CDD A-08: Tool

SUB-PROJECT’S HOUSEHOLD BENEFICIARIES

Target? (SP Concept Form Attachment) Actual? (SP Completion Report Attachment)
Municipality: ANTIPAS Program/Project: ____________________________
Barangay/Community: DATU AGOD Cycle: _______ Date: ________________________
Sub-Project Name: PROPOSED RENOVATION OF MULTI-PURPOSE HALL
Sub-Project Type: ___________________________________________________________________________
# of SP Beneficiaries within # of Families within the HH Person with
Sitio / Household Head Name the HH (Beneficiaries of SP only) Disabilities
Purok (HH Beneficiary of SP) Total Total
Male Female IP Pantawid SLP Male Female
Individuals Families
P1 ALBORES, VICTORIANO P. 1 5 6 √ √ 1
P1 ARANCES, JOLITO L. 2 0 2 2
P1 BAAY, DANIEL F., II 2 1 3 1
P1 BERNESTO, SILVERIO T. 3 2 5 1
P1 CAINTIC, EFREN A. 2 4 6 √ 1
P1 CALAMBA, EDISON S. 1 2 3 1
P1 CARILLO, MANUEL B. 1 2 3 √ 1
P1 CAWAG, ELMER C. 3 4 7 √ √ 1
P1 DAHAN, JANNY M. 3 2 5 1
P1 DELA RITA DANILO D. 1 1 2 1
P1 DELA RITA, MELINA H. 2 2 4 2
P1 DINOLAN, JOSE DELMAR C. 2 2 4 1
P1 DINOLAN, RICO A. 1 2 3 √ 1
P1 DINOLAN, STANLY P. 2 2 4 √ 2
P1 DIOLOLA, JUVENAL O. 1 3 4 1
P1 DOGILLO, JUSTINA O. 3 1 4 √ 1
P1 DUENAS, CELSO H. 2 1 3 1
P1 DULLANO, SANTIAGO, JR. 1 4 5 1 1
P1 FRIOLO, ESTEBAN M. 1 1 2 1
P1 FUNDADOR, MARAJONE C. 2 3 5 2
P1 FUNDADOR, MARLON O. 2 1 3 1
P1 FUNDADOR, SHALIMAR P. 1 4 5 1 1
P1 GEROMO, ENEITO D. 3 3 6 2
P1 GEROMO, EUSTAQUIO P., JR. 2 3 5 √ 2
P1 HATAMOSA, MARCELO T. 3 1 4 1
P1 HATAMOSA, ZOSIMO T. 3 2 5 2
P1 LIBRANDO, NATHANIEL B., JR. 4 1 5 √ √ 1
P1 LIBRANDO, NATHANIEL G., SR. 2 2 4 √ 1
P1 LIBRANDO, TELINO G. 3 2 5 √ 1
P1 LIBRANDO, VALONY C. 1 3 4 √ 1 1
Sub-
30 HOUSEHOLD 60 66 126 6 9 37 1 2
Total
Note: This is an optional form. It can be replaced by other documents available at the community which capture information on Households
and Families including the Pantawid Pamilya Beneficiaries, IP and SLP benefitting from the sub-project.

CDD A-08: Tool

 SUB-PROJECT’S HOUSEHOLD BENEFICIARIES
Target? (SP Concept Form Attachment) Actual? (SP Completion Report Attachment)
Municipality: ANTIPAS Program/Project: ____________________________
Barangay/Community: DATU AGOD Cycle: _______ Date: ________________________
Sub-Project Name: PROPOSED RENOVATION OF MULTI-PURPOSE HALL
Sub-Project Type: ___________________________________________________________________________
# of SP Beneficiaries within # of Families within the HH Person with
Sitio / Household Head Name the HH (Beneficiaries of SP only) Disabilities
Purok (HH Beneficiary of SP) Total Total
Male Female IP Pantawid SLP Male Female
Individuals Families
P1 LUMANTA, ROBERTO L. 3 2 5 1
P1 MIGUEL, MARIA S. 1 2 3 2
P1 MIGUEL, PETERSON S. 2 2 4 √ 1
P1 OCZON, BELINCIA D. 1 1 2 1
P1 OMADLE, FLORENTINO L. 1 1 2 1
P1 OMBOY, EDGAR D. 2 1 3 √ 1
P1 OMBOY, ERLINDA D. 0 1 1 1
P1 OMBOY, ROLLY D. 2 2 4 1
P1 ONGOS, GERWIN T. 3 2 5 √ 1 1
P1 ONGOS, JUANITO T. 2 2 4 1 1
P1 OTON, EMMA S. 1 3 4 2 1
P1 PALMES, ROLLY D. 2 2 4 √ 2
P1 PALMES, ROMEL M. 2 2 4 √ 1
P1 POTOTANON, RANDY J. 1 4 5 1
P1 SAMILLANO, AGNES T. 0 1 1 1
P1 SANO, DIOSDADO S., SR. 5 2 7 1 1
P1 TIMTIM, LUCINA J. 1 0 1 1
P1 TUTOR, ELVIRA C. 1 1 2 1 1
P1 VARONA, ENECETA P. 0 1 1 1
P1 VARONA, TIODORO P. 2 3 5 2
P1 VICENTE, FLORIDA L . 1 2 3 2
P-2A AMAR, EDWIN S., SR. 5 2 7 1 1
P-2A AREVALO, KING L. 3 5 8 1
P-2A DAQUIPIL, NATIVIDAD O. 2 3 5 2
P-2A DAVAO, CEFERINO D., SR. 1 2 3 1
P-2A DAVAO, REX T. 2 2 4 1
P-2A DE PEDRO, JOUNY P. 2 3 5 1
P-2A DESALES, RENEBOY F. 2 0 2 1 1
P-2A DIVINAGRACIA, LEE O., SR. 4 5 9 1
P-2A MANACPO, GIDEON L. 2 2 4 √ 1
Sub-
30 HOUSEHLDS 56 61 117 6 36 5 2
Total
Note: This is an optional form. It can be replaced by other documents available at the community which capture information on Households
and Families including the Pantawid Pamilya Beneficiaries, IP and SLP benefitting from the sub-project.

CDD A-08: Tool

 SUB-PROJECT’S HOUSEHOLD BENEFICIARIES
Target? (SP Concept Form Attachment) Actual? (SP Completion Report Attachment)
Municipality: ANTIPAS Program/Project: ____________________________
Barangay/Community: DATU AGOD Cycle: _______ Date: ________________________
Sub-Project Name: PROPOSED RENOVATION OF MULTI-PURPOSE HALL
Sub-Project Type: ___________________________________________________________________________
# of SP Beneficiaries within # of Families within the HH Person with
Sitio / Household Head Name the HH (Beneficiaries of SP only) Disabilities
Purok (HH Beneficiary of SP) Total Total
Male Female IP Pantawid SLP Male Female
Individuals Families
P-2A PALMES, CONIELY O. 2 2 4 1
P-2A PALOMO, ERLINDA D. 0 1 1 1
P-2A PALOMO, ROGELIO P., JR. 4 1 5 1
P-2A SY, PATRICIO L. 3 2 5 2
P-2A VECINO, ANTONIO L. 5 6 11 3
P-2A VECINO, YULO L. 2 2 4 1 1
P-2B ALCAZRIN, ANITA E. 0 4 4 1
P-2B CATAGUE, MARK ANTHONY G., SR. 1 3 4 1
P-2B CLARIN, ZALDY C. 1 2 3 1
P-2B DAVAO, RONIE T. 2 2 4 1
P-2B EROJO, MICHAIL D., JR. 2 1 3 1
P-2B GRADO, RODEL L. 1 2 3 1
P-2B MASIBAY, NILO H. 1 2 3 1
P-2B NECOR, ROMEO C. 6 2 8 2
P-2B OYAMAN, JOEL A. 2 5 7 2
P-2B OYAMAN, ROMEO A., SR. 3 1 4 1
P-2B PAN, HERNANDO O. 2 2 4 1
P-2B RAPOLS, CASIMIRO D. 3 3 6 2 1
P-2B SEBUA, EDMUNDO S. 2 1 3 1
P-2B TOQUERO, DANNY T. 2 2 4 √ 1
P-3A CAÑABIRAL, ELECIO D. 2 1 3 1
P-3A CAÑABIRAL, MERLYN C. 2 4 6 2
P-3A CERCADO VIRGILIO S., SR. 2 2 4 2
P-3A CERCADO, DIONISIO L., SR. 4 2 6 1 1
P-3A CERCADO, LEONARDO L., JR. 2 2 4 1
P-3A CERCADO, LEONARDO S., SR. 1 1 2 1
P-3A CERCADO, RECARDO P. 1 1 2 1
P-3A CERCADO, VALENTIN L. 2 2 4 1
P-3A DENOSAPAL, ENDRIQUE O. 1 2 3 1
P-3A DUYAN, RUBEN O. 3 3 6 √ 2
Sub-
30 HOUSEHOLD 64 66 130 1 1 39 2 1
Total
Note: This is an optional form. It can be replaced by other documents available at the community which capture information on Households
and Families including the Pantawid Pamilya Beneficiaries, IP and SLP benefitting from the sub-project.

CDD A-08: Tool

 SUB-PROJECT’S HOUSEHOLD BENEFICIARIES
Target? (SP Concept Form Attachment) Actual? (SP Completion Report Attachment)
Municipality: ANTIPAS Program/Project: ____________________________
Barangay/Community: DATU AGOD Cycle: _______ Date: ________________________
Sub-Project Name: PROPOSED RENOVATION OF MULTI-PURPOSE HALL
Sub-Project Type: ___________________________________________________________________________
# of SP Beneficiaries within # of Families within the HH Person with
Sitio / Household Head Name the HH (Beneficiaries of SP only) Disabilities
Purok (HH Beneficiary of SP) Total Total
Male Female IP Pantawid SLP Male Female
Individuals Families
P-3A ELOY, RADEN C. 4 2 6 √ 1
P-3A HERMOCILLA, JOHNMARK A. 2 3 5 √ 1
P-3A INSIK, ZADRAK C. 4 3 7 2
P-3A MITANO, JUVY S. 2 1 3 1
P-3A OTON, REDOLFO D. 4 2 6 1
P-3A OTON, TEODOLO D., SR. 4 4 8 2
P-3A PAJARILLO, FRANKLIN C. 2 2 4 √ 1 1
P-3A PAJARILLO, FRANKO A. 3 2 5 √ 1
P-3A PAJARILLO, JONIE C. 1 0 1 √ 1 1
P-3A PAJARILLO, RODRIGO C. 5 2 7 √ 1
P-3A PALENCIA, ADENCIANO B. 2 3 5 1
P-3A PERFAS, JOMAR M. 3 1 4 1 1
P-3A PITALGO, ROGER A. 3 3 6 √ 1
P-3A RECALE, EDUARDO O. 1 1 2 1
P-3A RECALE, RUDY O. 3 1 4 1
P-3B BANGERO, RENEBOY D. 2 3 5 √ 1
P-3B BANGSO, NONITO P. 1 0 1 1
P-3B CAÑABIRAL, BELTRAN D. 6 4 10 3
P-3B CAÑABIRAL, MARLON C. 2 1 3 1
P-3B CAÑABIRAL, MARTIN D. 3 2 5 1
P-3B CULANO, HORKIE G. 2 2 4 √ 1
P-3B DAELTO, JANEL A. 2 4 6 1
P-3B DAELTO, ELMER U. 4 1 5 2
P-3B ENSIC, JOEY D. 1 0 1 1
P-3B LAB-IAO, SAVACION N. 2 2 4 2 1
P-3B LAMBATING, PORFECIO B. 1 1 2 1
P-3B MAGBANUA, JAIME P. 2 4 6 1 1
P-3B MALAZARTE, NORIMER B. 4 2 6 √ 1 1
P-3B MANORIÑA, FELIPE C. 1 0 1 1
P-3B SEBUCO, REBERTO T. 5 4 9 1
Sub-
30 HOUSEHOLD 81 60 141 10 36 3 3
Total
Note: This is an optional form. It can be replaced by other documents available at the community which capture information on Households
and Families including the Pantawid Pamilya Beneficiaries, IP and SLP benefitting from the sub-project.

CDD A-08: Tool

 SUB-PROJECT’S HOUSEHOLD BENEFICIARIES
Target? (SP Concept Form Attachment) Actual? (SP Completion Report Attachment)
Municipality: ANTIPAS Program/Project: ____________________________
Barangay/Community: DATU AGOD Cycle: _______ Date: ________________________
Sub-Project Name: PROPOSED RENOVATION OF MULTI-PURPOSE HALL
Sub-Project Type: ___________________________________________________________________________
# of SP Beneficiaries within # of Families within the HH Person with
Sitio / Household Head Name the HH (Beneficiaries of SP only) Disabilities
Purok (HH Beneficiary of SP) Total Total
Male Female IP Pantawid SLP Male Female
Individuals Families
P-3B VENTURA, CHARLTO D., SR. 2 4 7 2
P-4 AGOPO, CRIS P. 4 1 5 1
P-4 AGOPO, DENNIS D. 1 2 3 √ 1
P-4 AGOPO, EDDIE M. 2 1 3 1
P-4 AGOPO, EDGAR P. 2 1 3 1
P-4 ALOJADO, RITA B. 0 1 1 1
P-4 DELA RITA, JOMAR A. 1 2 3 1
P-4 JUNGCO, RONIE J. 2 2 4 √ 1
P-4 OBRIQUE, MA. ELINA C. 2 2 4 1
P-4 PAN, GENARO G. 2 0 2 1
P-4 PAN, RAMON O. 2 2 4 √ 1 1
P-4 POTOTANON, TERESITA J. 2 1 3 1
P-4 SAMILLANO, DELFIN O. 1 0 1 1
P-4 VERAYO, HERMAN M. 1 0 1 1
P-4 VILLARUBIN, EDMUNDO P. 2 3 5 √ 1
P-5 ABAPO, RUMULO S. 1 2 3 √ 1
P-5 BULAMBAO, ARTURO L. 2 3 5 √ 1 1
P-5 BULAMBAO, CRESECIANO N. 2 0 2 1
P-5 CAAN, ROLANDO A. 2 1 3 √ 1
P-5 CANUANAN, RONNIE A. 2 2 4 √ 1
P-5 CONTENIDO, ARNEL S. 3 1 4 1
P-5 DEMAYO, FELOMINA L. 0 1 1 1
P-5 DEMAYO, RONNIE B. 3 3 6 √ 1
P-5 LIBANDO, SABINO G., SR. 1 1 2 √ 1
P-5 LIBRANDO, GREFEL V. 1 3 4 √ √ 1
P-5 LUMANTA, ANTONIO L. 3 3 6 1
P-5 LUMANTA, LORENSO L., SR. 2 2 4 1 1
P-5 LUMANTA, NELSIE T. 3 3 6 √ 1
P-5 MAHINAY, CHARLIE E. 1 1 2 1
P-5 MONSAYAL, RANDY C. 2 3 5 √ 1
Sub-
30 HOUSEHOLD 54 51 106 7 7 31 3
Total
Note: This is an optional form. It can be replaced by other documents available at the community which capture information on Households
and Families including the Pantawid Pamilya Beneficiaries, IP and SLP benefitting from the sub-project.

CDD A-08: Tool

 SUB-PROJECT’S HOUSEHOLD BENEFICIARIES
Target? (SP Concept Form Attachment) Actual? (SP Completion Report Attachment)
Municipality: ANTIPAS Program/Project: ____________________________
Barangay/Community: DATU AGOD Cycle: _______ Date: ________________________
Sub-Project Name: PROPOSED RENOVATION OF MULTI-PURPOSE HALL
Sub-Project Type: ___________________________________________________________________________
# of SP Beneficiaries within # of Families within the HH Person with
Sitio / Household Head Name the HH (Beneficiaries of SP only) Disabilities
Purok (HH Beneficiary of SP) Total Total
Male Female IP Pantawid SLP Male Female
Individuals Families
P-5 MONSAYAL, ROGELLO B. 2 3 5 √ √ 1
P-5 PIAL, ELENDRIO P. 3 3 6 2
P-5 SALDE, REBERTO A. 1 1 2 1
P-5 VILLANUEVA, JESUS M. 3 1 4 1`
P-5 VILLANUEVA, ROSITA P. 5 2 7 √ √ 1

Sub-
5 HOUSEHOLD 14 101 24 2 2 6
Total
Note: This is an optional form. It can be replaced by other documents available at the community which capture information on Households
and Families including the Pantawid Pamilya Beneficiaries, IP and SLP benefitting from the sub-project.