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Al Faizal

The document is a revised Barangay Official's Information Sheet for the Bangsamoro Autonomous Region in Muslim Mindanao. It includes personal and official information of a barangay official, such as name, position, contact details, and educational background. The document also includes a certification statement regarding the accuracy of the information and consent for data processing under the Philippine Data Privacy Act of 2012.

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26 views2 pages

Al Faizal

The document is a revised Barangay Official's Information Sheet for the Bangsamoro Autonomous Region in Muslim Mindanao. It includes personal and official information of a barangay official, such as name, position, contact details, and educational background. The document also includes a certification statement regarding the accuracy of the information and consent for data processing under the Philippine Data Privacy Act of 2012.

Uploaded by

remelisakiptiani5
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ANNEX “A”

BOIS Form Revised 2022

Republic of the Philippines 1X1


Bangsamoro Autonomous Region in Muslim Mindanao ID Picture
MINISTRY OF THE INTERIOR AND LOCAL GOVERNMENT
Bangsamoro Government Center, Rosary Heights VII, Cotabato City

BARANGAY OFFICIAL’S INFORMATION SHEET

REGION : BARMM CITY/MUN : SOUTH-UBIAN

PROVINCE : TAWI-TAWI BARANGAY : BENGKOL

ELECTIVE AND APPOINTIVE POSITION


Punong Barangay Barangay Treasurer
Sangguniang Barangay Member Barangay Secretary
Rank (1, 2, 3, 4, 5, 6, 7) SK Treasurer
SK Chairperson SK Secretary
SK Member (Rank 1, 2, 3, 4, 5, 6, 7) IPMR
Relationship with the Appointing Authority: __________________

TERM IN THE PRESENT POSITION: Other Appointive Barangay Official:


st nd rd
1 2 3 ___________________________________
* If Barangay Health Worker, check the box, if:
Accredited/Registered by the Local Health Board

Appointed by the Barangay

PERSONAL INFORMATION

(PhilSys Card No.)

ABDURAHIM N/A AL-FAIZAL MANDUL


(Last Name) (Suffix e.g. Jr., I, II, III) (First Name) (Middle Name)

09/23/2005 TABAWAN M SINGLE ISLAM


D
(Birth Date: mm/dd/yyyy) (Birth Place) (Sex) (Civil Status) (Religion)

TABAWAN,SOUTH-UBIAN,TAWI-TAWI N/A
(Residence Address) (Residence Telephone No.)

09269430615 N/A N/A


(Mobile Number) (Barangay Hall Telephone Number) (E-mail Address)

HIGHEST EDUCATIONAL ATTAINMENT: ELEMENTARY HIGH SCHOOL COLLEGE POST GRAD VOCATIONAL

Please specify: Graduate Under Graduate

OCCUPATION: HONORARIUM:

BENEFICIARIES: (optional for the other appointive barangay officials)


NAME DATE OF BIRTH RELATIONSHIP

1.

2.

3.

4.

(Please use additional Sheet if necessary)

I hereby certify that the above information are true and correct to the best of my knowledge. I understand that for the DILG to carry out its mandate they must
necessarily process my personal information. Therefore, I grant my consent and recognize the authority of the DILG to process my personal information, pursuant
to the Philippine Data Privacy Act of 2012.

AL-FAIZAL M. ABDURAHIM NOVEMBER 13, 2023

(Signature over Printed Name) (Date Accomplished)

Verified and validated by:


FATIMA AYESHA M. ARASA
CD/CLGOO/MLGOO Date
(Signature over Printed Name)

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