Page 1

BADAC DATA CAPTURE FORM 1

INDICATOR POSITION FIRST NAME LAST NAME SEX BIRTHDATE CIVIL STATUS ADDRESS CONTACT #
Chairperson /
Punong Barangay BENICIO SORIANO MALE 02/20/1968 MARRIED ZONE 7 CALILLAUAN SOLANA 09975520158
Vice-Chairperson /
Peace & Order
Committee Chair DENIS SORIANO MALE 09/28/1986 MARRIED ZONE 7 CALILLAUAN SOLANA 09976916867
Members:
Chair of Women &
Family Committee JENNIFER SABADO FEMALE 08/14/1969 MARRIED ZONE 5 CALILLAUAN SOLANA 09773440564
BADAC is SK Chairperson MICHELLE ANGELA GUDOY FEMALE 8/11/2002 SINGLE ZONE 2 CALILLAUAN SOLANA 09757676252
composed of
School Principal /
seven (7)
Representative MARY GRACE DOMINGO FEMALE 11/28/1979 MARRIED PAROG-PAROG SOLANA 09970728817
members
Brgy Chief Tanod
WILLIAM CATANAUAN MALE 7/8/1968 MARRIED ZONE 2 CALILLAUAN SOLANA 09177502508
NGO / CSO
Representative EMILIA GUDOY FEMALE 12/6/1977 MARRIED ZONE 2 CALILLAUAN SOLANA 09657956255
Faith-based Org
Representative TORIBIO TAMARAY MALE MARRIED ZONE 2 CALILLAUAN SOLANA
Adviser:
Local PNP Chief /
Representative JENIE VEE REQUIMIN FEMALE MARRIED ZONE 5 CALILLAUAN SOLANA
Chairperson / Peace
& Order Committee
BADAC Chair DENIS SORIANO M 09/28/1986 MARRIED ZONE 7 CALILLAUAN SOLANA 09976916867
Committee on Members:
Operations is
organized Brgy Chief Tanod
WILLIAM CATANAUAN M 7/8/1968 MARRIED ZONE 2 CALILLAUAN SOLANA 09177502508
BADAC Auxiliary
Refer to BADAC Auxiliary Team Profile
Team
Chairperson /
Women & Family
Committee Chair JENNIFER SABADO FEMALE 08/14/1969 MARRIED ZONE 5 CALILLAUAN SOLANA 09773440564
Members:
BADAC SK Chairperson
Committee on MICHELLE ANGELA GUDOY FEMALE 8/11/2002 SINGLE ZONE 2 CALILLAUAN SOLANA 09757676252
Advocacy is School Principal /
organized Representative MARY GRACE DOMINGO FEMALE 11/28/1979 MARRIED PAROG-PAROG SOLANA 09970728817
NGO / CSO
Representative EMILIA GUDOY FEMALE 12/6/1977 MARRIED ZONE 2 CALILLAUAN SOLANA 09657956255
Faith-based Org
Representative TORIBIO TAMARAY MALE MARRIED ZONE 2 CALILLAUAN SOLANA
 Page 2
BADAC DATA CAPTURE FORM 1

