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REPUBLIKA NG PILIPINAS

CITY OF MANILA
BARANGAY 356 ZONE 36 DISTRICT III

PERSONAL DATA SHEET

__________________________________ ______________ ________________________________ PHOTO


NAME M.I. SURNAME

POSITION (CHECK APPLICABLE)

__________ PUNONG BARANGAY _________ BARANGAY SECRETARY __________ TANOD

__________ KAGAWAD _________ BARANGAY TREASURER

DATE OF ASSUMPTION TO OFFICE NATURE OF POSITION

----------------- ELECTIVE ____________ APPOINTIVE


DATE OF BIRTH PLACE OF BIRTH

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