II.

POLITICAL INFORMATION
ELECTIVE POSITION: Punong Barangay TERM IN THE PRESENT POSITION
Brgy. Kagawad Rank No. 1 st 2nd 3rd
SK Chairman
DID YOU RUN AND WIN DURING PREVIOUS
BARANGAY ELECTIONS
APPOINTIVE POSITION: (DATE OF APPOINTMENT) Yes No (if Yes kindly check)
Brgy Kagawad ______________________
Treasurer ______________________ Election Period PB SBM
Secretary ______________________ October, 2007
July, 2002
TIN No. __________________ Blood Type: _______ May, 1997
Height: ____________ Weight: __________ May, 1994

DATE OF ASSUMPTION TO OFFICE: _________________________

__________________________________________________________________________________________________
I hereby certify that the above information are true and correct to the best of my knowledge.

_______________________________ _______________________________________
Date Accomplished Signature Over Printed Name

II. POLITICAL INFORMATION

ELECTIVE POSITION: Punong Barangay TERM IN THE PRESENT POSITION
Brgy. Kagawad Rank No. 1 st 2nd 3rd
SK Chairman
DID YOU RUN AND WIN DURING PREVIOUS
BARANGAY ELECTIONS
APPOINTIVE POSITION: (DATE OF APPOINTMENT) Yes No (if Yes kindly check)
Brgy Kagawad ______________________
Treasurer ______________________ Election Period PB SBM
Secretary ______________________ October, 2007
July, 2002
TIN No. __________________ Blood Type: _______ May, 1997
Height: ____________ Weight: __________ May, 1994

DATE OF ASSUMPTION TO OFFICE: _________________________

__________________________________________________________________________________________________
I hereby certify that the above information are true and correct to the best of my knowledge.

_______________________________ _______________________________________
Date Accomplished Signature Over Printed Name