
Civil Status
Occupation
Religion
Educational Attnment
11.Family Composition:
Name
Wilson Libago, Sr.
Melania Libago
Maria Pioco
Age
66
62
87
Relationship to client
Occup./Remark
Father
Welder
Mother
Housekeeper
Grand Mother
(Deceased-December 21, 2012)
Noted:
MARINA T. BAYAWA,RSW
MSWDO
Recommending Approval:
CHERLITA A. GARATE, RSW-MPA
PSWDO
Approved:
ATTY. WILTER YAP PALMA
Provincial Governor
Municipality of Siay
MUNICIPAL SOCIAL WELFARE AND DEVELOPMENT OFFIC
February 18, 2013
Brief Social Case Study Report
I. Identifying Data:
Name of client
Age
Address
Birth Date
Birth Place
Civil Status
Occupation
Religion
Educational Attnment
Ramona L. Ramos
39 years old
Lagting, Siay, Zamboanga Sibugay
August 09, 1973
Lagting, Siay, Zambaonga del Sur
Widow
Housekeeper
Roman Catholic
High School Graduate
Relationship to client
live in partner
16
Daughter
14
Son
Occup./Remark
Deceased
In School-4th yr. High School
-3rd yr. High
Daughter
Mother
-Grade1V
Housekeeper
Clients husband suffered Pneumonia and Urinary Tract Infection (UTI) with some other
complications. With this, he was confined at Zamboanga Sibugay Provincial Hospital-Ipil last
February 16-19, 2010. However, patient was advised to proceed at Zamboanga City Medical
Center (ZCMC) for further work-up and management. Presently, patient was admitted at the
above mentioned hospital but can no longer afford the medical demand and or pay their
hospital obligation. They engaged several money barrowings, but its not enough. Thus,
sought agencys intervention.
IV. Findings.
They lived in barangay Balucanan, Siay, Zamboanga Sibugay. Theyre blessed with
five (5) children but all of them are already married. They have a small parcel of rice farm, it
was cultivated by their married children in rotation basis. Client only receives a minimal share
that supports for their daily food. In addition, they occasionally, received financial support from
their children but it cant sustain. Their source of living is through farming and labor works. It
cant even sufficiently provide their respective families. The prevailing ailment of clients
husband is a great burden for them.
V. Recommendation:
In view hereof, client is found financially unstable. Thus, she is hereby highly
recommended to avail free hospitalization and or Medical support from Medical Social
Services of Zamboanga City medical Center and or any concern office that could be of help to
her.
OFELIA C. FABILLAR
Administrative Aide
Noted:
MARINA T. BAYAWA,RSW
MSWDO
Recommending Approval:
CHERLITA A. GARATE,RSW-MPA
PSWDO
Approved:
WILTER YAP PALMA
Provincial Governor
Municipality of Siay
MUNICIPAL SOCIAL WELFARE AND DEVELOPMENT OFFICE
November 18, 2010
Brief Social Case Study Report
II. Identifying Data:
Name of client
Age
Address
Birth Date
Birth Place
Civil Status
Occupation
Educational Attnment
Age
Jaime Malayao
Menandro Malayao
60
26
Relationship to client
Husband
son
Occup./Remark
Farmer
In-Sch.II College
Prepared by:
Age
Relationship to client
41
18
13
11
64
68
Occup./Remark
Husband
Fisherman
Daughter
In School-3rd yr. College
Daughter
-Grade V1
Daughter
-Grade V1
Father
(Patient)
Mother
Anita Villamora
53 years old
Siloh, Siay, Zamboanga Sibugay Province
November 24,1957
Baroy, Lanao del Norte
Married
Housekeeper
High School Level
Age
Relationship to client
54
19
15
Husband
Daughter
Son (Patient)
Occup./Remark
Farming
House helper
1st year H. S.
Felix Benologa
24
San Isidro, Siay, Zamboanga Sibugay Province
February 21, 1986
Siloh, Siay, ZDS.
Married
Rubber Tapper
Grade VI
Age
23
8 mos.
Relationship to client
Live-in Partner (Patient )
son
BARANGAY
TYPE OF ASSISTANCE
Logpond
Batu
Financial Assistance
-do-
Lydia Belonio
40 years old
Batu, Siay, Zamboanga Sibugay Province
April 10,1967
Nazareth, Kabasalan, ZDS.
