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BOIS Revised 2023 ANNEX “A”

Republic of the Philippines

Department of the Interior and Local Government

BARANGAY OFFICIAL’S INFORMATION SHEET

2023-2025 Term of Office
NOTE: PLEASE ACCOMPLISH THIS FORM AND WRITE LEGIBLY ALL THE INFORMATION REQUIRED IN CAPITAL LETTERS.

REGION* : III CITY/MUNICIPALITY* : GUAGUA

PROVINCE* : PAMPANGA BARANGAY* :

ELECTIVE AND APPOINTIVE POSITION

(Instruction: Check the acquired position)

DATE OF ASSUMPTION TO OFFICE/APPOINTMENT *: November 17, 2023 DATE OF ELECTION: October 30, 2023

Punong Barangay Barangay Treasurer BADAC Cluster Leader

Sangguniang Barangay Member Barangay Secretary Barangay Health Worker
Encircle Rank (1, 2, 3, 4, 5, 6, 7) SK Treasurer Accredited/Registered by the Local Health
Board

SK Chairperson SK Secretary Appointed by the Barangay (Barangay Health
Aide/Health Care Assistant)
SK Member (Encircle Rank 1, 2, 3, 4, 5, 6, 7) Barangay Nutrition Scholar
IPMR Barangay Tanod
Day Care Worker
TERM IN THE PRESENT POSITION: Accredited per ECCD Council Resolution No.
15-03
 st
1 2nd 3rd Appointive/Replacement dated Sept. 10, 2015
Lupon Member
VAW Desk Officer
If related with the Appointing Authority, please
indicate the
degree of consanguinity/affinity:
____________________

PERSONAL AND POLITICAL INFORMATION

4 6 0 7 - 3 6 2 1 - 4 9 0 3 - 2 5 8 0
(PhilSys Card No.)

DAVID LANCE JOSEPH GARCIA

(Last Name) * (First Name) (Suffix e.g. Jr., II, III) (Middle Name) *

10-01-2000 GUAGUA, PAMPANGA M SINGLE ROMAN CATHOLIC

(Birth Date: mm/dd/yyyy) * Birth Place) * (Sex at Birth) * (Civil Status) * (Religion) *

PUROK 2, SAN MIGUEL BETIS, GUAGUA, PAMP. 09077285169 Davidlancejoseph7@gmail.com

(Residence Address) * (Contact Number) * (Official E-mail Address)

PUROK 2, SAN MIGUEL BETIS, GUAGUA, PAMP. (045) 9010-590 barangaysanmiguelbetiss@gmail.com

(Barangay Hall Contact

(Barangay Hall Address) * Number) * (Barangay E-mail Address)

HIGHEST EDUCATIONAL ATTAINMENT*: ELEMENTARY HIGH SCHOOL COLLEGE POST GRAD

VOCATIONAL
/
Graduate BS CRIMINOLOGY Under Graduate
(Course)
OTHER OCCUPATION,
IF ANY: N/A HONORARIUM AS BARANGAY OFFICIAL*: PHP. 12,688.00

Private Government
BENEFICIARIES*: (for Punong Barangay, Sangguniang Barangay Member, SK Chairperson, IPMR, Barangay Secretary, and Barangay
Treasurer only)
NAME DATE OF BIRTH RELATIONSHIP
(Last Name, First Name, Middle Initial) (mm/dd/yyyy)

1. DAVID, ALICIA G. FEBRUARY 24, 1976 MOTHER

2. DAVID, JOSEPH N. JULY 4, 1970 FATHER
3. DAVID, NATALIE MAE G. DECEMBER 19, 1997 SISTER
4. DAVID, DANIEL G. JUNE 12, 1991 BROTHER
 :

Please use additional sheet if necessary)

I hereby certify that the above information is true and correct to the best of my knowledge. I understand that for the DILG to carry out its mandate they must
necessarily process my personal information. Therefore, I grant my consent and recognize the authority of the DILG to process my personal information, pursuant to
the Philippine Data Privacy Act of 2012.

LANCE JOSEPH G. DAVID 12/7/2023

(Signature Over Printed Name) (Date Accomplished)

Verified and validated by:

KRISTA NINA M. DATU _________________

CD/CLGOO/MLGOO Date