Page 1

BADAC DATA CAPTURE FORM 1

INDICATOR POSITION FIRST NAME LAST NAME SEX BIRTHDATE CIVIL STATUS ADDRESS CONTACT #
Chairperson /
Punong Barangay FERNANDO LOPEZ MALE 10/11/1968 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Vice-Chairperson /
Peace & Order
Committee Chair ROMEL RANGASAJO MALE 5/6/1977 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Members:
Chair of Women &
Family Committee PHOEBE GUILLERMO FEMALE 2/2/1972 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY

BADAC is SK Chairperson JOYCE LESANO FAMALE 1/1/2002 SINGLE BRGY. 30 PIGCALE LEGAZPI CITY
composed of
School Principal /
seven (7)
Representative ROSARIO LOREJO FEMALE 2/15/1960 SINGLE BRGY. 30 PIGCALE LEGAZPI CITY
members
Brgy Chief Tanod 12/25/1963
JESUS SANTOS MALE 12/25/1963 BRGY. 30 PIGCALE LEGAZPI CITY
NGO / CSO
Representative ALITA ECLEO FEMALE 11/9/1955 WIDOW BRGY. 30 PIGCALE LEGAZPI CITY
Faith-based Org
Representative RODOLFO MANLAPAZ MALE 8/26/1961 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Adviser:
Local PNP Chief /
Representative MARK ANTHONY VILLANUEVA MALE MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Chairperson / Peace
& Order Committee
BADAC Chair ROMEL RANGASAJO MALE 5/6/1977 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Committee on Members:
Operations is
organized Brgy Chief Tanod BRGY. 30 PIGCALE LEGAZPI CITY
JESUS SANTOS MALE 12/25/1963 MARRIED
BADAC Auxiliary
Refer to BADAC Auxiliary Team Profile
Team
Chairperson /
Women & Family
Committee Chair PHOEBE GUILLERMO FEMALE 2/2/1972 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Members:
BADAC SK Chairperson
Committee on JOYCE LESANO FAMALE 1/1/2002 SINGLE BRGY. 30 PIGCALE LEGAZPI CITY
Advocacy is School Principal /
organized Representative ROSARIO LOREJO FEMALE 2/15/1960 SINGLE BRGY. 30 PIGCALE LEGAZPI CITY
NGO / CSO
Representative ALITA ECLEO FEMALE 11/9/1955 WIDOW BRGY. 30 PIGCALE LEGAZPI CITY
Faith-based Org
Representative RODOLFO MANLAPAZ MALE 8/26/1961 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
 Page 2
BADAC DATA CAPTURE FORM 1

INDICATOR POSITION FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
Chief Tanod 1. Jesus S.. Santos MALE 12/25/1963 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 2 .Reymar A. Dayto MALE 4/24/1982 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 3. Arnel Labanda MALE 6/8/1959 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 4. Zaldy S. Alcantara, Sr. MALE 1/17/1961 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 5.Gregorio 0 . Robles MALE 10/15/1971 WIDOW BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 6. Isidro A. Alcera MALE 4/5/1953 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 7. Jesus G . Abaleta MALE 6/11/1980 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 8. Arnulfo H. Anonuevo MALE 7/18/1956 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 9. Horacio P. Deladia MALE 2/22/1958 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 10. Antonio Ecleo MALE 7/5/1965 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
BADAC Tanod Member 11. Ronald S. Isip MALE 8/21/1972 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Auxiliary Team Tanod Member 12. Gloria L. Baynado MALE 1/17/1955 WIDOW BRGY. 30 PIGCALE LEGAZPI CITY
(BAT) is Tanod Member 13. Florante A. Seroriales MALE 11/23/1962 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
organized Tanod Member 14. Jerry B. Deramas MALE 4/16/1988 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 15. JOnel A. Bernal MALE 9/11/1986 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 16. Salvador Arcinue MALE 12/9/1972 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 17. Carmelita G. Abaleta, jr . MALE 8/4/1977 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 18. Albert Arcinue MALE 8/28/1986 MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
Tanod Member 19. Reynante Dayto MALE MARRIED BRGY. 30 PIGCALE LEGAZPI CITY

Note: Use additional page if necessary. BAT shall be composed of one member per 80 residents; 25 members per 2,000 residents.
INDICATOR UNIT OF CLUSTER FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
PUROK-1 ELINITA LOTERIA F WIDOW BRGY. 30 PIGCALE LEGAZPI CITY
PUROK-2 WILFREDO ALAMO MALE WIDOW BRGY. 30 PIGCALE LEGAZPI CITY
PUROK-3 NELLY DE GUZMAN F WIDOW BRGY. 30 PIGCALE LEGAZPI CITY
PUROK-4 JENNY ALEJO F MARRIED BRGY. 30 PIGCALE LEGAZPI CITY
BADAC House
Clusters are
organized

