Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

1 140108008-1-2952e3 AYDO, NORMA ALMOGUERRA

2 140108008-1-ea9c4e AZADA, ELIZABETH BISCARRA

3 140108008-1-721da2 BAAWA, LORNA BISCARRA

4 140108008-1-130eab BALTA, ELIZA BISCARRA

5 140108008-1-fde550 BALTAR, AMANDA BEROÑA

6 140108008-1-79f9a4 BALTAR, FLORITA BISCARRA

7 140108008-1-7114fc BALTAR, LYDIA MEDRANO

8 140108008-1-afe6dc BALTAR, MARIAN BOBITA

9 140108008-1-040435 BALTAR, MARICLAIR BRAGAS

10 140108008-1-3ae787 BALTAR, MINDA FRANCO

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : MUDENG
Date: Date:

Page 1 of 9
 Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

11 140108008-1-24b5e1 BALTAR, OFELIA LAURETA

12 140108008-1-e21708 BALTAR, SAMUEL PIÑEDA

13 140108008-1-db6655 BALUTOC, JOSEPHINE BORILLO

14 140108008-1-597ea3 BARBERO, PETRONILA PIÑEDA

15 140108008-1-60ef31 BARBOSA, NATIVIDAD ALCANTARA

16 140108008-1-841b53 BARCENA, TERESITA BERGONIA

17 140108008-1-2bfcdf BAROÑA, PETRONILO BARROTA

18 140108008-1-16133b BAROÑA, RYAN LAURETA

19 140108008-1-045869 BAYLE, LUSIA BARGA

20 140108008-1-1d41f9 BAYUGO, DAISY BRAGAS

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : MUDENG
Date: Date:

Page 2 of 9
 Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

21 140108008-1-be78c6 BAYUGO, FLORA BLANZA

22 140108008-1-6427a1 BAYUGO, HERMINIA BERGONIA

23 140108008-1-553947 BAYUGO, JENNIFER FIGARES

24 140108008-1-6796a7 BAYUGO, JESSA MARIE BRAGAS

25 140108008-1-80bfca BAYUGO, RACQUEL BLANZA

26 140108008-1-d2e1ce BAYUGO, THELMA BISCARRA

27 140108008-1-b78791 BENABESE, DIANNE BISCARRA

28 140108008-1-58eec5 BERGONIA, RITA LAURETA

29 140108008-1-f820e7 BEROÑA, AMARA BISCARRA

30 140108008-1-c1ead0 BEROñA, ERLINDA BISCARRA

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : MUDENG
Date: Date:

Page 3 of 9
 Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

31 140108008-1-4917c9 BEROÑA, ESTRELITA BISCARRA

32 140108008-1-f27b6d BEROÑA, FRANCIE BRAGAS

33 140108008-1-906920 BEROÑA, QUIRIMA BARCENA

34 140108008-1-42b686 BEROÑA, RECARTE BARCENA JR

35 140108008-1-9fadf1 BERSALO, EMELINA ISAO

36 140108008-1-8a7d28 BIDES, MARITES BUENA

37 140108008-1-2edb26 BIDES, MARTINA BORILLO

38 140108008-1-f69f52 BISCARRA, CAROL BULDA

39 140108008-1-bf474e BISCARRA, CATHERINE BALALA

40 140108008-1-ba3564 BISCARRA, EMALYN BEROÑA

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : MUDENG
Date: Date:

Page 4 of 9
 Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

41 140108008-1-9d042a BISCARRA, JOSIE TALAPE

42 140108008-1-dfc133 BISCARRA, MARISSA TIGRADO

43 140108008-1-cd62e0 BISCARRA, MICHELLE ALCARTADO

44 140108008-1-fe2696 BISCARRA, PAUL PATRICK JOHN BOLIMA

45 140108008-1-13421c BISCARRA, REMY BALAORO

46 140108008-1-3f7be5 BISCARRA, ROSITA BOLIMA

47 140108008-1-06411c BISCARRA, SHALEEMAR BRAGAS

48 140108008-1-9a1b51 BLANES, CRISTINA BRAGAS

49 140108008-1-ecbfe9 BLANES, JY-ANN BARCENA

50 140108008-1-69d537 BLANES, MARILYN LAURETA

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : MUDENG
Date: Date:

