Form 1: Participant Identification Form

A. FORM IDENTIFICATION
A.1. Region *
A.3. Municipality/ City *

A.5. Name of PDO (Surname, First Name M.I.) *

B.9. Sex M = Male B.12.Type of Disability If the participant is a member of IP group, indicate the code for IP Name: B.14. HEA - Highest Education Attained
F = Female 0 = Non-PWD 0 = Non IP 10 = Dumagat 20 = Subanen 0 = No Grade Completed 8 = Alternative
1 = Aeta 11 = Ibaloi 21 = Tagbanuas 1 = Kinder or Day Care (ALS) Gr
1 = Hearing 2 = Ati 12 = Ibanag 22 = Tau’t bato 2 = Elementary Level 9 = Vocational
2 = Visual 3 = Badjao 13 = Itom 23 = Teduray 3 = Elementary Graduate 10 = Vocational
B.10. Solo-parent Y - Yes 3 = Speech 4 = Bago 14 = Kankanaey 24 = T’Boli 4 = Junior HS Level (1st Year to 4th Year HS Level) 11 = College Le
N - No 4 = Orthopedic 5 = Batak 15 = Mandaya 25 = Others, 5 = Junior HS Graduate (4th Year HS Graduate Level) 12 = College Gr
5 = Multi-handicapped 6 = Bukidnon 16 = Mangyan Please specify Level) 13 = Graduate Studies 7 = Senior HS Graduate (Grad
B.11. 6 = Mental 7 = B’laan 17 = Manobo
Former Insurgent Group 1 - MILF 4 - BIAF 7 = Others 8 = Cimaron 18 = Palawano
9 = Cuyonen 19 = Pullon
2 - MNLF 5 - RPA/ABB-TPG
3 - BIFF 6 - CPLA

B. BASIC INFORMATION OF THE PARTICIPANTS

B.1. No. of Pantawid Households in Barangay:

B.5. B.6.
B.3. Last Name * B.4. First Name * M.I. B.7. Household ID No. *
* Ext. Name

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

B.9. Sex M = Male B.12.Type of Disability If the participant is a member of IP group, indicate the code for IP Name: B.14. HEA - Highest Education Attained
F = Female 0 = Non-PWD 0 = Non IP 10 = Dumagat 20 = Subanen 0 = No Grade Completed 8 = Alternative
1 = Aeta 11 = Ibaloi 21 = Tagbanuas 1 = Kinder or Day Care (ALS) Gr
1 = Hearing 2 = Ati 12 = Ibanag 22 = Tau’t bato 2 = Elementary Level 9 = Vocational
2 = Visual 3 = Badjao 13 = Itom 23 = Teduray 3 = Elementary Graduate 10 = Vocational
3 = Speech 4 = Bago 14 = Kankanaey 24 = T’Boli 4 = Junior HS Level (1st Year to 4th Year HS Level) 11 = College Le
B.10. Solo-parent Y - Yes 4 = Orthopedic 5 = Batak 15 = Mandaya 25 = Others, 5 = Junior HS Graduate (4th Year HS Graduate Level) 12 = College Gr
N - No 5 = Multi-handicapped 6 = Bukidnon 16 = Mangyan Please specify Level) 13 = Graduate Studies 7 = Senior HS Graduate (Grad
6 = Mental 7 = B’laan 17 = Manobo
8 = Cimaron 18 = Palawano
7 = Others 9 = Cuyonen 19 = Pullon
 1 = Aeta 11 = Ibaloi 21 = Tagbanuas 1 = Kinder or Day Care (ALS) Gr
1 = Hearing 2 = Ati 12 = Ibanag 22 = Tau’t bato 2 = Elementary Level 9 = Vocational
2 = Visual 3 = Badjao 13 = Itom 23 = Teduray 3 = Elementary Graduate 10 = Vocational
3 = Speech 4 = Bago 14 = Kankanaey 24 = T’Boli 4 = Junior HS Level (1st Year to 4th Year HS Level) 11 = College Le
4 = Orthopedic 5 = Batak 15 = Mandaya 25 = Others, 5 = Junior HS Graduate (4th Year HS Graduate Level) 12 = College Gr
5 = Multi-handicapped 6 = Bukidnon 16 = Mangyan Please specify Level) 13 = Graduate Studies 7 = Senior HS Graduate (Grad
6 = Mental 7 = B’laan 17 = Manobo
8 = Cimaron 18 = Palawano
7 = Others 9 = Cuyonen 19 = Pullon

B.11.
Former Insurgent Group 1 - MILF 4 - BIAF
2 - MNLF 5 - RPA/ABB-TPG
3 - BIFF 6 - CPLA

B. BASIC INFORMATION OF THE PARTICIPANTS

B.5. B.6. B.7.

