Republic of the Philippines

City of MANILA
Barangay 382, Zone 38, District III
Office of the Punong Barangay

MONITORING OF SURRENDERERS

NAME OF SURRENDERER ADDRESS SEX DATE REFERRED TO DATE OF STATUS*

SURRENDERED (CADAC/MADAC/PNP,NBI,ETC) REFERAL
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

Prepared by: Noted by:

NANITO C. GOMEZ JR. P/B ERVIN TRAJE REYES

Secretary BADAC Chairman

DATE SUBMITTED:
 Republic of the Philippines
City of MANILA
Barangay 382, Zone 38, District III
Office of the Punong Barangay

PERSONAL INFORMATION OF VOLUNTARY SURRENDERERS

(Pursuant to Section 3(B) DDB Regulation No. 4, Series of 2016)

NAME ADDRESS SEX CIVIL CONTUCT RELIGIOUS REMARKS

STATUS NUMBER AFFILIATION (Other Information)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

Prepared by: Noted by:

NANITO C. GOMEZ JR. P/B ERVIN TRAJE REYES

Secretary BADAC Chairman

DATE SUBMITTED:
 Republic of the Philippines
City of MANILA
Barangay 382, Zone 38, District III
Office of the Punong Barangay

BARANGAY COMPLIANCE REPORT

(Pursuant to Section 3(A) of DDB Regulation No. 4, Series of 2016 and Section 6(3)&(7) of DDB Regulation No. 3, Series of 2017)

Establishment of
Rehabilitation Designation of Barangay Duty Officer/s (DO) Organization of House Cluster with Designated Cluster Leader
Referral Desk
YES NO YES NO NAME YES NO Total No. Of Cluster Name of Cluster Leader
Cluster No.
1.
2.
3.
1. 4.
5.
6.
7.
8.
2. 9.
10.
11.
12.

Prepared by: Noted by:

NANITO C. GOMEZ JR. P/B ERVIN TRAJE REYES

Secretary Punong Barangay/ BADAC Chairman

DATE SUBMITTED:
 Republic of the Philippines
City of MANILA
Barangay 382, Zone 38, District III
Office of the Punong Barangay

Consolidated Report
On Monitoring Barangay Compliance with Certain Provisions of DDB Regulations
HOUSE CLUSTER REFERRAL DESK
CONDUCTED If Yes ESTABLISHED THE DESIGNATED
HOUSE REHABILITATION BARANGAY DUTY
REMARKS
CLUSTERING? TOTAL NO. TOTAL NO. OF REFERRAL DESK? OFFICERS?
BARANGAY Put “/” to
OF HOUSE DESIGNATED Put “/” to Put “/” to
Appropriate column Appropriate column Appropriate column
CLUSTERS CLUSTER
LEADERS
Yes No Yes No Yes No

TOTAL

DATE SUBMITTED:
Prepared By: Noted By:

Nanito C. Gomez Jr. Ervin Traje Reyes

Secretary Punong Barangay