REGISTRATION
PICTURE
UPLOAD PICTURE
KABARANGAY MAP LOCATION
Manual
Remove Marker
My Location
Locate Cursor
KABARANGAY INFO
*
First Name
*
Middle Name
*
Last Name
*
Contact No.
Block
Lot
Zone
No.
Place
*
Street
Barangay
City/Province
Region
Blood Type
-
A+
A-
B+
B-
O+
O-
AB+
AB-
Other
*
Date of Birth
*
Status
-
Single
Married
Divorce
With Partner
Widowed
*
Sex
-
M
F
Email
Religion
House Status
-
Owner
Formal Settler
Informal Settler
Renter
Other
*
Category
-
None
4Ps
PWD
Senior
Solo Parent
Teen Mom
LGBTQIA+
Area Condition
-
Flooded
Non Flooded
Precient No.
Skills
Occupation
Education
-
Out of School Youth
UnderGraduate
HighSchool Diploma
Elementary Diploma
Training Center
2 Year Course
Bachelors Degree
Masters Degree
PHD
Other
Last School Graduated
Height
(Indicate Unit of Measurement)
Weight
(Indicate Unit of Measurement)
*
Place of Birth
Name of Spouse
Mothers Name
Fathers Name
Employment Status
-
Unemployed
Employed
Self-Employed
Indigent
-
Yes
No
Internet Access
-
Mobile Data
ISP Router
Other
None
Main Vehicle
-
Motorcycle
Tricycle
Car
SUV
Van
Truck
Jeep
Single Bike
Bike w/ Sidecar
None
Other
Water Source
-
Deepwell
Water Company
Rain
River
Other
Toilet Facility
-
Riverside
With Toilet Facilities
None
Other
Power Supply
-
Solar
Electric Company
Windmill
None
Other
Cooking Equipments
-
With Cooking Equipments
None
Other
Garbage Collection
-
Garbage Truck
Barangay Initiative
None
Other
Monthly Income
-
P1,000.00 - P5,000.00
P5,000.00 - P10,000.00
P10,000.00 - P15,000.00
P15,000.00 - P20,000.00
P20,000.00 - Above
None
Other
Nutritional Status
-
Malnourish
Overweight
Underweight
Healthy
Other
PhilHealth Member
-
Yes
No
Other
Garbage Disposal
-
Garbage Bins
Riverside
Combustion
Below Ground
Other
Registered Voter
-
Yes
No
Other
Waste Segregation
-
Yes
No
Other
House Hold Insured
-
Yes
No
Other
Family Planning
-
Pills
Condom
IUD
Injectable
Vasectomy
Tubal Ligation
Implant
Lactating Mom
Other
NO
Can Read & Write
-
YES
NO
Roof & Wall
-
Wood
Cement
Other
Type of Building
-
Single
Duplex
Bungalo
With Floor/s Extention
Deceased
-
Yes
No
Pregnant
-
Yes
No
Pregnancy Date
Pet
DELETE ALL
-
Dog
Cat
Bird
Rabits
Fish
Guinea Pigs
Reptiles
Cow
Carabao
Horse
Reptiles
Mammal
Others
Business Name
DELETE ALL
INCLUDE
Organization
DELETE ALL
INCLUDE
With Disability
DELETE ALL
INCLUDE
-
Yes
No
Signature
UPLOAD
UNDO
Head of the Family
One Head of Family Per Household Only
DELETE ALL
INCLUDE
-
Yes
No
Barangay Website Login (Optional)
Contact Cellphone Number Or Email
Password
Additional Information
REGISTER KABARANGAY
