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Barangay Data Capture Form Monitoring of Incidence On Violence Against Children (Vac) During The Covid-19 Pandemic
Barangay Data Capture Form Monitoring of Incidence On Violence Against Children (Vac) During The Covid-19 Pandemic
Ormoc-B-M08
BARANGAY DATA CAPTURE FORM
MONITORING OF INCIDENCE ON VIOLENCE AGAINST CHILDREN (VAC) DURING THE COVID-19 PANDEMIC
For the period:
Region:___________________
Province:______________________________________
City/Municipality:_______________________________
Barangay:____________________________________
Child 2
Child 3
TOTAL
*If ✔, encode "1" on the applicable fields *Immediate Family Member/s – parents and siblings
*If "Others," please specify *Other Close Relative/s – uncles, aunts, grandparents, cousins, etc.
Submitted by:
Punong Barangay