Municipal/City

Logo

PROVINCE OF ___________________________
Municipality/City of ______________

FOLDER 1
APPLICATION
FOR RETENTION OF
DRUG-CLEARED BARANGAY

BARANGAY _____________________

PHOTO OF MUNICIPAL/CITY HALL

 TABLE OF CONTENTS
(FOLDER 1)

A. APPLICATION LETTER

B. COPY OF RESOLUTION OF PRESENCE OF ACTIVE DRUG

PERSONALITIES

C. CERTIFIED INVENTORY OF DRUG PERSONLITIES (CIDP)

D. AFTER ACTIVITY REPORT (AAR) ON HOUSE VISIT

E. IMPLEMENTATION OF INTERVENTION PURSUANT TO MC NO.

2020-041

F. COLOR-CODED OF CERTIFIED INDENTIFIED DRUG

PERSONALITIES (CIDP)
APPLICATION
LETTER
 Logo and Letterhead of the Barangay

________________

DIR III MELVIN S. ESTOQUE

Chairman, Oversight Committee on Dangerous Drugs
Philippine Drug Enforcement Agency (PDEA)
Regional Office IV-A (CALABARZON)
Camp Vicente Lim, Calamba City, Laguna

Dear Director Estoque,

The undersigned respectfully submits all the necessary requirements for the application for
Retention of Drug Cleared Status of Barangay__________, Province of Cavite for your
perusal and favourable consideration.

Respectfully yours,

__________________
Punong Barangay
RESOLUTION OF
PRESENCE OF
ACTIVE DRUG
PERSONALITIES
SAMPLE
 CERTIFIED
INVENTORY DRUG
PERSONALITIES
(CIDP)
SAMPLE
 AFTER ACTIVITY
REPORT (AAR) ON
HOUSE VISIT
IMPLEMENTATION
OF INTERVENTION
PURSUANT TO MC
2020-041
 TRAINING
CERTIFICATES
FROM DOH
Activity Design/
Module
Summary of DT
Result
 DRUG TEST RESULT

Municipal PROVINCE OF CAVITE

Logo MUNICIPALITY OF __________
BARANGAY: _____________

Result of 1st Test Result of 2nd Test Result of 3rd Test

No. NAME OF PWUD
Date : _______ Date : _______ Date : _______
SALONGA, ASIONG T Negative Negative Negative

BALBOA, ROCKY O Negative Negative Negative

BIBO, TOTOY S Negative Negative Negative

SANCHEZ, CELESTINA N Negative Negative Negative

MARUDO, SANKO G Negative Negative Negative

PENDUKO, PEDRO B Negative Negative Negative

PADILLA, JOLINA R Negative Negative Negative

REYNA, ARA E Negative Negative Negative

Performed by: Attested by:

___________________ _________________
Medical Technologist Chief of Police
LIC#_______

________________________
COLOR-CODED
OF CERTIFIED
IDENTIFIED
DRUG
PERSONALITIES
(CIDP)
 Republic of the Philippines
National Police Commission Barangay
PHILIPPINE NATIONAL POLICE LOGO
CAVITE POLICE PROVINCIAL OFFICE
_________ MUNICIPAL POLICE STATION
(Address:________________________)

Barangay __________, __________,Cavite

NO NAME ADDRESS CLASSIFICATION REMARKS

1 M.H. DEL PILAR
1 DELA CRUZ, JUAN A ST., PUROK 1, USER Transfer of Residence
BRGY. ________
5 J.P. RIZAL ST.,
Graduated CBRP on
2 PENDUKO, PEDRO B PUROK 2, BRGY. PUSHER
__/__/__
________
PUROK 3, BRGY.
3 DALISAY, RICARDO D ________ USER Died on April 22, 2017

PUROK 3, BRGY.
Graduated CBRP on
4 BIBO, TOTOY S ________ USER
__/__/__
PUROK 3, BRGY.
5 AMA, BABY R ________ USER Arrested on __/__/__

PUROK 3, BRGY.
6 BATUMBAKAL, ANNIE T ________ USER Cannot Be Located

PUROK 3, BRGY.
7 MAKULANGAN, RYAN D ________ PUSHER Died on _________

ALPHABETICAL BASE SA TAB C of CIDP

Legends:

