KR Form 2
KASAMBAHAY MASTERLIST
Monthly Report
For the Period of December, 2022
Region: I
Province: Ilocos Norte
Municipality: Pasuquin
Barangay: #10 Estancia
Educational Nature of Membership
Attainment Work (Write Y for Yes, and N for No)
1. Elem Undergrad 1. Gen.
Registration 2. Elem Grad Househelp(all
Name of Home Civil 3. HS Undergrad around); Name of
Control Sex Age Salary
Kasambahay Address Status 4. HS Grad 2. Yaya Employer
Number 5. Coll. Undergrad 3. Cook
SSS Pag-IBIG Phil-Health
6. Coll. Grad 4. Gardener
7. Vocational 5. Laundry person
6. Other
NONE
Prepared & submitted by:
ELIZABETH L. PALALAY Date:________________________________
Kasambahay Desk Officer