Place of

# of Yr 1st orig. Vehicle

Herbal Vegetable
Number Pangalan Family resided in before Ownershi Plants Garden
Members the Bgy. living in p
(6) (8)
(1) (2) the Bgy. (5)
(3)

40 Analyn Timbor Tapiog 2 3 2 2 2

35 Michael Andiong Otet 2 2 1 2

36 Dilson Tapiog Alnon 5 2 2

37 Dindo Asmido Tampusot 5 2 2

39 Amilito Mali Timbor 4 2 1 2

 Family House Lot Structure
Source of
Planning Toilet Facilities Source of Water Electricity acquisitoi ownershi of the
Method (11) (12) n p house
(13)
(10) (14) (15) (16)

Type Owned Private Public Shared

1 5 1 2 3 1 1 7

1 3 1 1 3 5 6 5

2 4 1 1 3 1 1 7

2 2 1 1 3 1 1 7

2 2 1 8 3 1 1 7
 Roof
External Ecological
constructi Floor Lighting Cooking Garbage Location Farm lot
housing on material used facilities disposal of house setting of area Name of
walls house Product
material (19) (20) (21) (22) (23)
(17) (24)
(18)

3 3 6 6 4 1 2 3 1 hec.

3 3 6 6 4 1 2 3 35 hec.

3 3 6 6 4 1 2 3 1 hec.

3 6 6 6 6 1 2 3

3 6 6 6 4 4 2 1
 Relation
Name of Household Place of
Machineri Farm Pet members to HH Sex Birthday Birth
es Animals Animals Head (1.4) (1.5)
(1.1) (1.6)
1.2

6,7,10 10,12 2 Analyn T. Tapiog 1 1

Aizie T. Amo 2 1
Aireen T. Amo 2 1
6,11,12 5,12 1 Michael Otet Ondiong 1 2
Judy Ann Otet Ondoing 3 1
1,10 2 Dielson Alnon 1 2
Diana Alnon 3 1
Arjay Alnon 2 2
Dianica Alnon 2 1
Rosevy Alnon 2 1
10,12 1,2 Dindo L. Tampusot 2
Marilyn A. Tampusot 1
Rosel A. Tampusot 1
Maricel A. Tampusot 1
Reymond A. Tampusot 2
5,10,12 1 Arnilito M. Timbor 2
Maricel L. Timbor 1
Bryan L. Timbor 2
Miguel L. Timbor 2
Registere
Registere Place of Civil Organizati
d at Civil d Voter Registration Status Religion Skills ons Ethnicity Studying
Registrar (1.11) (1.12) (1.14) (1.15)
(1.8) (1.9) (1.10) (1.13)
(1.7)

2 2 1 1 1 1
2 1 2 1 1 2
2 1 2 1 1 2
2 2 Mate 3 1 1 1
2 1 3 1 1 1
2 Mate 1 1 1 2
2
2
2
2
2 Mate 1 1 1 1
2 Mate 1
1
1

2 2 Brooke's Point 3 1 1 1
2 2 Brooke's Point 3 1 1 1
2 1 2 1 1 1
2 1 2 1 1 1
 Main Country/P Other
Name of Education Status of Degree/C Status of Monthly
School al Level Schooling ourse Source of Work OFW lace of source of Income
Income (1.22) Work Income
(1.16) (1.17) (1.18) (1.19) (1.21) (25)
(1.20) (1.23) (24)

1 1 2
1 2
1 2
2 G9 1 2 4
3 G6 1
1 G2 3 3
1 G4 4
1 Kinder
1 Kinder
1 Kinder
1 G3 1
1 G6
1 G4
1 G1
 Name of
Disabilitie Date last
s Health Pregnant deworme
Insurance (1.29)
(1.27) d (1.30)
(1.28)

1 1

2
2 2