Page 1

BADAC DATA CAPTURE FORM 1

INDICATOR POSITION FIRST NAME LAST NAME SEX BIRTHDATE CIVIL STATUS ADDRESS CONTACT #
Chairperson /
Punong Barangay EDILITO LUCERO MALE 2/16/1967 MARRIED BRGY. ANDANGIN
Vice-Chairperson /
Peace & Order
Committee Chair JOE MAR SISON MALE MARRIED BRGY. ANDANGIN
Members:
Chair of Women &
Family Committee ELEUTERIO LLOREN JR. MALE 10/30/1980 MARRIED BRGY. ANDANGIN
BADAC is SK Chairperson ROBELYN BARCARSE FEMALE 8/6/1996 SINGLE BRGY. ANDANGIN
composed of
School Principal /
seven (7)
Representative ANGELIE GALANO FEMALE MARRIED BRGY. ANDANGIN
members
Brgy Chief Tanod
JIMMY BAUTISTA MALE MARRIED BRGY. ANDANGIN
NGO / CSO
Representative ADORACION MATIAS FEMALE 3/7/1944 WIDOW BRGY. ANDANGIN
Faith-based Org
Representative GLORIA BATO-BATO FEMALE 7/12/1964 MARRIED BRGY. ANDANGIN
Adviser:
Local PNP Chief /
Representative AURELIO MANANTAN MALE MARRIED BRGY. ANDANGIN
Chairperson /
Peace & Order
BADAC Committee Chair JOE MAR SISON MALE MARRIED BRGY. ANDANGIN
Committee on Members:
Operations is
organized Brgy Chief Tanod
JIMMY BAUTISTA MALE MARRIED BRGY. ANDANGIN
BADAC Auxiliary
Refer to BADAC Auxiliary Team Profile
Team
Chairperson /
Women & Family
Committee
Members: Chair
BADAC
Committee on SK Chairperson ROBELYN BARCARSE FEMALE SINGLE BRGY. ANDANGIN
Advocacy is School Principal /
ANGELIE GALANO FEMALE MARRIED BRGY. ANDANGIN
organized Representative
NGO / CSO
ADORACION MATIAS FEMALE 3/7/1944 WIDOW BRGY. ANDANGIN
Representative
Faith-based Org
GLORIA BATO-BATO FEMALE 7/12/1964 MARRIED BRGY. ANDANGIN
Representative
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BADAC DATA CAPTURE FORM 1
 INDICATOR POSITION FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
TEAM COORDINATOR BILLY BERMUDEZ MALE 1/25/1969 MARRIED BRGY. ANDANGIN
ASSIST.COORDINATOR JONATHAN MILHAN MALE 12/20/1972 MARRIED BRGY. ANDANGIN
MEMBER REGINO FRIAS JR. MALE MARRIED BRGY. ANDANGIN
JESUS SALGADO MALE 12/25/1973 MARRIED BRGY. ANDANGIN
RUBEN VALDEZ MALE 2/11/1984 MARRIED BRGY. ANDANGIN
RICHARD BAUTISTA MALE 2/26/1983 MARRIED BRGY. ANDANGIN
PRIMO QUINTO MALE 4/8/1962 MARRIED BRGY. ANDANGIN
EDGAR SANTOS MALE 5/10/1973 MARRIED BRGY. ANDANGIN
EDMAR MALE 4/23/1972 MARRIED BRGY. ANDANGIN
FRANQUILINO AQUINO MALE 3/12/1967 SINGLE BRGY. ANDANGIN
BADAC RICKY MALE 8/5/1973 MARRIED BRGY. ANDANGIN
Auxiliary Team ORLANDO BARCARSE MALE MARRIED BRGY. ANDANGIN
(BAT) is JOSE ROSETE MALE MARRIED BRGY. ANDANGIN
organized LEONARDO VALDEZ MALE MARRIED BRGY. ANDANGIN
ARIES BAUTISTA MALE MARRIED BRGY. ANDANGIN

Note: Use additional page if necessary. BAT shall be composed of one member per 80 residents; 25 members per 2,000 residents.
INDICATOR UNIT OF CLUSTER FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
1 BRGY. ANDANGIN
BADAC House 2 BRGY. ANDANGIN
Clusters are 3 NILO BARCARSE 8/13/1967 SINGLE BRGY. ANDANGIN
organized 4 ELIUTERIO LLOREN MALE 10/30/1980 MARRIED BRGY. ANDANGIN
5
Note: Use additionalCONCURRENT
page if necessary. Examples of Unit of Cluster are by purok, by sitio, by block, by zone, by street, etc.
INDICATOR DESIGNATION FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
Barangay Duty (if applicable)
Officers are DANILO VALDEZ MALE SINGLE BRGY. ANDANGIN
designated JIMMY BAUTISTA MALE MARRIED BRGY. ANDANGIN
Note: Use additional page if necessary. Concurrent Designation refers to the primary appointment / item of the designated Brgy Duty Officer in the barangay, e.g. Barangay
Health Worker, VAWC Desk Officer, etc.
 Page 3
BADAC DATA CAPTURE FORM 2
DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME FACILITATOR

Trainings Attended
by Punong N/A
Barangay on
Strengthening
BADACs

Note: Use additional page if necessary.

DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME FACILITATOR

Trainings /
Planning Session N/A
Attended by
Punong Barangay
on CSAR

Note: Use additional page if necessary.

NO. OF
DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE PARTICIPANTS
DATE (MM/DD/YYYY) TIME FACILITATOR MALE FEMALE

Trainings
Conducted by
N/A
BADAC for House
Cluster Leaders

Note: Use additional page if necessary.