B.3. Last Name * B.4. First Name * M.I.
* Ext. Name Pantawid HH ID No. *

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56
 A.2. Province *
A.4 Barangay *

A.6. Date Accomplished (mm/dd/yyyy) *

14. HEA - Highest Education Attained B.15. Attending School Y = Yes B.20. Project Type B.21. Fund Source of Modality(ies)
= No Grade Completed 8 = Alternative Learning System N = No 1 = SLP Modality SCF 1 = SLP REG GAA [yyyy] SLP Regular GAA 9 = Partners (for all partner
= Kinder or Day Care (ALS) Graduate B.18. Desired Track MED 2 = SLP Modality PEAF 3 = SLP 2 = RSF Revolving Seed Fund particula
= Elementary Level 9 = Vocational Level EF Modality CBLA 4 = SLP Modality ST 3 = BUB GAA [yyyy] BUB GAA BLGU
= Elementary Graduate 10 = Vocational Graduate B.19. Desired Intervention Type 5 = CMF/PMF 4 = PAMANA [yyyy]
= Junior HS Level (1st Year to 4th Year HS Level) 11 = College Level 1 = Individual 6 = Partners 5 = JSDF MLGU
= Junior HS Graduate (4th Year HS Graduate Level) 12 = College Graduate 6 = Senior HS Level (Grade 11 and 12 2 = Group 6 = QRF Quick Response Funds NGA
vel) 13 = Graduate Studies 7 = Senior HS Graduate (Grade 12 Graduate) (M.A/M.S/Ph..D) 7 = RRP 1B Rehabilitation and Reconstruction Program (RRP) Funds for
8 = RRP 1.5B Rehabilitation and Reconstruction Program (RRP) Funds for Y

Input necessary code (use codes above)

B.8. Additional B.16. B.17.

Birthdate Sector (use codes above)
B.9. Information Contact Number * Existing Microenterprise
(mm/dd/yyyy) *
Sex B.11.
B.12. B.13. IP B.15.
B.10. Former B.14. HEA
* Solo- Parent Insurgent
Type of Disa- Group
*
Attending
bility * * school*
Group

14. HEA - Highest Education Attained B.15. Attending School Y = Yes B.20. Project Type B.21. Fund Source of Modality(ies)
= No Grade Completed 8 = Alternative Learning System N = No 1 = SLP Modality SCF 1 = SLP REG GAA [yyyy] SLP Regular GAA 9 = Partners (for all partner
= Kinder or Day Care (ALS) Graduate B.18. Desired Track MED 2 = SLP Modality PEAF 3 = SLP 2 = RSF Revolving Seed Fund particula
= Elementary Level 9 = Vocational Level EF Modality CBLA 4 = SLP Modality ST 3 = BUB GAA [yyyy] BUB GAA BLGU
= Elementary Graduate 10 = Vocational Graduate B.19. Desired Intervention Type 5 = CMF/PMF 4 = PAMANA [yyyy] MLGU
= Junior HS Level (1st Year to 4th Year HS Level) 11 = College Level 1 = Individual 6 = Partners 5 = JSDF NGA
= Junior HS Graduate (4th Year HS Graduate Level) 12 = College Graduate 6 = Senior HS Level (Grade 11 and 12 2 = Group 6 = QRF Quick Response Funds
vel) 13 = Graduate Studies 7 = Senior HS Graduate (Grade 12 Graduate) (M.A/M.S/Ph..D) 7 = RRP 1B Rehabilitation and Reconstruction Program (RRP) Funds for
8 = RRP 1.5B Rehabilitation and Reconstruction Program (RRP) Funds for Y
= Kinder or Day Care (ALS) Graduate B.18. Desired Track MED 2 = SLP Modality PEAF 3 = SLP 2 = RSF Revolving Seed Fund particula
= Elementary Level 9 = Vocational Level EF Modality CBLA 4 = SLP Modality ST 3 = BUB GAA [yyyy] BUB GAA BLGU
= Elementary Graduate 10 = Vocational Graduate B.19. Desired Intervention Type 5 = CMF/PMF 4 = PAMANA [yyyy] MLGU
= Junior HS Level (1st Year to 4th Year HS Level) 11 = College Level 1 = Individual 6 = Partners 5 = JSDF NGA
= Junior HS Graduate (4th Year HS Graduate Level) 12 = College Graduate 6 = Senior HS Level (Grade 11 and 12 2 = Group 6 = QRF Quick Response Funds
vel) 13 = Graduate Studies 7 = Senior HS Graduate (Grade 12 Graduate) (M.A/M.S/Ph..D) 7 = RRP 1B Rehabilitation and Reconstruction Program (RRP) Funds for
8 = RRP 1.5B Rehabilitation and Reconstruction Program (RRP) Funds for Y

