CARPER LAD FORM No.

31A
(Revised CARP-LAD Form No. 33A)

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM
Region No. VIII
Province of Northern Samar
Municipality of Catarman

AMENDED MASTER LIST OF QUALIFIED AGRARIAN REFORM BENEFICIARIES (ARBs)

(ARBs who are actual tillers/recipients/owners based on Final and Executory Order)

Landowner/s: (Write full names of all co-owners – Family Name, First Name, Middle Initial)
____ LADEÑO, NOEL C., ET AL. ______________________
_________________________________________________________________________________________________________________________________________________________
Location (Municipality, Barangay): Brgy. Cervantes, Catarman, Northern Samar OCT/TCT No.T-CLOA-1088 TD No. _________________ Total Area: 5.1590 (has) Lot No. 4673,
Approved Survey No.: Pls 857-D Crops Planted: Coconut

Name of Spouse
Name of ARBs Length of Tenure/
Present Position/ Remarks3
(Last Name, First
No. (Last Name, First Name, Address Service
Name, Status1 Designation2 (i.e., transfer, succession,
Middle Initial) (No. of Days)
Middle Initial)

1. LADEÑO, NOEL C. BRGY. CERVANTES, CATARMAN, SINGLE ACTUAL TILLER OCCUPANT/TILLER 32 years
NORTHERN SAMAR

2. LADEÑO, MYLENE M. BRGY. CERVANTES, CATARMAN, SINGLE ACTUAL TILLER OCCUPANT/TILLER 14 years
NORTHERN SAMAR

XXXXXX
Nothing Follows

1
Present Status (i.e., tenant, lessee, regular farmworker, seasonal farmworker, other farmworker, actual tillers or occupants of public lands, etc.)
2
Position/Designation/Nature of Work (i.e., Laborer, Foreman, Supervisior, Kapatas, others, please specify, if applicable)
*For Master list of Individual ARBs, place N/A (not applicable) on space for BSC.
** If list consist of several pages, MARPO, PARPO, and BARC Chairperson shall affix initials on all pages and sign only the last page on appropriate space for signature
3
Remarks (i.e., transfer through voluntary surrender, succession, sale, etc.)
 CARPER LAD FORM No. 31A
(Revised CARP-LAD Form No. 33A)

Note: Put a big “X” in the row immediately after writing/typing/encoding the name of the last ARB in the list. Then put the words “NOTHING FOLLOWS”. Use additional sheet, if necessary
(Use additional sheet, if necessary)
Prepared by: Reviewed by:

WINSTON G. TEJERO JOCELYN C. BALLICUD

Legal Officer Supervising MARPO

Certified by:

EDUARDO TRONGCOSO WITNESS: HON. FEDERICO T. OLIVEROS, JR.

BARC Chairman Punong Barangay

SUBSCRIBED and SWORN to before me, this ____ day of _________________, 2022 in Catarman, Northern Samar, the certifying BARC Chairperson/Member having presented to me his/her
competent proof of identification ___________________________________.

Approved by:

ENGR. JOSE M. BALBERDE

Provincial Agrarian Reform Program Officer II

__________________________________________
Administering Officer