Department of the Interior and Local

Government
SELF-ASSESSMENT FOR 2023 SGLG

Accounting Office

CERTIFICATION
Please supply required information. Note that utilized funds refer to disbursed funds:

● Utilization of Performance Challenge Fund

Total amount received Amount utilized Percent-

utilization
CY 2019 Funds PhP PhP %
(Cut-off: June 30, 2021)

● Utilization of funds from Assistance to Municipalities (formerly Bottom-Up Budgeting/Assistance to

Disadvantaged Municipalities; DILG-managed funds only) (Cut-off: December 31, 2022)

Total amount received Amount utilized Percent-

utilization
CY 2021 Funds PhP PhP %
(Cut-off: December 31, 2022
 Department of the Interior and Local
Government
SELF-ASSESSMENT FOR 2023 SGLG

If there are AM/BUB grants received in CY 2021 and earlier but have less than 100% utilization rate per
DILG-OPDS data, please specify their status as of December 31, 2021 below. (No need to fill out the
table if all earlier AM/BUB grants have 100% utilization rate per DILG-OPDS data).

Total amount received Amount utilized Percent-

utilization
CY 2016 PhP PhP %
CY 2017 PhP PhP %
CY 2018 PhP PhP %
CY 2019 PhP PhP %
CY 2020 PhP PhP %

Remarks

● CY 2022 LDRRM Fund: Appropriation

Estimated revenue from regular sources : PhP
Amount allocated for LDRRMF CY 2022 : PhP
In percent : %

● CY 2022 LDRRM Fund: Utilization of the 70% component for Preparedness (Current Fund)
Amount allocated for LDRRMF CY 2022 : PhP
(Preparedness component)
Amount utilized (as of Dec. 31, 2022) : PhP
In percent : %

● Fund appropriated for Gender and Development, CY 2022

Amount allocated : PhP
Amount utilized (as of Dec. 31, 2022) : PhP
In percent : %

● Fund appropriated for Senior Citizens and PWDs PPAs, CY 2022

Amount allocated : PhP
 Department of the Interior and Local
Government
SELF-ASSESSMENT FOR 2023 SGLG

Amount utilized (as of Dec. 31, 2022) : PhP

In percent : %

● CY 2022 LCPC: Fund Appropriation

IRA amount : PhP
Amount allocated for LCPC : PhP
In percent : %

● CY 2022 LCPC: Fund Utilization

Amount utilized (as of Dec. 31, 2022) : PhP
In percent : %

● Funds appropriated for PPAs for Children, CY 2022

Amount allocated : PhP
Amount utilized (as of Dec. 31, 2022) : PhP

In percent : %

● Utilization of funds from Provision of Potable Water Supply-Sagana at Ligtas na Tubig sa Lahat
(SALINTUBIG) projects (Cut-off: December 31, 2022)

Total amount received Amount utilized Percent-

utilization
CY 2020 PhP PhP %
CY 2021 PhP PhP %

If there are funds received for SALINTUBIG projects in CY 2019 and earlier but have less than 100%
utilization rate per DILG-OPDS data, please specify their status as of December 31, 2022 below.
(No need to fill out the table if all earlier grants have 100% utilization rate per DILG-OPDS data).

Total amount received Amount utilized Percent-

utilization
CY 2016 PhP PhP %
CY 2017 PhP PhP %
CY 2019 PhP PhP %
CY 2020 PhP PhP %

Remarks
 Department of the Interior and Local
Government
SELF-ASSESSMENT FOR 2023 SGLG

● Utilization of fund appropriated for the conservation and preservation of cultural property,
CY 2022 (Cut-off: December 31, 2022)

Amount allocated for programs, projects and : PhP

activities related to conserving and preserving
cultural property CY 2022
Amount utilized : PhP

In percent : %

● Utilization of fund appropriated for youth development, CY 2022 (Cut-off: December 31, 2022)

Amount allocated for programs, projects and : PhP

activities related to youth development, CY 2022
Amount utilized : PhP

In percent : %
 Department of the Interior and Local
Government
CY 2022 Seal of Good Local Governance

SGLG Form CM 2B Business Permit and Licensing Office

City/Municipality of : Income Class :

Province : Region :

INSTRUCTIONS
For the DILG City Director or C/MLGOO:
1. Ask the BPLO for the month and day of CY 2022 1st quarter with the highest volume of transaction for business permits for both
new and renewal.
2. Review database, record book or copy of application forms.
3. Get sample transactions, at least 50% each for new business and renewal. Maximum number of samples for each is 20.
4. Record the samples and their processing time.

