Annex “G”

Republic of the Philippines

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
DILG-NAPOLCOM Center, EDSA cor. Quezon Avenue, West Triangle, Quezon City
www.dilg.gov.ph

HUC/ICC/C/M Consolidated Validation and Assessment Results

BARANGAY ROAD CLEARING OPERATIONS (BaRCO)
VALIDATION AND ASSESSMENT FORM NO. 3
(Pursuant to DILG Memorandum Circulars 2022-085, 2023-017 and 2024-053 dated April 16, 2024 )
Province (N/A for HUC/ICC) ____________________
City/HUC/ICC/Municipality of _______________________________
______ Quarter of Calendar Year ______

NAME OF BARANGAYS SCORE/PTS. RANK

CERTIFICATION
We attest to the correctness of the information provided herein:

City/Municipal CVATT Chairperson

City Director/C/MLGOO
CVATT Members

PNP BFP

_____________________________
LGU Representative CSO/NGO Rep

Other Representative Other Representative

Other Representative Other Representative

“Matino, Mahusay at Maaasahan”

Trunkline No. (02) 8876 3454