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BPOC SELF-ASSESSMENT AND AUDIT FORM (BPOC Form 1)
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2021
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Region
City/Municipality:
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Province
Barangay:
Contact #
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FOR C/MLGOO / CD USE ONLY
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YESNOMEANS OF VERIFICATIONPOINTSREMARKS
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1. The BPOC Organized/Reorganized?
Executive Order/Resolution (Required)
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Sangguniang Barangay Resolution (Required)
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BPOC Organizational Structure
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Others: (please specify)
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YESNOMEANS OF VERIFICATIONPOINTSREMARKS
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2. The BPOC Organized/Reorganized within 100 days upon
Executive Order (Required)
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assumption to office?
Sangguniang Barangay Resolution (Required)
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Oath of Office of the BPOC members
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Others: (please specify)
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B. PEOPLE
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YESNOMEANS OF VERIFICATIONPOINTSREMARKS
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3. BPOC membership is in accordance with E.O 366,
Executive Order (Required)
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dated September 5, 1996?
Sangguniang Barangay Resolution (Required)
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BPOC Organizational Structure
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Others: (please specify)
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YESNOMEANS OF VERIFICATIONPOINTSREMARKS
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4. BPOC members attend any related orientation/training
Copy of Cert. of Participation (Required)
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at least once in the previous year?
Copy of attendance sheet w/ the title of the
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activity, date/time, and venue
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Post-Activity Report of the training attended
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Attestation from the lead organizer
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Others: (please specify)
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C. SYSTEM
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YESNOMEANS OF VERIFICATIONPOINTSREMARKS
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5. The BPOC conducts regular monthly meetings?
Copies of BPOC monthly meeting minutes
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Number of months in which meetings were conducted
and attendance sheets (Required)
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12 Months
Photo documentation with date and time stamp
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10-11
Others: (please specify)
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8-9
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6-7
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4-5
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1-3
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0
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YESNOMEANS OF VERIFICATIONPOINTSREMARKS
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6. The BPOC attends meeting with higher-level POC and
Copies of minutes and attendance of the meeting (Required)
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law enforcement units
Certficate of participation
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Photo/video documentation with date and time stamp
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Others: (please specify)
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BonusYESNOMEANS OF VERIFICATIONPOINTSREMARKS
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*7. The BPOC conducts special meeting
Copies of minutes and attendance
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of the meetings (Required)
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Photo/video documentation with date and time stamp
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Others: (please specify)
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YESNO
MEANS OF VERIFICATION
POINTSREMARKS
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8. The BPOC formulates Barangay Peace and Order
Copy of the approved BPOPS Plan (Required)
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and Public Safety (BPOPS) Plan in accordance with
Others: (please specify)
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DILG MC 2017-142 dated October 24,2017
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YESNO
MEANS OF VERIFICATION
POINTSREMARKS
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9. The BPOC submits the BPOPS Plan to BDC for
Copy of the Resolution of BPOC submitting the approved
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inclusion in their BDP
BPOPS Plan to BDC (Required)
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Copy of the Resolution of BDC adopting the BPOPs Plan
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YESNO
MEANS OF VERIFICATION
POINTSREMARKS
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10.The BPOC submits the BPOPS Plan to the City/
Copy of BPOPS Plan with stamp received by the
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Municipal level for inclusion in their POPS Plan
POC Secretariat or higher POC (Required)
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Others: (please specify)
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BonusYESNO
MEANS OF VERIFICATION
POINTSREMARKS
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*11. Programs and activities of BPOC funded by
Copy of the MOA between private institutions and barangay
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private institutions
providing fund for BPOC activities (Required)
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Others: (please specify)
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BonusYESNO
MEANS OF VERIFICATION
POINTSREMARKS
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*12. The BPOC reviewed/updated their BPOPs Plan
Copy of the approved reviewed/updated BPOPs Plan
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Others: (please specify)
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BonusYESNO
MEANS OF VERIFICATION
POINTSREMARKS
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*13. Residents actively participate and engage in
Copy of the Certificate of Appreciation/Recognition
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peace and order PPAs
Photo Documentation with date and time stamp
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Terminal Report or Post-Activity Report
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Attendance Sheet
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Others: ______________
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YESNO
MEANS OF VERIFICATION
POINTSREMARKS