NO. OF
DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE PARTICIPANTS
DATE (MM/DD/YYYY) TIME FACILITATOR MALE FEMALE

Trainings
Conducted by
N/A
BADAC for BADAC
Auxiliary Team

Note: Use additional page if necessary.

DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME FACILITATOR

Trainings Attended N/A

by Barangay Duty
Officers

Note: Use additional page if necessary.

 Page 4
BADAC DATA CAPTURE FORM 3

DURATION NO. OF PARTICIPANTS

INDICATOR ACTIVITY TITLE VENUE PRESIDING OFFICER
DATE (MM/DD/YYYY) TIME MALE FEMALE

Conduct of
BADAC
Consultative
Meetings
Note: Use additional page if necessary.
DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE PRESIDING OFFICER
DATE (MM/DD/YYYY) TIME MALE FEMALE

Conduct of
BADAC Monthly
Meetings

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE

Organization/Co-
organization of
Community-based
IEC Campaign
Activities N/A

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE

Organization/Co-
organization of
School-based IEC
Campaign N/A
Activities
Note: Use additional page if necessary.
 Page 5
BADAC DATA CAPTURE FORM 3
DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE

Conduct of Youth-
led IEC Campaign
Activities N/A

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS

INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE

Conduct of CSO-
led IEC Campaign
Activities

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE

Organization/Co-
organization of
Activities in
Observance of the
IDADAIT
Note: Use additional page if necessary.
DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE

Organization/Co-
organization of
Activities in
Observance of the
DAPC Week
 Page 6
BADAC DATA CAPTURE FORM 4
UNIFIED BARANGAY REPORT ON REFERRAL ACTION (UBRRA)

Data provided herein are those recorded within the months of: January to June ( ) July to December ( ) Year (YYYY) 2021

NO. OF SURRENDERERS NO. OF REFERRED SURRENDERERS

INDICATOR INDICATOR
MALE FEMALE MALE FEMALE
TOTAL TOTAL
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18

Submission of Updated
Submission of Updated Number
Number of Residents who N/A N/A
of Referred Surrenderers
Surrenderred

NO. OF SURRENDERERS ENROLLED IN WELLNESS &

STATUS / STATUS AND NO. OF ASSESSED SURRENDERERS WELLNESS & RECOVERY INTERVENTIONS
INDICATOR LEVEL OF INDICATOR RECOVERY
RISK MALE FEMALE INTERVENTIONS MALE FEMALE
TOTAL TOTAL
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18

General
Low
Interventions

Community-based
Mild N/A Submission of Treatment &
Submission of Rehab
Updated
Updated Number
Number of
of Assessed Health Facility-
Enrolled
Surrenderers
Moderate Surrenderers based Outpatient
Treatment &
Rehab

Inpatient
Severe Treatment &
Rehab

NO. OF SURRENDERERS WHO COMPLETED WELLNESS &

RECOVERY INTERVENTIONS The purpose of this form is to determine the number of surrenderers per semester (January-June,
INDICATOR
MALE FEMALE July-December), and monitor the number of who, among those surrenderers, have been referred,
TOTAL assessed, and who have completed any Wellness and Recovery Program interventions within the
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18
6-month time frame. Counting shall restart at the onset of the new semester; meaning, the data on
Submission of Updated those who surrendered in the previous semester shall no longer be accounted in the next,
Number of Surrenderers Who
N/A regardless of whether they have been referred or assessed in the following semester.
Completed Wellness &
Recovery Interventions
 Page 7
BADAC DATA CAPTURE FORM 5
COMMUNITY SUPPORT, AFTERCARE AND REINTEGRATION (CSAR)

Data provided herein are those recorded within the months of: January to June ( ) July to December ( ) Year (YYYY) 2019

NO. OF CSAR ENROLLEES NO. OF CSAR GRADUATES

INDICATOR INDICATOR
MALE FEMALE MALE FEMALE
TOTAL TOTAL
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18
Submission of
Submission of Updated Updated Number of
Number of Residents Residents Who
N/A N/A
Enrolled in CSAR Program, Completed the
or its equivalent CSAR Program, or
its equivalent

The purpose of this form is to determine the number of residents enrolled in CSAR Program, or its equivalent, per semester (January-June, July-December), and monitor the number of
who, among those enrolled, have completed the CSAR program within the 6-month time frame. Counting shall restart at the onset of the new semester; meaning, the data on those enrolled
in the previous semester shall no longer be accounted in the next, regardless of whether they have been referred or assessed in the following semester.
 Page 8
BADAC DATA CAPTURE FORM 6
SUMMARY OF CONSOLIDATED INFORMATION REPORT
as per Section 8 of DDB Board Regulation No. 3, s. 2017
Year (YYYY): 2019

Data provided herein are those recorded within the months of: January to March ( ) April to June ( ) July to September ( ) October to December ( )

DRUG SUPPLY DRUG TRANSIT / CLANDESTINE

DRUG PUSHER DRUG USER / DEPENDENT
INDICATOR AVAILABILITY TRANSHIPMENT ACTIVITY LABORATORY

PRESENT / ABSENT TOTAL PRESENT / ABSENT TOTAL PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT

N/A
N/A N/A N/A N/A

Submission of
Updated Summary of CLANDESTINE CHEMICAL MARIJUANA CULTIVATION DRUG DEN, DIVE OR DRUG PROTECTOR /
CLANDESTINE DRUG WAREHOUSE
Consodated WAREHOUSE SITE / PLANTATION RESORT CODDLER & FINANCIER
Information Report
(CIR)

PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT

N/A N/A N/A N/A

N/A