INDICATOR POSITION FIRST NAME LAST NAME SEX BIRTH DATE CIVIL STATUS ADDRESS CONTACT #
MEMBER VENERANDO SUYU MALE MARRIED CALILLAUAN SOLANA CAGAYAN
MEMBER JEFFERSON SORIANO MALE MARRIED CALILLAUAN SOLANA CAGAYAN
MEMBER FRANCISCO FUGGAN MALE MARRIED CALILLAUAN SOLANA CAGAYAN
MEMBER AVELINO ABELLA MALE MARRIED CALILLAUAN SOLANA CAGAYAN
MEMBER RUBEN SORIANO MALE MARRIED CALILLAUAN SOLANA CAGAYAN
MEMBER LYDIA TAMARAY FEMALE MARRIED CALILLAUAN SOLANA CAGAYAN
BADAC MEMBER MARIVIE ISNEC FEMALE MARRIED CALILLAUAN SOLANA CAGAYAN
Auxiliary Team MEMBER FLORIAN LAGMAY FEMALE MARRIED CALILLAUAN SOLANA CAGAYAN
(BAT) is MEMBER ROGELIO DELA CRUZ MALE MARRIED CALILLAUAN SOLANA CAGAYAN
organized MEMBER EDMUND LAGMAY MALE MARRIED CALILLAUAN SOLANA CAGAYAN
MEMBER IMELDA LAGGUI FEMALE MARRIED CALILLAUAN SOLANA CAGAYAN
MEMBER DONDEE ANTONIO MALE MARRIED CALILLAUAN SOLANA CAGAYAN
MEMBER MANUEL VALDEZ MALE MARRIED CALILLAUAN SOLANA CAGAYAN
MEMBER MICHAEL OLTIVEROS MALE MARRIED CALILLAUAN SOLANA CAGAYAN
MEMBER JAYDEE ANTONIO MALE MARRIED CALILLAUAN SOLANA CAGAYAN
MEMBER EDUARDO QUEMAN MALE MARRIED CALILLAUAN SOLANA CAGAYAN
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 AGUSTIN SORIANO MALE 2/6/1952 MARRIED ZONE 5 CALILLAUAN SOLANA 09274873597
PUROK 2 JOSEPH BALLAD MALE 05/22/1969 MARRIED ZONE 1 CALILLAUAN SOLANA 09975447954
BADAC House PUROK 3 RODEL ANCHETA MALE 10/2/1978 MARRIED ZONE 3 CALILLAUAN SOLANA 09161662016
Clusters are PUROK 4 ASHAN LOVIDERO MALE 3/3/1982 MARRIED ZONE 4 CALILLAUAN SOLANA 09666347871
organized PUROK 5 ROGELIO OETEGA MALE 5/8/1957 MARRIED ZONE 5 CALILLAUAN SOLANA 09554016393
PUROK 6 DENIS SORIANO MALE 09/28/1986 MARRIED ZONE 7 CALILLAUAN SOLANA 09976916867
PUROK 7 JENNIFER SABADO FEMALE 08/14/1969 MARRIED ZONE 5 CALILLAUAN SOLANA 09773440564
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)
LEONILA CANAPI FEMALE 07/31/1969 MARRIED CALILLAUAN SOLANA CAGAYAN 09161913619
EDNA HERRERA FEMALE 1/1/1985 MARRIED CALILLAUAN SOLANA CAGAYAN 09155285429
Barangay Duty ROWENA SORIANO FEMALE 09/28/1973 MARRIED CALILLAUAN SOLANA CAGAYAN 09364069176
Officers are EMILY CHENG FEMALE 12/31/1990 MARRIED CALILLAUAN SOLANA CAGAYAN 09554090801
designated MARILOU BAUTISTA FEMALE 5/3/1969 MARRIED CALILLAUAN SOLANA CAGAYAN 09056848337
MARY JANE AGUSTIN FEMALE 06/28/1975 MARRIED CALILLAUAN SOLANA CAGAYAN 09755586981
GINA MORALES FEMALE 02/15/1975 MARRIED CALILLAUAN SOLANA CAGAYAN 09359767243
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
SORIANO MALE FACILITATOR
SORIANO MALE ZONE 7 CALILLAUAN SOLANA
Trainings Attended
by Punong
SABADO FEMALE MARRIEDZONE 5 CALILLAUAN SOLANA
Barangay on
Strengthening GUDOY FEMALE ZONE 2 CALILLAUAN SOLANA
BADACs DOMINGO FEMALE PAROG-PAROG SOLANA
CATANAUAN MALE ZONE 2 CALILLAUAN SOLANA
Note: Use additional page if necessary. EMILIA GUDOY FEMALE MARRIEDZONE 2 CALILLAUAN SOLANA
TAMARAY ZONE 2 CALILLAUAN
INDICATOR ACTIVITY TITLE VENUE LEAD ORGANIZER
DATE (MM/DD/YYYY) TIME SOLANA
REQUIMIN FEMALE ZONE 5 CALILLAUAN SOLANA
Trainings / SORIANO M MARRIEDZONE 7 CALILLAUAN SOLANA
Planning Session
Attended by
CATANAUAN M MARRIEDZONE 2 CALILLAUAN SOLANA
Punong Barangay
on CSAR
SABADO FEMALE ZONE 5 CALILLAUAN SOLANA
Note: Use additional page if necessary.
NO. OF
GUDOY PAROG-PAROG
INDICATOR ACTIVITY TITLE VENUE PARTICIPANTS
DOMINGO FEMALE SOLANA MALE FEMALE
EMILIA GUDOY FEMALE ZONE 2 CALILLAUAN SOLANA
Trainings
TORIBIO TAMARAY MALE MARRIEDZONE 2 CALILLAUAN SOLANA
Conducted by
BADAC for House
Cluster Leaders
Note: Use additional page if necessary.
NO. OF
DURATION SPEAKER /
INDICATOR ACTIVITY TITLE VENUE PARTICIPANTS
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
SORIANO MALE MALE FEMALE
SORIANO MALE ZONE 7 CALILLAUAN SOLANA
Conduct of
BADAC
JENNIFER SABADO FEMALE MARRIED
ZONE 5 CALILLAUAN SOLANA
Consultative
Meetings GUDOY FEMALE ZONE 2 CALILLAUAN SOLANA
DOMINGO FEMALE PAROG-PAROG SOLANA
Note: Use additional page if necessary. WILLIAM CATANAUAN MALE MARRIED
ZONE 2 CALILLAUAN SOLANA
GUDOY ZONE 2 CALILLAUAN NO. OF PARTICIPANTS
INDICATOR ACTIVITY TITLE VENUE
TAMARAY MALE SOLANA MALE FEMALE