Married
Lemon picker
Roman Catholic
High School Graduate
Age
42
16
14
10
7
Relationship to Client
Husband (Patient)
Daughter
Son
Son
Son
Occup./Remark
Laborer
OSY
Grade VI
Grade II
Rosita B. Caagay
51years old
Logpond, Siay, Zamboanga Sibugay Province
August 05, 1945
Dimataling, ZDS.
Widow
Nipa Shingle Making
Baptist
Grade VI
Age
Relationship to Client
28
18
15
14
12
Son
Son
Son
Daughter
Son (Patient)
Occup./Remark
Farmer
OSY
OSY
In School-Grade V
In School-Grade IV
Approved:
HON. JULIUS T. ACOSTA, SR.
Municipal Mayor
Agnes P. Gomolon
30 years old
Logpond, Siay, Zamboanga Sibugay Province
November 13, 1979
Logpond, Siay, ZSP.
Married
Housekeeper
Roman Catholic
High School Graduate
Age
Relationship to Client
31
4
5 mos.
Occup./Remark
Husband
Son
Son ( Patient )
Shell Gatherer
3,930.00). The hospital wont release the patient if cant pay it. With this, she was forced to engage
money borrowings but the amount they had secured cannot fully answer to their accounts.
Thus,seeking financial assistance from the agencys concern.
IV. Findings.
They reside at barangay Logpond, Siay, Zamboanga Sibugay. He engaged shells gathering
and or various labor works activities just to earn daily and provide familys needs. However, his
income is very unstable having three (3) siblings to feed. In addition, the prevailing ailment of his son
adds their financial problem.
V. Recommendation:
In view hereof, client is found financially depressed. Thus, client is highly recommended to
avail financial assistance from the Local Government Unit through the Municipal Social Welfare And
Development Office in the amount of One thousand Pesos Only (P 1,000.00) .
Jasmin Sario
54 years old
Salinding, Siay, Zamboanga Sibugay Province
May 27, 1955
San Vicente, Oroquita City
Married
Teacher
Roman Catholic
College Grad.
Age
Relationship to Client
1. Romeo Sario
48
Husband
2. Arjie Sario
26
Son
3. Romeo Sario,Jr
20
Son
4. Jurifel Sario
23 Mariage Daughter
5. Benjamin Magbuos
23 Live in Partner
6. Blessie Joy M. Sario 1
Grand Daughter(patient)
Occup./Remark
Jobless
Accountant
Teacher
Teacher (Volunteer)
Motor Driver
Melanie O. Sanchez
22 years old
Bagong Silang, Siay, Zamboanga Sibugay Province
March 23, 1989
Balungisan, Payao , ZSP.
Married
Housekeeper
Church of Christ
High School level
Age
30
55
Relationship to Client
Occup./Remark
Andres Cenas
71 years old
Dacanay, Siay, Zamboanga Sibugay Province
August 29, 1938
Del Pilar, Balangao, Misamis Occidental
Married
Farmer
Iglesia Sa Dios
Grade V
Age
Relationship to Client
Occup./Remark
Wife
Son
Daughter in-law
Grand son
Housekeeper
Farmer
H.K.
69
37
33
6
Day Care
Approved:
JULIUS T. ACOSTA,SR.
Municipal Mayor
Pepito Colorado
57 years old
Camanga, Siay, Zamboanga Sibugay Province
June 05, 1957
Labangan, Zamboanga del Sur
Married
Farmer / Carpenter
Church of Christ
Elementary Graduate
Age
Lilia O Colorado
Michelle Colorado
Gilbert Colorado
Radjen Colorado
Bryan Colorado
Malou Colorado
Ann Claire Colorado
50
20
18
8
24
20
Relationship to client
Occup./Remark
Wife
Daughter
Son
Daughter
Married Son
Daughter in law
6 mos.
Grand daughter
Housewife
HS. Graduate
3rd year H.S
Grade 111
Farmer
Housewife
None
Noted:
MARINA T. BAYAWA,RSW
MSWDO
Approved:
JULIUS T. ACOSTA, SR.
Age
Relationship to client
Occup./Remark
42
23
21
19
17
15
13
9
6
9 mos.
Wife
Son
Son
Daughter
Daughter
Daughter
Son
Daughter
Son
Daughter (Patient)
Housewife
Farmer
Farmer
1st year college
4th year H.S.
2nd year H.S.