Page 5 of 9
 Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

51 140108008-1-cf68a3 BOBITA, MERANIE BRAGAS

52 140108008-1-c9ff20 BONETE, EMERITA BAYUGO

53 140108008-1-5d0b9f BORILLO, CARMELA BRAGAS

54 140108008-1-40d507 BORILLO, NERIZA BIDES

55 140108008-1-ce0525 BRAGAS, CRISTETA BORCE

56 140108008-1-ab137e BRAGAS, JUMALYN BOSQUE

57 140108008-1-f4a046 BRAGAS, LUZVIMINDA IGNACIO

58 140108008-1-8ab200 BRAGAS, MARI GRACE BORCE

59 140108008-1-afd25a BRAGAS, MARICEL BERGONIA

60 140108008-1-1025d2 BRAGAS, MILAGRINA BARROTA

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : MUDENG
Date: Date:

Page 6 of 9
 Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

61 140108008-1-719519 BRAGAS, NORLITA BERGONIA

62 140108008-1-a3e721 BRAGAS, PACITA AZADA

63 140108008-1-069efb BRAGAS, VICTORIA BEROÑA

64 140108008-1-c01e64 BRAGAS, VIOLETA GAVANES

65 140108008-1-25f21a BRAGAS, VIRGINIA BLANZA

66 140108008-1-6c9599 BUENO, FLORENDA ESPIRITU

67 140108008-1-5c88c6 BULAAY, KATE LAUREEN BOSE

68 140108008-1-a243bc CAMADDO, ISAGANIE SAMBRANO SR

69 140108008-1-849b20 CAMADDO, ISAGANIE BORILLO JR

70 140108008-1-396c10 CAMADDO, RONEL BORILLO

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : MUDENG
Date: Date:

Page 7 of 9
 Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

71 140108008-1-123fd0 DUMALEN, MAYLENE BASA

72 140108008-1-8fccf4 GABANES, CLARINA BISCARRA

73 140108008-1-76ab3d GONZALES, CHRISTY BARCENA

74 140108008-1-71a2ed GONZALES, LUZVIMINDA BALTAR

75 140108008-1-c200e6 GUERRERO, MARICEL RITON

76 140108008-1-a574f9 JUNIO, LORIE MEL BARCENA

77 140108008-1-0132eb LAURETA, BRENDA BISCARRA

78 140108008-1-ebb13d MONTORIO, LIZA BARROTA

79 140108008-1-4e0286 PIÑEDA, MANILYN BEGONIA

80 140108008-1-95e2ee PIÑEDA, NANCY PIÑEDA

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : MUDENG
Date: Date:

Page 8 of 9
 Form 2 - ROP

GRIEVANCE EVALUATION FORM FOR THE REST OF THE PHILIPPINES

Exclusion Grievance Type 1 (EX01)

Instruction : Indicate the equivalent score in the space provided per column if it satisfies the criteria in the rating guide.

Components/Indicators

Tracking Name of A B C D E F G H I Final

Employable Occupation Financial Health Water and Housing Lighting Education Location
No. Complainant Rating Remarks
Skills Security Sanitation Facility

I II I II I II I II III IV I II
Points 10 5 5 5 10 5 5 5 5 5 5 5 5 10 10 5 100

81 140108008-1-f6065f PUDOL, JOSEFINA TABILIN

82 140108008-1-a28aea VENUS, ESMERALDA BARCENA

83 140108008-1-6b665e VILLASTIQUI, JOHN VILLASTIQUI

84

85

86

87

88

89

90

Geographic Information: Certification: I hereby certify that the data set forth were reviewed by me
personally and in accordance with the guidelines provided.
Region : CORDILLERA ADMINISTRATIVE REGION (CAR)
Province : ABRA
City/Municipality : LA PAZ
Signature over printed name of the BVT Chairperson Signature over printed name of the LVC Chairperson
Barangay : MUDENG
Date: Date:

Page 9 of 9