PROCESSING TIME IN ISSUING A BUSINESS OR MAYOR’S PERMIT

New Business Business Renewal
Date (month and day) with Date (month and day) with
highest volume of transaction highest volume of transaction for
for business permits: business permits:

Total number of transactions: Total number of transactions:

Sample Transactions: Sample Transactions:

Not more than 3 working days Not more than 3 working days
Application from application to release? Application No. from application to release?
No.
Yes No Yes No
1. Click here to enter ☐ ☐ 1. Click here to enter ☐ ☐
text. text.
2. Click here to enter ☐ ☐ 2. Click here to enter ☐ ☐
text. text.
3. Click here to enter ☐ ☐ 3. Click here to enter ☐ ☐

text. text.
4. Click here to enter ☐ ☐ 4. Click here to enter ☐ ☐

text. text.
5. Click here to enter ☐ ☐ 5. Click here to enter ☐ ☐

text. text.
6. Click here to enter ☐ ☐ 6. Click here to enter ☐ ☐

text. text.
7. Click here to enter ☐ ☐ 7. Click here to enter ☐ ☐

text. text.
8. Click here to enter ☐ ☐ 8. Click here to enter ☐ ☐

text. text.
9. Click here to enter ☐ ☐ 9. Click here to enter ☐ ☐

text. text.
 Department of the Interior and Local
Government
CY 2022 Seal of Good Local Governance
10. Click here to enter ☐ ☐ 10. Click here to enter ☐ ☐

text. text.
11. Click here to enter ☐ ☐ 11. Click here to enter ☐ ☐

text. text.
12. Click here to enter ☐ ☐ 12. Click here to enter ☐ ☐

text. text.
13. Click here to enter ☐ ☐ 13. Click here to enter ☐ ☐

text. text.
14. Click here to enter ☐ ☐ 14. Click here to enter ☐ ☐

text. text.
15. Click here to enter ☐ ☐ 15. Click here to enter ☐ ☐

text. text.
16. Click here to enter ☐ ☐ 16. Click here to enter ☐ ☐

text. text.
17. Click here to enter ☐ ☐ 17. Click here to enter ☐ ☐

text. text.
18. Click here to enter ☐ ☐ 18. Click here to enter ☐ ☐

text. text.
19. Click here to enter ☐ ☐ 19. Click here to enter ☐ ☐

text. text.
20. Click here to enter ☐ ☐ 20. Click here to enter ☐ ☐

text. text.
Notes: Application filed on Day 1 should be released not later than Day 3. Weekends not counted. Attach additional pages, if necessary

Summary of tracked economic data:

Economic Data 2021 2022

Total number of new businesses

Total number of business renewals
Capital investments derived from registered new businesses
Employees derived from registered new businesses and business
renewals
 Department of the Interior and Local
Government
CY 2022 Seal of Good Local Governance

CERTIFICATION

This is to certify that the City/Municipality of has budget

appropriation for (please tick available item(s)):

☐ Approved Local Disaster Risk Reduction and Management (LDRRM) Plan as integrated in CY
2023 Annual Budget and CY 2023 Annual Investment Program.
Department of the Interior and Local
Government
CY 2022 Seal of Good Local Governance
 Department of the Interior and Local
Government
CY 2022 Seal of Good Local Governance

SGLG Form CM 2D DepEd Representative

CERTIFICATION
This is to certify that the City/Municipality of has the following
status of implementation (Please supply required data):

SEF Utilization/LSB Plan Completion

% of programs, project, and activities are completed; and

% of the total amount appropriated to finance the LSB Plan (Special Education Fund) is utilized.

Accordingly, the said Plan completed, or its fund utilized for, the following items (tick appropriate item(s)):

☐ Operation and maintenance of public schools

☐ Construction and repair of school buildings
☐ Facilities and equipment
☐ Educational research
☐ Purchase of books and periodicals
☐ Sports development
☐ Implementation of the National Feeding Program for undernourished children in public day
care, kindergarten, and elementary schools
☐ Others. Please specify:

Local School Board Activities

The Local School Board met at least once in these months in CY 2022:

☐ January ☐ July

☐ February ☐ August
☐ March ☐ September

☐ April ☐ October
☐ May ☐ November
☐ June ☐ December
 Department of the Interior and Local
Government
CY 2022 Seal of Good Local Governance

PPAs for CY 2023

The LGU has the following programs, projects, and activities (PPAs) in their Comprehensive Development Plan
or Investment Program that are aligned with the priority education reform areas determined by the DepEd SDO
through its Division Education Development Plan (DEDP) or School Improvement Plan (SIP) and Annual
Improvement Plan (AIP). (Please supply required data, leave blank if none)

Name of PPAs Reform Area Addressed? Contained in What Document?

