VAC Form1 Brgy Form
VAC Form1 Brgy Form
VAC Form1 Brgy Form
Region: IV-A
Province: RIZAL
City/Municipality: PILILLA
Barangay: HALAYHAYIN
TOTAL
*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.
Submitted by:
FORM
N (VAC) DURING THE COVID-19 PANDEMIC
31, 2021
REYNATO G. JUAN
Punong Barangay