Input necessary code (use codes above)

B.8. B.16. B.17.

Additional
Birthdate Sector (use codes above) Contact Number * Existing Microenterprise
(mm/dd/yyyy) * B.9. Information
Sex B.11.
B.12. B.13. IP B.15.
B.10. Former B.14. HEA
* Solo- Parent Insurgent
Type of Disa- Group
*
Attending
bility * * school*
Group
ity(ies)
SLP Regular GAA 9 = Partners (for all partners, indicate their
Revolving Seed Fund particular name in parenthesis)
BUB GAA BLGU PP - Private partner CSO

MLGU NGO
Response Funds NGA Academe
litation and Reconstruction Program (RRP) Funds for Y olanda CBLA projects
itation and Reconstruction Program (RRP) Funds for Y olanda Livelihood Assistance Grants projects

B.2. No. of Target Participants :

FOR PLANNING PURPOSES ONLY

For use of CCG/PDO (use codes above)

B.19. B.20. B.21.

B.18. Fund Source
Desired Possible
Desired Track Intervention Type (indicate year, if
Project Type applicable)

ity(ies)
SLP Regular GAA 9 = Partners (for all partners, indicate their
Revolving Seed Fund particular name in parenthesis)
BUB GAA BLGU PP - Private partner CSO
MLGU NGO
NGA Academe
Response Funds
litation and Reconstruction Program (RRP) Funds for Y olanda CBLA projects
itation and Reconstruction Program (RRP) Funds for Y olanda Livelihood Assistance Grants projects
 FOR PLANNING PURPOSES ONLY
For use of CCG/PDO (use codes above)

B.19. B.20. B.21.

B.18. Fund Source
Desired Possible
Desired Track Intervention Type (indicate year, if
Project Type applicable)
 Table 1. Opportunity Identification Matrix (Tem

LABOR
Hotel and Resort: Cook,
dishwasher, waiters/ waitressess. Housekeeping staff
Secuirty guard
Opportunity
MARKET

* 587 HS (18 -24 Years old) qualified for dishwasher,

waiters/waitressess.
Human Capital

- 234 OSY qualified housekeeping staff and security.

Skills training: TESDA-

provided skills training for OSY and HIGHSchool grad in
partnership with LGU. Pre-
employment documents: SSS, Philhealth,
NSO, DOLE, NBI for preparation and acquisition of documents
for application. JOB APPLICATION:
Social Capital

PESO conducted jobfair

JOB OPPORTUNITIES:
hotel; terassa victoria, licanto resort, the point inn,
travellers inn. job order of LGU.

Sea for fishing of small scale fisherfolks, mainland for farming.

Capital
RESOURCES

Natural
 not applicable

Capital
Physical

TESDA, BAROBO LGU, PESO Counterpart.

SLP Skills training.
Capital
Financial
e 1. Opportunity Identification Matrix (Template)

LABOR
Construction workers for: 1.
Community Based: Masonry & Carpentry.
2. Center Based: Electrical Installation,
Plumbing, Housekeeping. 3.
KC-NCDDP sub project on day care center, cover court,
evacuation center.

* 587 HS (18 -24 Years old) qualified for dishwasher,

waiters/waitressess.
- 234 OSY qualified housekeeping staff and security.

Skills training: TESDA

(masonry&carpentry, electrical and plumbing) - provided skills
training for OSY and HIGHSchool grad in partnership with
LGU. Pre-employment
documents: SSS, Philhealth, NSO, DOLE, NBI
for preparation and acquisition of documents for application.
JOB APPLICATION:
PESO conducted jobfair JOB
OPPORTUNITIES: hotel;
terassa victoria, licanto resort, the point inn, travellers inn.
job order of LGU.

