RBI FORM B

HOUSEHOLD
RECORD OF BARANGAY INHABITANTS (RBI)
A. REGION: NCR A. 1 PSGC
B. PROVINCE: METRO MANILA B. 1 PSGC
C. BARANGAY: 874 ZONE 96 C. 1PSGC
D. HOUSEHOLD NO. _____________ D. 1 PSGC

NAME ADDRESS
(1) (2) RELATIONSHIP
PLACE OF DATE SEX CIVIL CITIZENSHIP OCCUPATION
BIRTH OF (5) STATUS (7) (8) TO THE
(3) BIRTH (6) HOUSEHOLD
LAST FIRST MIDDLE QUALIFIER NUMBER STREET NAME OF SUBD./ (4) HEAD
NAME ZONE/SITIO/PUROK/(if
applicable) (9)
(1.1) (1.2) (1.3) (1.4) (2.1) (2.2) (2.3)

Legend
PSGC – Philippine Standard Geographic Code shall be made available by the DILG City/Municipal Offices
HOUSEHOLD is a social unit consisting of a person living alone or a group of persons who
1) sleep in the same housing unit and 2) have a common arrangement in the preparation and consumption of food
QUALIFIER is the addition and/or inclusion of the word “JR”, “SR”, “II” etc. as the case may be after a person’s surname

Prepared by: ______________________________________ Certified Correct: JANICE C. ISIP Validated by: HERMIE S. ERONGA
Barangay Secretary Punong Barangay