(CDP, LDIP, AIP, or SEF Budget)

(Attach additional pages, if necessary.)

 Department of the Interior and Local
Government
CY 2022 Seal of Good Local Governance

SGLG Form CM 2D.2 DepEd Representative (for Cities with DepEd City SDO)

CERTIFICATION

This is to certify that the City of has the following data (Please
supply required data based on your records):

Participation Rate / Net Enrollment Rate (in %)

 SY 2020 - 2021
 SY 2021 - 2022
Cohort Survival Rate (in %)
 SY 2020 - 2021
 SY 2021 - 2022
School Leaver Rate / Dropout Rate (in %)
 SY 2020 - 2021
 SY 2021 - 2022
Completion Rate (in %)
 SY 2020 - 2021
 SY 2021 - 2022
 Department of the Interior and Local
Government
CY 2022 Seal of Good Local Governance

SGLG Form CM 2D.3 DepEd Representative (for Cities with no DepEd City SDO, and
Municipalities) To be accomplished separately by ALL DepEd District Supervisors

CERTIFICATION

This is to certify that the DepEd District of has the following data
(Please supply required data based on your records):

Participation Rate / Net Enrollment Rate (in %)

 SY 2020 - 2021
 SY 2021 - 2022
Cohort Survival Rate (in %)
 SY 2020 - 2021
 SY 2021 - 2022
School Leaver Rate / Dropout Rate (in %)
 SY 2020 - 2021
 SY 2021 - 2022
Completion Rate (in %)
 SY 2020 - 2021
 SY 2021 - 2022
 Department of the Interior and Local
Government
CY 2022 Seal of Good Local Governance

SGLG Form CM 2E DILG Field Office

CERTIFICATION
This is to certify that the City/Municipality of has (Please tick
available item(s)):

GAD Plan and Budget for CY 2022

☐ Has been reviewed and was found fully compliant in form and content per PCW-DILG-DBM-NEDA
JMC No.: 2016-01
☐ Has been submitted to DILG for review
☐ No submission

GAD Plan and Budget for CY 2023

☐ Has been reviewed and was found fully compliant in form and content per PCW-DILG-DBM-NEDA
JMC No.: 2016-01
☐ Has been submitted to DILG for review
☐ No submission

In addition, I confirm the correctness of the information/conditions contained in the attached

Documentation template.

This Certification is issued for the purpose of the Seal of Good Local Governance

assessment. Issued on the day of , 2023.

 Department of the Interior and Local
Government
CY 2022 SGLG Assessment
SGLG Form CM 2F Disaster Risk Reduction and Management Office

CERTIFICATION

This is to certify that the City/Municipality of has the following

(Please supply required data):

% of barangays with approved Community-Based Disaster Risk Reduction and Management

(CBDRRM) Plans. Attached is the list of barangays with approved CBDRRM Plans; and

% of barangays with Evacuation Guides.

 Department of the Interior and Local
Government
CY 2022 SGLG Assessment
SGLG Form CM 2F Disaster Risk Reduction and Management Office (attachment)

Barangays with approved CBDRRM Plans

Period/years covered by
# Name of Barangay
CBDRRM Plan
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
(Attach additional pages, if necessary.)

