RBI-Form-B (Revised 2024).xlsx

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1	RBI FORM B (Revised 2024)
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3	INDIVIDUAL RECORD OF BARANGAY INHABITANT
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6	REGION:								CITY/MUN
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8	PROVINCE:								BRGY
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11	I. PERSONAL INFORMATION
12	NAME
13		(Last)						(First)				(Middle)			(Ext.)
14	DATE OF BIRTH:									PLACE OF BIRTH:
15			MM		DD	YYYY
16	SEX:			MALE			CIVIL STATUS:				SINGLE			WIDOW/ER
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18				FEMALE							MARRIED			SEPARATED
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20	CITIZENSHIP
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22	PROFESSION/OCCUPATION
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24	RESIDENCE ADDRESS:
25				House No.			Street Name
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27					Subdivision Name/Zone/Sitio/Purok
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29	OTHER INFORMATION:				Employed		PWD			Solo Parent	OFW		Out-of-School Child/Youth
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31					Senior Citizen					Indigenous Person
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33	I hereby certify that the above information is true and correct to the best of my knowledge. I understand that for the Barangay to carry out its mandate pursuant to Section 394 (d)(6) of the Local Government Code of 1991, they must necessarily process my personal information for easy identification of inhabitants, as a tool in planning, and as an updated reference in the number of inhabitants of the Barangay. Therefore, I grant my consent and recognize the authority of the Barangay to process my personal information, subject to the provision of the Philippine Data Privacy Act of 2012.
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37	Date Accomplished									Name/Signature of Person Accomplishing the Form
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44	Attested by:									Left			Right
45										Thumbmark			Thumbmark
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47	Barangay Secretary
48										Household Number
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50	Note: The Household no. shall be filled up by the Barangay Secretary.
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