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Deped Community Mapping

This document contains a community mapping template used by the Department of Education Region X. The template collects information such as address, name of head of household, occupation, religion, income, names and details of dependents. It also includes spaces for signatures of respondents and enumerators and the date. The template is used to gather socioeconomic data at the community level.

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Dorothy Jean
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3K views1 page

Deped Community Mapping

This document contains a community mapping template used by the Department of Education Region X. The template collects information such as address, name of head of household, occupation, religion, income, names and details of dependents. It also includes spaces for signatures of respondents and enumerators and the date. The template is used to gather socioeconomic data at the community level.

Uploaded by

Dorothy Jean
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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ENCLOSURE 2

DEPED REGION X COMMUNITY MAPPING TEMPLATE

MT-FORM-1

ADDRESS: ___________________________________________________________________________________________________________________________________________________
PUROK SITIO STREET BARANGAY MUNICIPAL PROVINCE SURVEY SHEET NO.
Birthday Occupation(Select only 1) Religion Monthly Check if IP If IP what 4P’s?
Parent’s/Guardian’s Name (Last, First, MI,Ext.) dd/mm/yyyy Income Tribe?
Government Private Self- YES NO YES NO
employed

Relationship to the GENDE BIRTHDAY CIVIL Studying? Grade With Religion Check if Check if
Name of Dependents head of the Family R dd/mm/yyyy STATUS (Checck) Level If not studying why? School& Disability? Kind od IP 4P’s
(son,daughter,niece, Disatance Disability
(Last,First,Middle,Ext.) nephew) M F YES NO from Home YES NO

Ict/mapping template 2017


Name and Signature of Respondents Name of Enumerator Date

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