Total number of barangays: ____

 Department of the Interior and Local
Government
CY 2022 SGLG Assessment

SGLG Form CM 2G Engineering Office

CERTIFICATION

This is to certify that the City/Municipality of has the following

(Please supply required data and photo documentation. You may add remarks for each photo.):

A. Local Government Building

Complete Address:
Photo of the Ramp with the Grab Bars
Wide Angle Shot, showing whole ramp
*if no ramps, photo showing ground level
entrance/ dropped curb/ lift

Width (in meters):

Other Remarks (if any):

Photo of the Ramp with the Gradient Finder

Test (result should be shown)

Gradient:

Other Remarks (if any):

Photo of the Ramp Flooring

Department of the Interior and Local
Government
CY 2022 SGLG Assessment
Refer to Technical Notes Annex A

Flooring Material:

Slip-Resistance (if dry and unpolished)

☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Poor to Fair

Slip-Resistance (if wet)

☐ Very Good
☐ Good
☐ Fair
Department of the Interior and Local Government
CY 2022 SGLG Assessment

☐ Poor to Fair
☐ Very Poor to Fair

Other Remarks (if any):

Photo of the PWD CR (Wide Shot)

Must show the toilet with grab bar and wheelchair
inside
Refer to Technical Notes Annex A
Floor Area of the PWD CR: (in m2):

Has at least 2.25 m2 turning space with a

minimum dimension of 1.50m for
wheelchairs?
☐ Yes
☐ No

Other Remarks (if any):

Photo of the PWD CR’s entrance

Width of the entrance (in meters):

Other Remarks (if any):

Photo of the Flooring of the PWD CR

Refer to Technical Notes Annex A
Flooring Material:

Slip-Resistance (if dry and unpolished)

☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Poor to Fair
Slip-Resistance (if wet)
☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Poor to Fair
Other Remarks (if any):
Department of the Interior and Local Government
CY 2022 SGLG Assessment

Photo of the Signages

(Directional and information signs showing
the location of ramps, elevator, PWD CRs)

Photo of the Parking Space for PWDs

Other PWD-friendly space/facility/equipment

(If any)
 Department of the Interior and Local Government
CY 2022 SGLG Assessment

B. Main Hospital/Health Facility

Name of Facility:
Address:

Photo of the Ramp with the Grab Bars

Wide Angle Shot, showing whole ramp
*if no ramps, photo showing ground level
entrance/ dropped curb/ lift

Width (in meters):

Other Remarks (if any):

Photo of the Ramp with the Gradient Finder

Test (result should be shown)

Gradient:

Other Remarks (if any):

Photo of the Ramp Flooring

Refer to Technical Notes Annex A

Flooring Material:

Slip-Resistance (if dry and unpolished)

☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Poor to Fair
Slip-Resistance (if wet)
☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Poor to Fair
Other Remarks (if any):
Department of the Interior and Local Government
CY 2022 SGLG Assessment

Photo of the PWD CR (Wide Shot)

Must show the toilet with grab bar and wheelchair
inside
Refer to Technical Notes Annex A
Floor Area of the PWD CR: (in m2):

Has at least 2.25 m2 turning space with a

minimum dimension of 1.50m for
wheelchairs?
☐ Yes
☐ No

Other Remarks (if any):

Photo of the PWD CR’s entrance

Width of the entrance (in meters):

Other Remarks (if any):

Photo of the Flooring of the PWD CR

Refer to Technical Notes Annex A

Flooring Material:

Slip-Resistance (if dry and unpolished)

☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Poor to Fair
Slip-Resistance (if wet)
☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Poor to Fair
Other Remarks (if any):
Department of the Interior and Local Government
CY 2022 SGLG Assessment

Photo of the Signages

(Directional and information signs showing
the location of ramps, elevator, PWD CRs)

Photo of the Parking Space for PWDs

Other PWD-friendly space/facility/equipment

(If any)
 Department of the Interior and Local Government
CY 2022 SGLG Assessment

C. LG-managed tertiary educational facility/technical vocational education and training center

Name of Facility:
Address:

Photo of the Ramp with the Grab Bars

Wide Angle Shot, showing whole ramp
*if no ramps, photo showing ground level
entrance/ dropped curb/ lift

Width (in meters):

Other Remarks (if any):

Photo of the Ramp with the Gradient Finder

Test (result should be shown)

Gradient:

Other Remarks (if any):

Photo of the Ramp Flooring

Refer to Technical Notes Annex A

Flooring Material:

Slip-Resistance (if dry and unpolished)

☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Poor to Fair
Slip-Resistance (if wet)
☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Poor to Fair
Other Remarks (if any):
Department of the Interior and Local Government
CY 2022 SGLG Assessment

Photo of the PWD CR (Wide Shot)

Must show the toilet with grab bar and wheelchair
inside
Refer to Technical Notes Annex A
Floor Area of the PWD CR: (in m2):