CBLA for building construction.

The starter kits for masonry and carpentry will use for building
construction for their livelihood establishment.

TESDA, BAROBO LGU, PESO Counterpart.

SLP Skills training.
late)

Small Business: 1. Tindero

2. Delivery staff
3. cook

* 587 HS (18 -24 Years old) qualified for dishwasher,

waiters/waitressess.
- 234 OSY qualified housekeeping staff and security.

Skills training: TESDA

(masonry&carpentry, electrical and plumbing) - provided skills
training for OSY and HIGHSchool grad in partnership with
LGU. Pre-employment
documents: SSS, Philhealth, NSO, DOLE, NBI
for preparation and acquisition of documents for application.
JOB APPLICATION:
PESO conducted jobfair JOB
OPPORTUNITIES: hotel;
terassa victoria, licanto resort, the point inn, travellers inn.
job order of LGU.

not applicable
not applicable

TESDA, BAROBO LGU, PESO Counterpart.

SLP Skills training.
 PRODUCT
For hotels and karederias:
Souvenier: Food (dried danggit, seaweeds pickles)

* 587 HS (18 -24 Years old)

* 234 OSY
* 756 pax (with some HS Educ)

DTI, DOST, DOLE: provided skills training on dried danggit

and seaweeds pickles of the program pax.

Barobo lies in the central part of the province of Surigao del

Sur. It is located between 8'34'00" and 8'25'00" latitude and
125'59"00 and 126'22'4" longtitude. It is bounded on the north
by Lianga Bay and the municipality of Lianga, on the south by
the municipality of Tagbina, on the southeast by the
municipality of Hinatuan, on the east by the Pacific Ocean, and
on the west by the municipality of San Francisco, Agusan del
Sur.
DOST: Provided dried fish equipment. LGU: Provided
buildings.

ST: fund for training materials and equipments,

LGU, DOLE Counterpart.
 SERVICE
TRAVEL AND TOURISM: 1. Dap-dap
beach resort 2. Island Hofing of
Cabgan and Turtle island.

* 587 HS (18 -24 Years old)

* 234 OSY
* 756 pax (with some HS Educ)

DOT, TESDA, DTI, LGU and other private sectors: Provided

skills training on tour guiding.

n/a
* 21 boats owned by pantawid pamilya benes * 28 pax with
own motorcyle (habal-habal) and tricycle.
* accesibility of road network.

ST: Skills training SLP *

LGU, DOT, DTI.
SERVICE
food service: Catering, full and light meals, and snacks.

* 587 HS (18 -24 Years old) *

234 OSY * 756 pax (with
some HS Educ) * 4 SLPAs selling home viands and
home cooked.

DOT, TESDA, DTI, LGU and other private sectors: Provided skills training
on catering services.

213 HH for backyard farming. 5 hectares for

coconut tress and assorted fruits.
DA provided seeds, fruits and vegetables.

ST: Skills training SLP * LGU, DOT,

DTI, DA.
 Table 2. Sample Opportunity Identification Matrix for Labor Market Opportunities

LABOR
Hotel and Resort:
Cook, dishwasher, waiters/ waitressess.
Housekeeping staff
Opportunity
Secuirty guard
MARKET

* 587 HS (18 -24 Years old) qualified for dishwasher,

waiters/waitressess.
Human Capital

- 234 OSY qualified housekeeping staff and

security.

Skills training: TESDA-

provided skills training for OSY and HIGHSchool grad in
partnership with LGU. Pre-
employment documents: SSS,
Philhealth, NSO, DOLE, NBI for preparation and
acquisition of documents for application.
JOB APPLICATION: PESO
conducted jobfair JOB
Social Capital

OPPORTUNITIES:
hotel; terassa victoria, licanto resort, the point inn,
travellers inn. job order of LGU.

Sea for fishing of small scale fisherfolks, mainland for

farming.
RESOURCES

Capital
Natural
RES
not applicable

Capital
Physical

TESDA, BAROBO LGU, PESO Counterpart.