Note: Use additional page if necessary. Examples of Unit of Cluster are by purok, by sitio, by block, by zone, by street, etc.
CONCURRENT
INDICATOR DESIGNATION FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
(if applicable)
Barangay Duty BADAC DESK OFFICER AKEEM JOVAN DELA ROSA MALE 9/24/1993 SINGLE BRGY. 30 PIGCALE LEGAZPI CITY 9935368747
Officers are
designated
Note: Use additional page if necessary. Concurrent Designation refers to the primary appointment / item of the designated Brgy Duty Officer in the barangay, e.g. Barangay Health
Worker, VAWC Desk Officer, etc.
 Page 3
BADAC DATA CAPTURE FORM 2
DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME FACILITATOR

Trainings Attended
by Punong
Barangay on
Strengthening
BADACs

Note: Use additional page if necessary.

DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME FACILITATOR

Trainings /
Planning Session
Attended by
Punong Barangay
on CSAR

Note: Use additional page if necessary.

DURATION SPEAKER / NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE
DATE (MM/DD/YYYY) TIME FACILITATOR MALE FEMALE

Trainings
Conducted by
BADAC for House
Cluster Leaders

Note: Use additional page if necessary.

DURATION SPEAKER / NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE
DATE (MM/DD/YYYY) TIME FACILITATOR MALE FEMALE

Trainings
Conducted by
BADAC for BADAC
Auxiliary Team

Note: Use additional page if necessary.

DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME FACILITATOR

Trainings Attended
by Barangay Duty
Officers

Note: Use additional page if necessary.

 Page 4
BADAC DATA CAPTURE FORM 3

DURATION NO. OF PARTICIPANTS

INDICATOR ACTIVITY TITLE VENUE PRESIDING OFFICER
DATE (MM/DD/YYYY) TIME MALE FEMALE
NONE NONE
Conduct of
BADAC
Consultative
Meetings

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE PRESIDING OFFICER
DATE (MM/DD/YYYY) TIME MALE FEMALE
MONTHLY MEETING / UPDATING JAN 6, 2024 7:00 PM BRGY MULTI PURPOSE HALL PB. LOPEZ 21 3
MONTHLY MEETING / UPDATING FEB 17,2024 19:30 BRGY MULTI PURPOSE HALL PB. LOPEZ 20 3
MONTHLY MEETING / UPDATING MARCH 16,2024 6:00 PM BRGY MULTI PURPOSE HALL PB. LOPEZ 21 2
MONTHLY MEETING / UPDATING APRIL 7, 2024 7:00 PM BRGY MULTI PURPOSE HALL PB.LOPEZ 21 3
MONTHLY MEETING / UPDATING APRIL 10,2024 7:00 PM BRGY MULTI PURPOSE HALL PB.LOPEZ 21 3
Conduct of
BADAC Monthly
Meetings

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE
NONE
Organization/Co-
organization of
Community-based
IEC Campaign
Activities

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE
NONE
Organization/Co-
organization of
School-based IEC
Campaign
Activities

Note: Use additional page if necessary.

 Page 5
BADAC DATA CAPTURE FORM 3

DURATION NO. OF PARTICIPANTS

INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE

Conduct of Youth-
led IEC Campaign
Activities

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE

Conduct of CSO-
led IEC Campaign
Activities

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE

Organization/Co-
organization of
Activities in
Observance of the
IDADAIT

Note: Use additional page if necessary.

DURATION NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE TARGET AUDIENCE
DATE (MM/DD/YYYY) TIME MALE FEMALE

Organization/Co-
organization of
Activities in
Observance of the
DAPC Week

Note: Use additional page if necessary.

