BADAC DATA CAPTURE FORM 1

INDICATOR POSITION FIRST NAME LAST NAME SEX BIRTHDATE

Chairperson /
Punong Barangay
Vice-Chairperson /
Peace & Order
Committee Chair
Members:
Chair of Women &
Family Committee
BADAC is SK Chairperson
composed of
School Principal /
seven (7)
Representative
members
Brgy Chief Tanod
NGO / CSO
Representative
Faith-based Org
Representative
Adviser:
Local PNP Chief /
Representative
Chairperson / Peace
& Order Committee
BADAC Chair
Committee on Members:
Operations is
organized Brgy Chief Tanod
BADAC Auxiliary
Refer to BADAC Auxiliary Team Profi
Team
Chairperson /
Women & Family
Committee Chair
Members:
BADAC SK Chairperson
Committee on
Advocacy is School Principal /
organized Representative
NGO / CSO
Representative
Faith-based Org
Representative

BADAC DATA CAPTURE FORM 1

INDICATOR POSITION FIRST NAME LAST NAME SEX BIRTH DATE

 BADAC
Auxiliary Team
(BAT) is
organized

Note: Use additional page if necessary. BAT shall be composed of one member per 80 residents; 25 members per 2,000 r
INDICATOR UNIT OF CLUSTER FIRST NAME LAST NAME SEX BIRTH DATE

BADAC House
Clusters are
organized

Note: Use additional page if necessary. Examples of Unit of Cluster are by purok, by sitio, by block, by zone, by street, etc.
CONCURRENT
INDICATOR DESIGNATION FIRST NAME LAST NAME SEX BIRTH DATE
(if applicable)
Barangay Duty
Officers are
designated
Note: Use additional page if necessary. Concurrent Designation refers to the primary appointment / item of the designated Br
Health Worker, VAWC Desk Officer, etc.
 Page 1
FORM 1

CIVIL STATUS ADDRESS CONTACT #

ADAC Auxiliary Team Profile

Page 2
FORM 1

CIVIL STATUS ADDRESS CONTACT #

s; 25 members per 2,000 residents.
CIVIL STATUS ADDRESS CONTACT #

by zone, by street, etc.

CIVIL STATUS ADDRESS CONTACT #

/ item of the designated Brgy Duty Officer in the barangay, e.g. Barangay