Brgy.

Annex “C-1”
Logo

Barangay: ___(Address)
Photo Documentation
Conduct of Barangay Road Clearing Operations (BaRCO)
Month of _____________________ CY _________
Date of BaRCO conducted: ______________________________________

Table 1: BSKOs Expected to Conduct BaRCO

No. of Elected Barangay Officials

No. of Elected SK Officials

No. of Barangay Tanods

Total Photo with brief description: Name of Road/Street/Alley Photo with brief description: Name of Road/Street/Alley Photo with brief description: Name of Road/Street/Alley and
and other information/details and other information/details other information/details

Table 2: No. of BSKOs and Brgy. Tanods Who

Participated/Conducted BaRCO SCORE

No. of Elected Barangay Officials

[Total of Table 2/Total
No. of Elected SK Officials of Table 1] x 20 = _____

No. of Barangay Tanods Photo with brief description: Name of Road/Street/Alley and other informa-
tion/details
Total Photo with brief description: Name of Road/Street/Alley and
other information/details

Certification
“Kalinisan at Kaayusan sa Bagong Pilipinas”

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 Annex “C-1”
WE hereby CERTIFY and DECLARE that the Photos,
Information and activities are true and correct to the best of OUR knowledge .

Punong Barangay: ____________________________________________________ SK Chairperson: ______________________________________________________

Sangguniang Barangay Members: Sangguniang Kabataan Members:

_________________________________________________________________________ ________________________________________________________________________

_________________________________________________________________________ ________________________________________________________________________

_________________________________________________________________________ ________________________________________________________________________

_________________________________________________________________________ ________________________________________________________________________

_________________________________________________________________________ ________________________________________________________________________

________________________________________________________________________ ________________________________________________________________________

________________________________________________________________________ _______________________________________________________________________

Barangay Tanods

_________________________________________________ ________________________________________________ ___________________________________________ ________________________________________

________________________________________________ ________________________________________________ __________________________________________ _________________________________________

________________________________________________ ________________________________________________ ___________________________________________ _________________________________________

________________________________________________ ________________________________________________ ___________________________________________ __________________________________________

“Kalinisan at Kaayusan sa Bagong Pilipinas”

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