Has at least 2.25 m2 turning space with a

minimum dimension of 1.50m for
wheelchairs?
☐ Yes
☐ No

Other Remarks (if any):

Photo of the PWD CR’s entrance

Width of the entrance (in meters):

Other Remarks (if any):

Photo of the Flooring of the PWD CR

Refer to Technical Notes Annex A

Flooring Material:

Slip-Resistance (if dry and unpolished)

☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Poor to Fair
Slip-Resistance (if wet)
☐ Very Good
☐ Good
☐ Fair
☐ Poor to Fair
☐ Very Poor to Fair
Other Remarks (if any):
Department of the Interior and Local Government
CY 2022 SGLG Assessment

Photo of the Signages

(Directional and information signs showing
the location of ramps, elevator, PWD CRs)

Photo of the Parking Space for PWDs

Other PWD-friendly space/facility/equipment

(If any)
 Department of the Interior and Local
Government
CY 2022 SGLG Assessment

SGLG Form CM 2H Planning and Development Office

CERTIFICATION

This is to certify that the City/Municipality of has the following

(Please tick available condition(s) and/or supply required information):

A. On Presence of Illegal Dwelling Units (Indicator for Cities only, but Municipalities are encouraged
to also fill this out)

☐ Illegal dwelling units exist within LGU jurisdiction

* In case illegal dwelling units exist, reference document for housing, resettlement and relocation
programs of the LGU is:

☐ Approved City Shelter Plan

☐ Approved Resettlement and Relocation Action Plan
☐ Resettlement PPAs incorporated in CY 2021 Annual Investment Program
☐ None

Please indicate the percentage of accomplished CY 2021 targets: %

B. Local tourism condition where:

☐ Income from tourism activities form part of the LGU’s main source of revenue
☐ Large segment of LGU’s population is employed in tourism activities
☐ Significant portion of the LGU’s fund is appropriated for the development of this industry

C. Report on PPAs Completion (Cut-off: December 31, 2022)

PPAs Percent Completion (in %)

CY 2022 GAD Plan’s PPAs
CY 2022 PPAs for Senior Citizens and PWDs
CY 2022 PPAs funded out of the 1% of IRA allocation for the Local
Council for the Protection of Children
CY 2022 PPAs for Children

D. City/Municipal Average for Pupils’ Performance Indicators

This portion is ONLY applicable to municipalities and cities with no DepEd City SDO and have
multiple DepEd District Offices. Otherwise, leave this portion blank. Based on all the Certified
Form 2D.3 from DepEd District Offices in your LGU, kindly compute the city/municipal average: Sum
of the Rate Recorded in each District Office / Number of District Offices

Participation Rate / Net Enrollment Rate (City/Mun Average)

 SY 2020 - 2021
 SY 2021 - 2022
Department of the Interior and Local
Government
CY 2022 SGLG Assessment
Cohort Survival Rate (City/Mun Average)
 SY 2020 - 2021
 SY 2021 - 2022
School Leaver Rate / Dropout Rate (City/Mun Average)
 SY 2020 - 2021
 SY 2021 - 2022
Completion Rate (City/Mun Average)
 SY 2020 - 2021
 SY 2021 - 2022

Remarks:
 Department of the Interior and Local
Government
CY 2022 SGLG Assessment

SGLG Form CM 2I Local PNP Office/ Station

CERTIFICATION
This is to certify that the City/Municipality of has undertaken the
following (Please tick applicable items only):

☐ The LGU has provided logistical support to the PNP Local Police Office/Station in CY 2022.
Accordingly, the following are the forms of support given (please tick applicable choices
only):
☐ Ammunition ☐ Police station
☐ Communication ☐ Supplies
☐ Vehicle ☐ Others (please specify):

☐ The LGU has supported the organization of the Barangay Peacekeeping Action Teams, barangay
tanods, and/or any similar unit.
Relatively, the LGU has (please supply required data):
% of barangays with organized BPATs, barangay tanods and/or similar unit; and
% of the barangays with trained BPATs, barangay tanods and/or similar unit.

☐ LGU statistics on crime are as follows:

CY 2021 CY 2022

Index
Non-Index
Total crime volume
 Department of the Interior and Local
Government
CY 2022 SGLG Assessment
SGLG Form CM 2J Social Welfare and Development Office

CERTIFICATION

This is to certify that the City/Municipality of has (please supply

the following information):

% of barangays have their respective violence against women (VAW) desks Percentage of

barangays with VAWC reports submitted to the LSWDO in CY 2022

Quarter % of Barangays with Submitted Report*
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter

*In case the LGU adopted a monthly reporting system, the barangay should
have submitted reports for all the months in a quarter.

