ROSTER OF BENEFICIARIES/AVAILEES

(RA 11261 - FIRST TIME JOBSEEKERS ACT)

BRGY.
CITY

NAME OF BENEFICIARY/AVAILEE DATE OF BIRTH SEX/GENDER EDUCATIONAL LEVEL

AGE
Elementary/
Last Name First Name Middle Name Month Date Year M F High School College Course OSY

Note: This form shall be accompanied by the barangay or concerned agency to be submitted to DILG through the PESO

Prepared by: Noted by:

Name, Designation & Signature Name, Designation & Signature

Date Date
 RA 11261 – FIRST TIME JOBSEEKERS ACT MONITORING FORM
MONTHLY SUMMARY OF AVAILEES/BENEFICIARIES
Barangay CITY OF
(01-30 20 )

SEX/GENDER EDUCATTIONAL LEVEL

NO. OF
MONTH BENEFICIARIES/
AVAILEES
Elementary/
M F College
High School
26 11 15 5 9
JAN (e.g.) (e.g.) (e.g.) (e.g.) (e.g.)

FEB
MARCH
APRIL
MAY

JUNE
JULY

AUG

SEP

OCT

NOV
DEC

26 11 15 5 9
TOTAL
(e.g.) (e.g.) (e.g.) (e.g.) (e.g.)

Notes:
1. This form shall be accompanied by the barangay or concerned agency to be submitted to DILG through the PESO.

Prepared by: Reviewed and approved by:

Name, Designation & Signature Name, Designation & Signature

Date Date
M

LEVEL

OSY

2
(e.g.)

2
(e.g.)

ough the PESO.

ture