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    Intake Form For Barangay Council For The Protection of Children (BCPC) I. Profile of Child

    Uploaded by

    Christopher Mari
    This intake form collects information about a child who is involved in a case before the Barangay Council for the Protection of Children (BCPC). It records the child's personal details like name, age, and address. It also documents the child's family background and the members' names, relationships, ages, civil status, education, and occupations. Finally, it indicates the status of the case, whether the child is in conflict with the law, at-risk, neglected, abandoned, orphaned or abused. It provides details of any alleged offense and the apprehending officer's name and office. The form is signed by the complainant, child, parents/guardian, and Punong Barangay.

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    Intake Form For Barangay Council For The Protection of Children (BCPC) I. Profile of Child

    Uploaded by

    Christopher Mari
    50 views2 pages
    This intake form collects information about a child who is involved in a case before the Barangay Council for the Protection of Children (BCPC). It records the child's personal details like name, age, and address. It also documents the child's family background and the members' names, relationships, ages, civil status, education, and occupations. Finally, it indicates the status of the case, whether the child is in conflict with the law, at-risk, neglected, abandoned, orphaned or abused. It provides details of any alleged offense and the apprehending officer's name and office. The form is signed by the complainant, child, parents/guardian, and Punong Barangay.

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    This intake form collects information about a child who is involved in a case before the Barangay Council for the Protection of Children (BCPC). It records the child's personal details like name, age, and address. It also documents the child's family background and the members' names, relationships, ages, civil status, education, and occupations. Finally, it indicates the status of the case, whether the child is in conflict with the law, at-risk, neglected, abandoned, orphaned or abused. It provides details of any alleged offense and the apprehending officer's name and office. The form is signed by the complainant, child, parents/guardian, and Punong Barangay.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    50 views2 pages

    Intake Form For Barangay Council For The Protection of Children (BCPC) I. Profile of Child

    Uploaded by

    Christopher Mari
    This intake form collects information about a child who is involved in a case before the Barangay Council for the Protection of Children (BCPC). It records the child's personal details like name, age, and address. It also documents the child's family background and the members' names, relationships, ages, civil status, education, and occupations. Finally, it indicates the status of the case, whether the child is in conflict with the law, at-risk, neglected, abandoned, orphaned or abused. It provides details of any alleged offense and the apprehending officer's name and office. The form is signed by the complainant, child, parents/guardian, and Punong Barangay.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    BCPC FORM NO.

    Republic of the Philippines


    Province of___________________
    City/Municipality_____________________
    Barangay___________________

    INTAKE FORM FOR BARANGAY COUNCIL FOR THE PROTECTION OF CHILDREN (BCPC)

    I. PROFILE OF CHILD

    Name:___________________________________________Nickname/Alias:_________________ Age:__
    Sex:_____________ Gender:________________________ Birthdate:_____________________________
    Place of Birth:__________________________________________________________________________
    Address:______________________________________________________________________________
    Highest Educational Attainment:__________________________________________________________

    II. FAMILY BACKGROUND

    NAME RELATIONSHIP SEX AGE CIVIL EDUCATIONAL OCUPATION/ REMARKS


    STATUS ATTAINMENT INCOME

    III. STATUS OF CASE

    Children In Conflict with the Law (CICL)


    Children-at-Risk (CAR) check whichever is applicable
    _____ Neglected ______Abandoned
    _____ Orphaned ______ Abused

    Place and data of alleged offense committed:


    _______________________________________________________________________________________________
    ___
    Case/
    Offense______________________________________________________________________________________
    Name of Apprehending officer__________________________________________________
    Office of Apprehending officer__________________________________________________
    Contact number_________________________
    Place of Apprehension__________________________________________ Date and
    Time_________________________

    Page 1 of 2/RJJWC Caraga


    BCPC FORM NO.1

    Done this _____ day of _____________________, 20____

    ____________________________________

    Complainant’s Name/ Signature

    _______________________________ __________________________________

    Name and Signature of CICL Name and Signature of Parents/Guardian

    Received and filed this ______ day of _______________________, 20_______

    ______________________________________

    Name and Signature of Punong Barangay

    Page 2 of 2/RJJWC Caraga

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