 BADAC DATA CAPTURE FORM 4
UNIFIED BARANGAY REPORT ON REFERRAL ACTION (UBRRA)

PROVINCE : ALBAY
CITY : LEGAZPI
BARANGAY : 30 PIGCALE
Data provided herein are those recorded within the months of: January to March ( ) April to June ( ) Year (YYYY): 2024

NO. OF SURRENDERERS NO. OF REFERRED SURRENDERERS

INDICATOR INDICATOR
MALE FEMALE MALE FEMALE
TOTAL TOTAL
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18

Submission of Updated
Submission of Updated Number
Number of Residents who
of Referred Surrenderers
Surrenderred

NO. OF SURRENDERERS ENROLLED IN WELLNESS & RECOVERY

STATUS / STATUS AND NO. OF ASSESSED SURRENDERERS WELLNESS & INTERVENTIONS
INDICATOR LEVEL OF INDICATOR RECOVERY
RISK MALE FEMALE INTERVENTIONS MALE FEMALE
TOTAL TOTAL
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18

General
Low
Interventions

Community-based
Mild Submission of Treatment &
Submission of Rehab
Updated
Updated Number
Number of
of Assessed Health Facility-
Enrolled
Surrenderers
Moderate Surrenderers based Outpatient
Treatment &
Rehab

Inpatient
Severe Treatment &
Rehab

NO. OF SURRENDERERS WHO COMPLETED WELLNESS &

RECOVERY INTERVENTIONS The purpose of this form is to determine the number of surrenderers per semester (January-June, July-
INDICATOR
MALE FEMALE December), and monitor the number of who, among those surrenderers, have been referred, assessed,
TOTAL and who have completed any Wellness and Recovery Program interventions within the 6-month time
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18
frame. Counting shall restart at the onset of the new semester; meaning, the data on those who
Submission of Updated
surrendered in the previous semester shall no longer be accounted in the next, regardless of whether
Number of Surrenderers Who
they have been referred or assessed in the following semester.
Completed Wellness &
Recovery Interventions

Prepared by: Submitted by:

KWD. ROMEL M. RANGASAJO KWD. PHOEBE S. GUILLERMO PB. FERNADO A. LOPEZ

BADAC Comm. on Operation BADAC Comm. on Advocacy Punong Barangay/BADAC Chairperson
 Page 7
BADAC DATA CAPTURE FORM 5
COMMUNITY SUPPORT, AFTERCARE AND REINTEGRATION (CSAR)

PROVINCE : ALBAY
CITY : LEGAZPI
BARANGAY : 30 PIGCALE

Data provided herein are those recorded within the months of: January to March ( ) April to June ( ) Year (YYYY): 2024

NO. OF CSAR ENROLLEES NO. OF CSAR GRADUATES

INDICATOR INDICATOR
MALE FEMALE MALE FEMALE
TOTAL TOTAL
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18

Submission of
Submission of Updated Updated Number of
Number of Residents Residents Who
Enrolled in CSAR Program, Completed the
or its equivalent CSAR Program, or
its equivalent

The purpose of this form is to determine the number of residents enrolled in CSAR Program, or its equivalent, per semester (January-June, July-December), and monitor the number of who,
among those enrolled, have completed the CSAR program within the 6-month time frame. Counting shall restart at the onset of the new semester; meaning, the data on those enrolled in the
previous semester shall no longer be accounted in the next, regardless of whether they have been referred or assessed in the following semester.

Prepared by: Submitted by:

KWD. ROMEL M. RANGASAJO KWD. PHOEBE S. GUILLERMO PB. FERNADO A. LOPEZ

BADAC Comm. on Operation BADAC Comm. on Advocacy Punong Barangay/BADAC Chairperson
 BADAC DATA CAPTURE FORM 6
SUMMARY OF CONSOLIDATED INFORMATION REPORT
as per Section 8 of DDB Board Regulation No. 3, s. 2017
Year (2024): 2024

PROVINCE : ALBAY
CITY : LEGAZPI
BARANGAY : 30 PIGCALE

Data provided herein are those recorded within the months of: January to March ( ) April to June ( ) July to September ( ) October to December ( )

DRUG SUPPLY DRUG TRANSIT / CLANDESTINE

DRUG PUSHER DRUG USER / DEPENDENT
INDICATOR AVAILABILITY TRANSHIPMENT ACTIVITY LABORATORY

PRESENT / ABSENT TOTAL PRESENT / ABSENT TOTAL PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT

0
2 10 0 0

Submission of
Updated Summary of CLANDESTINE CHEMICAL MARIJUANA CULTIVATION DRUG DEN, DIVE OR DRUG PROTECTOR /
CLANDESTINE DRUG WAREHOUSE
Consodated WAREHOUSE SITE / PLANTATION RESORT CODDLER & FINANCIER
Information Report
(CIR)
PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT PRESENT/ABSENT

0
0 0 2 0

Prepared by: Submitted by:

KWD. ROMEL M. RANGASAJO KWD. PHOEBE S. GUILLERMO PB. FERNANDO A. LOPEZ

BADAC Comm. on Operation BADAC Comm. on Advocacy Punong Barangay/BADAC Chairperson