1st year H.S.
Grade II
Kinder
`
Noted:
Approved:
JULIUS T. ACOSTA,
SR.
Arlene Navarro
36 years old
San Isidro, Siay, Zamboanga Sibugay Province
February, 1975
San Isidro, Siay, ZDS.
Married
Farmer
Roman Catholic
Grade 1V
Age
Relationship to Client
36
14
Occup./Remark
Husband (Patient)
Son
Husband
Grade 6-OSY
PSWDO
Approved:
ATTY. WILTER YAP PALMA
Provincial Governor
Republic of the Philippines
Name of client
Age
Address
Birth Date
Birth Place
Civil Status
Occupation
Religion
Educational Attnment
Mamerta C. Paderes
56 years old
Monching, Siay, Zamboanga Sibugay
May 11, 1952
Sagay, Negros Occidental
Married
Shell gathering
Roman Catholic
Grade IV
Name
Virgilio Paderes
Mengel Paderes
Irene Paderes
Age
Relationship to client
61
18
15
Husband
Daughter
Daughter
Occup./Remark
Shell gathering
Helper P1000 a mo.
Helper P 1000 a
mo.
Rose Simoran
Mary Ann Simoran
Ronie Boy Simoran
Renie Boy Simoran
Marivic Simoran
40
15
12
8
2
Daughter
None
st
Grand Daughter (Patient) 1 year H.S.
Grand Son
Grade II
Grand Son
Grade I
Grand daughter
None
Client appeal agencys financial support in favor of her 15 year old grand daughter, Mary Ann
Simoran who undergone appendicitis operation at Zamboanga Sibugay Provincial Hospital-Ipil.
Patients confinement lasted for six (6) days from March 11-16, 2010. With this, the family can no
longer afford to pay their hospital obligation amounting to Twenty Eight Thousand Six Hundred
fourteen ( P 28,614.00).
IV. Findings;
Client is a bona fide resident of barangay Monching, Siay, Zamboanga Sibugay. The couple gifted
with six (6) siblings; three (3) sons and three (3) daughters. Four (4) of them had already their own
family. Unfortunately, one of her married daughter got separated with her husband six (6) years ago.
Due to the difficulties in life, her daughter went to Manila to look for a job for her to provide the need
of her four (4) children of which she left with her parents. Unluckily, client didnt know her
whereabouts since she didnt communicate with them. Client two (2) daughters at present are
working as a helper with a minimal monthly salary to augment familys income. Her husband engaged
in shell gatherings which serve as their main source of living, while she performs maternal obligations
to their grandchildren and undertakes various household chores.
V. Recommendation:
In view hereof, client is found financially needy. With this, she is hereby recommended to avail
financial assistance from Local Government Unit of Siay through Municipal Social Welfare And
Development office in the amount of Five Hundred Pesos (P 500.00).
Prepared by:
Recommending Approval:
:
CHERLITA A. GARATE. RSW, MPA
PSWDO
Republic of the
Philippines
Province of Zamboanga Sibugay
MUNICIPALITY OF SIAY
MUNICIPAL SOCIAL WELFARE AND DEVELOPMENT OFFICE
September 27,2013
Brief Social Case Study Report
I. Identifying Data:
Name of client
Age
Address
Birth Date
Birth Place
Civil Status
Occupation
Religion
Gertrodes R. Francisco
53 years old
Purok 3, Mahayahay, Siay, Zamboanga Sibugay
Purok 3, Mahayahay, Siay, ZDS
Sta. Clara, Isabela Basilan Province
Married
Housekeeper
Roman Catholic
Age
Relationship to client
56 Husband
25 Son
23 Son
21 Son
19 Son
15 Daughter
13 Daughter
11 Son
Occup./Remark
Casual Employee
Delivery Boy
-doRubber tapper
Delivery Boy
rd
In Sch. 3 yr. H.S.
Grade 1V
Grade V
Approved:
HON. JULIUS T. ACOSTA,SR.
epublic of the Philippines
PROVINCE OF ZAMBOANGA SIBUGAY
Municipality of Siay
MUNICIPAL SOCIAL WELFARE AND DEVELOPMENT OFFICE
March 1, 2010
Brief Social Case Study Report
I. Identifying Data:
Name of client
Age
Address
Birth Date
Birth Place
Civil Status
Occupation
Religion
Educational Attnment
Roger Abubakar
40 years old
Poblacion, Siay, Zamboanga Sibugay Province
Aug. 16, 1984
Pob, Siay, ZSP.
