BHW PROFILE

NAME: QUERIJERO MARILYN PORBIDO

(Last Name) (First Name) (Middle Name)

ADDRESS: RECTO ST. 3 BALER

(Purok) (Barangay) (Municipality)

REGISTRATION: BALER, AURORA

(No.) (Date) (Place Issued)

SEX: FEMALE BIRTHDAY: 03-19-1961 AGE: 63 YRS. OLD

CIVIL STATUS: MARRIED CONTACT NO.: 09308845975
BLOOD TYPE: O ETNICITY: N/A
HIGHEST EDUCATIONAL ATTAINMENT: COLLEGE GRADUATE
OCCUPATION: BARANGAY HEALTH WORKER PLACE OF WORK: BRGY. 03
NUMBER OF HOUSEHOLD COVERED: 105 PUROK/STREET: PUROK 1-3

TRAININGS ATTENDED: TITLE TOPIC DATE

1. Basic Training Course for Barangay Health Worker May 17-19, 2022
2. Training on Fossilized Cacao Leaves and Handicraft Making November 9-11, 2022
3. Training on improving the Complementary Foods of Children,
aged 6 Months Up October 11-14, 2022
4. Simulated Birth Rectification Act – SIBRA RA 11222-MCR February 24, 2022

HONORARIUM RECEIVED: PROVINCE MUNICIPAL BARAGAY

Monthly __________ __________ __________

Quarterly __________ __________ __________
Annual __________ __________ __________

CONTACT PERSON:

NAME : ____________________
RELATION : ____________________
CONTACT NO. : ____________________

MARILYN PORBIDO QUERIJERO

NAME & SIGNATURE
 BHW PROFILE

NAME: QUERIJERO LHEA TANGSON

(Last Name) (First Name) (Middle Name)

ADDRESS: RECTO ST. 3 BALER

(Purok) (Barangay) (Municipality)

REGISTRATION: BALER, AURORA

(No.) (Date) (Place Issued)

SEX: FEMALE BIRTHDAY: __________ AGE: ____________________

CIVIL STATUS: SINGLE CONTACT NO.: __________
BLOOD TYPE: ____________________ ETNICITY: N/A
HIGHEST EDUCATIONAL ATTAINMENT: COLLEGE GRADUATE
OCCUPATION: BARANGAY HEALTH WORKER PLACE OF WORK: BRGY. 03
NUMBER OF HOUSEHOLD COVERED: 105 PUROK/STREET: PUROK 1-3

TRAININGS ATTENDED: TITLE TOPIC DATE

1. Basic Training Course for Barangay Health Worker May 17-19, 2022
2. Training on Fossilized Cacao Leaves and Handicraft Making November 9-11, 2022
3. Training on improving the Complementary Foods of Children,
aged 6 Months Up October 11-14, 2022
4. Simulated Birth Rectification Act – SIBRA RA 11222-MCR February 24, 2022

HONORARIUM RECEIVED: PROVINCE MUNICIPAL BARAGAY

Monthly __________ __________ __________

Quarterly __________ __________ __________
Annual __________ __________ __________

CONTACT PERSON:

NAME : ____________________
RELATION : ____________________
CONTACT NO. : ____________________

LHEA TANGSON QUERIJERO

NAME & SIGNATURE
 BHW PROFILE

NAME:
(Last Name) (First Name) (Middle Name)

ADDRESS:
(Purok) (Barangay) (Municipality)

REGISTRATION:
(No.) (Date) (Place Issued)

SEX: __________ BIRTHDAY: __________ AGE: ____________________

CIVIL STATUS: ____________________ CONTACT NO.: __________
BLOOD TYPE: ____________________ ETNICITY: __________
HIGHEST EDUCATIONAL ATTAINMENT: ______________________________
OCCUPATION: BARANGAY HEALTH WORKER PLACE OF WORK: __________
NUMBER OF HOUSEHOLD COVERED: __________ PUROK/STREET: __________

TRAININGS ATTENDED: TITLE TOPIC DATE

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

HONORARIUM RECEIVED: PROVINCE MUNICIPAL BARAGAY

Monthly __________ __________ __________

Quarterly __________ __________ __________
Annual __________ __________ __________

CONTACT PERSON:

NAME : ____________________
RELATION : ____________________
CONTACT NO. : ____________________

__________________________
NAME & SIGNATURE