Department of the Interior and Local Government

LGPMS Profiling Form 1. LGU Profile

CY 2018

Local Governance Performance Management System – DATA COLLECTION AND CERTIFICATION FORM
Form 1. LGU Profile

Region : ________________________ Province : _________________________

LGU Name : _________________________

INSTRUCTIONS: PLEASE READ BEFORE PROCEEDING TO THE ITEMS.

(1) To be completed and certified by the LGU-LGPMS Team.
(2) The data or information should be based on the current situation (1st Quarter) of the year under review. Year under review refers to CY 2018, unless
otherwise stated for some indicators e.g., financial Indicators which are based on the financial records of 2016.

I. Basic Profile

LGU Income Class :

Population (2015) :
No. of Households (2015) :
Total Land Area (in has) :
LGU Website :

II. Financial Profile (as of December 2016)

IRA Share :
Locally-Sourced Revenues :
Other revenues :
Total LGU Income :

Revenue Generation
Cost to Collect Revenue (%) :
Real Property Tax Accomplishment Rate (%) :
Locally-Sourced Revenue :
Locally-Sourced Revenues to total Income (%) :
Regular Revenue to Total Income (%) :
Locally-Sourced Revenue Per Capita :

Resource Allocation and Utilization

Personal Services Expenditure Ratio (%) :
Total Expenditure Per Capita :
Debt Service Ratio (%) :

III. Local Special Bodies

LSB If organized, provide Executive Order/Resolution

(Tick if organized) No. reference

EO/Resolution No. Date Effective

(YYYY/MM/DD)
☐ Local Development Council
☒ Local Health Board
☐ Local School Board

1 of 5
 Department of the Interior and Local Government
LGPMS Profiling Form 1. LGU Profile
CY 2018

LSB If organized, provide Executive Order/Resolution

(Tick if organized) No. reference

EO/Resolution No. Date Effective

(YYYY/MM/DD)
☐ Peace and Order Council
☐ Local Council for the Protection of Children
☐ Local Disaster Risk Reduction and
Management Council
Local Project Monitoring Committee

IV. Legislative Profile and Support to Operations

Code / Document / Plan If present, when was it last updated?

(Tick if present) (YYYY/MM/DD)
☐ Code of General Ordinances
☐ Revenue Code
☐ Local Investment and Incentive Code
☐ Market Code
☐ Health and Sanitation Code
☐ Local Code for Children
☐ Gender and Development Code
☐ Environmental Code
☐ Zoning Ordinance
☐ Manual of Operations
☐ Human Resource Management and Development Plan

V. Customer Service (Tick if present)

☐ Citizens’ Charter
☐ Public Information Office or Desk
☐ Customer Complaint Desk

VI. Personnel Complement

Total Personnel Complement :

No. of Permanent Appointees :
No. of Contractual Employees :
No. of Job Order and/or Contract of Services :
Total No. of Permanent Appointive Positions :
Total No. of Elective Positions
Total Number of Police Officers :
Total Number of Firemen :
Total Number of Doctors :
Total Number of Barangay Health Workers :
Total amount of Compensation and Other Benefits

2 of 5
 Department of the Interior and Local Government
LGPMS Profiling Form 1. LGU Profile
CY 2018

VII.Housing and Basic Utilities

No. of informal settlers (households) :

Percentage of households with access to electricity
:
Percentage of households with access to piped-in water
:
Percentage of households with sanitary toilets
:

VIII. LGU Service Vehicles

Type Number of Serviceable Vehicle

Fire Truck :
Ambulance :
Service Vehicle :
Motorcycle :
Garbage Truck :
Patrol Car :
Others :

IX. LGU-Managed or Maintained Facilities

Type Total Number Total Number Maintained

Drug Rehabilitation Centers            
Health Center / Hospital            
Museum            
Office of Senior Citizen’s Affairs            
Parks            
Persons with Disabilities Affairs Office            
Pre-School            
Reading Center or Library            
Residential Care Facility            
Socio-Cultural Center            
Sports Facility            
Vocational / Technical School            

X. Ecosystems

Type of Ecosystem
(Tick if present)
☐ Agricultural Ecosystem
☐ Coastal Marine Ecosystem
☐ Forest Ecosystem

3 of 5
 Department of the Interior and Local Government
LGPMS Profiling Form 1. LGU Profile
CY 2018

☐ Freshwater Ecosystem
☐ Urban Ecosystem

XI. Economic Activity

Rank the LGU’s economic activities by most dominant to least dominant (1 being the most dominant).
Put “N/A” if the activity is not applicable for the LGU.
☐ Agriculture
☐ Commercial and Service Centers
☐ Industrial
☐ Fishery
☐ Mining

XII.LGU-Owned Economic Enterprise

☐ Museum
☐ Public Cemetery
☐ Public Market
☐ Public Park
☐ Slaughterhouse
☐ Transport Terminals
☐ Others, please specify.

XIII. LGU Awards and Recognitions

Enumerate the local governance-related awards and recognitions received by the LGU for the last 3 years, both national and
international. Note: Please do not include the following: a) personal awards, and b) regional awards.

Level Award Date Conferred Award-Giving Body

National                     
                    
                    
                    

International                     

                    
                    
                    

XIV. LCE Profile

Name of Mayor or Governor :

Term of Office (1st, 2nd or 3rd) :
Party Affiliation :
Telephone Number :
Fax Number :
Email Address :

4 of 5
 Department of the Interior and Local Government
LGPMS Profiling Form 1. LGU Profile
CY 2018

XV. LGU DESCRIPTION

5 of 5
 Department of the Interior and Local Government
LGPMS Profiling Form 1. LGU Profile
CY 2018

CERTIFICATION PAGE

Region : ______________________ Province : ____________________

LGU Name : ______________________

We, the members of the LGU-LGPMS Team, hereby confirm the answers provided in Form 1.
LGU Profile CY 2018.

We assume the responsibility in providing credible and realistic data.

SIGNED:
(Note: Place your signature above printed name. Indicate your position)

__________________________________________ __________________________________________

__________________________________________ __________________________________________

__________________________________________ __________________________________________

__________________________________________ __________________________________________

__________________________________________ __________________________________________

__________________________________________ __________________________________________

6 of 5