REQUIMIN FEMALE ZONE 5 CALILLAUAN SOLANA

SORIANO M ZONE 7 CALILLAUAN SOLANA

CATANAUAN M ZONE 2 CALILLAUAN SOLANA

Conduct of
BADAC Monthly
SABADO FEMALE ZONE 5 CALILLAUAN SOLANA
Meetings
GUDOY FEMALE PAROG-PAROG SOLANA
DOMINGO FEMALE ZONE 2 CALILLAUAN SOLANA
GUDOY FEMALE ZONE 2 CALILLAUAN SOLANA
TAMARAY MALE ZONE 2 CALILLAUAN SOLANA
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
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
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.
 Page 6
BADAC DATA CAPTURE FORM 4
UNIFIED BARANGAY REPORT ON REFERRAL ACTION (UBRRA)

Data provided herein are those recorded within the

BENICIO months of: MALE
SORIANO ZONE 7 CALILLAUAN SOLANA
MARRIED Year (YYYY): __________________________
DENIS SORIANO MALE MARRIED
ZONE 7 CALILLAUAN SOLANA

NO. OF SURRENDERERS NO. OF REFERRED SURRENDERERS

INDICATOR INDICATOR
JENNIFER FEMALE MALE FEMALE
MICHELLE MARRIED TOTAL
GUDOY FEMALE ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18
ANGELA

Submission of Updated
MARY MARRIE
Number of Residents who DOMINGO FEMALE PAROG-PAROG SOLANA
GRACE D
Surrenderred

JENIE VEE REQUIMIN FEMALE MARRIED

ZONE 5 CALILLAUAN SOLANA

NO. OF SURRENDERERS ENROLLED IN WELLNESS &

STATUS / DENIS WELLNESS & RECOVERY INTERVENTIONS
INDICATOR LEVEL OF ZONE 7 CALILLAUAN SOLANA
RECOVERY
RISK MALE FEMALE INTERVENTIONS MALE FEMALE
TOTAL TOTAL
WILLIAM CATANAUAN M ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18

General
Low
Interventions

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

Inpatient
MICHELLE
Severe GUDOY SINGLE Treatment &
ANGELA
Rehab
FEMALE
MARY GRACE DOMINGO FEMALE MARRIED
ZONE 2 CALILLAUAN SOLANA

EMILIA
INDICATOR
TORIBIO MALE
MARRIED
BELOW 18 ABOVE 18 BELOW 18 ABOVE 18 ZONE 2 CALILLAUAN SOLANA
Submission of Updated
Number of Surrenderers Who
Completed Wellness &
Recovery Interventions
 Submission of Updated
Number of Surrenderers Who
Completed Wellness &
Recovery Interventions
 Page 7
BADAC DATA CAPTURE FORM 5
COMMUNITY SUPPORT, AFTERCARE AND REINTEGRATION (CSAR)

Data provided herein are those recorded within SORIANO

BENICIO the months of: MALE ZONE 7 CALILLAUAN SOLANA
MARRIED Year (YYYY): __________________________
DENIS SORIANO MALE MARRIED
ZONE 7 CALILLAUAN SOLANA

NO. OF CSAR ENROLLEES NO. OF CSAR GRADUATES

INDICATOR INDICATOR
JENNIFER FEMALE MALE FEMALE
MICHELLE MARRIED TOTAL
GUDOY FEMALE ABOVE 18 BELOW 18 ABOVE 18 BELOW 18 ABOVE 18
ANGELA

Submission of Updated
Number of Residents MARY PAROG-PAROG
DOMINGO FEMALE MARRIED
Enrolled in CSAR Program, GRACE SOLANA
or its equivalent

DENIS SORIANO M MARRIED

ZONE 7 CALILLAUAN SOLANA

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.

MICHELLE ANGELA
GUDOY FEMALE SINGLEPAROG-PAROG SOLANA
MARY GRACE DOMINGO FEMALE MARRIED
ZONE 2 CALILLAUAN SOLANA
EMILIA GUDOY FEMALE MARRIED
ZONE 2 CALILLAUAN SOLANA
 Page 8
BADAC DATA CAPTURE FORM 6
SUMMARY OF CONSOLIDATED INFORMATION REPORT
as per Section 8 of DDB Board Regulation No. 3, s. 2017
Year (YYYY): _________
DENIS SORIANO MALE MARRIED ZONE 7 CALILLAUAN SOLANA
Data provided herein are those recorded within the months of: January to March ( ) April to June ( ) July to September ( ) October to December ( )
JENNIFER SABADO FEMALE MARRIED ZONE 5 CALILLAUAN SOLANA
MICHELLE ANGELA GUDOY FEMALE SINGLE ZONE 2 CALILLAUAN SOLANA

CLANDESTINE
MARY GRACE FEMALE MARRIED PAROG-PAROG SOLANA
INDICATOR LABORATORY

WILLIAM CATANAUAN MALE TOTAL MARRIED ZONE 2 CALILLAUAN SOLANA PRESENT/ABSENT

GUDOY MARRIED
TAMARAY MARRIED
ZONE 2 CALILLAUAN
EMILIA FEMALE
REQUIMIN MARRIED SOLANA
SORIANO MARRIED
CATANAUA
WILLIAM M MARRIED ZONE 2 CALILLAUAN SOLANA
N

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

MARRIED
MARRIED
MARRIED ZONE 2 CALILLAUAN
MARY GRACE FEMALE
SOLANA