Married
Hallow Block Maker
Islam
Grade IV
Age
Relationship to Client
36
10
Son
3
Son
2 days old Son
Occup./Remark
Wife
Housewife
Grade 3
Deceased
MSWDO
Recommending Approval:
CHERLITA A. GARATE, RSW,MPA
PSWDO
Andres Cenas
71 years old
Purok 6, Coloran, Siay, Zamboanga Sibugay Province
August 29, 1938
Del Pilar, Misamiz Occidental
Married
Farmer
Iglesia Sa Dios
Grade V
Age
69
40
6
Relationship to Client
Wife
Son
Grand daughter
Occup./Remark
Housekeeper
Laborer
Day Care
MSWDO
Approved:
HON. JULIUS T. ACOSTA, SR.
Municipal Mayor
Erlinda Pabuaya
56 years old
Pob. Siay, Zamboanga Sibugay Province
Dec. 8, 1954
Mapalasan, La libertad, Negros Oriental
Married
Housekeeper
Roman Catholic
Age
63
17
13
Relationship to Client
Husband (Patient)
Son
Son
Occup./Remark
Farmer
OSY
Grade 6
Per assessment made, patient ailment needs intensive treatment, but theyre financially
incapacitated. With this, she is hereby highly recommended to avail financial support from Local
Government Unit of Siay through Municipal Social Welfare and Development Office in the amount of
Five Hundred Pesos ( P 500..00).
Prepared by:
MARINA T. BAYAWA, RSW
Aldorico Duga
34 years old
Boyugan, Siay, Zamboanga Sibugay Province
Jan. 20, 1979
Boyugan, Siay, ZSP.
married
Farmer (1 hec. Tenant)
Roman Catholic
Age
29
7
11
5
Relationship to Client
Wife
Son (patient)
9
Son
Son
Daughter
Occup./Remark
Housekeeper
Grade II
Grade II
Jocelyn S. Golinggay
35 years old
Purok 5, Paruk, Siay, Zamboanga Sibugay Province
August 25, 1977
Sunrise, Ramon, Magsaysay, ZDS
Married
Housekeeper
Baptist
Age
39
6
Relationship to Client
Occup./Remark
Husband
Farming
14
Daughter
In Sch.
2nd yr. H. S
12
Daughter (Patient)
Grade V1
Son
Grade 1
Noted:
MARINA T. BAYAWA, RSW
MSWDO
Approved:
HON.
JULIUS T. ACOSTA,SR.
Municipal Mayor
Derrick S. Porle
35 years old
Poblacion, Siay, Zamboanga Sibugay Province
October 25, 1975
Poblacion, Siay, Zamboanga del Sur
Married (not legally)
Carpenter
Roman Catholic
High School Graduate
Age
37
Relationship to Client
Occup./Remark
Live-in partner
Housekeeper
Noted:
MARINA T. BAYAWA, RSW
MSWDO
Approved:
JULIUS T. ACOSTA, SR.
Municipal Mayor
Winefredo Batislaong
30 years old
Gusawan Monching, Siay, Zamboanga Sibugay Province
January 8, 1980
Gusawan, Monching, Siay, Zamboanga Sibugay Province
Single
Roman Catholic
College Graduate
Age
1. Alfredo Batislaong
72
2. Concepcion Batislaong 63
Relationship to Client
Occup./Remark
Father
Mother
laborer
Housekeeper
.
III. Problem Presented:
Client suffered an eye problem (Left) due to tiridium for almost three (3) years. It is his great
desire to undergo an eye operation but can not afford the expected medical expenses.
IV. Findings.
Client is a bona fide resident of barangay Gusawan Monching, Siay, Zamboanga Sibugay
Single, a graduate of Bachelor of Science in Commerce (BSC) but he still on the process of looking a
job. At present client is dependent with the income of his parents being engaged in various labor
works. Income deriving from this source is so meager to support for their daily subsistence.
V. Recommendation:
Upon thorough assessment of the situation, client is found financially depressed. Thus, he is
hereby highly recommended to avail surgical and or medical favor from German Doctors Hospital
through Dr. Fermina Comique Kabasalan, Zamboanga Sibugay.
Prepared by:
MARINA T. BAYAWA,RSW
MSWDO