Sie sind auf Seite 1von 1

VAW Form 1

BARANGAY DATA CAPTURE FORM


MONITORING OF INCIDENCE ON VIOLENCE AGAINST WOMEN (VAW) DURING THE COVID-19
PANDEMIC
For the period: June 16, 2020 - July 15, 2020

Region: III
Province: AURORA
City/Municipality: SAN LUIS
Barangay: 04 POBLACION

TYPES OF VIOLENCE (2) ACTIONS TAKEN BY THE BARANGAY (3)


VAW Referred for Others
VICTIM/S Physical Psychological/ Economic Referred to Referred to Referred to Referred for Legal Referred to
Sexual Abuse Issued BPO Medical (ex: Referred to NGOs,
Abuse Emotional Abuse Abuse LSWDO PNP NBI Assistance Court
(1) (2a)
(2b)
(2c) (2d)
(3a)
(3b) (3c) (3d)
Treatment
(3f) (3g)
FBOs)
(3e) (3h)

✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔=1 pls. specify
Victim 1

Victim 2 NONE FOR THE PERIOD COVERED


Victim 3

TOTAL

*If ✔, encode "1" on the applicable fields


*If "Others," please specify

Submitted by: HIPOLITO B. GARCIA, JR.


Punong Barangay

Das könnte Ihnen auch gefallen