KASAMBAHAY MASTERLIST QUARTERLY REPORT COVERING _________________________________________
REGION VI PROVINCE: AKLAN
REG. CONTROL NUMBER EDUCATIONAL ATTAINMENT NATURE EMPLOYMENT OF SALARY ARRANGEMENT WORK
MUNICIPALITY: LEZO BARANGAY: _________________________________
MEMBERSHIP SSS PI PH
NAME OF KASAMBAHAY
HOME ADDRESS
SEX AGE CS
Name of Employer
Prepared and Submitted by:
__________________________________________
LEGEND:
REGISTRATION CONTROL NO. SEX CS (Civil Status) 2013-BRGY.NO. - 0001 M - MALE F - FEMALE S - SINGLE M - MARRIED W - WIDOW 1 - ELEM UNDERGRAD 2 - ELEM GRAD 3 - HS UNDERGRAD 4 - HS GRAD 5 - COLL UNDERGRAD 6 - COLL GRAD 7 - VOCATIONAL SIGNATURE and COMPLETE NAME with POSITION NATURE OF WORK 1 - GENERAL HOUSEHELP (All - Around) 2 - YAYA 3 - COOK 4 - GARDENER 5 - LAUNDRY PERSON 6 - OTHERS 1 - LIVE-IN 2 - LIVE-OUT 1 - Php 1,500.00 - Php 1, 999.00 2 - Php 2,000.00 - Php 2,499.00 3 - Php 2,500.00 - Php 4,999.00 4 - Php 5,000.00 - Above Y - YES or N - NO
EDUCATIONAL ATTAINMENT
EMPLOYMENT ARRANGEMENT
SALARY
MEMBERSHIP
PREPARED AND SUBMITTED
KASAMBAHAY MASTERLIST NOTED AS KR FORM 1
_______________________
Employeer's Address
_____________________
P (All - Around)
MONTHLY BARANGAY CONSOLIDATED KASAMBAHAY REPORT
FOR THE MONTH OF __________________________________
BARANGAY: _____________________________________ MUNICIPALITY: LEZO INDICATE NO OF KASAMBAHAY TOTAL NUMBER OF REGISTERED KASAMBAHAY SEX AGE
15 to 46 & Below 18 - 30 31-45 Above 18
PROVINCE: AKLAN REGION VI
CIVIL STATUS
EDUCATIONAL ATTAINMENT ELEM HIGH SCHOOL
UNDER GRAD GRAD
WORK INFORMATION NATURE OF WORK
GEN. HOUSE HELP YAYA COOK
COLLEGE
UNDER GRAD GRAD
SALARY
SEP
UNDER GRAD GRAD
Php Php GARDE LAUNDRY OTHERS 1,500 - 2,000 NER PERSON 1,999 2,499
PREPARED BY: KASAMBAHAY DESK OFFICER
SUBMITTED BY: PUNONG BARANGAY
SALARY
Php Php 2,500 - 5,000 4,999 above