RED _ Arrested
YELLOW_ Graduate of CBDRP
BROWN_ Graduate of GI (General Intervention)
BLUE_ Deceased
WHITE_ Cannot be Located/Transfer of Residence/Did not Exist
GREEN_ Rehab Facilities
Certificate of
Completion
SAMPLE CERTIFICATION OF
CBDRP
 Barangay
Certification
Death Certificate
Facility Based
Rehabilitation
 Spot Report
Progress Report
Commitment Order
(For Arrested Personalities)
FOLDER 2
 TABLE OF CONTENTS
(FOLDER 2)

A - Copy of Certified Identified Drug Personalities (CIDP)

B – Color Coded Of Certified Drug Personalities (CIDP)

C – Badac Monitoring Tools For Certified Identified Drug Personalities

(CIDP)

D - BADAC Summary Of Certified Drug Personalities (CIDP) Under

OTHER Category (White Tab) With Copies Of Attachments

E- Profilling/Booking of Certified Identified Drug Personalities (CIDP)

 Republic of the Philippines
MUNICIPAL Cavite City BARANGAY
LOGO LOGO
BARANGAY 47- M PAGKAKAISA
A. Del Rosario St, Caridad, Cavite City

BADAC MONITORING TOOLS FOR CERTIFED IDENTIFIED DRUG

PERSONALITIES (CIDP)

Barangay Bancal, Carmona, Cavite

CONTACT
NO CLASSIFICATIO
NAME BARANGAY GENDER NUMBER/ REMARKS
. N
PERSON
1
2
3
4
5
6
7
8
9
10
11
12
13
14
 Republic of the Philippines
MUNICIPAL Cavite City BARANGAY
LOGO LOGO
BARANGAY 47- M PAGKAKAISA
A. Del Rosario St, Caridad, Cavite City

OFFICE OF THE PUNONG BARANGAY

BADAC SUMMARY OF CERTIFIED DRUG PERSONALITIES

(CIDP)
UNDER WHITE TABBINGS

No. Name (Last ADDRESS CLASSIFICATION REMARKS

Name, First
Name Middle)

Republic of the Philippines

Department of the Interior and Local Government
Philippine National Police
Cavite Police Provincial Office
CARMONA MUNICIPAL POLICE STATION
 BIO PROFILE FORM

I. Personal Data

Name:
Alias:
Name of Group/Gang
Affiliation (if any):
Position (if any):
Age:
Sex:
DOB:
POB:
Educational Attainment:
Occupation/Profession:
Company/Office:
Technical Skills:
Ethnic Group:
Language/Dialect:
Present Address:
Provincial Address:
Civil Status:
Citizenship:
Cellphone number
Social Media Accounts
( Facebook, Twitter,
Instagram)
Religion:
Height (in cm):
Weight (in kg):
Eyes Color:
Hair Color:
Built:
Complexion:
Distinguishing
Marks/Tattoo:
 Previous Arrest Record:
Specific Charge:
Date/Time/Place of
Arrest:
Name of Arresting
Officer:
Unit/Office of Arresting
Officer:

II. Familial Data

Parents:
Father Mother
Name
Known Address
DOB
POB
Age
Occupation

Spouse:
Name Age Occupation Provincial Address

Siblings/ Dependents:
Name Age Occupation Status Address
NONE

III. Tactical Information

Drugs Involved:
Vehicles Used:
Armaments:
Companion/s During Arrest:
Relationship/Address:
Name/Source of Drugs Involved:
Address of Alleged Source:
Other Types of Drugs Supplied by
Source:
Subgroups and Specific AOR:
Other subject known as Source:
Types of Drugs Pushed by Subject:

IV. Detailed Summary on Recruitment of Suspect as User/Pusher of Drugs

barkada kaya po akonakatikim ng drugs.

V. Summary of Pushing/Supplying/Acquiring Drugs

(Indicate the Modus Operandi, Sale/Distribution and Transportation of Dangerous Drugs)None.

VI. Organizational Structure of the Group (if any)

(Indicate the whole membership of the group)

None
 VII. CI Matters (AFP/PNP Government Officer’s Instrument)
None

VIII. Other Significant Revelations

none.

IX. Recommendation
.

Prepared by: Noted by:

Action PNCO Officer-in-Charge