VAC Form 1
BARANGAY DATA CAPTURE FORM
MONITORING OF INCIDENCE ON VIOLENCE AGAINST CHILDREN (VAC) DURING THE COVID-19 PANDEMIC
1st Quarter of 2025
Region: NCR
Province: METRO MANILA
City/Municipality: Manila
Barangay: Zone
GENDER TYPES OF VIOLENCE PERPETRATORS ACTIONS TAKEN BY THE BARANGAY/BCPC Others
VAC VICTIM/S (2) AGE (4)
Psychological/ Immediate Other (5) Others Referre (6)
Referred for Referred (ex:
Physical Sexual Acquaint Local Law Referred to Referred
(1) Male Female (3) Emotional Neglect Family Close Stranger (ex: d to Medical for Legal Referred to
Abuse Abuse ance Official Enforcer LSWDO to NBI
(2a) (2b) Abuse (4d) Member Relative (5d) Guardian) PNP Treatment Assistance NGOs,
✔=1 ✔=1 ✔(4a)
=1 ✔(4b)
=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔(5c)
=1 ✔=1 ✔(5e)
=1 ✔(5f)
= 1 pls. specify ✔(6a)
=1 ✔=1 ✔(6c)
=1 ✔=1 ✔=1 pls. specify
(4c) (5a) (5b) (5g) (6b) (6d) (6e) FBOs)
Child 1 (6f)
Child 2
Child 3
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
*If ✔, encode "1" on the applicable fields *Immediate Family Member/s – parents and siblings
*If "Others," please specify *Other Close Relative/s – uncles, aunts, grandparents, cousins, etc.
Prepared by: Submitted by:
Punong Barangay
Committee in VAWC
VAC Form 1
BARANGAY DATA CAPTURE FORM
MONITORING OF INCIDENCE ON VIOLENCE AGAINST CHILDREN (VAC) DURING THE COVID-19 PANDEMIC
2nd Quarter of 2025
Region: NCR
Province: METRO MANILA
City/Municipality: Manila
Barangay: Zone
GENDER TYPES OF VIOLENCE PERPETRATORS ACTIONS TAKEN BY THE BARANGAY/BCPC Others
VAC VICTIM/S (2) AGE (4)
Psychological/ Immediate Other (5) Others Referre (6)
Referred for Referred (ex:
Physical Sexual Acquaint Local Law Referred to Referred
(1) Male Female (3) Emotional Neglect Family Close Stranger (ex: d to Medical for Legal Referred to
Abuse Abuse ance Official Enforcer LSWDO to NBI
(2a) (2b) Abuse (4d) Member Relative (5d) Guardian) PNP Treatment Assistance NGOs,
✔=1 ✔=1 ✔(4a)
=1 ✔(4b)
=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔(5c)
=1 ✔=1 ✔(5e)
=1 ✔(5f)
= 1 pls. specify ✔(6a)
=1 ✔=1 ✔(6c)
=1 ✔=1 ✔=1 pls. specify
(4c) (5a) (5b) (5g) (6b) (6d) (6e) FBOs)
Child 1 (6f)
Child 2
Child 3
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
*If ✔, encode "1" on the applicable fields *Immediate Family Member/s – parents and siblings
*If "Others," please specify *Other Close Relative/s – uncles, aunts, grandparents, cousins, etc.
Prepared by: Submitted by:
Punong Barangay
Committee in VAWC
VAC Form 1
BARANGAY DATA CAPTURE FORM
MONITORING OF INCIDENCE ON VIOLENCE AGAINST CHILDREN (VAC) DURING THE COVID-19 PANDEMIC
3rd Quarter of 2025
Region: NCR
Province: METRO MANILA
City/Municipality: Manila
Barangay: Zone
GENDER TYPES OF VIOLENCE PERPETRATORS ACTIONS TAKEN BY THE BARANGAY/BCPC Others
VAC VICTIM/S (2) AGE (4)
Psychological/ Immediate Other (5) Others Referre (6)
Referred for Referred (ex:
Physical Sexual Acquaint Local Law Referred to Referred
(1) Male Female (3) Emotional Neglect Family Close Stranger (ex: d to Medical for Legal Referred to
Abuse Abuse ance Official Enforcer LSWDO to NBI
(2a) (2b) Abuse (4d) Member Relative (5d) Guardian) PNP Treatment Assistance NGOs,
✔=1 ✔=1 ✔(4a)
=1 ✔(4b)
=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔(5c)
=1 ✔=1 ✔(5e)
=1 ✔(5f)
= 1 pls. specify ✔(6a)
=1 ✔=1 ✔(6c)
=1 ✔=1 ✔=1 pls. specify
(4c) (5a) (5b) (5g) (6b) (6d) (6e) FBOs)
Child 1 (6f)
Child 2
Child 3
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
*If ✔, encode "1" on the applicable fields *Immediate Family Member/s – parents and siblings
*If "Others," please specify *Other Close Relative/s – uncles, aunts, grandparents, cousins, etc.
Prepared by: Submitted by:
Punong Barangay
Committee in VAWC
VAC Form 1
BARANGAY DATA CAPTURE FORM
MONITORING OF INCIDENCE ON VIOLENCE AGAINST CHILDREN (VAC) DURING THE COVID-19 PANDEMIC
4th Quarter of 2025
Region: NCR
Province: METRO MANILA
City/Municipality: Manila
Barangay: Zone
GENDER TYPES OF VIOLENCE PERPETRATORS ACTIONS TAKEN BY THE BARANGAY/BCPC Others
VAC VICTIM/S (2) AGE (4)
Psychological/ Immediate Other (5) Others Referre (6)
Referred for Referred (ex:
Physical Sexual Acquaint Local Law Referred to Referred
(1) Male Female (3) Emotional Neglect Family Close Stranger (ex: d to Medical for Legal Referred to
Abuse Abuse ance Official Enforcer LSWDO to NBI
(2a) (2b) Abuse (4d) Member Relative (5d) Guardian) PNP Treatment Assistance NGOs,
✔=1 ✔=1 ✔(4a)
=1 ✔(4b)
=1 ✔=1 ✔=1 ✔=1 ✔=1 ✔(5c)
=1 ✔=1 ✔(5e)
=1 ✔(5f)
= 1 pls. specify ✔(6a)
=1 ✔=1 ✔(6c)
=1 ✔=1 ✔=1 pls. specify
(4c) (5a) (5b) (5g) (6b) (6d) (6e) FBOs)
Child 1 (6f)
Child 2
Child 3
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
*If ✔, encode "1" on the applicable fields *Immediate Family Member/s – parents and siblings
*If "Others," please specify *Other Close Relative/s – uncles, aunts, grandparents, cousins, etc.
Prepared by: Submitted by:
Punong Barangay
Committee in VAWC