(Please affix official LGU stamp below)

 Department of the Interior and Local
Government
CY 2022 SGLG Assessment

SGLG Form CM 2JA Social Welfare and Development

Office This must be submitted to the DSWD Field Office.

CERTIFICATION

This is to certify that the City/Municipality of has (please supply

the following information):

Data on ECCD Service Providers (SP)

(Child Development Worker/Day Care Worker)

With Expired
Total Number of SP Accredited Not Accredited
Accreditation

Data on ECCD Facilities

(Child Development Center/Day Care Center)

Total Number of With Expired

Accredited Not Accredited
Facilities Accreditation

(Please affix official LGU stamp below)

 Department of the Interior and Local
Government
CY 2022 SGLG Assessment
SGLG Form CM 2K Treasurer’s Office

CERTIFICATION
This is to certify that the City/Municipality of Pitogo, Zamboanga del Sur has (please supply the
following information):
● Local revenue growth, CYs 2019 - 2021

Local revenue for:

CY 2019 : PhP
CY 2020 : PhP
CY 2021 : PhP
Growth rate for:
From 2019 to 2020 : %
From 2020 to 2021 : %
Ave. growth : %

● 20% Component of Internal Revenue Allotment (Development Fund), CY 2021

Amount of IRA : PhP

Amount allocated as Local Development Fund (LDF) : PhP

% LDF Allocation out of the IRA : %

Amount utilized out of LDF (as of Dec. 31, 2021) : PhP

This Certification is issued for the purpose of the Seal of Good Local Governance assessment. Issued on the
day of , 2023.

Certified Attested by:

By:

JANETH S. PADAYAO ENGR. JAMES L. YECYEC

Signature over Printed Name
Signature over Printed Name
City/Municipal Treasurer City/Municipal Mayor
Official Release of this Certification

(Please affix official LGU stamp below)

 Department of the Interior and Local
Government
CY 2022 SGLG Assessment
SGLG Form CM 2M Local Environment and Natural Resources Office

CERTIFICATION
This is to certify that the City/Municipality of ______________________, Zamboanga del Sur
has (please tick available conditions):

Open/Controlled Dumpsite (if applicable)

☐ No operating open/controlled dumpsite
☐ Operates a controlled/open dumpsite, LGU/private entity-owned, used as waste disposal facility
☐ Has a Safe Closure and Rehabilitation Plan for controlled/open dumpsite that is (please tick
applicable condition):
☐ Approved; Date of approval: __________
With percent-completion of: ________ as of ______
☐ Currently being drafted with DENR’s technical assistance

Access to Sanitary Landfill (SLF)

☐ Has an LGU-owned and operated Sanitary Landfill (SLF) (completed and operational)
☐ Has an LGU-owned Sanitary Landfill (SLF) being constructed
☐ Forged partnership with a government/private entity for the use of an SLF as final waste disposal facility
Name of Partner Entity/Facility:
☐ Operates a Temporary Residual Containment Area
☐ With proposed construction of an SLF, budgeted under the LGU’s Approved 10-Year SWM Plan
☐ Employs technology that addresses residual wastes that is officially recognized by DENR as an alternative to
SLF (In this case, Proof that said technology officially recognized by DENR must be hereto attached)

☐ Other initiatives to access an authorized SLF. Please specify:

Access to Materials Recovery Facility

______ % of barangays have access to a Materials Recovery Facility (MRF)

☐ Has planned programs on increasing operational MRFs

☐ Has planned programs on expanding its operation of a single MRF servicing multiple Barangays
☐ Other initiatives to expand access to MRF. Please specify
 Department of the Interior and Local
Government
CY 2022 SGLG Assessment
SGLG Form CM 2N Designated Tourism Officer

CERTIFICATION
This is to certify that the City/Municipality of has (please supply
the following information):

Has tracking system of tourism data

☐ Yes, manual (e.g., record book)
☐ Yes, Computer-aided
☐ Yes, Others:
☐ No

Has the following tourism data derived from the tracking system

Tourism Statistics in CY 2022

Number of Tourist Arrivals :
Number of Registered Tourism Enterprise :
Other Tourism Data (if any)
:
:
: