Republic of the Philippines

Province of Nueva Ecija

Municipality of Quezon
Barangay _____________

OFFICE OF THE PUNONG BARANGAY

EXECUTIVE ORDER NO. _________

Series of

AN ORDER ESTABLISHING A KASAMBAHAY DESK AND DESIGNATING KASAMBAHAY

DESK OFFICER

WHEREAS, Republic Act 10361 otherwise known as “ Domestic Workers Act of “ Batas
Kasambahay was signed on January 18, 2013. Consequently, the Implementing Rules and
Regulations ( IRR) of the said Act was promulgated on May 9, 2013.

WHEREAS, Rule IX of the IRR provides for the registration system for Kasambahay and
mandates the Department of the Interior (DILG) to issue a circular prescribing the standard
Form and Protocols to guide for registration.

WHEREAS, DILG Memorandum Circular No. 2013-61 dated July 8, 2013 signed by DILG
Secretary Mar Roxas relative to the Guidelines on the establishment of Kasambahay Desk
and designation of Desk Officer.

NOW, therefore, I, _____________________________________, Punong Barangay, Barangay

___________________________, Quezon, Nueva Ecija, by the virtue of the powers vested upon me
by Law do hereby order the establishment of Kasambahay Desk and designating
Kasambahay Desk Officer in this barangay taking into consideration DILG- Memorandum
Circular No. 2013- 61, to wit:

I. Setting up the Kasambahay Desk

There shall designate an area within the barangay hall for the Kasambahay Desk.
The area shall be provided with the necessary furniture and fixtures but not limited to
table, chairs, separate filing cabinet, logbook for record- keeping, registration forms and
Kontrata sa Paglilingkod sa Tahanan.

II. Designation of Kasambahay Desk Officer

_______________________________________ is hereby designated as Kasambahay Desk Officer.

III. Functions of the Barangay Kasambahay Desk Officer

A. The Kasambahay Desk Officer shall:

 1. Receive the two (2) copies of accomplished Kasambahay Form (KR Form 1)
with attached Kontrata sa Paglilingkod sa Tahanan.

2. Review and assess the completeness of data entries.

3. Stamp the date of receipt and assign a registration control number at the
upper right corner of the KR Form 1.
4. Provide the employer or his authorized representative a duplicate copy
which shall serve as proof of registration.

B. Maintenance and Updating of Kasambahay Masterlist

1. Shall keep a copy of the KR Form 1 with corresponding signed contract for
barangay safe keeping.

2. He/she shall encode or record the information about Kasambahay Masterlist

(KR Form 2).

C. Monitoring and Reporting

1. The Punong Barangay through the Kasambahay Desk Officer shall submit to
Local Public Employment Service Office (PESO) a Monthly Kasambahay
Report KR Form 3 which includes data regarding the registration of the
Kasambahay.

IV. Funding Requirement

The barangay government are authorized to allocate such amount as may be necessary to
support the Registration and other related activities.

V. EFFECTIVITY. This executive order shall take effect immediate and shall remain in effect
unless otherwise revoked or suspended.

Done this_____ day of _________________at Barangay___________________, Quezon, Nueva

Ecija.
SO ORDERED.

PUNONG BARANGAY