SLP Skills training.
Capital
Financial
n Matrix for Labor Market Opportunities

LABOR
Construction workers for: Small Business:
1. Community Based: Masonry & Carpentry. 1. Tindero 2.
2. Center Based: Electrical Delivery staff
Installation, Plumbing, Housekeeping. 3. cook
3. KC-NCDDP sub project on day care center,
cover court, evacuation center.

* 587 HS (18 -24 Years old) qualified for dishwasher, * 587 HS (18 -24 Years old) qualified for
waiters/waitressess. dishwasher, waiters/waitressess.
- 234 OSY qualified housekeeping staff and - 234 OSY qualified
security. * housekeeping staff and security.
Pantawid pamilya 5362 * Pantawid pamilya 5362

Skills training: TESDA Skills training:

(masonry&carpentry, electrical and plumbing) - provided TESDA (masonry&carpentry, electrical and
skills training for OSY and HIGHSchool grad in plumbing) - provided skills training for OSY and
partnership with LGU. Pre- HIGHSchool grad in partnership with LGU.
employment documents: SSS, Pre-employment
Philhealth, NSO, DOLE, NBI for preparation and documents: SSS, Philhealth, NSO,
acquisition of documents for application. DOLE, NBI for preparation and acquisition of
JOB APPLICATION: PESO documents for application. JOB
conducted jobfair JOB APPLICATION:
OPPORTUNITIES: PESO conducted jobfair
hotel; terassa victoria, licanto resort, the point inn, JOB OPPORTUNITIES:
travellers inn. job order of LGU. hotel; terassa victoria, licanto resort, the
point inn, travellers inn. job order
of LGU.

CBLA for building construction. not applicable

The starter kits for masonry and carpentry will use for not applicable
building construction for their livelihood establishment.

TESDA, BAROBO LGU, PESO Counterpart. TESDA, BAROBO LGU, PESO Counterpart.
SLP Skills training. SLP Skills training.
 Table 2. Sample Opportunity Identification Matrix for Product Market Opportunities

PRODUCT
For hotels and karederias:
Opportunity
Souvenier: Food (dried danggit, seaweeds pickles)
MARKET

* 587 HS (18 -24 Years old)

Human Capital

* 234 OSY
* 756 pax (with some HS Educ)
* 546 pantawid pamilya along the sea.

DTI, DOST, DOLE: provided skills training on dried

Social Capital

danggit and seaweeds pickles of the program pax.

Barobo lies in the central part of the province of Surigao

Capital

del Sur. It is located between 8'34'00" and 8'25'00" latitude

and 125'59"00 and 126'22'4" longtitude. It is bounded on
the north by Lianga Bay and the municipality of Lianga, on
the south by the municipality of Tagbina, on the southeast
by the municipality of Hinatuan, on the east by the Pacific
Ocean, and on the west by the municipality of San
RESOURCES

Francisco, Agusan del Sur.

Natural
Capital

DOST: Provided dried fish equipment. LGU:

Provided buildings.
Physical

Capital

ST: fund for training materials and equipments,

Financial

LGU, DOLE Counterpart.

n Matrix for Product Market Opportunities

PRODUCT
 Table 2. Sample Opportunity Identification Matrix for Service M

SERVICE
TRAVEL AND TOURISM: 1.
Opportunity Dap-dap beach resort 2.
MARKET

Island Hofing of Cabgan and Turtle island.

* 587 HS (18 -24 Years old)

Human Capital

* 234 OSY
* 756 pax (with some HS Educ)
* 546 pantawid pamilya along the sea.

DOT, TESDA, DTI, LGU and other private sectors:

Social Capital

Provided skills training on tour guiding.

n/a
Capital
RESOURCES

Natural

* 21 boats owned by pantawid pamilya benes * 28 pax

Capital

with own motorcyle (habal-habal) and tricycle.

* accesibility of road
network.
Physical

ST: Skills training SLP

* LGU, DOT, DTI.
Capital
Financial
Opportunity Identification Matrix for Service Mareket Opportunities

SERVICE
food service: Catering, full and light meals, and snacks.

* 587 HS (18 -24 Years old)

* 234 OSY
* 756 pax (with some HS Educ)
* 4 SLPAs selling home viands and home cooked.

DOT, TESDA, DTI, LGU and other private sectors:

Provided skills training on catering services.

213 HH for backyard farming. 5

hectares for coconut tress and assorted fruits.

DA provided seeds, fruits and vegetables.

ST: Skills training SLP

* LGU, DOT, DTI, DA.