Annex “C-1”

Brgy.
Logo

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

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

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

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

Table 1: BSKOs Expected to Conduct BaRCO

No. of Elected Barangay Officials
No. of Elected SK Officials
No. of Barangay Tanods

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 Annex “C-1”
Total
Table 2: No. of BSKOs and Brgy. Tanods Who Percentage of
Participated/Conducted BaRCO Participation (%)
No. of Elected Barangay Officials
[Total of Table 2/Total
No. of Elected SK Officials
of Table 1] x 20 =
No. of Barangay Tanods _____
Total

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

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

“Kalinisan at Kaayusan sa Bagong Pilipinas”

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Photo of BSKOs and Brgy Tanods, etc. Photo with brief description: Name of Road/Street/Alley and other
e 2 of 4information/details Photo of BSKOs and Brgy Tanods, etc.
 Annex “C-1”

Certification
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:

_________________________________________________________________________
________________________________________________________________________

_________________________________________________________________________
________________________________________________________________________

_________________________________________________________________________
________________________________________________________________________

_________________________________________________________________________
________________________________________________________________________

_________________________________________________________________________
________________________________________________________________________

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 ________________________________________________________________________
Annex “C-1”
________________________________________________________________________

________________________________________________________________________ _______________________________________________________________________
Barangay Tanods

_________________________________________________ ________________________________________________ ___________________________________________

________________________________________

________________________________________________ ________________________________________________ __________________________________________

_________________________________________

________________________________________________ ________________________________________________ ___________________________________________

_________________________________________

________________________________________________ ________________________________________________ ___________________________________________

__________________________________________

________________________________________________ ________________________________________________ __________________________________________

_________________________________________

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