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Republic of the Philippines

Province of Zamboanga Del Sur


Municipality of Bayog
OFFICE OF THE MUNICIPAL SOCIAL WELFARE & DEVELOPMENT
RELIEF DISTRIBUTION SHEET (RDS)
Region: IX Name of Evacuation Center:
Province: Zamboanga Del Sur Type of Disaster:
Municipality/City: Bayog Date of Occurrence:
Barangay: Date of Relief Distribution:

No. of Assistance Provided


No. Name of Beneficiary Signature/Thumbmark
Dependents Kind/Type Qty

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SUBMITTED BY: CERTIFIED TRUE AND CORRECT:

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