Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Catarman, Northern Samar

CERTIFICATION
This is to certify that ____ PROCESSOR AND DOCUMENTOR of Field Validation Team ______ has successfully delivered all necessary documents for his/her 100 hectares
target in ________________, 20___. This further grants the processing of his/her salary for the abovementioned month. The following are her/his accomplishements:
DELIVERABLES
CARPER LAD Certification of CARPER LAD CARPER LAD
CARPER LAD CARPER LAD Sworn Undertaking/ Performance CARP Form
Form No. 70-D Posting Form No. 70- Form No. 70- LAD ARB Carding/ ARB
Minutes of Form No. 70-B FORM No. 70-I SPA for the Heir who Monitoring No. 20
CLOA NO. (Notice of Compliance of E (Notarized H (ARBs Profile (w/ picture &
Meeting (Field Validation Lot Allocation Request for (Order of will sign in behalf of the System Form (MARO's
Consultation the Notice of Signature)
Report) Agreement) Parcelization) Parcelization) deceased ARB (PMS) Certification)
Meeting) Meeting

E-COPIES
CLOA NO. REMARKS Checked by:

CHRISTOPHER S. GETALDO
VALIDATOR

MILA S. DORICO
SARPT/SPLIT PROCESSOR

Verified by:

JOHN ERIC J. CERDA

M&E

Recommended for payment:

EUGENIA W. ALMASCO Approved:

CARPO FOR LTSP
ENGR. JOSE M. BALBERDE
PARPO II
 Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Catarman, Northern Samar

CERTIFICATION
This is to certify that ____Engineer of Field Validation Team ______ has successfully delivered all necessary documents for his/her 100 hectares target in __________________, 20___.
This further grants the processing of his/her salary for the abovementioned month. The following are her/his accomplishements:
E-COPIES
PDF, DWG, DXF KMZ/KML FILE KMZ/KML PDF
Proposed Proposed KMZ/KML AREA
KMZ/KML File KMZ/KML-PDF
Subdivision Subdivision KMZ/KML File File KMZ/KML-PDF KMZ/KML-PDF LDC (LOT SUBMITTED
CLOA NO. Sketch Plan Proposed Proposed Geotag BOUNDERY)
Scheme Scheme Lot Boundary Proposed Lot Boundary Proposed (CLOA) ACCOMPLISH
(CLOA) (ACTUAL)
(CLOA) (Actual) (ACTUAL) MENTS

PRINTED COPIES

Proposed Proposed
KMZ-PDF KMZ-PDF
Subdivision Subdivision KMZ-PDF Lot
CLOA NO. Sketch Plan Proposed Proposed RSS Document
Scheme Scheme Boundary
(CLOA) (Actual)
(CLOA) (Actual)

Checked by:

JOEY L. BALDOSTAMO
TECHNICAL SUPPORT STAFF

Verified by:

JOHN ERIC J. CERDA

M&E

Recommended for payment: Approved:

EUGENIA W. ALMASCO ENGR. JOSE M. BALBERDE

CARPO FOR LTSP PARPO II

]
 Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Catarman, Northern Samar

CERTIFICATION
This is to certify that _________LEGAL OFFICER of Field Validation Team ______ has successfully delivered all necessary documents for his/her 100 hectares target in _____________, 20___.
This further grants the processing of his/her salary for the abovementioned month. The following are her/his accomplishements:
FOR QUALIFICATION

Notice of Municipal Assessor Provincial Assessor

Investigation Affidavit of two
Qualification BARC Chair Brgy. Certification as to the Certification as to the Certified copy Birth certificate Minutes of
CLOA NO. Petition Report (noted by SP form 1 disinterested
(Received by Certification Residency total aggregate total aggregate of CCLOA of the new FB Meeting
Maro) person
ARB) landholding of new FB landholding of new FB

FOR DISQUALIFICATION
Notice of Investigatio
Waiver of
Qualification n Report
CLOA NO. Petition Minutes of Meeting rights/BARC SUPPORTLIST
(Received by (Noted by
Certification
ARB) Maro)
CLOA NO. NO. OF ARBS (cloa) No. of Actual tiller

Checked by: Verified by:

SHALEE B. SALAZAR JOHN ERIC J. CERDA Recommended for payment:

SARPO/LEGAL REVIEW TEAM M&E Approved:
EUGENIA W. ALMASCO
CARPO FOR LTSP ENGR. JOSE M. BALBERDE
PARPO II
 Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Catarman, Northern Samar

CERTIFICATION
This is to certify that _________ESS of Field Validation Team ______ has successfully delivered all necessary documents for his/her 100 hectares target in _________________, 20___.
This further grants the processing of his/her salary for the abovementioned month. The following are her/his accomplishements:
ENCODED IN KOBO APP PRINTED COPIES

CLOA NO. ESMF 1 ESMF2 ESMF 3A ESMF3B ESMF 1 ESMF2 ESMF 3A ESMF3B REMARKS

TOTAL

Checked by:

_______________________
KOBO Checker

Verified by:

JOHN ERIC J. CERDA

M&E

Recommended for payment:

EUGENIA W. ALMASCO
CARPO

Approved:

ENGR. JOSE M. BALBERDE

PARPO II