PWD Masterlist Template

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MASTERLIST OF PWDs

GENDER
MENTAL/
BARANGAY FIRST NAME MIDDLE NAME LAST NAME DATE OF BIRTH MALE FEMALE ORTHOPEDIC TYPE HEARING
INTELLECTUAL
DISABILITY
DISABILITY DUE TO
PSYCHOSOCIAL VISUAL SPEECH LEARNING MULTIPLE SPED
CHRONIC
EDUCATIONAL ATTAINMENT EMPLOYMENT

DAY CARE KINDER ELEMENTARY SECONDARY SENIOR HIGH TERTIARRY VOCATIONAL NONE GOVERNMENT PRIVATE SELF EMPLOYED
PWD ID

STATUS OF EMPLOYMENT WITH WITHOUT

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